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:
(b) in Part 3:
Part 2 Rules of interpretation
2 Application of table
3 General
(1) In this table, unless the contrary intention appears:
"approved day hospital facility "means a day hospital facility within the meaning of the National Health Act 1953 .
attendance of a minor nature or minor attendance , for an attendance on a patient by a consultant physician, means an attendance that:
closed reduction :
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:
(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:
(c) is staffed by:
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:
(b) is supported by:
general practitioner means:
(b) a practitioner who:
(c) a practitioner who is undertaking a placement in general practice that is approved by the RACGP:
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:
item means:
(a) an item mentioned, by number, in column 1 of:
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:
(b) is supported by:
open reduction means treatment of a dislocation or fracture by either:
referring practitioner , for the referral of a patient, means:
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.
(a) a medical practitioner (including an overseas trained practitioner or a temporary resident medical practitioner) who:
(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; or
(d) a medical practitioner who:
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:
(b) a service that:
(c) a service that:
(d) a service that:
5 Meaning of symbol (H)
6 Meaning of single course of treatment in certain circumstances
(1) In subrules 3 (1), 4 (1) and 8 (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:
(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:
7 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:
(2) If:
the professional attendance is taken not to include that supply.
8
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:
(b) does not include such an attendance if:
9 Meaning of amount under rule 9 in certain items
(1) In items 4, 13, 19 and 20, amount under rule 9 means an amount equal
to the sum of:
(b) either:
(2) In items 24, 25, 33 and 35, amount under rule 9 means an amount equal to the sum of:
(b) either:
(3) In items 37, 38, 40 and 43, amount under rule 9 means an amount equal to the sum of:
(b) either:
(4) In items 47, 48, 50 and 51, amount under rule 9 means an amount equal to the sum of:
(b) either:
(5) In items 58, 81, 87 and 92, amount under rule 9 means an amount equal to the sum of:
(b) either:
(6) In items 59, 83, 89, 93, 2610, 2631 and 2673, amount under rule 9 means an amount equal to the sum of:
(b) either:
(7) In items 60, 84, 90, 95, 2613, 2633, 2675 and 2707, amount under rule 9 means an amount equal to the sum of:
(b) either:
(8) In items 65, 86, 91, 96, 2616, 2635, 2677 and 2708, amount under rule 9 means an amount equal to the sum of:
(b) either:
(9) In item 195, amount under rule 9 means an amount equal to the sum of:
(b) either:
(10) In item 414, amount under rule 9 means an amount equal to the sum of:
(b) either:
(11) In item 415, amount under rule 9 means an amount equal to the sum of:
(b) either:
(12) In item 416, amount under rule 9 means an amount equal to the sum of:
(b) either:
(13) In item 417, amount under rule 9 means an amount equal to the sum of:
(b) either:
10 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:
11 Personal attendance by medical practitioners generally
12 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:
(b) a medical practitioner who:
13 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:
(b) a person, other than a medical practitioner, who:
14 Conditions under which certain services to be provided
Items 11309, 11312, 11315, 11318 and 11321 apply only to a service provided:
15 Application of items 1 to 10941
16 Application of items 51700 to 53706
17 Meaning of amount under rule 17 in certain items
(1) In item 15003, amount under rule 17 means an amount equal to
the sum of:
(2) In item 15009, amount under rule 17 means an amount equal to the sum of:
(3) In item 15103, amount under rule 17 means an amount equal to the sum of:
(4) In item 15109, amount under rule 17 means an amount equal to the sum of:
(5) In item 15115, amount under rule 17 means an amount equal to the sum of:
(6) In item 15214, amount under rule 17 means an amount equal to the sum of:
(7) In items 15230, 15233, 15236, 15239, 15242, 15260, 15263, 15266, 15269 and 15272, amount under rule 17 means an amount equal to the sum of:
18 Meaning of amount under rule 18 in certain items
19 Cleft lip and cleft palate services
Note
For the meaning of prescribed dental patient
, see section 3BA of the Act.
20 Meaning of (AD) in Group C2 Oral and maxillofacial surgical services and Group C3 General and prosthodontic services
21 Orthodontic services
(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:
(b) a dental practitioner who is:
(3) In this rule:
"accredited orthodontist" means:
(a) a dental practitioner who is:
(b) a dental practitioner:
"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.
22 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:
23 Meaning of report in Group D1 Miscellaneous diagnostic procedures and investigations
24 Meaning of treatment cycle of a patient
In rule 25 and items 13200 to 13221, treatment cycle , of a patient, means a
series of treatments of the patient that:
(a) begins:
25 Items provided as part of treatment cycle relating to assisted reproductive
services not to apply
(1) Subrule (2) applies to a service mentioned in:
26 Items relating to assisted reproductive services not to apply in certain pregnancy-related circumstances
27 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:
28 Meaning of delivery in certain items
In items 16515, 16519 and 16522, delivery includes:
29 Meaning of maxilla in certain items
30 Items 46300 to 46534 apply only in certain circumstances
31 Assistance at operations
(1) Items 51300 to 51318 apply only to assistance rendered by a medical
practitioner other than:
(2) Items 51800 and 51803 apply only to assistance rendered by an approved dental practitioner other than:
32 Meaning of amount under rule 32 in items 51303 and 51803
33 Meaning of amount under rule 33 in item 51309
34 Meaning of amount under rule 34 in items 18219 and 18227
(1) In item 18219, amount under rule 34 means an amount equal to the sum of:
35 Histopathological proof of malignancy in certain cases for purposes of certain items relating to surgical procedures
36 Meaning of amount under rule 36 in items 16633 and 16636
37 Meaning of amount under rule 37 in item 51312
38 Meaning of amount under rule 38 in item 31340
39 Meaning of previous significant surgical complication in item 51318
In item 51318, previous significant surgical complication means:
40 Meaning of amount under rule 40 in item 30001
41 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:
42 Meaning of qualified sleep medicine practitioner
(2) A person is a qualified adult sleep medicine practitioner or a qualified paediatric sleep medicine practitioner if:
(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:
(3) In this rule:
"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:
relevant field of sleep medicine means:
43 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:
Note
An exotic disease is medically accepted as a disease that is of foreign
origin.
44 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:
45 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:
(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:
(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:
46 Meaning of health assessment
(1) For items 700, 702, 704 and 706, health assessment means the assessment
of:
(2) A health assessment involves all of the following:
(h) an assessment of the patient's social function, including:
(3) A health assessment also includes:
47 Meaning of adult health check in item 710
(d) undertaking or arranging any required investigation, considering the need for the following tests, in particular, (in accordance with national or regional guidelines or specific regional needs):
48 Meaning of comprehensive medical assessment in item 712
(2) A comprehensive medical assessment involves all of the following:
(3) A comprehensive medical assessment also includes:
49 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:
(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:
50 Meaning of multidisciplinary care plan team
(1) A multidisciplinary care plan team :
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:
51 Meaning of multidisciplinary discharge care plan
52 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:
(2) The review of a plan also includes:
53 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:
54 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 57) carries out all of the following activities:
55 Meaning of multidisciplinary discharge case conference
56 Meaning of multidisciplinary case conference in a residential aged care facility
57 Meaning of multidisciplinary case conference team
(1) For this table, a multidisciplinary case conference team :
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:
58 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:
(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:
59 Meaning of living in a community setting in item 900
For item 900, a patient is living in a community setting if the patient:
60 Meaning of residential medication management review in item 903
(2) A medical practitioner's involvement in a residential medication management review includes all of the following:
(d) subject to subrule (4), participating in a post-review discussion (either face-to-face or by telephone) with the pharmacist to discuss the outcomes of the review including:
(3) A medical practitioner's involvement in a residential medication management review also includes:
(4) A post-review discussion is not required if:
61 Meaning of amount under rule 61 in certain items
(1) In item 2503, amount under rule 61 means an amount equal
to the sum of:
(b) either:
(2) In item 2506, amount under rule 61 means an amount equal to the sum of:
(b) either:
(3) In item 2509, amount under rule 61 means an amount equal to the sum of:
(b) either:
(4) In item 2518, amount under rule 61 means an amount equal to the sum of:
(b) either:
(5) In item 2522, amount under rule 61 means an amount equal to the sum of:
(b) either:
(6) In item 2526, amount under rule 61 means an amount equal to the sum of:
(b) either:
(7) In item 2547, amount under rule 61 means an amount equal to the sum of:
(b) either:
(8) In item 2553, amount under rule 61 means an amount equal to the sum of:
(b) either:
(9) In item 2559, amount under rule 61 means an amount equal to the sum of:
(b) either:
(10) In item 2575, amount under rule 61 means an amount equal to the sum of:
(b) either:
62 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:
(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.
63 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:
(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:
(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;
64 Meaning of approved site in items 15338 and 37220
65 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:
66 Services specified in Subgroups 21 to 25 of Group T10
In Subgroups 21 to 25 of Group T10:
(c) a reference to assistance is a reference to assistance:
67 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:
(b) in relation to perfusion performed on a patient under anaesthesia the period that:
68 Application of Subgroup 21 of Group T10
69 Application of Subgroups 22 and 23 of Group T10
70 Meaning of amount under rule 70 in items 25025, 25030 and 25050
(1) For item 25025, amount under rule 70 means the amount that is equal
to 50% of the sum of:
(2) For item 25030, amount under rule 70 means the amount that is equal to 50% of the sum of:
(3) For item 25050, amount under rule 70 means the amount that is equal to 50% of the sum of:
71 Application of Subgroups 24 and 25 of Group T10
72 Meaning of complex paediatric case in item 25205
For item 25205, a complex paediatric case involves 1 or more of the following
services:
73 Meaning of amount under rule 73 in items 25200 and 25205
For each of items 25200 and 25205, amount under rule 73 , means the sum
of:
74 Restriction of telepsychiatry consultations to rural and remote areas
75 Meaning of recognised emergency department and problem focussed history in Group A21
76 Prolonged attendances by emergency physicians
77 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:
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.
"written mental health plan" means a written plan that:
78 Focussed psychological strategies
(1) An item in Group A20 applies only to a service that:
(2) An item in Group A20 does not apply to:
(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:
79 Meaning of qualified surgeon in items 31539 and 31545
80 Meaning of qualified radiologist in item 31542
81 Injection of botulinum toxin
82 Meaning of qualified medical acupuncturist in items 193, 195, 197 and 199
83 Application of items 10990 and 10991
(b) under an agreement entered into under section 20A of the Act:
"unreferred service" means a medical service provided to a person by, or on behalf of, a medical practitioner, being a service that has not been referred to that practitioner by another medical practitioner or person with referring rights.
"practice location", in relation to the provision of a medical service, means the place of practice in respect of which the medical practitioner by whom, or on whose behalf, the service is provided, has been allocated a provider number by the Commission.
regional, rural or remote area means an area classified as RRMAs 3-7 under the Rural, Remote and Metropolitan Areas Classification.
Rural, Remote and Metropolitan Areas Classification has the meaning given by subrule 3 (1) of Part 2 of Schedule 1 to this table.
"SLA" means a Statistical Local Area specified in the ASGC.
"SSD" means a Statistical Subdivision specified in the ASGC.
84 Application of item 10993
"immunisation" means the administration of a registered vaccine to a person for any purpose other than as part of a mass immunisation of persons.
"practice nurse" means a registered nurse or an enrolled nurse who is employed by, or whose services are otherwise retained by, a general practice.
"registered vaccine" means a vaccine that is included in the part of the Australian Register of Therapeutic Goods for registered goods, being the Register maintained under section 9A of the Therapeutic Goods Act 1989 .
85 Application of item 10996
"general practice "has the meaning given by subrule 84 (1).
"practice nurse" has the meaning given by subrule 84 (1).
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 | 98.05 |
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 | 98.05 |
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 | 14.10 |
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 9 |
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 9 |
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 9 |
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 9 |
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 | 30.85 |
24 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a 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 9 |
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 9 |
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 9 |
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 9 |
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 | 58.55 |
37 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a 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 9 |
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 9 |
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 9 |
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 9 |
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 | 86.20 |
47 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a 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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 | 84.05 |
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 | 84.05 |
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 | 72.60 |
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 | 36.40 |
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 | 60.25 |
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 | 106.45 |
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 | 67.35 |
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 |
128.05 |
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 | 64.10 |
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 | 36.40 |
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 | 155.40 |
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 | 93.95 |
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 | 67.65 |
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 | 184.25 |
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 |
307.05 |
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 | 429.80 |
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 | 552.75 |
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 |
614.20 |
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 | 97.80 |
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 | 103.05 |
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 | 125.40 |
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 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 | 30.85 |
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 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 9 |
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 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 | 58.55 |
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 | 86.20 |
(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 | ||
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 | 36.75 |
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 | 73.40 |
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 | 107.55 |
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 | 148.50 |
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 | 180.85 |
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 | 18.40 |
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 | 36.75 |
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 | 53.80 |
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 | 74.35 |
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 | 90.50 |
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
| 148.50 |
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 | 36.75 |
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 | 73.40 |
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 | 107.55 |
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 | 148.50 |
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 | 180.85 |
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 | 67.45 |
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 | 105.85 |
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 | 146.75 |
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 | 177.60 |
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 | 211.70 |
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 | 41.85 |
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 | 55.60 |
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 | 82.15 |
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 | 44.40 |
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 | 99.85 |
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 | 44.40 |
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: | 42.25 |
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: | 84.40 |
(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 | ||
(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: | 123.75 |
(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: | 170.80 |
(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 | ||
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: | 208.05 |
(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 | ||
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:
| 36.75 |
(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 | ||
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: | 73.40 |
(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 | ||
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: | 107.55 |
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: | 148.50 |
(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 | ||
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:
| 180.85 |
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 | 72.60 |
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 | 36.40 |
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 | 106.45 |
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 |
67.35 |
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 | 14.10 |
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 | 30.85 |
412 | Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine attendance involving taking a detailed patient history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or an attendance of less than 40 minutes duration involving components of a service to which item 413 applies |
58.55 |
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 | 86.20 |
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 9 |
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 9 |
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 9 |
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 9 |
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 | 14.10 |
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 |
30.85 |
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 | 58.55 |
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 | 86.20 |
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 | 98.05 |
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 | 117.25 |
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 | 14.10 |
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 | 30.85 |
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 | 58.55 |
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 | 86.20 |
(d) formulation and documentation of a diagnosis and management plan
in relation to 1 or more problems; and | ||
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 |
137.95 |
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 | 92.10 |
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 | 184.25 |
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 | 307.05 |
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 | 429.80 |
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 | 552.75 |
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 | 614.20 |
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 |
117.25 |
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 | 117.25 |
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 | 101.50 |
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 | 101.50 |
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 | 160.80 |
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 | 227.45 |
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 | 160.80 |
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 | 227.45 |
710 | Attendance by a medical practitioner (other than a specialist or consultant physician) at consulting rooms or another place (other than a hospital or residential aged care facility) for an adult health check of a patient who is of Aboriginal or Torres Strait Islander descent and at least 15 years old and less than 55 years old not being an adult health check of a patient in respect of whom, in the preceding 18 months, a payment has been made under this item | 191.65 |
712 | Attendance by a medical practitioner (including a general practitioner but not including a specialist or consultant physician) at a residential aged care facility or at consulting rooms for a comprehensive medical assessment ( CMA ) of a permanent resident of a residential aged care facility not being a CMA of a resident in respect of whom, in the preceding 12 months, a payment has been made under this item |
180.20 |
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 | 206.75 |
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 | 206.75 |
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 | 103.40 |
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 | 41.65 |
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) | 41.65 |
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) |
41.65 |
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) | 80.45 |
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) | 120.65 |
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) |
160.80 |
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) | 80.45 |
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) | 120.65 |
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) | 160.80 |
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 | 80.45 |
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 | 120.65 |
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 | 160.80 |
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) | 57.40 |
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) | 91.90 |
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) | 126.30 |
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 | 57.40 |
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 | 91.90 |
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 | 126.30 |
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) | 57.40 |
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) | 91.90 |
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) | 126.30 |
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 | 118.00 |
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 | 177.05 |
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 | 236.00 |
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 | 84.80 |
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 | 135.20 |
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 | 185.60 |
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 |
118.00 |
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 | 177.05 |
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 |
236.00 |
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 | 84.80 |
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 | 135.20 |
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 | 185.60 |
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 | 118.00 |
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 | 177.05 |
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 | 236.00 |
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 | 118.00 |
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 | 177.05 |
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 | 236.00 |
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 | 128.75 |
(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 | ||
903 | Participation by a medical practitioner (including a general practitioner but not including a specialist or consultant physician) in a residential medication management review (RMMR) for a patient who is a permanent resident of a residential aged care facility not being an RMMR for a resident in respect of whom, in the preceding 12 months, a payment has been made under this item, unless there has been a significant change in the resident's medical condition or medication management plan requiring a new RMMR | 88.20 |
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 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 | 30.85 |
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 | Amount under rule 61 |
(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 | ||
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 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 |
58.55 |
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 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 61 |
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 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 | 86.20 |
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 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 61 |
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 that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus | 30.85 |
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 that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus | Amount under rule 61 |
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 that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus | 58.55 |
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 that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus | Amount under rule 61 |
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 that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus | 86.20 |
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 that completes the minimum requirements for an annual cycle of care of a patient with established diabetes mellitus | Amount under rule 61 |
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 that completes the minimum requirements of the Asthma 3+ Visit Plan | 30.85 |
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 that completes the minimum requirements of the Asthma 3+ Visit Plan |
Amount under rule 61 |
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 that completes the minimum requirements of the Asthma 3+ Visit Plan | 58.55 |
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 that completes the minimum requirements of the Asthma 3+ Visit Plan |
Amount under rule 61 |
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 that completes the minimum requirements of the Asthma 3+ Visit Plan | 86.20 |
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 that completes the minimum requirements of the Asthma 3+ Visit Plan | Amount under rule 61 |
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 that completes the minimum requirements of the 3 Step Mental Health Process | 58.55 |
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 that completes the minimum requirements of the 3 Step Mental Health Process | Amount under rule 61 |
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 that completes the minimum requirements of the 3 Step Mental Health Process | 86.20 |
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 that completes the minimum requirements of the 3 Step Mental Health Process | Amount under rule 61 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 9 |
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 | 73.75 |
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 61 |
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 | 105.60 |
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 61 |
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 | 103.25 |
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 |
103.25 |
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 | 103.25 |
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 | 103.25 |
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) | 103.25 |
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 | 103.25 |
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 | 103.25 |
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 | 103.25 |
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 | 103.25 |
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 | 103.25 |
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 | 60.25 |
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 | 60.25 |
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. The appropriate fee for the purpose of paragraph 23A (2) (c) of the Health Insurance Act 1973 is $59.00 | 30.15 |
10912 | Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has suffered a significant change of visual function requiring comprehensive reassessment within 24 months of an initial consultation to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10915 at the same practice applies | 60.25 |
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 | 60.25 |
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 | 60.25 |
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 | 60.25 |
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) | 30.15 |
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) | 30.15 |
10921 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914, 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 | 149.45 |
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 | 149.45 |
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 | 149.45 |
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 | 188.65 |
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) | 149.45 |
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 | 149.45 |
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 | 188.65 |
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 | 149.45 |
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 | 188.65 |
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 | 149.45 |
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 | 57.50 |
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 | 34.65 |
Miscellaneous services Group 1 Management of bulk-billed services | ||
10990 | A medical service to which an item in this table (other than this item or item 10991) applies if: (a) the service is an unreferred
service; and | 5.95 |
(d) the service is bulk-billed in
respect of the fees for: | ||
10991 | A medical service to which an item in this table (other than this item or item 10990) applies if: (a) the service is an unreferred service;
and | 9.00 |
(d) the service is bulk-billed in
respect of the fees for: | ||
(e) the
service is provided at, or from, a practice location in: (A) Beaudesert Shire Part A (iv) the geographical area included in the SLA spatial unit of Palm Island (AC) | ||
Group 2 Services provided by a practice nurse on behalf of a medical practitioner | ||
10993 |
Immunisation provided to a person by a practice nurse if: (a) the immunisation is provided on behalf of, and under
the supervision of, a medical practitioner; and | 10.20 |
10996 | Treatment of a person's wound (other than normal aftercare) provided by a practice nurse if: (a)
the treatment is provided on behalf of, and under the supervision of,
a medical practitioner; and | 10.20 |
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 | 104.45 |
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 | 276.40 |
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 | 276.40 |
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 | 276.40 |
11006 | Electroencephalography, temporosphenoidal, not being a service involving quantitative topographic mapping using neurometrics or similar devices | 141.70 |
11009 | Electrocorticography | 193.20 |
11012 | Neuromuscular electrodiagnosis conduction studies on 1 nerve or electromyography of 1 or more muscles using concentric needle electrodes or both these examinations (not being a service associated with a service to which item 11015 or 11018 applies) | 94.95 |
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) | 127.20 |
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) | 190.05 |
11021 | Neuromuscular electrodiagnosis repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations |
127.20 |
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 | 96.65 |
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 |
143.30 |
Subgroup 2 Ophthalmology | ||
11200 | Provocative test or tests for glaucoma, including water drinking | 34.60 |
11203 |
Tonography in the investigation or management of glaucoma, of one or both eyes using an electrical tonography machine producing a directly recorded tracing | 58.50 |
11204 |
Electroretinography of 1 or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards | 91.85 |
11205 |
Electrooculography of 1 or both eyes performed according to current professional guidelines or standards | 91.85 |
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 | 91.85 |
11211 | Dark adaptometry of 1 or both eyes with a quantitative estimation of threshold in log lumens at 45 minutes of dark adaptations | 91.85 |
11212 | Optic fundi, examination of following intravenous dye injection | 59.50 |
11215 | Retinal photography, multiple exposures, of 1 eye with intravenous dye injection | 104.35 |
11218 | Retinal photography, multiple exposures of both eyes with intravenous dye injection | 128.90 |
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 | 57.50 |
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; | 57.50 |
(b) established
neurological disease which may be progressive and where a visual field
is necessary for the management of the patient; 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 | 34.65 |
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; each additional examination | 34.65 |
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 | 104.10 |
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 | 69.05 |
11240 | Orbital contents, unidimensional ultrasonic echography or partial coherence interferometry of, 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 |
69.05 |
11241 | Orbital contents, unidimensional ultrasonic echography or partial coherence interferometry of, 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 | 87.95 |
11242 | Orbital contents, unidimensional ultrasonic echography or partial coherence interferometry of, 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 | 68.00 |
11243 | Orbital contents, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of a second eye if: (a)
surgery for the first eye has resulted in more than 1 dioptre of
error; or not being a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies | 68.00 |
Subgroup 3 Otolaryngology | ||
11300 | Brain stem evoked response audiometry (Anaes.) | 163.30 |
11303 | Electrocochleography, extratympanic method, 1 or both ears | 163.30 |
11304 |
Electrocochleography, transtympanic membrane insertion technique, 1 or both ears | 268.90 |
11306 | Non-determinate audiometry | 18.65 |
11309 | Audiogram, air conduction | 22.30 |
11312 | Audiogram, air and bone conduction or air conduction and speech discrimination | 31.50 |
11315 | Audiogram, air and bone conduction and speech | 41.75 |
11318 | Audiogram, air and bone conduction and speech, with other cochlear tests | 51.50 |
11321 | Glycerol induced cochlear function changes assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff's test) | 97.90 |
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 |
27.85 |
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 | 16.75 |
11330 | Impedance audiogram where the patient is not referred by a medical practitioner 1 examination in any 4 week period | 6.70 |
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; | 49.65 |
(h) exchange transfusion; where: (i) the patient is referred by another
medical practitioner; and | ||
11333 | Caloric test of labyrinth or labyrinths | 37.85 |
11336 |
Simultaneous bithermal caloric test of labyrinths | 37.85 |
11339 |
Electronystagmography | 37.85 |
Subgroup 4 Respiratory | ||
11500 | Bronchospirometry, including gas analysis | 141.70 |
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 | 117.65 |
11506 | Measurement of respiratory function involving a permanently recorded tracing performed before and after inhalation of bronchodilator each occasion at which 1 or more such tests are performed | 17.40 |
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 | 30.25 |
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 | 52.40 |
Subgroup 5 Vascular | ||
11600 | Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter each day of monitoring for each 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) | 58.75 |
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 | 48.95 |
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 | 64.25 |
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 |
64.25 |
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 | 54.05 |
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 | 54.05 |
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 | 95.35 |
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 | 64.25 |
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 | 64.35 |
11627 | Pulmonary artery pressure monitoring during open heart surgery, in a person under 12 years of age | 194.00 |
Subgroup 6 Cardiovascular | ||
11700 | Twelve-lead electrocardiography, tracing and report | 26.50 |
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 | 13.20 |
11702 | Twelve-lead electrocardiography, tracing only | 13.20 |
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 | 108.55 |
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 | 142.10 |
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 | 44.00 |
11711 | Ambulatory ECG monitoring for 12 hours or more, patient activated, single or multiple event recording, utilising a memory recording device which is capable of recording for at least 30 seconds after each activation, including transmission, analysis, interpretation and report payable once in any 4 week period | 23.95 |
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 | 129.05 |
11713 | Signal averaged ECG recording involving not more than 300 beats, using at least 3 leads with data acquisition at not less than 1000Hz of at least 100 QRS complexes, including analysis, interpretation and report of recording by a specialist physician or consultant physician | 59.15 |
11715 |
Blood dye dilution indicator test | 102.50 |
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 | 29.45 |
11721 | Implanted pacemaker testing of atrioventricular (AV) sequential, rate responsive, or antitachycardia pacemakers, including reprogramming when required, not being a service associated with a service to which item 11700 or 11718 applies | 59.15 |
11722 | Implanted ECG loop recording for the investigation of recurrent unexplained syncope if: (a) a diagnosis
has not been achieved through all other available cardiac
investigations; and including reprogramming when required, retrieval of stored data, analysis, interpretation and report, not being a service to which item 38285 applies | 29.45 |
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 | 143.30 |
Subgroup 7 Gastroenterology and colorectal | ||
11800 | Oesophageal motility test, manometric | 148.10 |
11810 | Clinical assessment of gastro-oesophageal reflux disease involving 24-hour pH monitoring, including analysis, interpretation and report and including any associated consultation | 148.10 |
11820 | Capsule endoscopy to investigate an episode of obscure gastrointestinal bleeding, using a capsule endoscopy device approved by the Therapeutic Goods Administration (including administration of the capsule, imaging, image reading and interpretation, and all attendances for providing the service on the day the capsule is administered) if: (a) the
service is performed by a specialist or consultant physician with
endoscopic training that is recognised by The Conjoint Committee for
the Recognition of Training in Gastrointestinal Endoscopy; and | 1 730.25 |
11830 |
Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex | 158.45 |
11833 | Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency | 211.90 |
Subgroup 8 Genito-urinary physiological investigations | ||
11900 | Urine flow study including peak urine flow measurement, not being a service associated with a service to which item 11919 applies | 23.40 |
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 | 94.30 |
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 | 94.30 |
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 |
140.05 |
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.) | 140.05 |
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.) | 140.05 |
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.) | 363.40 |
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.) | 363.40 |
11921 | Bladder washout test for localisation of urinary infection not including bacterial counts for organisms in specimens | 63.65 |
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 | 33.05 |
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 | 49.95 |
12012 | Epicutaneous patch testing in the investigation of allergic dermatitis using less than the number of allergens included in a standard patch test battery | 17.60 |
12015 |
Epicutaneous patch testing in the investigation of allergic dermatitis using all of the allergens in a standard patch test battery | 53.00 |
12018 | Epicutaneous patch testing in the investigation of allergic dermatitis using all of the allergens in a standard patch test battery and additional allergens to a total of up to and including 50 allergens | 68.25 |
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 | 100.00 |
Subgroup 10 Other diagnostic procedures and investigations | ||
12200 | Collection of specimen of sweat by iontophoresis | 31.55 |
12201 | Administration, by a specialist or consultant physician in the practice of his or her specialty, of thyrotropin alfa-rch (recombinant human thyroid-stimulating hormone), and arranging services to which both items 61426 and 66650 apply, for the detection of recurrent well-differentiated thyroid cancer in a patient if: (a) the patient
has had a total thyroidectomy and one ablative dose of radioactive
iodine; and | 2 030.40 |
(d) on at
least one previous whole body scan or serum thyroglobulin test when
withdrawn from thyroid hormone therapy, the patient did not have
evidence of well-differentiated thyroid cancer; and payable once only in a 12 month period | ||
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 | 498.90 |
(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 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 | 498.90 |
(b) a technician is in
continuous attendance under the supervision of a qualified sleep
medicine practitioner; 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 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 | 595.50 |
(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 | ||
(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 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 | 536.45 |
(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 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 | 595.50 |
(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 | 536.45 |
(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 | 183.80 |
12503 | Erythrocyte radioactive uptake survival time test or iron kinetic test | 360.45 |
12506 | Gastrointestinal blood loss estimation involving examination of stool specimens |
257.35 |
12509 | Gastrointestinal protein loss | 183.80 |
12512 |
Radioactive B12 absorption test 1 isotope | 89.10 |
12515 | Radioactive B12 absorption test 2 isotopes | 195.05 |
12518 | Thyroid uptake (using probe) | 89.10 |
12521 | Perchlorate discharge study | 107.45 |
12524 | Renal function test (without imaging procedure) | 134.30 |
12527 | Renal function test (with imaging and at least 2 blood samples) | 72.05 |
12530 | Whole body count not being a service associated with a service to which another item applies | 107.45 |
12533 | Carbon-labelled urea breath test using oral C-13 or C-14 urea, performed by a specialist or consultant physician, including the measurement of exhaled 13 CO 2 or 14 CO 2 , for either: (a) the confirmation of Helicobactor pylori
colonisation, where: | 71.75 |
(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 | 219.55 |
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) | 98.20 |
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) | 138.70 |
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 | 115.95 |
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 | 60.40 |
13106 | Declotting of an arteriovenous shunt | 103.00 |
13109 | Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis insertion and fixation of (Anaes.) | 193.20 |
13110 | Tenckhoff peritoneal dialysis catheter, removal of (including catheter cuffs) (Anaes.) | 193.85 |
13112 |
Peritoneal dialysis, establishment of, by abdominal puncture and insertion of temporary catheter (including associated consultation) (Anaes.) | 115.95 |
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 |
1 696.35 |
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 | 424.10 |
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 | 726.95 |
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 | 72.60 |
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.) | 309.00 |
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.) | 96.95 |
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.) | 726.95 |
13221 | Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination | 44.25 |
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 | 173.35 |
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 (H) (Anaes.) |
346.75 |
Subgroup 4 Paediatric and neonatal | ||
13300 |
Umbilical or scalp vein catheterisation in a neonate with or without infusion or cannulation of a vein | 48.35 |
13303 | Umbilical artery catheterisation with or without infusion | 71.60 |
13306 | Blood transfusion with venesection and complete replacement of blood, including collection from donor | 283.45 |
13309 | Blood transfusion with venesection and complete replacement of blood, using blood already collected | 241.65 |
13312 | Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants | 24.10 |
13318 | Central vein catheterisation (via jugular or subclavian vein) by open exposure, in a person under 12 years of age (Anaes.) | 193.00 |
13319 | Central vein catheterisation in a neonate via peripheral vein (Anaes.) | 193.00 |
Subgroup 5 Cardiovascular | ||
13400 | Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (Anaes.) | 82.15 |
Subgroup 6 Gastroenterology | ||
13500 | Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage | 153.00 |
13503 | Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage |
306.05 |
13506 | Gastro-oesophageal balloon intubation, Minnesota, Sengstaken-Blakemore or similar, for control of bleeding from gastric oesophageal varices | 156.50 |
Subgroup 8 Haematology | ||
13700 | Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (Anaes.) | 282.80 |
13703 | Administration of blood including collection from donor |
101.35 |
13706 | Administration of blood or bone marrow already collected | 70.80 |
13709 | Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation | 41.10 |
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 | 115.95 |
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 | 115.95 |
13757 | Therapeutic venesection for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda | 61.90 |
13760 | In vitro processing (and cryopreservation) of bone marrow or peripheral blood for autologous stem cell transplantation as an adjunct to high dose chemotherapy for: (a) chemosensitive
intermediate or high grade non-Hodgkin's lymphoma at high risk of
relapse following first line chemotherapy; or performed under the supervision of a consultant physician each day | 647.10 |
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.) | 72.35 |
13818 | Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement (Anaes.) | 96.50 |
13830 | Intracranial pressure, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician each day | 63.95 |
13839 | Arterial puncture and collection of blood for diagnostic purposes | 19.50 |
13842 |
Intra-arterial cannulation for the purpose of taking multiple arterial blood samples for blood gas analysis | 58.75 |
13845 |
Counterpulsation by intra-aortic balloon-management on the first day, including percutaneous insertion, initial and subsequent consultations and monitoring of parameters (Anaes.) | 459.00 |
13848 |
Counterpulsation by intra-aortic balloon-management on each day subsequent to the first, including associated consultations and monitoring of parameters | 111.20 |
13851 | Circulatory support device, management of, on first day | 418.85 |
13854 | Circulatory support device, management of, on each day subsequent to the first |
97.40 |
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 | 124.20 |
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 | 258.85 |
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 | 192.75 |
13876 | Central venous pressure, pulmonary arterial pressure, systemic arterial pressure or cardiac intracavity pressure, continuous monitoring by indwelling catheter by a specialist or consultant physician in an intensive care unit each day of monitoring for each type of pressure up to a maximum of 4 pressures | 58.75 |
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 | 187.85 |
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 | 63.95 |
13885 | Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician on the first day in an intensive care unit | 115.65 |
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 | 60.25 |
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 | 55.20 |
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 | 83.05 |
13921 | Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 6 hours duration for the first day of treatment | 94.00 |
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 |
55.40 |
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 | 71.60 |
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 | 99.95 |
13933 | Cytotoxic chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration for the first day of treatment | 110.90 |
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 | 72.25 |
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 | 83.05 |
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 | 55.40 |
13945 | Long-term implanted drug delivery device for cytotoxic chemotherapy, accessing of | 44.55 |
13948 | Cytotoxic agent, instillation of, into a body cavity | 55.40 |
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 | 44.75 |
14053 | PUVA therapy or UVB therapy administered to localised body areas in a hand and foot cabinet (not being a service associated with a service to which item 14050 applies) including associated consultations other than an initial consultation | 44.75 |
14100 |
Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of vascular lesions of the head or neck where abnormality is visible from 3 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 (Anaes.) | 129.40 |
14106 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas of infancy, café-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), where abnormality is visible from 3 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 area of treatment up to 50 cm 2 (Anaes.) | 129.40 |
14109 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas of infancy, 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.) | 158.90 |
14112 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas of infancy, 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.) | 188.20 |
14115 |
Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas of infancy, 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.) | 217.60 |
14118 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas of infancy, 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.) | 276.45 |
14124 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of haemangiomas of infancy, including any associated consultation 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.) | 129.40 |
Subgroup 13 Other therapeutic procedures | ||
14200 | Gastric lavage in the treatment of ingested poison | 50.80 |
14203 | Hormone or living tissue implantation, by direct implantation involving incision and suture (Anaes.) | 43.40 |
14206 | Hormone or living tissue implantation by cannula | 30.20 |
14209 |
Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent | 75.30 |
14212 | Intussusception, management of fluid or gas reduction for (Anaes.) | 157.25 |
14215 | Long-term implanted reservoir associated with the adjustable gastric band, accessing of to add or remove fluid | 83.05 |
14218 | Implanted pump or reservoir, loading of, with a therapeutic agent or agents, for infusion to the subarachnoid or epidural space | 83.05 |
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 | 44.55 |
14224 | Electroconvulsive therapy, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (Anaes.) | 59.70 |
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 | 36.15 |
15003 | Radiotherapy, superficial (including treatment with x-rays, radium rays or other radioactive substances), not being a service to which another item in this group applies each attendance at which fractionated treatment is given 2 or more fields up to a maximum of 5 additional fields | Amount under rule 17 |
15006 | Radiotherapy, superficial-attendance at which a single dose technique is applied 1 field | 80.10 |
15009 | Radiotherapy, superficial-attendance at which a single dose technique is applied 2 or more fields up to a maximum of 5 additional fields | Amount under rule 17 |
15012 | Radiotherapy, superficial each attendance at which treatment is given to an eye | 45.35 |
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 | 40.50 |
15103 | Radiotherapy, deep or orthovoltage each attendance at which fractionated treatment is given at 3 or more treatments per week 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 17 |
15106 | Radiotherapy, deep or orthovoltage each attendance at which fractionated treatment is given at 2 treatments per week or less frequently 1 field | 47.80 |
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 17 |
15112 | Radiotherapy, deep or orthovoltage attendance at which a single dose technique is applied 1 field | 102.00 |
15115 | Radiotherapy, deep or orthovoltage attendance at which a single dose technique is applied 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 17 |
Subgroup 3 Megavoltage | ||
15211 | Radiation oncology treatment, using cobalt unit or caesium teletherapy unit each attendance at which treatment is given 1 field | 46.40 |
15214 | Radiation oncology treatment, using cobalt unit or caesium teletherapy unit each attendance at which treatment is given 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 17 |
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) | 50.65 |
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) | 50.65 |
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) | 50.65 |
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 | 50.65 |
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 | 50.65 |
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 17 |
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 17 |
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 17 |
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 17 |
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 17 |
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) | 50.65 |
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) | 50.65 |
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) | 50.65 |
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 | 50.65 |
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 | 50.65 |
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 17 |
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 17 |
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 17 |
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 17 |
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 17 |
Subgroup 4 Brachytherapy | ||
15303 | Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.) | 302.95 |
15304 | Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.) | 302.95 |
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.) | 574.30 |
15308 | Intrauterine treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (Anaes.) |
574.30 |
15311 | Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.) | 282.75 |
15312 | Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.) | 280.70 |
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.) | 555.10 |
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.) | 555.10 |
15319 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.) | 344.50 |
15320 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.) | 344.50 |
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.) | 612.60 |
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.) | 612.60 |
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.) | 666.45 |
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.) | 666.45 |
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.) | 632.80 |
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.) | 632.80 |
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.) | 574.30 |
15336 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using automatic afterloading techniques (Anaes.) | 574.30 |
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 | 793.80 |
15339 |
Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block (Anaes.) | 64.65 |
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 | 161.45 |
15345 |
Construction and application of a radioactive mould using a sealed source having a half-life of less than 115 days including iodine, gold, iridium or tantalum to treat intracavity, intraoral or intranasal sites | 430.90 |
15348 | Subsequent applications of radioactive mould referred to in item 15342 or 15345 each attendance | 49.55 |
15351 | Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface | 98.95 |
15354 | Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface | 120.10 |
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 | 33.90 |
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 | 306.30 |
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 | 306.30 |
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) | 205.95 |
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) | 264.40 |
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) | 394.80 |
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) |
178.50 |
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) | 230.05 |
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 | 260.20 |
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) | 333.00 |
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 |
65.30 |
15521 | Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used | 288.40 |
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 |
540.75 |
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 |
66.95 |
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 | 298.75 |
15533 | Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to 3 or more areas, or by mantle fields or inverted Y fields, or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields |
566.50 |
15536 | Brachytherapy planning, computerised Radiation Dosimetry | 226.40 |
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 | 532.25 |
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 | 226.40 |
Subgroup 6 Stereotactic radiosurgery | ||
15600 | Stereotactic radiosurgery, including all radiation oncology consultations, planning, simulation, dosimetry and treatment | 1 444.40 |
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.) | 552.00 |
16006 | Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique | 424.15 |
16009 | Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique | 289.45 |
16012 | Intravenous administration of a therapeutic dose of Phosphorous 32 | 250.45 |
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 | 3 446.70 |
(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 | 2 072.35 |
(b) carcinoma of
the breast, where both hormonal therapy and chemotherapy have failed
and: | ||
Group T4 Obstetrics | ||
16500 | Antenatal attendance | 30.85 |
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 | 119.25 |
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 | 30.85 |
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 |
30.85 |
16505 | Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of each attendance that is not a routine antenatal attendance | 30.85 |
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 | 30.85 |
16509 |
Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of each attendance that is not a routine antenatal attendance | 30.85 |
16511 | Cervix, purse string ligation of (Anaes.) | 186.60 |
16512 | Cervix, removal of purse string ligature of (Anaes.) | 53.85 |
16514 | Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement) | 31.15 |
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.) |
294.10 |
16518 | Management of labour, incomplete, where the patient's care has been transferred to another medical practitioner for completion of the delivery (Anaes.) | 294.10 |
16519 | Management of labour and delivery by any means (including Caesarean section) including post-partum care for 5 days (Anaes.) | 452.90 |
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.) |
529.30 |
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; | 1 063.45 |
(b) recurrent antepartum
haemorrhage from 20 weeks gestation; | ||
(h) prolonged labour
greater than 12 hours with partogram evidence of abnormal cervimetric
progress; (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.) | 250.90 |
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.) | 184.95 |
16567 | Management of postpartum haemorrhage by special measures such as packing of uterus, as an independent procedure (Anaes.) | 270.55 |
16570 | Acute inversion of the uterus, vaginal correction of, as an independent procedure (Anaes.) | 353.00 |
16571 | Cervix, repair of extensive laceration or lacerations (Anaes.) | 270.55 |
16573 | Third degree tear, involving anal sphincter muscles and rectal mucosa, repair of, as an independent procedure (Anaes.) | 220.50 |
16600 | Amniocentesis, diagnostic | 53.85 |
16603 | Chorionic villus sampling, by any route |
103.45 |
16606 | Fetal blood sampling, using interventional techniques from umbilical cord or fetus, including fetal neuromuscular blockade and amniocentesis (Anaes.) | 206.35 |
16609 | Fetal intravascular blood transfusion, using blood already collected, including neuromuscular blockade, amniocentesis and fetal blood sampling (Anaes.) | 420.85 |
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.) | 331.10 |
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.) | 176.30 |
16618 |
Amniocentesis, therapeutic, when indicated because of polyhydramnios with at least 500 ml being aspirated | 176.30 |
16621 |
Amnioinfusion, for diagnostic or therapeutic purposes in the presence of severe oligohydramnios | 176.30 |
16624 | Fetal fluid filled cavity, drainage of | 253.75 |
16627 | Feto-amniotic shunt, insertion of, into fetal fluid filled cavity, including neuromuscular blockade and amniocentesis | 516.70 |
16633 | Procedure on multiple pregnancies relating to items 16606, 16609, 16612, 16615 and 16627 | Amount under rule 36 |
16636 | Procedure on multiple pregnancies relating to items 16600, 16603, 16618, 16621 and 16624 | Amount under rule 36 |
Group 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 | 36.40 |
Group T7 Regional or field nerve blocks | ||
18213 |
Intravenous regional anaesthesia of limb by retrograde perfusion |
75.25 |
18216 | Intrathecal or epidural infusion of a therapeutic substance, initial injection or commencement of, including up to 1 hour of continuous attendance by the medical practitioner (Anaes.) | 161.10 |
18219 | Intrathecal or epidural infusion of a therapeutic substance, initial injection or commencement of, where continuous attendance by the medical practitioner extends beyond the first hour (Anaes.) | Amount under rule 34 |
18222 | Infusion of a therapeutic substance to maintain regional anaesthesia or analgesia, subsequent injection or revision of, where the period of continuous medical practitioner attendance is 15 minutes or less | 31.90 |
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 | 42.50 |
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 | 241.60 |
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 34 |
18228 |
Interpleural block, initial injection or commencement of infusion of a therapeutic substance | 53.05 |
18230 | Intrathecal or epidural injection of neurolytic substance (Anaes.) | 202.30 |
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.) | 161.10 |
18233 | Epidural injection of blood for blood patch (Anaes.) | 161.10 |
18234 |
Trigeminal nerve, primary division of, injection of an anaesthetic agent (Anaes.) | 105.95 |
18236 | Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent (Anaes.) | 53.05 |
18238 |
Facial nerve, injection of an anaesthetic agent, not being a service associated with a service to which item 18240 applies | 31.90 |
18240 | Retrobulbar or peribulbar injection of an anaesthetic agent | 79.40 |
18242 | Greater occipital nerve, injection of an anaesthetic agent (Anaes.) | 31.90 |
18244 | Vagus nerve, injection of an anaesthetic agent | 85.50 |
18246 | Glossopharyngeal nerve, injection of an anaesthetic agent | 85.50 |
18248 | Phrenic nerve, injection of an anaesthetic agent | 75.25 |
18250 | Spinal accessory nerve, injection of an anaesthetic agent | 53.05 |
18252 | Cervical plexus, injection of an anaesthetic agent | 85.50 |
18254 | Brachial plexus, injection of an anaesthetic agent | 85.50 |
18256 | Suprascapular nerve, injection of an anaesthetic agent | 53.05 |
18258 | Intercostal nerve (single), injection of an anaesthetic agent | 53.05 |
18260 |
Intercostal nerves (multiple), injection of an anaesthetic agent |
75.25 |
18262 | Ilio-inguinal, iliohypogastric or genitofemoral nerves, 1 or more of, injection of an anaesthetic agent (Anaes.) | 53.05 |
18264 | Pudendal nerve, injection of an anaesthetic agent |
85.50 |
18266 | Ulnar, radial or median nerve, main trunk of, 1 or more of, injection of an anaesthetic agent, not being associated with a brachial plexus block | 53.05 |
18268 | Obturator nerve, injection of an anaesthetic agent | 75.25 |
18270 | Femoral nerve, injection of an anaesthetic agent | 75.25 |
18272 | Saphenous, sural, popliteal or posterior tibial nerve, main trunk of, 1 or more of, injection of an anaesthetic agent | 53.05 |
18274 | Paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, injection of an anaesthetic agent, (single vertebral level) | 75.25 |
18276 | Paravertebral nerves, injection of an anaesthetic agent, (multiple levels) | 105.95 |
18278 | Sciatic nerve, injection of an anaesthetic agent | 75.25 |
18280 |
Sphenopalatine ganglion, injection of an anaesthetic agent (Anaes.) |
105.95 |
18282 | Carotid sinus, injection of an anaesthetic agent, as an independent percutaneous procedure | 85.50 |
18284 | Stellate ganglion, injection of an anaesthetic agent (cervical sympathetic block) (Anaes.) | 125.30 |
18286 | Lumbar or thoracic nerves, injection of an anaesthetic agent (paravertebral sympathetic block) (Anaes.) | 125.30 |
18288 | Coeliac plexus or splanchnic nerves, injection of an anaesthetic agent (Anaes.) | 125.30 |
18290 | Cranial nerve other than trigeminal, destruction by a neurolytic agent, not being a service associated with the injection of botulinum toxin (Anaes.) | 211.90 |
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.) | 105.95 |
18294 | Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent (Anaes.) | 149.30 |
18296 | Lumbar sympathetic chain, destruction by a neurolytic agent (Anaes.) | 127.70 |
18298 | Cervical or thoracic sympathetic chain, destruction by a neurolytic agent (Anaes.) | 149.30 |
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 | 105.95 |
18352 |
Botulinum toxin (Botox or Dysport), injection of, for cervical dystonia (spasmodic torticollis), including all such injections on any 1 day | 211.90 |
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.) | 105.95 |
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.) | 105.95 |
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.) | 105.95 |
18370 | Botulinum toxin, injection of, for blepharospasm, including all such injections on any 1 day (Anaes.) | 38.25 |
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 | 84.25 |
20102 | Initiation of management of anaesthesia for plastic repair of cleft lip | 101.10 |
20104 | Initiation of management of anaesthesia for electroconvulsive therapy | 67.40 |
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 | 84.25 |
20124 | Initiation of management of anaesthesia for otoscopy | 67.40 |
20140 | Initiation of management of anaesthesia for procedures on eye, not being a service to which another item in this subgroup applies | 84.25 |
20142 | Initiation of management of anaesthesia for lens surgery | 101.10 |
20143 |
Initiation of management of anaesthesia for retinal surgery | 101.10 |
20144 | Initiation of administration of anaesthesia for corneal transplant | 134.80 |
20145 | Initiation of management of anaesthesia for vitrectomy | 134.80 |
20146 | Initiation of management of anaesthesia for biopsy of conjunctiva | 84.25 |
20148 | Initiation of management of anaesthesia for ophthalmoscopy | 67.40 |
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 | 84.25 |
20162 | Initiation of management of anaesthesia for radical surgery on the nose and accessory sinuses |
117.95 |
20164 | Initiation of management of anaesthesia for biopsy of soft tissue of the nose and accessory sinuses | 67.40 |
20170 |
Initiation of management of anaesthesia for intraoral procedures, including biopsy, not being a service to which another item in this subgroup applies | 84.25 |
20172 | Initiation of management of anaesthesia for repair of cleft palate | 117.95 |
20174 | Initiation of management of anaesthesia for excision of retropharyngeal tumour |
151.65 |
20176 | Initiation of management of anaesthesia for radical intraoral surgery | 168.50 |
20190 | Initiation of management of anaesthesia for procedures on facial bones, not being a service to which another item in this subgroup applies | 84.25 |
20192 |
Initiation of management of anaesthesia for extensive surgery on facial bones (including prognathism and extensive facial bone reconstruction) | 168.50 |
20210 | Initiation of management of anaesthesia for intracranial procedures, not being a service to which another item in this subgroup applies | 252.75 |
20212 | Initiation of management of anaesthesia for subdural taps | 84.25 |
20214 |
Initiation of management of anaesthesia for burr holes of the cranium | 151.65 |
20216 | Initiation of management of anaesthesia for intracranial vascular procedures, including those for aneurysms or arterio-venous abnormalities | 337.00 |
20220 | Initiation of management of anaesthesia for spinal fluid shunt procedures | 168.50 |
20222 | Initiation of management of anaesthesia for ablation of an intracranial nerve | 101.10 |
20225 | Initiation of management of anaesthesia for all cranial bone procedures | 202.20 |
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 | 84.25 |
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 |
252.75 |
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 | 101.10 |
20321 |
Initiation of management of anaesthesia for laryngectomy, hemi laryngectomy, laryngopharyngectomy or pharyngectomy | 168.50 |
20330 |
Initiation of management of anaesthesia for laser surgery to the airway (excluding nose and mouth) | 134.80 |
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 |
168.50 |
20352 | Initiation of management of anaesthesia for simple ligation of major vessels of neck | 84.25 |
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 | 50.55 |
20401 | Initiation of management of anaesthesia for procedures on the breast, not being a service to which another item in this subgroup applies | 67.40 |
20402 | Initiation of management of anaesthesia for reconstructive procedures on breast | 84.25 |
20403 |
Initiation of management of anaesthesia for removal of breast lump or for breast segmentectomy, where axillary node dissection is performed | 84.25 |
20404 | Initiation of management of anaesthesia for mastectomy | 101.10 |
20405 | Initiation of management of anaesthesia for reconstructive procedures on the breast using myocutaneous flaps |
134.80 |
20406 | Initiation of management of anaesthesia for radical or modified radical procedures on breast with internal mammary node dissection | 219.05 |
20410 | Initiation of management of anaesthesia for electrical conversion of arrhythmias | 84.25 |
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 | 84.25 |
20440 | Initiation of management of anaesthesia for percutaneous bone marrow biopsy of the sternum | 67.40 |
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 | 84.25 |
20452 | Initiation of management of anaesthesia for radical surgery on clavicle, scapula or sternum | 101.10 |
20470 | Initiation of management of anaesthesia for partial rib resection, not being a service to which another item in this subgroup applies | 101.10 |
20472 | Initiation of management of anaesthesia for thoracoplasty |
168.50 |
20474 | Initiation of management of anaesthesia for radical procedures on chest wall | 219.05 |
Subgroup 4 Intrathoracic | ||
20500 | Initiation of management of anaesthesia for open procedures on the oesophagus | 252.75 |
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 | 101.10 |
20522 | Initiation of management of anaesthesia for needle biopsy of pleura | 67.40 |
20524 | Initiation of management of anaesthesia for pneumocentesis | 67.40 |
20526 | Initiation of management of anaesthesia for thoracoscopy |
168.50 |
20528 | Initiation of management of anaesthesia for mediastinoscopy | 134.80 |
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 | 219.05 |
20542 | Initiation of management of anaesthesia for pulmonary decortication | 252.75 |
20546 |
Initiation of management of anaesthesia for pulmonary resection with thoracoplasty | 252.75 |
20548 | Initiation of management of anaesthesia for intrathoracic repair of trauma to trachea and bronchi | 252.75 |
20560 | Initiation of management of anaesthesia for open procedures on the heart, pericardium or great vessels of chest |
337.00 |
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 | 168.50 |
20604 | Initiation of management of anaesthesia for posterior cervical laminectomy with the patient in the sitting position | 219.05 |
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 | 168.50 |
20622 | Initiation of management of anaesthesia for thoracolumbar sympathectomy | 219.05 |
20630 |
Initiation of management of anaesthesia for procedures in lumbar region, not being a service to which another item in this subgroup applies | 134.80 |
20632 | Initiation of management of anaesthesia for lumbar sympathectomy | 117.95 |
20634 | Initiation of management of anaesthesia for chemonucleolysis | 168.50 |
20670 | Initiation of management of anaesthesia for extensive spine or spinal cord procedures, or both | 219.05 |
20680 | Initiation of management of anaesthesia for manipulation of spine when performed in the operating theatre of a hospital or approved day hospital facility | 50.55 |
20690 | Initiation of management of anaesthesia for percutaneous spinal procedures, not being a service to which another item in this subgroup applies | 84.25 |
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 | 50.55 |
20702 | Initiation of management of anaesthesia for percutaneous liver biopsy | 67.40 |
20705 | Initiation of management of anaesthesia for diagnostic laparoscopy procedures | 101.10 |
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 | 117.95 |
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 | 84.25 |
20740 | Initiation of management of anaesthesia for upper gastrointestinal endoscopic procedures | 84.25 |
20745 | Initiation of management of anaesthesia for upper gastrointestinal endoscopic procedures in association with acute gastrointestinal haemorrhage | 101.10 |
20750 | Initiation of management of anaesthesia for hernia repairs in upper abdomen, not being a service to which another item in this subgroup applies | 67.40 |
20752 | Initiation of management of anaesthesia for repair of incisional hernia or wound dehiscence, or both | 101.10 |
20754 |
Initiation of management of anaesthesia for procedures on an omphalocele | 117.95 |
20756 | Initiation of management of anaesthesia for transabdominal repair of diaphragmatic hernia | 151.65 |
20770 |
Initiation of management of anaesthesia for procedures on major upper abdominal blood vessels | 252.75 |
20790 | Initiation of management of anaesthesia for procedures within the peritoneal cavity in upper abdomen including cholecystectomy, gastrectomy, laparoscopic nephrectomy or bowel shunts | 134.80 |
20791 | Initiation of management of anaesthesia for gastric reduction or gastroplasty for the treatment of morbid obesity | 168.50 |
20792 | Initiation of management of anaesthesia for partial hepatectomy (excluding liver biopsy) | 219.05 |
20793 | Initiation of management of anaesthesia for extended or trisegmental hepatectomy | 252.75 |
20794 | Initiation of management of anaesthesia for pancreatectomy, partial or total |
202.20 |
20798 | Initiation of management of anaesthesia for neuro endocrine tumour removal in the upper abdomen | 168.50 |
20799 |
Initiation of management of anaesthesia for percutaneous procedures on an intra-abdominal organ in the upper abdomen | 101.10 |
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 | 50.55 |
20802 | Initiation of management of anaesthesia for lipectomy of the lower abdomen | 84.25 |
20805 | Initiation of management of anaesthesia for diagnostic laparoscopic procedures | 101.10 |
20806 | Initiation of management of anaesthesia for laparoscopic procedures in the lower abdomen | 117.95 |
20810 | Initiation of management of anaesthesia for lower intestinal endoscopic procedures | 67.40 |
20815 | Initiation of management of anaesthesia for extracorporeal shock wave lithotripsy to urinary tract | 101.10 |
20820 | Initiation of management of anaesthesia for procedures on the skin, its derivatives or subcutaneous tissue of the lower posterior abdominal wall | 84.25 |
20830 | Initiation of management of anaesthesia for hernia repairs in lower abdomen, not being a service to which another item in this subgroup applies | 67.40 |
20832 | Initiation of management of anaesthesia for repair of incisional herniae or wound dehiscence, or both, of the lower abdomen | 101.10 |
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 | 101.10 |
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 | 134.80 |
20842 | Initiation of management of anaesthesia for amniocentesis | 67.40 |
20844 | Initiation of management of anaesthesia for abdominoperineal resection, including pull through procedures, ultra low anterior resection and formation of bowel reservoir | 168.50 |
20845 | Initiation of management of anaesthesia for radical prostatectomy | 168.50 |
20846 | Initiation of management of anaesthesia for radical hysterectomy | 168.50 |
20848 | Initiation of management of anaesthesia for pelvic exenteration | 168.50 |
20850 | Initiation of management of anaesthesia for caesarean section |
202.20 |
20855 | Initiation of management of anaesthesia for caesarean hysterectomy or hysterectomy within 24 hours of delivery | 252.75 |
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 |
101.10 |
20862 | Initiation of management of anaesthesia for renal procedures, including upper one-third of ureter | 117.95 |
20864 |
Initiation of management of anaesthesia for total cystectomy | 168.50 |
20866 | Initiation of management of anaesthesia for adrenalectomy |
168.50 |
20867 | Initiation of management of anaesthesia for neuro endocrine tumour removal in the lower abdomen | 168.50 |
20868 |
Initiation of management of anaesthesia for renal transplantation (donor or recipient) | 168.50 |
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 | 252.75 |
20882 | Initiation of management of anaesthesia for inferior vena cava ligation | 168.50 |
20884 | Initiation of management of anaesthesia for percutaneous umbrella insertion | 84.25 |
20886 | Initiation of management of anaesthesia for percutaneous procedures on an intra-abdominal organ in the lower abdomen | 101.10 |
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 | 50.55 |
20902 | Initiation of management of anaesthesia for anorectal procedures (including endoscopy or biopsy, or both) | 67.40 |
20904 | Initiation of management of anaesthesia for radical perineal procedures, including radical perineal prostatectomy or radical vulvectomy |
117.95 |
20906 | Initiation of management of anaesthesia for vulvectomy | 67.40 |
20910 | Initiation of management of anaesthesia for transurethral procedures (including urethrocyctoscopy), not being a service to which another item in this subgroup applies | 67.40 |
20912 | Initiation of management of anaesthesia for transurethral resection of bladder tumour or tumours | 84.25 |
20914 | Initiation of management of anaesthesia for transurethral resection of prostate |
117.95 |
20916 | Initiation of management of anaesthesia for bleeding post-transurethral resection | 117.95 |
20920 | Initiation of management of anaesthesia for procedures on male external genitalia, not being a service to which another item in this subgroup applies |
50.55 |
20924 | Initiation of management of anaesthesia for procedures on undescended testis, unilateral or bilateral | 67.40 |
20926 |
Initiation of management of anaesthesia for radical orchidectomy, inguinal approach | 67.40 |
20928 | Initiation of management of anaesthesia for radical orchidectomy, abdominal approach | 101.10 |
20930 | Initiation of management of anaesthesia for orchiopexy, unilateral or bilateral | 67.40 |
20932 | Initiation of management of anaesthesia for complete amputation of penis | 67.40 |
20934 |
Initiation of management of anaesthesia for complete amputation of penis with bilateral inguinal lymphadenectomy | 101.10 |
20936 |
Initiation of management of anaesthesia for complete amputation of penis with bilateral inguinal and iliac lymphadenectomy | 134.80 |
20938 | Initiation of management of anaesthesia for insertion of penile prosthesis | 67.40 |
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 | 50.55 |
20942 | Initiation of management of anaesthesia for colpotomy, colpectomy or colporrhaphy |
67.40 |
20943 | Initiation of management of anaesthesia for transvaginal assisted reproductive services | 67.40 |
20944 |
Initiation of management of anaesthesia for vaginal hysterectomy |
101.10 |
20946 | Initiation of management of anaesthesia for vaginal delivery | 134.80 |
20948 | Initiation of management of anaesthesia for purse string ligation of cervix, or removal of purse string ligature, or removal of purse string ligature | 67.40 |
20950 |
Initiation of management of anaesthesia for culdoscopy | 84.25 |
20952 | Initiation of management of anaesthesia for hysteroscopy | 67.40 |
20954 | Initiation of management of anaesthesia for correction of inverted uterus | 168.50 |
20956 | Initiation of management of anaesthesia for evacuation of retained products of conception, as a complication of confinement | 67.40 |
20958 | Initiation of management of anaesthesia for manual removal of retained placenta or for repair of vaginal or perineal tear following delivery | 84.25 |
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 | 117.95 |
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 | 50.55 |
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 | 84.25 |
21112 | Initiation of management of anaesthesia for percutaneous bone marrow biopsy of the anterior iliac crest | 67.40 |
21114 | Initiation of management of anaesthesia for percutaneous bone marrow biopsy of the posterior iliac crest | 84.25 |
21116 | Initiation of management of anaesthesia for percutaneous bone marrow harvesting from the pelvis | 101.10 |
21120 |
Initiation of management of anaesthesia for procedures on the bony pelvis | 101.10 |
21130 | Initiation of management of anaesthesia for body cast application or revision, when performed in the operating theatre of a hospital or approved day hospital facility | 50.55 |
21140 | Initiation of management of anaesthesia for interpelviabdominal (hindquarter) amputation | 252.75 |
21150 |
Initiation of management of anaesthesia for radical procedures for tumour of the pelvis, except hindquarter amputation | 168.50 |
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 approved day hospital facility |
67.40 |
21170 | Initiation of management of anaesthesia for open procedures involving symphysis pubis or sacroiliac joint | 134.80 |
Subgroup 10 Upper leg (except knee) | ||
21195 | Initiation of management of anaesthesia for procedures on the skins or subcutaneous tissue of the upper leg | 50.55 |
21199 | Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of the upper leg | 67.40 |
21200 | Initiation of management of anaesthesia for closed procedures involving hip joint, when performed in the operating theatre of a hospital or approved day hospital facility | 67.40 |
21202 | Initiation of management of anaesthesia for arthroscopic procedures of the hip joint | 67.40 |
21210 | Initiation of management of anaesthesia for open procedures involving hip joint, not being a service to which another item in this subgroup applies | 101.10 |
21212 | Initiation of management of anaesthesia for hip disarticulation | 168.50 |
21214 | Initiation of management of anaesthesia for total hip replacement or revision |
168.50 |
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 approved day hospital facility |
67.40 |
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 | 101.10 |
21232 |
Initiation of management of anaesthesia for above knee amputation |
84.25 |
21234 | Initiation of management of anaesthesia for radical resection of the upper two-third of femur | 134.80 |
21260 |
Initiation of management of anaesthesia for procedures involving veins of upper leg, including exploration | 67.40 |
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 | 134.80 |
21272 | Initiation of management of anaesthesia for femoral artery ligation | 67.40 |
21274 |
Initiation of management of anaesthesia for femoral artery embolectomy | 101.10 |
21280 | Initiation of management of anaesthesia for microsurgical reimplantation of upper leg | 252.75 |
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 | 50.55 |
21321 |
Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of knee or popliteal area, or both | 67.40 |
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 approved day hospital facility |
67.40 |
21360 | Initiation of management of anaesthesia for open procedures on lower one-third of femur | 84.25 |
21380 | Initiation of management of anaesthesia for closed procedures on knee joint when performed in the operating theatre of a hospital or approved day hospital facility | 50.55 |
21382 | Initiation of management of anaesthesia for arthroscopic procedures of knee joint | 67.40 |
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 approved day hospital facility | 50.55 |
21392 | Initiation of management of anaesthesia for open procedures on upper ends of tibia, fibula or patella, or any of them | 67.40 |
21400 | Initiation of management of anaesthesia for open procedures on knee joint, not being a service to which another item in this subgroup applies | 67.40 |
21402 | Initiation of management of anaesthesia for knee replacement | 117.95 |
21403 |
Initiation of management of anaesthesia for bilateral knee replacement | 168.50 |
21404 | Initiation of management of anaesthesia for disarticulation of knee | 84.25 |
21420 | Initiation of management of anaesthesia for cast application, removal or repair, involving knee joint, undertaken in a hospital or approved day hospital facility |
50.55 |
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 | 67.40 |
21432 | Initiation of management of anaesthesia for repair of arteriovenous fistula of knee or popliteal area | 84.25 |
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 |
134.80 |
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 | 50.55 |
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 | 67.40 |
21462 | Initiation of management of anaesthesia for all closed procedures on lower leg, ankle or foot | 50.55 |
21464 | Initiation of management of anaesthesia for arthroscopic procedure of ankle joint | 67.40 |
21472 | Initiation of management of anaesthesia for repair of achilles tendon | 84.25 |
21474 | Initiation of management of anaesthesia for gastrocnemius recession | 84.25 |
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 | 67.40 |
21482 | Initiation of management of anaesthesia for radical resection of bone involving lower leg, ankle or foot | 84.25 |
21484 | Initiation of management of anaesthesia for osteotomy or osteoplasty of tibia or fibula | 84.25 |
21486 |
Initiation of management of anaesthesia for total ankle replacement |
117.95 |
21490 | Initiation of management of anaesthesia for lower leg cast application, removal or repair, undertaken in a hospital or approved day hospital facility | 50.55 |
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 | 134.80 |
21502 | Initiation of management of anaesthesia for embolectomy of the lower leg | 101.10 |
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 | 67.40 |
21522 | Initiation of management of anaesthesia for venous thrombectomy of the lower leg | 84.25 |
21530 | Initiation of management of anaesthesia for microsurgical reimplantation of lower leg, ankle or foot | 252.75 |
21532 | Initiation of management of anaesthesia for microsurgical reimplantation of toe | 134.80 |
Subgroup 13 Shoulder and axilla | ||
21600 | Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the shoulder or axilla | 50.55 |
21610 | Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of shoulder or axilla, including axillary dissection | 84.25 |
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 approved day hospital facility |
67.40 |
21622 | Initiation of management of anaesthesia for arthroscopic procedures of shoulder joint | 84.25 |
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 | 84.25 |
21632 | Initiation of management of anaesthesia for radical resection involving humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint | 101.10 |
21634 |
Initiation of management of anaesthesia for shoulder disarticulation |
151.65 |
21636 | Initiation of management of anaesthesia for interthoracoscapular (forequarter) amputation | 252.75 |
21638 |
Initiation of management of anaesthesia for total shoulder replacement | 168.50 |
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 | 134.80 |
21652 |
Initiation of management of anaesthesia for procedures for axillary-brachial aneurysm | 168.50 |
21654 | Initiation of management of anaesthesia for bypass graft of arteries of shoulder or axilla |
134.80 |
21656 | Initiation of management of anaesthesia for axillary-femoral bypass graft | 168.50 |
21670 | Initiation of management of anaesthesia for procedures on veins of shoulder or axilla | 67.40 |
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 | 50.55 |
21682 |
Initiation of management of anaesthesia for shoulder spica application, when undertaken in a hospital or approved day hospital facility | 67.40 |
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 | 50.55 |
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 | 67.40 |
21712 | Initiation of management of anaesthesia for open tenotomy of the upper arm or elbow | 84.25 |
21714 | Initiation of management of anaesthesia for tenoplasty of the upper arm or elbow | 84.25 |
21716 |
Initiation of management of anaesthesia for tenodesis for rupture of long tendon of biceps | 84.25 |
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 approved day hospital facility | 50.55 |
21732 | Initiation of management of anaesthesia for arthroscopic procedures of elbow joint | 67.40 |
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 | 84.25 |
21756 | Initiation of management of anaesthesia for radical procedures on the upper arm or elbow | 101.10 |
21760 | Initiation of management of anaesthesia for total elbow replacement | 117.95 |
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 | 134.80 |
21772 | Initiation of management of anaesthesia for embolectomy of arteries of the upper arm | 101.10 |
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 | 67.40 |
21790 | Initiation of management of anaesthesia for microsurgical reimplantation of upper arm | 252.75 |
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 | 50.55 |
21810 |
Initiation of management of anaesthesia for procedures on the nerves, muscles, tendons, fascia, or bursae of the forearm, wrist or hand |
67.40 |
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 approved day hospital facility | 50.55 |
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 | 67.40 |
21832 | Initiation of management of anaesthesia for total wrist replacement | 117.95 |
21834 | Initiation of management of anaesthesia for arthroscopic procedures of the wrist joint | 67.40 |
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 | 134.80 |
21842 | Initiation of management of anaesthesia for embolectomy of artery of forearm, wrist or hand |
101.10 |
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 | 67.40 |
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 | 50.55 |
21870 | Initiation of management of anaesthesia for microsurgical reimplantation of forearm, wrist or hand | 252.75 |
21872 | Initiation of management of anaesthesia for microsurgical reimplantation of a finger | 134.80 |
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 | 50.55 |
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 | 84.25 |
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 | 117.95 |
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 | 151.65 |
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 | 185.35 |
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 | 219.05 |
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 | 252.75 |
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 | 286.45 |
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 | 320.15 |
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 | 353.85 |
Subgroup 17 Anaesthesia for radiological or other diagnostic or therapeutic procedures | ||
21900 | Initiation of management of anaesthesia for injection procedure for hysterosalpingography | 50.55 |
21906 |
Initiation of management of anaesthesia for injection procedure for myelography lumbar or thoracic | 84.25 |
21908 |
Initiation of management of anaesthesia for injection procedure for myelography cervical | 101.10 |
21910 | Initiation of management of anaesthesia for injection procedure for myelography posterior fossa | 151.65 |
21912 | Initiation of management of anaesthesia for injection procedure for discography lumbar or thoracic | 84.25 |
21914 |
Initiation of management of anaesthesia for injection procedure for discography cervical | 101.10 |
21915 | Initiation of management of anaesthesia for peripheral arteriogram | 84.25 |
21916 |
Initiation of management of anaesthesia for arteriograms cerebral, carotid or vertebral | 84.25 |
21918 | Initiation of management of anaesthesia for retrograde arteriogram brachial or femoral | 84.25 |
21922 | Initiation of management of anaesthesia for computerised axial tomography scanning, magnetic resonance scanning or digital subtraction angiography scanning |
117.95 |
21925 | Initiation of management of anaesthesia for retrograde cystography, retrograde urethrography or retrograde cystourethrography | 67.40 |
21926 | Initiation of management of anaesthesia for fluoroscopy | 84.25 |
21927 | Initiation of management of anaesthesia for barium enema or other opaque study of the small bowel | 84.25 |
21930 | Initiation of management of anaesthesia for bronchography | 101.10 |
21935 | Initiation of management of anaesthesia for phlebography | 84.25 |
21936 | Initiation of management of anaesthesia for heart 2 dimensional real time transoesophageal examination | 101.10 |
21939 | Initiation of management of anaesthesia for peripheral venous cannulation | 50.55 |
21941 | Initiation of management of anaesthesia for cardiac catheterisation (including coronary arteriography, ventriculography, cardiac mapping or insertion of automatic defibrillator or transvenous pacemaker) | 117.95 |
21942 | Initiation of management of anaesthesia for cardiac electrophysiological procedures including radio frequency ablation | 168.50 |
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 | 84.25 |
21945 | Initiation of management of anaesthesia for lumbar puncture, cisternal puncture or epidural injection | 84.25 |
21949 | Initiation of management of anaesthesia for harvesting of bone marrow for the purpose of transplantation |
84.25 |
21952 | Initiation of management of anaesthesia for muscle biopsy for malignant hyperpyrexia | 168.50 |
21955 | Initiation of management of anaesthesia for electroencephalography | 84.25 |
21959 |
Initiation of management of anaesthesia for brain stem evoked response audiometry | 84.25 |
21962 | Initiation of management of anaesthesia for electrocochleography by extratympanic method or transtympanic membrane insertion method | 84.25 |
21965 | Initiation of management of anaesthesia as a therapeutic procedure where it can be demonstrated that there is a clinical need for anaesthesia | 84.25 |
21969 |
Initiation of management of anaesthesia during hyperbaric therapy, where the medical practitioner is not confined in the chamber (including the administration of oxygen) | 134.80 |
21970 | Initiation of management of anaesthesia during hyperbaric therapy, where the medical practitioner is confined in the chamber (including the administration of oxygen) | 252.75 |
21973 | Initiation of management of anaesthesia for brachytherapy using radioactive sealed sources |
84.25 |
21976 | Initiation of management of anaesthesia for therapeutic nuclear medicine | 84.25 |
21980 | Initiation of management of anaesthesia for radiotherapy | 84.25 |
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 | 50.55 |
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.)' | 67.40 |
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 | 67.40 |
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 | 50.55 |
22002 | Administration of blood or bone marrow already collected, when performed in association with the administration of anaesthesia | 67.40 |
22007 | Awake endotracheal intubation with flexible fibreoptic scope associated with difficult airway, when performed in association with the administration of anaesthesia | 67.40 |
22008 | Double lumen endobronchial tube or bronchial blocker, insertion of, when performed in association with the administration of anaesthesia | 67.40 |
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 |
50.55 |
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 | 50.55 |
22015 | Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement, when performed in association with the administration of anaesthesia | 101.10 |
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 | 67.40 |
22025 | Intraarterial cannulation when performed in association with the administration of anaesthesia |
67.40 |
22030 | Introduction of a narcotic, for the control of postoperative pain, into the epidural or intrathecal space in conjunction with an operation | 33.70 |
22035 | Introduction of a local anaesthetic, for control of postoperative pain, into the epidural or intrathecal space, in conjunction with an operation |
33.70 |
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 |
33.70 |
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 |
50.55 |
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 | 33.70 |
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 | 202.20 |
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 | 337.00 |
22065 |
Induced controlled hypothermia total body, not being a service associated with a service to which an item in Subgroup 21 applies | 84.25 |
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 | 168.50 |
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 | 252.75 |
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 | 84.25 |
22905 | Initiation of management of anaesthesia for restorative dental work | 84.25 |
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 | 33.70 |
23022 | Anaesthesia, perfusion or assistance, where the service time is more than 20 minutes but not more than 25 minutes | 33.70 |
23023 | Anaesthesia, perfusion or assistance, where the service time is more than 25 minutes but not more than 30 minutes | 33.70 |
23031 | Anaesthesia, perfusion or assistance, where the service time is more than 30 minutes but not more than 35 minutes | 50.55 |
23032 | Anaesthesia, perfusion or assistance, where the service time is more than 35 minutes but not more than 40 minutes | 50.55 |
23033 | Anaesthesia, perfusion or assistance, where the service time is more than 40 minutes but not more than 45 minutes | 50.55 |
23041 | Anaesthesia, perfusion or assistance, where the service time is more than 45 minutes but not more than 50 minutes | 67.40 |
23042 | Anaesthesia, perfusion or assistance, where the service time is more than 50 minutes but not more than 55 minutes | 67.40 |
23043 | Anaesthesia, perfusion or assistance, where the service time is more than 55 minutes but not more than 1 hour | 67.40 |
23051 | Anaesthesia, perfusion or assistance, where the service time is more than 1:01 hours but not more than 1:05 hours | 84.25 |
23052 | Anaesthesia, perfusion or assistance, where the service time is more than 1:05 hours but not more than 1:10 hours | 84.25 |
23053 | Anaesthesia, perfusion or assistance, where the service time is more than 1:10 hours but not more than 1:15 hours | 84.25 |
23061 | Anaesthesia, perfusion or assistance, where the service time is more than 1:15 hours but not more than 1:20 hours | 101.10 |
23062 | Anaesthesia, perfusion or assistance, where the service time is more than 1:20 hours but not more than 1:25 hours | 101.10 |
23063 | Anaesthesia, perfusion or assistance, where the service time is more than 1:25 hours but not more than 1:30 hours | 101.10 |
23071 | Anaesthesia, perfusion or assistance, where the service time is more than 1:30 hours but not more than 1:35 hours | 117.95 |
23072 | Anaesthesia, perfusion or assistance, where the service time is more than 1:35 hours but not more than 1:40 hours | 117.95 |
23073 | Anaesthesia, perfusion or assistance, where the service time is more than 1:40 hours but not more than 1:45 hours | 117.95 |
23081 | Anaesthesia, perfusion or assistance, where the service time is more than 1:45 hours but not more than 1:50 hours | 134.80 |
23082 | Anaesthesia, perfusion or assistance, where the service time is more than 1:50 hours but not more than 1:55 hours | 134.80 |
23083 | Anaesthesia, perfusion or assistance, where the service time is more than 1:55 hours but not more than 2:00 hours | 134.80 |
23090 | Anaesthesia, perfusion or assistance, where the service time is more than 2:00 hours but not more than 2:15 hours | 151.65 |
23100 | Anaesthesia, perfusion or assistance, where the service time is more than 2:15 hours but not more than 2:30 hours | 168.50 |
23110 | Anaesthesia, perfusion or assistance, where the service time is more than 2:30 hours but not more than 2:45 hours | 185.35 |
23120 | Anaesthesia, perfusion or assistance, where the service time is more than 2:45 hours but not more than 3:00 hours | 202.20 |
23130 | Anaesthesia, perfusion or assistance, where the service time is more than 3:00 hours but not more than 3:15 hours | 219.05 |
23140 | Anaesthesia, perfusion or assistance, where the service time is more than 3:15 hours but not more than 3:30 hours | 235.90 |
23150 | Anaesthesia, perfusion or assistance, where the service time is more than 3:30 hours but not more than 3:45 hours | 252.75 |
23160 | Anaesthesia, perfusion or assistance, where the service time is more than 3:45 hours but not more than 4:00 hours | 269.60 |
23170 | Anaesthesia, perfusion or assistance, where the service time is more than 4:00 hours but not more than 4:10 hours | 286.45 |
23180 | Anaesthesia, perfusion or assistance, where the service time is more than 4:10 hours but not more than 4:20 hours | 303.30 |
23190 | Anaesthesia, perfusion or assistance, where the service time is more than 4:20 hours but not more than 4:30 hours | 320.15 |
23200 | Anaesthesia, perfusion or assistance, where the service time is more than 4:30 hours but not more than 4:40 hours | 337.00 |
23210 | Anaesthesia, perfusion or assistance, where the service time is more than 4:40 hours but not more than 4:50 hours | 353.85 |
23220 | Anaesthesia, perfusion or assistance, where the service time is more than 4:50 hours but not more than 5:00 hours | 370.70 |
23230 | Anaesthesia, perfusion or assistance, where the service time is more than 5:00 hours but not more than 5:10 hours | 387.55 |
23240 | Anaesthesia, perfusion or assistance, where the service time is more than 5:10 hours but not more than 5:20 hours | 404.40 |
23250 | Anaesthesia, perfusion or assistance, where the service time is more than 5:20 hours but not more than 5:30 hours | 421.25 |
23260 | Anaesthesia, perfusion or assistance, where the service time is more than 5:30 hours but not more than 5:40 hours | 438.10 |
23270 | Anaesthesia, perfusion or assistance, where the service time is more than 5:40 hours but not more than 5:50 hours | 454.95 |
23280 | Anaesthesia, perfusion or assistance, where the service time is more than 5:50 hours but not more than 6:00 hours | 471.80 |
23290 | Anaesthesia, perfusion or assistance, where the service time is more than 6:00 hours but not more than 6:10 hours | 488.65 |
23300 | Anaesthesia, perfusion or assistance, where the service time is more than 6:10 hours but not more than 6:20 hours | 505.50 |
23310 | Anaesthesia, perfusion or assistance, where the service time is more than 6:20 hours but not more than 6:30 hours | 522.35 |
23320 | Anaesthesia, perfusion or assistance, where the service time is more than 6:30 hours but not more than 6:40 hours | 539.20 |
23330 | Anaesthesia, perfusion or assistance, where the service time is more than 6:40 hours but not more than 6:50 hours | 556.05 |
23340 | Anaesthesia, perfusion or assistance, where the service time is more than 6:50 hours but not more than 7:00 hours | 572.90 |
23350 | Anaesthesia, perfusion or assistance, where the service time is more than 7:00 hours but not more than 7:10 hours | 589.75 |
23360 | Anaesthesia, perfusion or assistance, where the service time is more than 7:10 hours but not more than 7:20 hours | 606.60 |
23370 | Anaesthesia, perfusion or assistance, where the service time is more than 7:20 hours but not more than 7:30 hours | 623.45 |
23380 | Anaesthesia, perfusion or assistance, where the service time is more than 7:30 hours but not more than 7:40 hours | 640.30 |
23390 | Anaesthesia, perfusion or assistance, where the service time is more than 7:40 hours but not more than 7:50 hours | 657.15 |
23400 | Anaesthesia, perfusion or assistance, where the service time is more than 7:50 hours but not more than 8:00 hours | 674.00 |
23410 | Anaesthesia, perfusion or assistance, where the service time is more than 8:00 hours but not more than 8:10 hours | 690.85 |
23420 | Anaesthesia, perfusion or assistance, where the service time is more than 8:10 hours but not more than 8:20 hours | 707.70 |
23430 | Anaesthesia, perfusion or assistance, where the service time is more than 8:20 hours but not more than 8:30 hours | 724.55 |
23440 | Anaesthesia, perfusion or assistance, where the service time is more than 8:30 hours but not more than 8:40 hours | 741.40 |
23450 | Anaesthesia, perfusion or assistance, where the service time is more than 8:40 hours but not more than 8:50 hours | 758.25 |
23460 | Anaesthesia, perfusion or assistance, where the service time is more than 8:50 hours but not more than 9:00 hours | 775.10 |
23470 | Anaesthesia, perfusion or assistance, where the service time is more than 9:00 hours but not more than 9:10 hours | 791.95 |
23480 | Anaesthesia, perfusion or assistance, where the service time is more than 9:10 hours but not more than 9:20 hours | 808.80 |
23490 |
Anaesthesia, perfusion or assistance, where the service time is more than 9:20 hours but not more than 9:30 hours | 825.65 |
23500 | Anaesthesia, perfusion or assistance, where the service time is more than 9:30 hours but not more than 9:40 hours |
842.50 |
23510 | Anaesthesia, perfusion or assistance, where the service time is more than 9:40 hours but not more than 9:50 hours | 859.35 |
23520 | Anaesthesia, perfusion or assistance, where the service time is more than 9:50 hours but not more than 10:00 hours | 876.20 |
23530 | Anaesthesia, perfusion or assistance, where the service time is more than 10:00 hours but not more than 10:10 hours | 893.05 |
23540 |
Anaesthesia, perfusion or assistance, where the service time is more than 10:10 hours but not more than 10:20 hours | 909.90 |
23550 | Anaesthesia, perfusion or assistance, where the service time is more than 10:20 hours but not more than 10:30 hours |
926.75 |
23560 | Anaesthesia, perfusion or assistance, where the service time is more than 10:30 hours but not more than 10:40 hours | 943.60 |
23570 | Anaesthesia, perfusion or assistance, where the service time is more than 10:40 hours but not more than 10:50 hours | 960.45 |
23580 | Anaesthesia, perfusion or assistance, where the service time is more than 10:50 hours but not more than 11:00 hours | 977.30 |
23590 |
Anaesthesia, perfusion or assistance, where the service time is more than 11:00 hours but not more than 11:10 hours | 994.15 |
23600 | Anaesthesia, perfusion or assistance, where the service time is more than 11:10 hours but not more than 11:20 hours |
1 011.00 |
23610 | Anaesthesia, perfusion or assistance, where the service time is more than 11:20 hours but not more than 11:30 hours | 1 027.85 |
23620 | Anaesthesia, perfusion or assistance, where the service time is more than 11:30 hours but not more than 11:40 hours | 1 044.70 |
23630 | Anaesthesia, perfusion or assistance, where the service time is more than 11:40 hours but not more than 11:50 hours | 1 061.55 |
23640 | Anaesthesia, perfusion or assistance, where the service time is more than 11:50 hours but not more than 12:00 hours |
1 078.40 |
23650 | Anaesthesia, perfusion or assistance, where the service time is more than 12:00 hours but not more than 12:10 hours | 1 095.25 |
23660 | Anaesthesia, perfusion or assistance, where the service time is more than 12:10 hours but not more than 12:20 hours | 1 112.10 |
23670 | Anaesthesia, perfusion or assistance, where the service time is more than 12:20 hours but not more than 12:30 hours | 1 128.95 |
23680 | Anaesthesia, perfusion or assistance, where the service time is more than 12:30 hours but not more than 12:40 hours |
1 145.80 |
23690 | Anaesthesia, perfusion or assistance, where the service time is more than 12:40 hours but not more than 12:50 hours | 1 162.65 |
23700 | Anaesthesia, perfusion or assistance, where the service time is more than 12:50 hours but not more than 13:00 hours | 1 179.50 |
23710 | Anaesthesia, perfusion or assistance, where the service time is more than 13:00 hours but not more than 13:10 hours | 1 196.35 |
23720 | Anaesthesia, perfusion or assistance, where the service time is more than 13:10 hours but not more than 13:20 hours |
1 213.20 |
23730 | Anaesthesia, perfusion or assistance, where the service time is more than 13:20 hours but not more than 13:30 hours | 1 230.05 |
23740 | Anaesthesia, perfusion or assistance, where the service time is more than 13:30 hours but not more than 13:40 hours | 1 246.90 |
23750 | Anaesthesia, perfusion or assistance, where the service time is more than 13:40 hours but not more than 13:50 hours | 1 263.75 |
23760 | Anaesthesia, perfusion or assistance, where the service time is more than 13:50 hours but not more than 14:00 hours |
1 280.60 |
23770 | Anaesthesia, perfusion or assistance, where the service time is more than 14:00 hours but not more than 14:10 hours | 1 297.45 |
23780 | Anaesthesia, perfusion or assistance, where the service time is more than 14:10 hours but not more than 14:20 hours | 1 314.30 |
23790 | Anaesthesia, perfusion or assistance, where the service time is more than 14:20 hours but not more than 14:30 hours | 1 331.15 |
23800 | Anaesthesia, perfusion or assistance, where the service time is more than 14:30 hours but not more than 14:40 hours |
1 348.00 |
23810 | Anaesthesia, perfusion or assistance, where the service time is more than 14:40 hours but not more than 14:50 hours | 1 364.85 |
23820 | Anaesthesia, perfusion or assistance, where the service time is more than 14:50 hours but not more than 15:00 hours | 1 381.70 |
23830 | Anaesthesia, perfusion or assistance, where the service time is more than 15:00 hours but not more than 15:10 hours | 1 398.55 |
23840 | Anaesthesia, perfusion or assistance, where the service time is more than 15:10 hours but not more than 15:20 hours |
1 415.40 |
23850 | Anaesthesia, perfusion or assistance, where the service time is more than 15:20 hours but not more than 15:30 hours | 1 432.25 |
23860 | Anaesthesia, perfusion or assistance, where the service time is more than 15:30 hours but not more than 15:40 hours | 1 449.10 |
23870 | Anaesthesia, perfusion or assistance, where the service time is more than15:40 hours but not more than 15:50 hours |
1 465.95 |
23880 | Anaesthesia, perfusion or assistance, where the service time is more than 15:50 hours but not more than 16:00 hours | 1 482.80 |
23890 | Anaesthesia, perfusion or assistance, where the service time is more than 16:00 hours but not more than 16:10 hours | 1 499.65 |
23900 | Anaesthesia, perfusion or assistance, where the service time is more than 16:10 hours but not more than 16:20 hours | 1 516.50 |
23910 | Anaesthesia, perfusion or assistance, where the service time is more than 16:20 hours but not more than 16:30 hours |
1 533.35 |
23920 | Anaesthesia, perfusion or assistance, where the service time is more than 16:30 hours but not more than 16:40 hours | 1 550.20 |
23930 | Anaesthesia, perfusion or assistance, where the service time is more than 16:40 hours but not more than 16:50 hours | 1 567.05 |
23940 | Anaesthesia, perfusion or assistance, where the service time is more than 16:50 hours but not more than 17:00 hours | 1 583.90 |
23950 | Anaesthesia, perfusion or assistance, where the service time is more than 17:00 hours but not more than 17:10 hours |
1 600.75 |
23960 | Anaesthesia, perfusion or assistance, where the service time is more than 17:10 hours but not more than 17:20 hours | 1 617.60 |
23970 | Anaesthesia, perfusion or assistance, where the service time is more than 17:20 hours but not more than 17:30 hours | 1 634.45 |
23980 | Anaesthesia, perfusion or assistance, where the service time is more than 17:30 hours but not more than 17:40 hours | 1 651.30 |
23990 | Anaesthesia, perfusion or assistance, where the service time is more than17:40 hours but not more than 17:50 hours |
1 668.15 |
24100 | Anaesthesia, perfusion or assistance, where the service time is more than 17:50 hours but not more than 18:00 hours | 1 685.00 |
24101 | Anaesthesia, perfusion or assistance, where the service time is more than 18:00 hours but not more than 18:10 hours | 1 701.85 |
24102 | Anaesthesia, perfusion or assistance, where the service time is more than 18:10 hours but not more than 18:20 hours | 1 718.70 |
24103 | Anaesthesia, perfusion or assistance, where the service time is more than 18:20 hours but not more than 18:30 hours |
1 735.55 |
24104 | Anaesthesia, perfusion or assistance, where the service time is more than 18:30 hours but not more than 18:40 hours | 1 752.40 |
24105 | Anaesthesia, perfusion or assistance, where the service time is more than 18:40 hours but not more than 18:50 hours | 1 769.25 |
24106 | Anaesthesia, perfusion or assistance, where the service time is more than 18:50 hours but not more than 19:00 hours | 1 786.10 |
24107 | Anaesthesia, perfusion or assistance, where the service time is more than 19:00 hours but not more than 19:10 hours |
1 802.95 |
24108 | Anaesthesia, perfusion or assistance, where the service time is more than 19:10 hours but not more than 19:20 hours | 1 819.80 |
24109 | Anaesthesia, perfusion or assistance, where the service time is more than 19:20 hours but not more than 19:30 hours | 1 836.65 |
24110 | Anaesthesia, perfusion or assistance, where the service time is more than 19:30 hours but not more than 19:40 hours | 1 853.50 |
24111 | Anaesthesia, perfusion or assistance, where the service time is more than 19:40 hours but not more than 19:50 hours |
1 870.35 |
24112 | Anaesthesia, perfusion or assistance, where the service time is more than 19:50 hours but not more than 20:00 hours | 1 887.20 |
24113 | Anaesthesia, perfusion or assistance, where the service time is more than 20:00 hours but not more than 20:10 hours | 1 904.05 |
24114 | Anaesthesia, perfusion or assistance, where the service time is more than 20:10 hours but not more than 20:20 hours | 1 920.90 |
24115 | Anaesthesia, perfusion or assistance, where the service time is more than 20:20 hours but not more than 20:30 hours |
1 937.75 |
24116 | Anaesthesia, perfusion or assistance, where the service time is more than 20:30 hours but not more than 20:40 hours | 1 954.60 |
24117 | Anaesthesia, perfusion or assistance, where the service time is more than 20:40 hours but not more than 20:50 hours | 1 971.45 |
24118 | Anaesthesia, perfusion or assistance, where the service time is more than 20:50 hours but not more than 21:00 hours | 1 988.30 |
24119 | Anaesthesia, perfusion or assistance, where the service time is more than 21:00 hours but not more than 21:10 hours |
2 005.15 |
24120 | Anaesthesia, perfusion or assistance, where the service time is more than 21:10 hours but not more than 21:20 hours | 2 022.00 |
24121 | Anaesthesia, perfusion or assistance, where the service time is more than 21:20 hours but not more than 21:30 hours | 2 038.85 |
24122 | Anaesthesia, perfusion or assistance, where the service time is more than 21:30 hours but not more than 21:40 hours | 2 055.70 |
24123 | Anaesthesia, perfusion or assistance, where the service time is more than 21:40 hours but not more than 21:50 hours |
2 072.55 |
24124 | Anaesthesia, perfusion or assistance, where the service time is more than 21:50 hours but not more than 22:00 hours | 2 089.40 |
24125 | Anaesthesia, perfusion or assistance, where the service time is more than 22:00 hours but not more than 22:10 hours | 2 106.25 |
24126 | Anaesthesia, perfusion or assistance, where the service time is more than 22:10 hours but not more than 22:20 hours | 2 123.10 |
24127 | Anaesthesia, perfusion or assistance, where the service time is more than 22:20 hours but not more than 22:30 hours |
2 139.95 |
24128 | Anaesthesia, perfusion or assistance, where the service time is more than 22:30 hours but not more than 22:40 hours | 2 156.80 |
24129 | Anaesthesia, perfusion or assistance, where the service time is more than 22:40 hours but not more than 22:50 hours | 2 173.65 |
24130 | Anaesthesia, perfusion or assistance, where the service time is more than 22:50 hours but not more than 23:00 hours | 2 190.50 |
24131 | Anaesthesia, perfusion or assistance, where the service time is more than 23:00 hours but not more than 23:10 hours |
2 207.35 |
24132 | Anaesthesia, perfusion or assistance, where the service time is more than 23:10 hours but not more than 23:20 hours | 2 224.20 |
24133 | Anaesthesia, perfusion or assistance, where the service time is more than 23:20 hours but not more than 23:30 hours | 2 241.05 |
24134 | Anaesthesia, perfusion or assistance, where the service time is more than 23:30 hours but not more than 23:40 hours | 2 257.90 |
24135 | Anaesthesia, perfusion or assistance, where the service time is more than 23:40 hours but not more than 23:50 hours |
2 274.75 |
24136 | Anaesthesia, perfusion or assistance, where the service time is more than 23:50 hours but not more than 24:00 hours | 2 291.60 |
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) | 16.85 |
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) | 33.70 |
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) | 50.55 |
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 | 16.85 |
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 | 33.70 |
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 70 |
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 70 |
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 70 |
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 73 |
25205 | Assistance in the administration of elective anaesthesia, where: (a) the patient has complex airway
problems; or | Amount under rule 73 |
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 40 |
30003 | Localised burns, dressing of, (not involving grafting) each attendance at which the procedure is performed, including any associated consultation | 30.85 |
30006 |
Extensive burns, dressing of, without anaesthesia (not involving grafting) each attendance at which the procedure is performed, including any associated consultation | 39.45 |
30009 |
Localised burns, dressing of, under general anaesthesia (not involving grafting) (G) (H) (Anaes.) | 51.50 |
30010 | Localised burns, dressing of, under general anaesthesia (not involving grafting) (S) (H) (Anaes.) | 62.70 |
30013 | Extensive burns, dressing of, under general anaesthesia (not involving grafting) (G) (H) (Anaes.) | 111.05 |
30014 | Extensive burns, dressing of, under general anaesthesia (not involving grafting) (S) (H) (Anaes.) | 131.85 |
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.) | 276.60 |
30020 | Burns, excision of, under general anaesthesia, involving more than 10% of body surface, where grafting is not carried out during the same operation (H) (Anaes.) (Assist.) | 538.75 |
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.) | 276.60 |
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.) | 44.30 |
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.) | 76.30 |
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.) |
70.00 |
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.) | 99.70 |
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.) | 76.30 |
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.) | 122.20 |
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.) | 157.55 |
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.) | 99.70 |
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.) |
127.05 |
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.) | 157.55 |
30052 | Full thickness laceration of ear, eyelid, nose or lip, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.) | 215.50 |
30055 | Wounds, dressing of, under general anaesthesia, with or without removal of sutures, not being a service associated with a service to which another item in this group applies (Anaes.) | 62.70 |
30058 | Post-operative haemorrhage, control of, under general anaesthesia, as an independent procedure (Anaes.) | 122.20 |
30061 | Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (Anaes.) | 19.90 |
30064 | Subcutaneous foreign body, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure (Anaes.) | 93.25 |
30067 | Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G) (Anaes.) (Assist.) | 189.75 |
30068 | Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S) (Anaes.) (Assist.) | 234.80 |
30071 | Diagnostic biopsy of skin or mucous membrane, as an independent procedure, where the biopsy specimen is sent for pathological examination (Anaes.) | 44.30 |
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.) | 99.70 |
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.) | 127.05 |
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.) | 41.10 |
30081 | Diagnostic biopsy of bone marrow by trephine using an open approach, where the biopsy specimen is sent for pathological examination (Anaes.) | 93.25 |
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.) | 49.90 |
30087 | Diagnostic biopsy of bone marrow by aspiration or punch biopsy of synovial membrane, where the biopsy specimen is sent for pathological examination (Anaes.) | 25.00 |
30090 | Diagnostic biopsy of pleura, percutaneous, where the biopsy specimen is sent for pathological examination 1 or more biopsies on any 1 occasion (Anaes.) | 109.05 |
30093 | Diagnostic needle biopsy of vertebra, where the biopsy specimen is sent for pathological examination (Anaes.) | 145.60 |
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.) | 160.70 |
30096 | Diagnostic scalene node biopsy, by open procedure, if the specimen excised is sent for pathological examination (Anaes.) | 156.05 |
30099 | Sinus, excision of, involving superficial tissue only (Anaes.) | 76.30 |
30102 |
Sinus, excision of, involving muscle and deep tissue (G) (Anaes.) | 127.05 |
30103 | Sinus, excision of, involving muscle and deep tissue (S) (Anaes.) | 156.05 |
30104 | Pre-auricular sinus, excision of (Anaes.) | 107.70 |
30106 | Ganglion or small bursa, excision of, not being a service associated with a service to which another item in this group applies (G) (Anaes.) | 131.85 |
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.) | 186.60 |
30110 | Bursa (large), including olecranon, calcaneum or patella, excision of (G) (Anaes.) (Assist.) | 241.25 |
30111 | Bursa (large), including olecranon, calcaneum or patella, excision of (S) (Anaes.) (Assist.) | 315.25 |
30114 | Bursa, semimembranosus (Baker's cyst), excision of (H) (Anaes.) (Assist.) | 315.25 |
30165 | Lipectomy transverse wedge excision of abdominal apron, not being a service associated with a service to which item 45530, 45564 or 45565 applies, and not being a service performed within 12 months after the end of a pregnancy of the patient (Anaes.) (Assist.) | 385.95 |
30168 |
Lipectomy wedge excision of skin or fat, not being a service associated with a service to which item 45530, 45564 or 45565 applies, and not being a service to which item 30165 applies 1 excision (Anaes.) (Assist.) | 385.95 |
30171 |
Lipectomy wedge excision of skin or fat, not being a service associated with a service to which item 45530, 45564 or 45565 applies, and not being a service to which item 30165 applies 2 or more excisions (Anaes.) (Assist.) | 587.00 |
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 45530, 45564 or 45565 applies (Anaes.) (Assist.) | 587.00 |
30177 |
Lipectomy radical abdominoplasty (Pitanguy type or similar) with excision of skin and subcutaneous tissue, repair of musculo-aponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 45530, 45564 or 45565 applies, and not being a service performed within 12 months after the end of a pregnancy of the patient (H) (Anaes.) (Assist.) | 836.40 |
30178 | Closure of abdomen with reconstruction of umbilicus, with or without lipectomy, being a service associated with items 45530, 45564 or 45565 (H) (Anaes.) (Assist.) | 578.00 |
30180 | Axillary hyperhidrosis, partial excision for (Anaes.) | 115.80 |
30183 |
Axillary hyperhidrosis, total excision of sweat gland bearing area (Anaes.) | 209.10 |
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 | 154.85 |
30186 | Palmar
or plantar warts (for each wart, up to a total of 9 warts),
definitive removal of, excluding ablative methods alone, not being a
service to which item 30185 or 30187 applies (Anaes.) | 40.30 |
30187 | Palmar or plantar warts, removal of, by carbon dioxide laser or erbium laser, requiring admission to a hospital or approved day hospital facility, or when performed by a specialist in the practice of his or her specialty (5 or more warts) (Anaes.) | 218.05 |
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.) | 124.95 |
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.) | 337.50 |
30192 | Premalignant skin lesions (including solar keratoses), treatment of, by ablative technique (10 or more lesions) (Anaes.) | 33.65 |
30195 | Benign neoplasm of skin, other than viral verrucae (common warts), seborrheic keratoses or skin tags, 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.) |
53.85 |
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.) | 107.15 |
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.) | 373.40 |
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 | 41.00 |
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) |
144.45 |
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.) |
107.15 |
30207 | Skin lesions, multiple injections with hydrocortisone or similar preparations (Anaes.) | 37.85 |
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.) | 138.30 |
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.) | 93.15 |
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 (H) |
93.15 |
30216 | Haematoma, aspiration of (Anaes.) | 23.20 |
30219 |
Haematoma, furuncle, small abscess or similar lesion not requiring admission to a hospital or approved day hospital facility, incision with drainage of, excluding after-care | 23.20 |
30223 | Large haematoma, large abscess, carbuncle, cellulitis or similar lesion, incision with drainage of, excluding after-care (H) (Anaes.) | 138.30 |
30224 | Percutaneous drainage of deep abscess using interventional techniques but not including imaging (Anaes.) | 201.60 |
30225 | Abscess drainage tube, exchange of using interventional techniques but not including imaging (Anaes.) | 227.10 |
30226 | Muscle, excision of (limited) or fasciotomy (Anaes.) | 127.05 |
30229 | Muscle, excision of (extensive) (Anaes.) (Assist.) | 231.60 |
30232 | Muscle, ruptured, repair of (limited), not associated with external wound (Anaes.) | 189.75 |
30235 | Muscle, ruptured, repair of (extensive), not associated with external wound (Anaes.) (Assist.) |
250.90 |
30238 | Fascia, deep, repair of, for herniated muscle (Anaes.) | 127.05 |
30241 | Bone tumour, innocent, excision of, not being a service to which another item in this group applies (Anaes.) (Assist.) | 302.35 |
30244 | Styloid process of temporal bone, removal of (H) (Anaes.) (Assist.) | 302.35 |
30246 | Parotid duct, repair of, using micro-surgical techniques (H) (Anaes.) (Assist.) |
585.30 |
30247 | Parotid gland, total extirpation of (H) (Anaes.) (Assist.) | 627.30 |
30250 | Parotid gland, total extirpation of with preservation of facial nerve (H) (Anaes.) (Assist.) | 1 061.50 |
30251 | Recurrent parotid tumour, excision of, with preservation of facial nerve (Anaes.) (Assist.) | 1 630.55 |
30253 | Parotid gland, superficial lobectomy of, with exposure of facial nerve (H) (Anaes.) (Assist.) | 707.75 |
30255 | Submandibular ducts, relocation of, for surgical control of drooling (H) (Anaes.) (Assist.) | 942.40 |
30256 | Submandibular gland, extirpation of (H) (Anaes.) (Assist.) |
377.95 |
30259 | Sublingual gland, extirpation of (Anaes.) | 167.25 |
30262 | Salivary gland, dilatation or diathermy of duct (Anaes.) |
49.90 |
30265 | Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (G) (Anaes.) | 99.70 |
30266 | Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (S) (Anaes.) | 127.05 |
30269 | Salivary gland, repair of cutaneous fistula of (Anaes.) | 127.05 |
30272 | Tongue, partial excision of (Anaes.) (Assist.) | 250.90 |
30275 | Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation) (H) (Anaes.) (Assist.) | 1 495.75 |
30278 | Tongue tie, repair of, not being a service to which another item in this group applies (Anaes.) | 39.45 |
30281 | Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged 2 years and over, under general anaesthesia (Anaes.) | 101.35 |
30282 | Ranula or mucous cyst of mouth, removal of (G) (Anaes.) | 131.85 |
30283 | Ranula or mucous cyst of mouth, removal of (S) (Anaes.) |
173.70 |
30286 | Branchial cyst, removal of (Anaes.) (Assist.) |
337.60 |
30289 | Branchial fistula, removal of (H) (Anaes.) (Assist.) | 426.20 |
30293 | Cervical oesophagostomy, or closure of cervical oesophagostomy with or without plastic repair (Anaes.) (Assist.) |
377.95 |
30294 | Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction, or laryngopharyngectomy with tracheostomy and plastic reconstruction (H) (Anaes.) (Assist.) | 1 495.75 |
30296 | Thyroidectomy, total (H) (Anaes.) (Assist.) | 868.65 |
30297 | Thyroidectomy following previous thyroid surgery (H) (Anaes.) (Assist.) | 868.65 |
30306 | Total hemithyroidectomy (H) (Anaes.) (Assist.) | 677.65 |
30308 | Bilateral sub-total thyroidectomy (H) (Anaes.) (Assist.) | 677.65 |
30309 |
Thyroidectomy, sub-total for thyrotoxicosis (H) (Anaes.) (Assist.) |
868.65 |
30310 | Thyroid, unilateral sub-total thyroidectomy or equivalent partial thyroidectomy (H) (Anaes.) (Assist.) | 388.10 |
30313 | Thyroglossal cyst, removal of (Anaes.) (Assist.) | 231.60 |
30314 | Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone (H) (Anaes.) (Assist.) | 388.10 |
30315 | Parathyroid operation for hyperparathyroidism (H) (Anaes.) (Assist.) | 967.20 |
30317 |
Cervical re-exploration for recurrent or persistent hyperparathyroidism (H) (Anaes.) (Assist.) | 1 158.15 |
30318 |
Mediastinum, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy) (H) (Anaes.) (Assist.) | 770.10 |
30320 | Mediastinum, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy) (H) (Anaes.) (Assist.) | 1 158.15 |
30321 | Retroperitoneal neuroendocrine tumour, removal of (H) (Anaes.) (Assist.) | 770.10 |
30323 |
Retroperitoneal neuroendocrine tumour, removal of, requiring complex and extensive dissection (H) (Anaes.) (Assist.) | 1 158.15 |
30324 | Adrenal gland tumour, excision of (H) (Anaes.) (Assist.) |
1 158.15 |
30329 | Lymph glands of groin, limited excision of (Anaes.) | 209.50 |
30330 | Lymph glands of groin, radical excision of (H) (Anaes.) (Assist.) | 609.85 |
30332 | Lymph nodes of axilla, limited excision of (sampling) (H) (Anaes.) (Assist.) | 294.25 |
30335 | Lymph nodes of axilla, complete excision of, to level I (H) (Anaes.) (Assist.) | 735.55 |
30336 | Lymph nodes of axilla,
complete excision of, to |
882.70 |
30373 | Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (H) (Anaes.) (Assist.) | 410.05 |
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 (H) (Anaes.) (Assist.) | 442.25 |
30376 |
Laparotomy involving division of peritoneal adhesions (where no other intra-abdominal procedure is performed) (H) (Anaes.) (Assist.) |
442.25 |
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 (H) (Anaes.) (Assist.) | 444.30 |
30379 | Laparotomy with division of extensive adhesions (duration greater than 2 hours) with or without insertion of long intestinal tube (H) (Anaes.) (Assist.) |
787.55 |
30382 | Enterocutaneous fistula, radical repair of, involving extensive dissection and resection of bowel (H) (Anaes.) (Assist.) |
1 108.90 |
30384 | Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (H) (Anaes.) (Assist.) | 932.85 |
30385 | Laparotomy for control of post-operative haemorrhage, where no other procedure is performed (H) (Anaes.) (Assist.) | 477.95 |
30387 | Laparotomy involving operation on abdominal viscera (including pelvic viscera), not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
538.75 |
30388 | Laparotomy for trauma involving 3 or more organs (H) (Anaes.) (Assist.) | 1 355.45 |
30390 | Laparoscopy, diagnostic (H) (Anaes.) | 186.60 |
30391 | Laparoscopy, with biopsy (H) (Anaes.) (Assist.) | 241.25 |
30392 | Radical or debulking operation for advanced intra-abdominal malignancy, with or without omentectomy, as an independent procedure (H) (Anaes.) (Assist.) |
572.30 |
30393 | Laparoscopic division of adhesions in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes (H) (Anaes.) (Assist.) | 444.30 |
30394 | Laparotomy for drainage of subphrenic abscess, pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause, with or without appendicectomy (H) (Anaes.) (Assist.) | 418.15 |
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 (H) (Anaes.) (Assist.) | 862.55 |
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 (H) (Anaes.) | 197.15 |
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 (H) (Anaes.) (Assist.) |
271.20 |
30400 | Laparotomy with insertion of portacath for administration of cytotoxic therapy including placement of reservoir (H) (Anaes.) (Assist.) | 536.65 |
30402 | Retroperitoneal abscess, drainage of, not involving laparotomy (H) (Anaes.) (Assist.) | 394.20 |
30403 | Ventral, incisional, or recurrent hernia or burst abdomen, repair of (H) (Anaes.) (Assist.) | 442.25 |
30405 | Ventral, or incisional hernia, repair of requiring muscle transposition, mesh hernioplasty or resection of strangulated bowel (H) (Anaes.) (Assist.) | 776.30 |
30406 | Paracentesis abdominis (Anaes.) | 44.30 |
30408 |
Peritoneo venous (Leveen) shunt, insertion of (H) (Anaes.) (Assist.) | 332.70 |
30409 | Liver biopsy, percutaneous (Anaes.) |
148.10 |
30411 | Liver biopsy by wedge excision when performed in association with another intra-abdominal procedure (H) (Anaes.) |
75.35 |
30412 | Liver biopsy by core needle, when performed in conjunction with another intra-abdominal procedure (Anaes.) | 44.40 |
30414 | Liver, subsegmental resection of, (local excision), other than for trauma (H) (Anaes.) (Assist.) | 585.30 |
30415 | Liver, segmental resection of, other than for trauma (H) (Anaes.) (Assist.) |
1 170.60 |
30416 | Liver cyst, laparoscopic marsupialisation of, where the size of the cyst is greater than 5 cm in diameter (H) (Anaes.) (Assist.) | 635.55 |
30417 | Liver cysts, laparoscopic marsupialisation of 5 or more, including any cyst greater than 5 cm in diameter (H) (Anaes.) (Assist.) | 953.25 |
30418 | Liver, lobectomy of, other than for trauma (H) (Anaes.) (Assist.) | 1 355.45 |
30419 | Liver tumours, destruction of, by hepatic cryotherapy, not being a service associated with a service to which item 50950 or 50952 applies (Anaes.) (Assist.) | 693.35 |
30421 | Liver, tri-segmental resection (extended lobectomy) of, other than for trauma (H) (Anaes.) (Assist.) | 1 694.10 |
30422 | Liver, repair of superficial laceration of, for trauma (H) (Anaes.) (Assist.) | 573.00 |
30425 | Liver, repair of deep multiple lacerations of, or debridement of, for trauma (H) (Anaes.) (Assist.) |
1 108.90 |
30427 | Liver, segmental resection of, for trauma (H) (Anaes.) (Assist.) | 1 324.50 |
30428 | Liver, lobectomy of, for trauma (Anaes.) (Assist.) | 1 416.95 |
30430 | Liver, extended lobectomy (tri-segmental resection) of, for trauma (Anaes.) (Assist.) | 1 971.35 |
30431 | Liver abscess, open abdominal drainage of (Anaes.) (Assist.) | 442.25 |
30433 | Liver abscess (multiple), open abdominal drainage of (H) (Anaes.) (Assist.) | 616.05 |
30434 |
Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles (H) (Anaes.) (Assist.) | 499.05 |
30436 | Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles, with omentoplasty or myeloplasty (H) (Anaes.) (Assist.) | 554.45 |
30437 | Hydatid cyst of liver, total excision of, by cysto-pericystectomy (membrane plus fibrous wall) (H) (Anaes.) (Assist.) | 690.05 |
30438 | Hydatid cyst of liver, excision of, with drainage and excision of liver tissue (Anaes.) (Assist.) | 976.50 |
30439 | Operative cholangiography or operative pancreatography or intra operative ultrasound of the biliary tract (including 1 or more examinations performed during the 1 operation) (H) (Anaes.) (Assist.) | 157.55 |
30440 | Cholangiogram, percutaneous transhepatic, and biliary drainage, using interventional techniques but not including imaging (Anaes.) (Assist.) | 446.60 |
30441 | Intra operative ultrasound for staging of intra abdominal tumours (H) (Anaes.) | 115.60 |
30442 | Choledochoscopy in conjunction with another procedure (H) (Anaes.) | 157.55 |
30443 | Cholecystectomy (H) (Anaes.) (Assist.) | 627.30 |
30445 | Laparoscopic cholecystectomy (H) (Anaes.) (Assist.) | 627.30 |
30446 | Laparoscopic cholecystectomy when procedure is completed by laparotomy (H) (Anaes.) (Assist.) |
627.30 |
30448 | Laparoscopic cholecystectomy, involving removal of common duct calculi via the cystic duct (H) (Anaes.) (Assist.) |
825.55 |
30449 | Laparoscopic cholecystectomy with removal of common duct calculi via laparoscopic choledochotomy (H) (Anaes.) (Assist.) | 918.00 |
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.) | 444.90 |
30451 | Biliary drainage tube, exchange of, using interventional techniques but not including imaging (Anaes.) (Assist.) |
227.10 |
30452 | Choledochoscopy with balloon dilatation of a stricture or passage of stent or extraction of calculi (H) (Anaes.) (Assist.) | 320.35 |
30454 | Choledochotomy (with or without cholecystectomy), with or without removal of calculi (H) (Anaes.) (Assist.) | 731.80 |
30455 | Choledochotomy (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis (H) (Anaes.) (Assist.) | 860.45 |
30457 | Choledochotomy, intrahepatic, involving removal of intrahepatic bile duct calculi (Anaes.) (Assist.) | 1 170.60 |
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 (H) (Anaes.) (Assist.) | 860.45 |
30460 | Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (H) (Anaes.) (Assist.) | 731.80 |
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 (H) (Anaes.) (Assist.) | 1 254.45 |
30463 | Radical resection of common hepatic duct and right and left hepatic ducts, with 2 duct anastomoses (H) (Anaes.) (Assist.) | 1 540.15 |
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 (H) (Anaes.) (Assist.) | 1 848.25 |
30466 | Intrahepatic biliary bypass of left hepatic ductal system by Roux-en-Y loop to peripheral ductal system (H) (Anaes.) (Assist.) | 1 065.80 |
30467 | Intrahepatic bypass of right hepatic ductal system by Roux-en-Y loop to peripheral ductal system (H) (Anaes.) (Assist.) | 1 318.35 |
30469 | Biliary stricture, repair of, after 1 or more operations on the biliary tree (Anaes.) (Assist.) |
1 460.15 |
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.) | 788.55 |
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.) | 150.30 |
30475 |
Endoscopy with balloon dilatation of gastric or gastroduodenal stricture (Anaes.) | 271.75 |
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.) | 208.40 |
30478 | Oesophagoscopy (not being a service to which item 41816, 41822 or 41825 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with 1 or more of the following endoscopic procedures polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation, or sclerosing injection of bleeding upper gastrointestinal lesions, not being a service associated with a service to which item 30473 or 30476 applies (Anaes.) | 208.40 |
30479 | Endoscopic laser therapy for neoplasia and benign vascular lesions or strictures of the gastrointestinal tract (Anaes.) | 403.95 |
30481 | Percutaneous gastrostomy (initial procedure), including any associated imaging services (Anaes.) |
302.95 |
30482 | Percutaneous gastrostomy (repeat procedure), including any associated imaging services (Anaes.) | 215.40 |
30483 |
Gastrostomy button, non-endoscopic insertion of, or non-endoscopic replacement of (Anaes.) | 150.25 |
30484 | Endoscopic retrograde cholangio-pancreatography (Anaes.) | 309.60 |
30485 | Endoscopic sphincterotomy with or without extraction of stones from common bile duct (Anaes.) | 477.95 |
30487 | Small bowel intubation with biopsy (Anaes.) | 153.50 |
30488 | Small bowel intubation as an independent procedure (Anaes.) | 76.30 |
30490 | Oesophageal prosthesis, insertion of, including endoscopy and dilatation (Anaes.) | 446.60 |
30491 | Bile duct, endoscopic stenting of (including endoscopy and dilatation) (Anaes.) | 471.20 |
30493 | Biliary manometry (Anaes.) | 282.75 |
30494 | Endoscopic biliary dilatation (H) (Anaes.) | 356.75 |
30496 | Vagotomy, truncal or selective, with or without pyloroplasty or gastroenterostomy (Anaes.) (Assist.) |
499.05 |
30497 | Vagotomy and antrectomy (H) (Anaes.) (Assist.) |
595.00 |
30499 | Vagotomy, highly selective (H) (Anaes.) (Assist.) |
707.75 |
30500 | Vagotomy, highly selective with duodenoplasty for peptic stricture (Anaes.) (Assist.) | 757.75 |
30502 | Vagotomy, highly selective, with dilatation of pylorus (H) (Anaes.) (Assist.) | 836.40 |
30503 | Vagotomy or antrectomy, or both, for peptic ulcer following previous operation for peptic ulcer (Anaes.) (Assist.) | 936.50 |
30505 | Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision (H) (Anaes.) (Assist.) | 468.20 |
30506 | Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy (H) (Anaes.) (Assist.) | 819.45 |
30508 | Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy (H) (Anaes.) (Assist.) | 862.55 |
30509 | Bleeding peptic ulcer, control of, involving gastric resection (other than wedge resection) (Anaes.) (Assist.) | 862.55 |
30511 | Morbid obesity, gastric reduction or gastroplasty for, by any method (H) (Anaes.) (Assist.) | 720.85 |
30512 | Morbid obesity, gastric bypass for, by any method including anastomosis (H) (Anaes.) (Assist.) | 887.05 |
30514 | Morbid obesity, surgical reversal of procedure to which item 30511 or 30512 applies (H) (Anaes.) (Assist.) | 1 306.00 |
30515 | Gastroenterostomy (including gastroduodenostomy) or enterocolostomy or enteroenterostomy (H) (Anaes.) (Assist.) | 597.60 |
30517 | Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction of (H) (Anaes.) (Assist.) | 782.45 |
30518 | Partial gastrectomy (H) (Anaes.) (Assist.) | 837.90 |
30520 | Gastric tumour, removal of, by local excision, not being a service to which item 30518 applies (H) (Anaes.) (Assist.) | 573.00 |
30521 | Gastrectomy, total, for benign disease (H) (Anaes.) (Assist.) | 1 226.00 |
30523 | Gastrectomy, sub-total radical, for carcinoma (including splenectomy when performed) (H) (Anaes.) (Assist.) | 1 281.30 |
30524 |
Gastrectomy, total radical, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) (H) (Anaes.) (Assist.) | 1 410.75 |
30526 | Gastrectomy, total, and including lower oesophagus, performed by left thoraco-abdominal incision or opening of diaphragmatic hiatus (including splenectomy when performed) (H) (Anaes.) (Assist.) | 1 829.65 |
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 (H) (Anaes.) (Assist.) | 739.30 |
30529 | Antireflux operation by fundoplasty, with oesophagoplasty for stricture or short oesophagus (H) (Anaes.) (Assist.) | 1 108.90 |
30530 | Antireflux operation by cardiopexy, with or without fundoplasty (H) (Anaes.) (Assist.) | 665.40 |
30532 | Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, by laparoscopy or open operation (H) (Anaes.) (Assist.) | 764.00 |
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 (H) (Anaes.) (Assist.) | 908.80 |
30535 | Oesophagectomy with gastric reconstruction by abdominal mobilisation and thoracotomy (H) (Anaes.) (Assist.) | 1 439.55 |
30536 |
Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest 1 surgeon (H) (Anaes.) (Assist.) | 1 460.15 |
30538 | Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest conjoint surgery, principal surgeon (including after-care) (H) (Anaes.) (Assist.) | 1 010.40 |
30539 |
Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest conjoint surgery, co-surgeon (H) (Assist.) |
739.30 |
30541 | Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement 1 surgeon (H) (Anaes.) (Assist.) | 1 287.60 |
30542 | Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement conjoint surgery, principal surgeon (including after-care) (H) (Anaes.) (Assist.) | 874.80 |
30544 | Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement conjoint surgery, co-surgeon (H) (Assist.) | 640.75 |
30545 | Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) 1 surgeon (H) (Anaes.) (Assist.) | 1 558.75 |
30547 | Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) conjoint surgery, principal surgeon (including after-care) (Anaes.) (Assist.) | 1 071.95 |
30548 |
Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) conjoint surgery, co-surgeon (Assist.) | 800.85 |
30550 | Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) 1 surgeon (H) (Anaes.) (Assist.) | 1 749.70 |
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) (H) (Anaes.) (Assist.) |
1 207.55 |
30553 | Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) conjoint surgery, co-surgeon (Assist.) | 893.20 |
30554 | Oesophagectomy with reconstruction by free jejunal graft 1 surgeon (H) (Anaes.) (Assist.) |
1 946.80 |
30556 | Oesophagectomy with reconstruction by free jejunal graft conjoint surgery, principal surgeon (including after-care) (H) (Anaes.) (Assist.) | 1 343.00 |
30557 | Oesophagectomy with reconstruction by free jejunal graft conjoint surgery, co-surgeon (H) (Assist.) | 991.85 |
30559 |
Oesophagus, local excision for tumour of (Anaes.) (Assist.) | 720.85 |
30560 | Oesophageal perforation, repair of, by thoracotomy (H) (Anaes.) (Assist.) | 800.85 |
30562 | Enterosomy or colostomy, closure of not involving resection of bowel (H) (Anaes.) (Assist.) | 504.90 |
30563 | Colostomy or ileostomy, refashioning of (Anaes.) (Assist.) | 504.90 |
30564 | Small bowel strictureplasty for chronic inflammatory bowel disease (H) (Anaes.) (Assist.) | 655.30 |
30565 | Small intestine, resection of, without anastomosis (including formation of stoma) (H) (Anaes.) (Assist.) |
739.30 |
30566 | Small intestine, resection of, with anastomosis (H) (Anaes.) (Assist.) | 821.25 |
30568 | Intraoperative enterotomy for visualisation of the small intestine by endoscopy (H) (Anaes.) (Assist.) | 616.05 |
30569 | Endoscopic examination of small bowel with flexible endoscope passed at laparotomy, with or without biopsies (H) (Anaes.) (Assist.) | 314.10 |
30571 | Appendicectomy, not being a service to which item 30574 applies (H) (Anaes.) (Assist.) | 377.95 |
30572 | Laparoscopic appendicectomy (H) (Anaes.) (Assist.) | 377.95 |
30574 | Appendicectomy, when performed in conjunction with any other intra-abdominal procedure through the same incision (H) (Anaes.) | 104.60 |
30575 | Pancreatic abscess, laparotomy and external drainage of, not requiring retro-pancreatic dissection (H) (Anaes.) (Assist.) | 435.10 |
30577 | Pancreatic necrosectomy for pancreatic necrosis or abscess formation requiring major pancreatic or retro-pancreatic dissection, excluding after-care (H) (Anaes.) (Assist.) | 924.15 |
30578 | Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour (H) (Anaes.) (Assist.) | 973.40 |
30580 |
Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of duodenal tumour (H) (Anaes.) (Assist.) | 887.05 |
30581 | Endocrine tumour, exploration of pancreas or duodenum for, but no tumour found (H) (Anaes.) (Assist.) | 646.90 |
30583 | Distal pancreatectomy (H) (Anaes.) (Assist.) | 1 013.35 |
30584 |
Pancreatico-duodenectomy, Whipple's operation, with or without preservation of pylorus (H) (Anaes.) (Assist.) | 1 495.75 |
30586 | Pancreatic cyst-anastomosis to stomach or duodenum by open or endoscopic means (H) (Anaes.) (Assist.) | 595.00 |
30587 |
Pancreatic cyst, anastomosis to Roux loop of jejunum (H) (Anaes.) (Assist.) | 616.05 |
30589 | Pancreatico-jejunostomy for pancreatitis or trauma (H) (Anaes.) (Assist.) | 1 061.50 |
30590 |
Pancreatico-jejunostomy following previous pancreatic surgery (H) (Anaes.) (Assist.) | 1 170.60 |
30593 | Pancreatectomy, near total or total (including duodenum), with or without splenectomy (Anaes.) (Assist.) | 1 601.80 |
30594 | Pancreatectomy for pancreatitis following previously attempted drainage procedure or partial resection (H) (Anaes.) (Assist.) | 1 848.25 |
30596 | Splenorrhaphy or partial splenectomy (H) (Anaes.) (Assist.) | 761.35 |
30597 | Splenectomy (H) (Anaes.) (Assist.) | 611.10 |
30599 |
Splenectomy, for massive spleen (weighing more than 1 500 gms) or involving thoraco-abdominal incision (H) (Anaes.) (Assist.) | 1 108.90 |
30600 | Diaphragmatic hernia, traumatic, repair of (H) (Anaes.) (Assist.) | 659.40 |
30601 |
Diaphragmatic hernia, congenital, repair of, by thoracic or abdominal approach (H) (Anaes.) (Assist.) | 812.25 |
30602 | Portal hypertension, porto-caval shunt for (H) (Anaes.) (Assist.) |
1 318.35 |
30603 | Portal hypertension, meso-caval shunt for (Anaes.) (Assist.) | 1 392.35 |
30605 | Portal hypertension, selective spleno-renal shunt for (H) (Anaes.) (Assist.) |
1 583.30 |
30606 | Portal hypertension, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (H) (Anaes.) (Assist.) | 942.55 |
30609 | Femoral or inguinal hernia, laparoscopic repair of, not being a service associated with a service to which item 30612 or 30614 applies (H) (Anaes.) (Assist.) | 394.10 |
30612 | Femoral or inguinal hernia or infantile hydrocele, repair of, not being a service to which item 30403 or 30615 applies (G) (H) (Anaes.) (Assist.) | 302.35 |
30614 |
Femoral or inguinal hernia or infantile hydrocele, repair of, not being a service to which item 30403 or 30615 applies (S) (H) (Anaes.) (Assist.) | 394.10 |
30615 | Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection (H) (Anaes.) (Assist.) |
442.25 |
30616 | Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age (G) (H) (Anaes.) | 225.15 |
30617 | Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age (S) (H) (Anaes.) | 302.35 |
30620 |
Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over (G) (H) (Anaes.) (Assist.) | 254.10 |
30621 |
Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over (S) (H) (Anaes.) (Assist.) | 345.80 |
30628 |
Hydrocele, tapping of | 30.20 |
30631 | Hydrocele, removal of, not being a service associated with a service to which items 30638, 30641 and 30644 apply (Anaes.) | 200.80 |
30634 | Varicocele, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply 1 procedure (G) (H) (Anaes.) (Assist.) | 199.45 |
30635 | Varicocele, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply 1 procedure (S) (H) (Anaes.) (Assist.) | 247.65 |
30638 | Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (G) (H) (Anaes.) (Assist.) | 254.10 |
30641 | Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (S) (H) (Anaes.) (Assist.) | 345.80 |
30644 | Exploration of spermatic cord, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis (H) (Anaes.) (Assist.) | 442.25 |
30653 | Circumcision of a male under 6 months of age (Anaes.) | 39.45 |
30656 | Circumcision of a male under 10 years of age but not less than 6 months of age (Anaes.) | 91.75 |
30659 | Circumcision of a male 10 years of age or over (G) (Anaes.) | 127.05 |
30660 | Circumcision of a male 10 years of age or over (S) (Anaes.) | 157.55 |
30663 | Haemorrhage, arrest of, following circumcision requiring general anaesthesia (Anaes.) | 122.50 |
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.) | 40.30 |
30672 | Coccyx, excision of (H) (Anaes.) (Assist.) | 377.95 |
30675 | Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (G) (Anaes.) | 254.10 |
30676 | Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (S) (Anaes.) | 321.65 |
30679 |
Pilonidal sinus, injection of sclerosant fluid under anaesthesia (Anaes.) | 81.70 |
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.) | 492.85 |
31001 | Micrographically controlled serial excision of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure 7 to 12 sections (inclusive) (Anaes.) | 616.05 |
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.) | 739.30 |
31200 | Tumour (other than viral verrucae (common warts) and seborrheic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal by surgical excision (other than by shave excision) and suture from cutaneous or subcutaneous tissue or from mucous membrane, not being a service to which another item in this group applies | 28.85 |
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.) | 80.95 |
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.) | 104.45 |
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.) | 121.75 |
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 if all specimens excised are sent for histological examination (not being a service to which item 30195 applies) (Anaes.) | 182.05 |
31225 | Tumours (other than viral verrucae (common warts) and seborrheic keratoses), cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), lesion size up to 10 mm in diameter, removal of more than 10 lesions by surgical excision (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 if all specimens excised are sent for histological examination (not being a service to which item 30195 applies) (Anaes.) | 323.55 |
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.) | 142.60 |
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.) | 121.75 |
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.) | 142.60 |
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.) | 313.10 |
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.) | 313.10 |
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 (other than by shave 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.) | 187.85 |
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 (other than by shave 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.) | 267.85 |
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 (other than by shave 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.) | 156.50 |
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 (other than by shave 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.) | 219.15 |
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 (other than by shave 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.) | 253.90 |
31280 | Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from areas of the body not covered by item 31255 or 31265, tumour size up to 10 mm in diameter where removal is by surgical excision (other than by shave 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.) | 132.20 |
31285 | Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from areas of the body not covered by item 31260 or 31270, tumour size more than 10 mm and up to 20 mm in diameter where removal is by surgical excision (other than by shave 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.) | 180.75 |
31290 | Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from areas of the body not covered by item 31260 or 31275, tumour size more than 20 mm in diameter where removal is by surgical excision (other than by shave 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.) | 208.65 |
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.) | 248.50 |
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.) | 271.45 |
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.) | 333.90 |
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.) | 236.45 |
31315 | Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle-removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 10 mm and up to 20 mm in diameter where removal is by definitive surgical excision (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.) | 299.10 |
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.) | 333.90 |
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.) | 229.60 |
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.) | 271.45 |
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.) | 313.10 |
31340 | Muscle, bone or cartilage, excision of 1 or more of, where clinically indicated, and where the specimen excised is sent for histological confirmation, 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 38 |
31345 |
Lipoma, removal of by surgical excision or liposuction, where lesion is subcutaneous and greater than 50 mm in diameter, or is sub-fascial, where the specimen excised is sent for histological confirmation of diagnosis (Anaes.) | 178.90 |
31346 | Liposuction (suction assisted lipolysis) to 1 regional area for treatment of contour problems of abdominal, upper arm or thigh fat due to repeated insulin injections, where the lesion is subcutaneous and greater than 50 mm in diameter (Anaes.) | 178.90 |
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.) | 367.70 |
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.) | 606.20 |
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.) | 221.50 |
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 (H) (Anaes.) (Assist.) | 255.65 |
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.) | 426.10 |
31409 | Parapharyngeal tumour, excision of, by cervical approach (H) (Anaes.) (Assist.) |
1 323.75 |
31412 | Recurrent or persistent parapharyngeal tumour, excision of, by cervical approach (H) (Anaes.) (Assist.) |
1 630.55 |
31420 | Lymph node of neck, biopsy of (Anaes.) |
156.05 |
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.) | 340.85 |
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 (H) (Anaes.) (Assist.) | 681.75 |
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 (H) (Anaes.) (Assist.) | 1 062.40 |
31432 | Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections) (H) (Anaes.) (Assist.) | 1 136.25 |
31435 | Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck (H) (Anaes.) (Assist.) | 835.15 |
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 (H) (Anaes.) (Assist.) | 1 323.75 |
31441 |
Long-term implanted reservoir associated with the adjustable gastric
band, repair, revision or | 213.55 |
31450 |
Laparoscopic division of adhesions, as an independent procedure, where the time taken is 1 hour or less (H) (Anaes.) (Assist.) | 345.05 |
31452 | Laparoscopic division of adhesions, as an independent procedure, where the time taken is more than 1 hour (H) (Anaes.) (Assist.) | 603.70 |
31454 | Laparoscopy with drainage of pus, bile or blood, as an independent procedure (H) (Anaes.) (Assist.) | 477.95 |
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 (H) (Anaes.) |
208.40 |
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 (H) (Anaes.) | 250.05 |
31460 | Percutaneous gastrostomy tube, jejunal extension to, including any associated imaging services (H) (Anaes.) (Assist.) | 302.95 |
31462 | Operative feeding jejunostomy performed in conjunction with major upper gastro-intestinal resection (H) (Anaes.) (Assist.) | 442.25 |
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 (H) (Anaes.) (Assist.) | 739.30 |
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 (H) (Anaes.) (Assist.) | 1 108.95 |
31468 | Para-oesophageal hiatus hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication (H) (Anaes.) (Assist.) | 1 218.35 |
31470 | Laparoscopic splenectomy (H) (Anaes.) (Assist.) | 611.10 |
31472 |
Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-y as a bypass procedure where prior biliary surgery has been performed (H) (Anaes.) (Assist.) | 992.60 |
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.) |
220.65 |
31503 | Breast, benign lesion more than 50 mm in diameter, excision of (Anaes.) (Assist.) | 294.25 |
31506 | Breast, abnormality detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (H) (Anaes.) (Assist.) | 331.00 |
31509 | Breast, malignant tumour, open surgical biopsy of, with or without frozen section histology (Anaes.) | 294.25 |
31512 | Breast, malignant tumour, complete local excision of, with or without frozen section histology (H) (Anaes.) (Assist.) |
551.70 |
31515 | Breast, tumour site, re-excision of, following open biopsy or incomplete excision of malignant tumour (H) (Anaes.) (Assist.) | 370.05 |
31518 | Breast (female), total mastectomy (H) (Anaes.) (Assist.) | 624.70 |
31521 | Breast (male), total mastectomy, not being a service associated with a service to which item 45585 applies (Anaes.) (Assist.) | 367.80 |
31524 | Breast (female), subcutaneous mastectomy (H) (Anaes.) (Assist.) | 882.70 |
31527 |
Breast (male), subcutaneous mastectomy, not being a service associated with a service to which item 45585 applies (Anaes.) (Assist.) | 441.40 |
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 including pre-operative localisation of lesion where performed, not being a service associated with a service to which item 31539, 31545 or 31548 applies | 505.40 |
31533 | Fine needle aspiration of an impalpable breast lesion detected by mammography or ultrasound, imaging guided but not including imaging (Anaes.) | 117.00 |
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.) | 160.70 |
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 (H) (Anaes.) | 338.40 |
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.) | 167.05 |
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.) |
505.40 |
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.) | 117.00 |
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 approved day hospital facility, excluding after-care (Anaes.) | 183.90 |
31554 | Breast, microdochotomy of, for benign or malignant condition (H) (Anaes.) (Assist.) | 367.80 |
31557 | Breast central ducts, excision of, for benign condition (Anaes.) (Assist.) | 294.25 |
31560 | Accessory breast tissue, excision of (Anaes.) (Assist.) | 294.25 |
31563 | Inverted nipple, surgical eversion of (Anaes.) | 220.45 |
31566 | Accessory nipple, excision of (Anaes.) | 110.30 |
Subgroup 2 Colorectal | ||
32000 | Large intestine, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (H) (Anaes.) (Assist.) |
875.10 |
32003 | Large intestine, resection of, with anastomosis, including right hemicolectomy (H) (Anaes.) (Assist.) | 915.45 |
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 (H) (Anaes.) (Assist.) | 976.10 |
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 (H) (Anaes.) (Assist.) | 1 102.70 |
32006 | Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma) (H) (Anaes.) (Assist.) | 976.10 |
32009 |
Total colectomy and ileostomy (H) (Anaes.) (Assist.) | 1 157.85 |
32012 | Total colectomy and ileo-rectal anastomosis (H) (Anaes.) (Assist.) | 1 279.00 |
32015 | Total colectomy with excision of rectum and ileostomy 1 surgeon (H) (Anaes.) (Assist.) | 1 571.85 |
32018 | Total colectomy with excision of rectum and ileostomy, combined synchronous operation abdominal resection (including after-care) (H) (Anaes.) (Assist.) |
1 332.80 |
32021 | Total colectomy with excision of rectum and ileostomy, combined synchronous operation perineal resection (H) (Assist.) | 477.95 |
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, not being a service associated with a service to which item 32103, 32104 or 32106 applies (H) (Anaes.) (Assist.) | 1 157.85 |
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, not being a service associated with a service to which item 32103, 32104 or 32106 applies (H) (Anaes.) (Assist.) |
1 548.75 |
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 (H) (Anaes.) (Assist.) | 1 667.85 |
32028 | Rectum, low or ultra low restorative resection, with peranal sutured coloanal anastomosis, with or without covering stoma (H) (Anaes.) (Assist.) | 1 787.05 |
32029 | Colonic reservoir, construction of, being a service associated with a service to which any other item in this subgroup applies (H) (Anaes.) (Assist.) | 357.40 |
32030 | Rectosigmoidectomy (Hartmann's operation) (H) (Anaes.) (Assist.) | 875.10 |
32033 |
Restoration of bowel following Hartmann's or similar operation, including dismantling of the stoma (H) (Anaes.) (Assist.) |
1 279.00 |
32036 | Sacrococcygeal and presacral tumour excision of (H) (Anaes.) (Assist.) |
1 622.20 |
32039 | Rectum and anus, abdomino-perineal resection of 1 surgeon (H) (Anaes.) (Assist.) | 1 302.50 |
32042 | Rectum and anus, abdomino-perineal resection of, combined synchronous operation, abdominal resection (H) (Anaes.) (Assist.) |
1097.20 |
32045 | Rectum and anus, abdomino-perineal resection of, combined synchronous operation perineal resection (Assist.) | 410.65 |
32046 | Rectum and anus, abdomino-perineal resection of, combined synchronous operation perineal resection where the perineal surgeon also provides assistance to the abdominal surgeon (H) (Assist.) | 634.55 |
32047 | Perineal proctectomy (Anaes.) (Assist.) | 739.30 |
32051 | Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy 1 surgeon (H) (Anaes.) (Assist.) | 1 965.65 |
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) (H) (Anaes.) (Assist.) | 1 804.05 |
32057 |
Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir conjoint surgery, perineal surgeon (Assist.) | 477.95 |
32060 | Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy 1 surgeon (H) (Anaes.) (Assist.) | 1 965.65 |
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) (H) (Anaes.) (Assist.) | 1 804.05 |
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 (H) (Assist.) | 477.95 |
32069 | Ileostomy reservoir, continent type, creation of, including conversion of existing ileostomy where appropriate (Anaes.) | 1 454.05 |
32072 |
Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy | 40.65 |
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.) | 63.70 |
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.) |
143.00 |
32081 | Sigmoidoscopic examination with diathermy or resection of 1 or more polyps where the time taken is greater than 45 minutes (Anaes.) | 196.40 |
32084 | Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure, with or without biopsy (Anaes.) | 94.50 |
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.) | 173.70 |
32090 | Fibreoptic colonoscopy examination of colon beyond the hepatic flexure with or without biopsy (Anaes.) | 283.65 |
32093 | Fibreoptic colonoscopy examination of colon beyond the hepatic flexure with removal of 1 or more polyps (Anaes.) | 398.10 |
32094 |
Endoscopic dilatation of colorectal strictures including colonoscopy (Anaes.) | 468.20 |
32095 | Endoscopic examination of small bowel with flexible endoscope passed by stoma, with or without biopsies (Anaes.) | 108.50 |
32096 | Rectal biopsy, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block (H) (Anaes.) (Assist.) | 218.05 |
32099 | Rectal tumour of 5 cm or less in diameter, per anal submucosal excision of (H) (Anaes.) (Assist.) | 282.75 |
32102 | Rectal tumour of greater than 5 cm in diameter, indicated by pathological examination, per anal submucosal excision of (H) (Anaes.) (Assist.) | 538.50 |
32103 |
Rectal tumour of less than 4 cm in diameter, per anal excision of, using stereoscopic rectoscopy (incorporating stereoscopic and optic systems), where removal is unable to be performed during colonoscopy or by local excision, not being a service associated with a service to which item 32024, 32025, 32104 or 32106 applies (Anaes.) (Assist.) | 655.30 |
32104 | Rectal tumour of 4 cm or greater in diameter, per anal excision of, using stereoscopic rectoscopy (incorporating stereoscopic and optic systems), where removal is unable to be performed during colonoscopy or by local excision, not being a service associated with a service to which item 32024, 32025, 32103 or 32106 applies (Anaes.) (Assist.) | 848.20 |
32105 | Anorectal carcinoma per anal full thickness excision of (Anaes.) (Assist.) | 410.65 |
32106 | Anterolateral intraperitoneal rectal tumour, per anal excision of, using stereoscopic rectoscopy (incorporating stereoscopic and optic systems), where removal is unable to be performed during colonoscopy and where removal requires dissection within the peritoneal cavity, not being a service associated with a service to which item 32024, 32025, 32103 or 32104 applies (Anaes.) (Assist.) | 1 157.85 |
32108 | Rectal tumour, trans-sphincteric excision of (Kraske or similar operation) (H) (Anaes.) (Assist.) | 848.20 |
32111 | Rectal prolapse, Delorme procedure for (H) (Anaes.) (Assist.) | 538.50 |
32112 | Rectal prolapse, perineal recto-sigmoidectomy for (H) (Anaes.) (Assist.) | 655.30 |
32114 | Rectal stricture, per anal release of (Anaes.) |
148.10 |
32115 | Rectal stricture, dilatation of (Anaes.) | 107.65 |
32117 | Rectal prolapse, abdominal rectopexy of (H) (Anaes.) (Assist.) | 848.20 |
32120 | Rectal prolapse, perineal repair of (Anaes.) (Assist.) | 218.05 |
32123 | Anal stricture, anoplasty for (Anaes.) (Assist.) | 282.75 |
32126 | Anal incontinence, Parks' intersphincteric procedure for (H) (Anaes.) (Assist.) | 410.65 |
32129 | Anal sphincter, direct repair of (H) (Anaes.) (Assist.) | 538.50 |
32131 | Rectocele, transanal repair of rectocele (H) (Anaes.) (Assist.) | 452.75 |
32132 | Haemorrhoids or rectal prolapse sclerotherapy for (Anaes.) | 38.30 |
32135 |
Haemorrhoids or rectal prolapse rubber band ligation of, with or without sclerotherapy, cryotherapy or infrared therapy for (Anaes.) | 57.25 |
32138 | Haemorrhoidectomy including excision of anal skin tags when performed (Anaes.) | 312.00 |
32139 |
Haemorrhoidectomy involving third or fourth degree haemorrhoids, including excision of anal skin tags when performed (H) (Anaes.) (Assist.) | 312.00 |
32142 | Anal skin tags or anal polyps, excision of 1 or more of (Anaes.) | 57.25 |
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.) | 114.60 |
32147 | Perianal thrombosis, incision of (Anaes.) | 38.30 |
32150 |
Operation for fissure-in-ano, including excision or sphincterotomy but excluding dilatation only (Anaes.) (Assist.) | 218.05 |
32153 | Anus, dilatation of, under general anaesthesia, with or without disimpaction of faeces, not being a service associated with a service to which another item in this group applies (Anaes.) | 59.50 |
32156 |
Fistula-in-ano, subcutaneous, excision of (Anaes.) | 111.75 |
32159 |
Anal fistula, treatment of, by excision or by insertion of a Seton, or by a combination of both procedures, involving the lower half of the anal sphincter mechanism (H) (Anaes.) (Assist.) | 282.75 |
32162 | Anal fistula, treatment of, by excision or by insertion of a Seton, or by a combination of both procedures, involving the upper half of the anal sphincter mechanism (H) (Anaes.) (Assist.) | 410.65 |
32165 | Anal fistula, repair of by mucosal flap advancement (Anaes.) (Assist.) | 538.50 |
32166 | Anal fistula readjustment of Seton (Anaes.) | 174.95 |
32168 | Fistula wound, review of, under general or regional anaesthetic, as an independent procedure (H) (Anaes.) | 111.75 |
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 (H) (Anaes.) | 75.35 |
32174 | Intra-anal, perianal or ischio-rectal abscess, drainage of (excluding after-care) (Anaes.) |
75.35 |
32175 | Intra-anal, perianal or ischio-rectal abscess, draining of, undertaken in the operating theatre of a hospital or approved day hospital facility (excluding after-care) (Anaes.) |
138.00 |
32177 | Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block), 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 (H) (Anaes.) | 147.90 |
32180 | Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block), where the time taken is greater than 45 minutes not being a service associated with a service to which item 35507 or 35508 applies (H) (Anaes.) | 218.05 |
32183 | Intestinal sling procedure prior to radiotherapy (H) (Anaes.) (Assist.) | 476.60 |
32186 | Colonic lavage, total, intra-operative (H) (Anaes.) (Assist.) | 476.60 |
32200 | Distal muscle, devascularisation of (Anaes.) (Assist.) | 250.90 |
32203 |
Anal or perineal graciloplasty (H) (Anaes.) (Assist.) | 538.75 |
32206 | Stimulator and electrodes, insertion of, following previous graciloplasty (H) (Anaes.) (Assist.) | 486.75 |
32209 | Anal or perineal graciloplasty with insertion of stimulator and electrodes (H) (Anaes.) (Assist.) | 782.25 |
32210 | Gracilis neosphincter pacemaker, replacement of (Anaes.) | 216.75 |
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.) | 115.60 |
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.) | 93.15 |
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 | 93.15 |
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.) | 227.10 |
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.) | 452.75 |
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 (H) (Anaes.) (Assist.) | 452.75 |
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 (H) (Anaes.) (Assist.) |
673.15 |
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 (H) (Anaes.) (Assist.) | 786.35 |
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 (H) (Anaes.) (Assist.) | 1 012.60 |
32700 | Artery of neck, bypass using vein or synthetic material (H) (Anaes.) (Assist.) |
1 218.70 |
32703 | Internal carotid artery, transection and reanastomosis of, or resection of small length and reanastomosis of with or without endarterectomy (H) (Assist.) |
1 008.20 |
32708 | Aortic bypass for occlusive disease using a straight non-bifurcated graft (H) (Anaes.) (Assist.) | 1 206.00 |
32710 | Aortic bypass for occlusive disease using a bifurcated graft with 1 or both anastomoses to the iliac arteries (H) (Anaes.) (Assist.) | 1 340.05 |
32711 | Aortic bypass for occlusive disease using a bifurcated graft with 1 or both anastomoses to the common femoral or profunda femoris arteries (H) (Anaes.) (Assist.) |
1 474.05 |
32712 | Ilio-femoral bypass grafting (H) (Anaes.) (Assist.) | 1 065.60 |
32715 | Axillary or subclavian to femoral bypass grafting to 1 or both femoral arteries (H) (Anaes.) (Assist.) |
1 065.60 |
32718 | Femoro-femoral or ilio-femoral cross-over bypass grafting (H) (Anaes.) (Assist.) | 1 008.20 |
32721 | Renal artery, bypass grafting to (H) (Anaes.) (Assist.) | 1 601.40 |
32724 | Renal arteries (both), bypass grafting to (H) (Anaes.) (Assist.) | 1 818.45 |
32730 | Mesenteric vessel (single), bypass grafting to (H) (Anaes.) (Assist.) | 1 378.20 |
32733 |
Mesenteric vessels (multiple), bypass grafting to (H) (Anaes.) (Assist.) | 1 601.40 |
32736 | Inferior mesenteric artery, operation on, when performed in conjunction with another intra-abdominal vascular operation (H) (Anaes.) (Assist.) | 350.90 |
32739 | Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with above knee anastomosis (H) (Anaes.) (Assist.) |
1 097.45 |
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 (H) (Anaes.) (Assist.) | 1 257.05 |
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 (H) (Anaes.) (Assist.) |
1 435.60 |
32748 | Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis within 5 cm of the ankle joint (H) (Anaes.) (Assist.) | 1 556.85 |
32751 | Femoral artery bypass grafting using synthetic graft, with lower anastomosis above or below the knee (H) (Anaes.) (Assist.) | 1 008.20 |
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 (H) (Anaes.) (Assist.) | 1 257.05 |
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 (H) (Anaes.) (Assist.) | 350.90 |
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 (H) (Anaes.) (Assist.) | 344.50 |
32763 | Arterial bypass grafting, using vein or synthetic material, not being a service to which another item in this subgroup applies (H) (Anaes.) (Assist.) | 1 008.20 |
32766 | Arterial or venous anastomosis, not being a service to which another item in this subgroup applies, as an independent procedure (H) (Anaes.) (Assist.) |
670.00 |
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) (H) (Anaes.) (Assist.) | 232.25 |
33050 | Bypass grafting to replace a popliteal aneurysm using vein, including harvesting vein (when it is the ipsilateral long saphenous vein) (H) (Anaes.) (Assist.) | 1 234.80 |
33055 | Bypass grafting to replace a popliteal aneurysm using a synthetic graft (H) (Anaes.) (Assist.) |
990.25 |
33070 | Aneurysm in the extremities, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.) | 714.45 |
33075 | Aneurysm in the neck, ligation, suture closure or excision of, without bypass grafting (H) (Anaes.) (Assist.) | 908.85 |
33080 |
Intra-abdominal or pelvic aneurysm, ligation, suture closure or excision of, without bypass grafting (H) (Anaes.) (Assist.) |
1 109.35 |
33100 | Aneurysm of common or internal carotid artery, or both, replacement by graft of vein or synthetic material (Anaes.) (Assist.) | 1 218.70 |
33103 | Thoracic aneurysm, replacement by graft (H) (Anaes.) (Assist.) | 1 709.90 |
33109 |
Thoraco-abdominal aneurysm, replacement by graft including re-implantation of arteries (Anaes.) (Assist.) | 2 067.35 |
33112 | Suprarenal abdominal aortic aneurysm, replacement by graft including re-implantation of arteries (H) (Anaes.) (Assist.) | 1 792.95 |
33115 | Infrarenal abdominal aortic aneurysm, replacement by tube graft not being a service associated with a service to which item 33116 applies (H) (Anaes.) (Assist.) | 1 206.00 |
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 (H) (Anaes.) (Assist.) | 1 340.05 |
33121 | Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to 1 or both femoral arteries (with or without excision or bypass of common iliac aneurysms) (H) (Anaes.) (Assist.) | 1 474.05 |
33124 |
Aneurysm of iliac artery (common, external or internal), replacement by graft unilateral (H) (Anaes.) (Assist.) | 1 027.30 |
33127 | Aneurysms of iliac arteries (common, external or internal), replacement by graft bilateral (Anaes.) (Assist.) |
1 346.30 |
33130 | Aneurysm of visceral artery, excision and repair by direct anastomosis or replacement by graft (H) (Anaes.) (Assist.) | 1 174.00 |
33133 | Aneurysm of visceral artery, dissection and ligation of arteries without restoration of continuity (H) (Anaes.) (Assist.) | 880.50 |
33136 | False aneurysm, repair of, at aortic anastomosis following previous aortic surgery (H) (Anaes.) (Assist.) | 2 220.35 |
33139 | False aneurysm, repair of, in iliac artery and restoration of arterial continuity (H) (Anaes.) (Assist.) | 1 346.30 |
33142 | False aneurysm, repair of, in femoral artery and restoration of arterial continuity (Anaes.) (Assist.) | 1 257.05 |
33145 | Ruptured thoracic aortic aneurysm, replacement by graft (H) (Anaes.) (Assist.) | 2 163.00 |
33148 |
Ruptured thoraco-abdominal aortic aneurysm, replacement by graft (H) (Anaes.) (Assist.) | 2 686.20 |
33151 | Ruptured suprarenal abdominal aortic aneurysm, replacement by graft (H) (Anaes.) (Assist.) | 2 552.20 |
33154 | Ruptured infrarenal abdominal aortic aneurysm, replacement by tube graft (H) (Anaes.) (Assist.) |
1 888.70 |
33157 | Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision or bypass of common iliac aneurysms) (H) (Anaes.) (Assist.) |
2 105.55 |
33160 | Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to 1 or both femoral arteries (H) (Anaes.) (Assist.) | 2 105.55 |
33163 | Ruptured iliac artery aneurysm, replacement by graft (H) (Anaes.) (Assist.) |
1 786.70 |
33166 | Ruptured aneurysm of visceral artery, replacement by anastomosis or graft (Anaes.) (Assist.) | 1 786.70 |
33169 | Ruptured aneurysm of visceral artery, simple ligation of (H) (Anaes.) (Assist.) | 1 391.00 |
33172 | Aneurysm of major artery, replacement by graft, not being a service to which another item in this subgroup applies (H) (Anaes.) (Assist.) | 1 084.65 |
33175 |
Ruptured aneurysm in the extremities, ligation, suture closure or excision of, without bypass grafting (H) (Anaes.) (Assist.) |
999.65 |
33178 | Ruptured aneurysm in the neck, ligation, suture closure or excision of, without bypass grafting (H) (Anaes.) (Assist.) | 1 271.20 |
33181 | Ruptured intra-abdominal or pelvic aneurysm, ligation, suture closure or excision of, without bypass grafting (H) (Anaes.) (Assist.) | 1 554.20 |
33500 | Artery or arteries of neck, endarterectomy of, including closure by suture (where endarterectomy of 1 or more arteries is undertaken through 1 arteriotomy incision) (H) (Anaes.) (Assist.) | 963.40 |
33506 |
Innominate or subclavian artery, endarterectomy of, including closure by suture (H) (Anaes.) (Assist.) | 1 078.40 |
33509 | Aortic
endarterectomy, including closure by suture, not being a service
associated with another procedure on | 1 206.00 |
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 (H) (Anaes.) (Assist.) |
1 340.05 |
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 (H) (Anaes.) (Assist.) | 1 474.05 |
33518 | Iliac endarterectomy, including closure by suture, not being a service associated with another procedure on the iliac artery (Anaes.) (Assist.) | 1 078.40 |
33521 | Ilio-femoral endarterectomy (1 side), including closure by suture (H) (Anaes.) (Assist.) |
1 167.60 |
33524 | Renal artery, endarterectomy of (H) (Anaes.) (Assist.) | 1 378.20 |
33527 | Renal arteries (both), endarterectomy of (H) (Anaes.) (Assist.) | 1 601.40 |
33530 |
Coeliac or superior mesenteric artery, endarterectomy of (H) (Anaes.) (Assist.) | 1 378.20 |
33533 | Coeliac and superior mesenteric artery, endarterectomy of (H) (Anaes.) (Assist.) | 1 601.40 |
33536 | Inferior mesenteric artery, endarterectomy of, not being a service associated with a service to which another item in this subgroup applies (H) (Anaes.) (Assist.) | 1 142.20 |
33539 |
Artery of extremities, endarterectomy of, including closure by suture (H) (Anaes.) (Assist.) | 823.10 |
33542 | Extended deep femoral endarterectomy where the endarterectomy is at least 7 cm long (H) (Anaes.) (Assist.) | 1 174.00 |
33545 | Artery, vein or bypass graft, patch grafting to by vein or synthetic material where patch is less than 3 cm long (H) (Anaes.) (Assist.) | 232.25 |
33548 | Artery, vein or bypass graft, patch grafting to by vein or synthetic material where patch is 3 cm long or greater (H) (Anaes.) (Assist.) | 472.30 |
33551 | Vein, harvesting of from leg or arm for patch when not performed through same incision as operation (H) (Anaes.) (Assist.) | 232.25 |
33554 | Endarterectomy, in conjunction with an arterial bypass operation to prepare the site for anastomosis each site (H) (Anaes.) (Assist.) | 231.10 |
33800 | Embolus, removal of, from artery of neck (Anaes.) (Assist.) |
1 001.75 |
33803 | Embolectomy or thrombectomy, by abdominal approach, of an artery or bypass graft of trunk (H) (Anaes.) (Assist.) | 957.10 |
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.) | 689.10 |
33810 | Inferior vena cava or iliac vein, closed thrombectomy by catheter via the femoral vein (Anaes.) (Assist.) | 502.70 |
33811 | Inferior vena cava or iliac vein, open removal of thrombus or tumour (H) (Anaes.) (Assist.) | 1 496.50 |
33812 | Thrombus, removal of, from femoral or other similar large vein (Anaes.) (Assist.) | 791.20 |
33815 | Major artery or vein of extremity, repair of wound of, with restoration of continuity, by lateral suture (H) (Anaes.) (Assist.) | 727.40 |
33818 | Major artery or vein of extremity, repair of wound of, with restoration of continuity, by direct anastomosis (H) (Anaes.) (Assist.) | 848.65 |
33821 | Major artery or vein of extremity, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (H) (Anaes.) (Assist.) | 969.85 |
33824 | Major artery or vein of neck, repair of wound of, with restoration of continuity, by lateral suture (H) (Anaes.) (Assist.) | 925.15 |
33827 | Major artery or vein of neck, repair of wound of, with restoration of continuity, by direct anastomosis (H) (Anaes.) (Assist.) |
1 084.65 |
33830 | Major artery or vein of neck, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (H) (Anaes.) (Assist.) | 1 244.15 |
33833 | Major artery or vein of abdomen, repair of wound of, with restoration of continuity by lateral suture (H) (Anaes.) (Assist.) |
1 129.45 |
33836 | Major artery or vein of abdomen, repair of wound of, with restoration of continuity by direct anastomosis (H) (Anaes.) (Assist.) | 1 346.30 |
33839 | Major artery or vein of abdomen, repair of wound of, with restoration of continuity by means of interposition graft (H) (Anaes.) (Assist.) | 1 576.00 |
33842 | Artery of neck, re-operation for bleeding or thrombosis after carotid or vertebral artery surgery (H) (Anaes.) (Assist.) | 778.45 |
33845 | Laparotomy for control of post operative bleeding or thrombosis after intra-abdominal vascular procedure, where no other procedure is performed (H) (Anaes.) (Assist.) | 542.35 |
33848 |
Extremity, re-operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed (H) (Anaes.) (Assist.) | 542.35 |
34100 | Major artery of neck, elective ligation or exploration of, not being a service associated with any other vascular procedure (H) (Anaes.) (Assist.) | 599.85 |
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 (H) (Anaes.) (Assist.) | 350.90 |
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.) | 247.55 |
34109 |
Temporal artery, biopsy of (Anaes.) (Assist.) | 287.05 |
34112 |
Arterio-venous fistula of an extremity, dissection and ligation (H) (Anaes.) (Assist.) | 727.40 |
34115 | Arterio-venous fistula of the neck, dissection and ligation (H) (Anaes.) (Assist.) | 823.10 |
34118 | Arterio-venous fistula of the abdomen, dissection and ligation (Anaes.) (Assist.) | 1 174.00 |
34121 | Arterio-venous fistula of an extremity, dissection and repair of, with restoration of continuity (H) (Anaes.) (Assist.) | 937.90 |
34124 | Arterio-venous fistula of the neck, dissection and repair of, with restoration of continuity (H) (Anaes.) (Assist.) | 1 027.30 |
34127 | Arterio-venous fistula of the abdomen, dissection and repair of, with restoration of continuity (H) (Anaes.) (Assist.) | 1 346.30 |
34130 | Surgically created arterio-venous fistula of an extremity, closure of (Anaes.) (Assist.) | 421.15 |
34133 | Scalenotomy (H) (Anaes.) (Assist.) | 472.30 |
34136 | First rib, resection of portion of (H) (Anaes.) (Assist.) | 759.20 |
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 (H) (Anaes.) (Assist.) | 759.20 |
34142 |
Coeliac artery, decompression of, for coeliac artery compression syndrome, as an independent procedure (H) (Anaes.) (Assist.) |
937.90 |
34145 | Popliteal artery, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle (H) (Anaes.) (Assist.) | 682.75 |
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 (H) (Anaes.) (Assist.) | 1 218.70 |
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 (H) (Anaes.) (Assist.) |
1 665.35 |
34154 | Recurrent carotid associated tumour, resection of, with or without repair or replacement of portion of internal or common carotid arteries (Anaes.) (Assist.) | 1 984.40 |
34157 |
Neck, excision of infected bypass graft, including closure of vessel or vessels (H) (Anaes.) (Assist.) | 1 008.20 |
34160 |
Aorto-duodenal fistula, repair of, by suture of aorta and repair of duodenum (H) (Anaes.) (Assist.) | 1 888.70 |
34163 |
Aorto-duodenal fistula, repair of, by insertion of aortic graft and repair of duodenum (H) (Anaes.) (Assist.) | 2 424.60 |
34166 |
Aorto-duodenal fistula, repair of, by oversewing of abdominal aorta, repair of duodenum and axillo bifemoral grafting (H) (Anaes.) (Assist.) | 2 424.60 |
34169 | Infected bypass graft from trunk, excision of, including closure of arteries (H) (Anaes.) (Assist.) |
1 346.30 |
34172 | Infected axillo-femoral or femoro-femoral graft, excision of, including closure of arteries (H) (Anaes.) (Assist.) | 1 097.45 |
34175 | Infected bypass graft from extremities, excision of including closure of arteries (H) (Anaes.) (Assist.) | 1 008.20 |
34500 | Arteriovenous shunt, external, insertion of (Anaes.) (Assist.) | 261.65 |
34503 | Arteriovenous anastomosis of upper or lower limb, in conjunction with another venous or arterial operation (H) (Anaes.) (Assist.) | 350.90 |
34506 |
Arteriovenous shunt, external, removal of (H) (Anaes.) (Assist.) |
178.60 |
34509 | Arteriovenous anastomosis of upper or lower limb, not in conjunction with another venous or arterial operation (H) (Anaes.) (Assist.) | 829.45 |
34512 | Arteriovenous access device, insertion of (H) (Anaes.) (Assist.) | 912.45 |
34515 |
Arteriovenous access device, thrombectomy of (H) (Anaes.) (Assist.) | 650.80 |
34518 | Stenosis of arteriovenous fistula or prosthetic arteriovenous access device, correction of (H) (Anaes.) (Assist.) | 1 091.05 |
34521 | Intra-abdominal artery or vein, cannulation of, for infusion chemotherapy, by open operation (excluding after-care) (H) (Anaes.) (Assist.) | 670.25 |
34524 |
Arterial cannulation for infusion chemotherapy by open operation, not being a service to which item 34521 applies (excluding after-care) (H) (Anaes.) (Assist.) | 350.90 |
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.) | 468.05 |
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.) | 231.10 |
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 facility (Anaes.) | 173.35 |
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.) | 1 052.75 |
34538 |
Central vein catheterisation by percutaneous technique, using subcutaneous tunnelled cuffed catheter or similar device, for the administration of haemodialysis or parenteral nutrition (Anaes.) |
231.10 |
34539 | Tunnelled cuffed catheter, or similar device, removal of, by open surgical procedure in the operating theatre of a hospital or approved day hospital facility (Anaes.) | 173.35 |
34800 | Inferior vena cava, plication, ligation, or application of caval clip (Anaes.) (Assist.) | 689.10 |
34803 | Inferior vena cava, reconstruction of or bypass by vein or synthetic material (H) (Anaes.) (Assist.) |
1 518.65 |
34806 | Cross leg bypass grafting, saphenous to iliac or femoral vein (H) (Anaes.) (Assist.) | 823.10 |
34809 | Saphenous vein anastomosis to femoral or popliteal vein for femoral vein bypass (H) (Anaes.) (Assist.) | 823.10 |
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 (H) (Anaes.) (Assist.) | 995.40 |
34815 | Vein stenosis, patch angioplasty for, (excluding vein graft stenosis) using vein or synthetic material (H) (Anaes.) (Assist.) | 823.10 |
34818 | Venous valve, plication or repair to restore valve competency (H) (Anaes.) (Assist.) | 906.05 |
34821 | Vein transplant to restore valvular function (Anaes.) (Assist.) | 1 231.50 |
34824 |
External stent, application of, to restore venous valve competency to superficial vein 1 stent (H) (Anaes.) (Assist.) | 421.15 |
34827 | External stents, application of, to restore venous valve competency to superficial vein or veins more than 1 stent (H) (Anaes.) (Assist.) | 510.45 |
34830 | External stent, application of, to restore venous valve competency to deep vein 1 stent (Anaes.) (Assist.) | 599.85 |
34833 |
External stents, application of, to restore venous valve competency to deep vein or veins more than 1 stent (H) (Anaes.) (Assist.) | 778.45 |
35000 | Lumbar sympathectomy (Anaes.) (Assist.) |
599.85 |
35003 | Cervical or upper thoracic sympathectomy by any surgical approach (H) (Anaes.) (Assist.) | 778.45 |
35006 | Cervical or upper thoracic sympathectomy, where operation is a re-operation for previous incomplete sympathectomy by any surgical approach (H) (Anaes.) (Assist.) | 976.25 |
35009 | Lumbar sympathectomy, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (H) (Anaes.) (Assist.) | 759.20 |
35012 | Sacral or pre-sacral sympathectomy (H) (Anaes.) (Assist.) |
599.85 |
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.) | 312.75 |
35103 | Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only (Anaes.) | 199.05 |
35200 |
Operative arteriography or venography, 1 or more of, performed during the course of an operative procedure on an artery or vein 1 site (H) (Anaes.) | 145.55 |
35202 | Major arteries or veins in the neck, abdomen or extremities, access to, as part of re-operation after prior surgery on these vessels (H) (Anaes.) (Assist.) | 693.35 |
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.) | 437.35 |
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.) | 560.70 |
35304 |
Transluminal balloon angioplasty of 1 coronary artery, percutaneous or
by open exposure, excluding associated radiological services or
preparation, and excluding | 437.35 |
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 (H) (Anaes.) (Assist.) | 560.70 |
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
| 517.50 |
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.) | 646.90 |
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 (H) (Anaes.) (Assist.) | 646.90 |
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 (H) (Anaes.) (Assist.) | 733.15 |
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 (H) (Anaes.) (Assist.) | 733.15 |
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.) | 301.90 |
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.) | 541.20 |
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.) | 726.95 |
35321 | Peripheral arterial or venous catheterisation to administer agents to occlude arteries, veins or arterio-venous fistulae or to arrest haemorrhage (but not for the treatment of uterine fibroids), 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.) | 690.05 |
35324 |
Angioscopy not combined with any other procedure, excluding associated radiological services or preparation, and excluding after-care (H) (Anaes.) (Assist.) | 258.70 |
35327 | Angioscopy combined with any other procedure, excluding associated radiological services or preparation, and excluding after-care (H) (Anaes.) (Assist.) | 346.75 |
35330 | Insertion of inferior vena caval filter, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding after-care (Anaes.) (Assist.) | 437.35 |
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 excluding associated radiological services or preparation, and excluding after-care (Anaes.) (Assist.) | 751.30 |
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 excluding associated radiological services or preparation, and excluding after-care (H) (Anaes.) (Assist.) | 960.85 |
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 excluding associated radiological services or preparation, and excluding after-care (H) (Anaes.) (Assist.) | 1 031.60 |
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 excluding associated radiological services or preparation, and excluding after-care (H) (Anaes.) (Assist.) | 1 346.00 |
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.) | 656.00 |
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.) | 874.70 |
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.) | 969.95 |
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.) | 1 188.65 |
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.) | 68.90 |
35502 | Intra-uterine contraceptive device, introduction of, for the control of idiopathic menorrhagia, including endometrial biopsy to exclude endometrial pathology, not being a service associated with a service to which another item in this group applies (Anaes.) | 68.05 |
35503 |
Intra-uterine contraceptive device, introduction of, not being a service associated with a service to which another item in this group applies (Anaes.) | 45.45 |
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.) |
45.55 |
35507 | Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block), 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 (H) (Anaes.) |
148.10 |
35508 | Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block), where the time taken is greater than 45 minutes not being a service associated with a service to which item 32177 or 32180 applies (H) (Anaes.) (Assist.) | 218.05 |
35509 | Hymenectomy (Anaes.) | 75.95 |
35512 |
Bartholin's cyst, excision of (G) (Anaes.) | 152.20 |
35513 |
Bartholin's cyst, excision of (S) (Anaes.) | 188.15 |
35516 |
Bartholin's cyst or gland, marsupialisation of (G) (Anaes.) |
98.75 |
35517 | Bartholin's cyst or gland, marsupialisation of (S) (Anaes.) | 123.85 |
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.) |
176.30 |
35520 | Bartholin's abscess, incision of (Anaes.) | 49.45 |
35523 | Urethra or urethral caruncle, cauterisation of (Anaes.) |
49.45 |
35526 | Urethral caruncle, excision of (G) (Anaes.) | 98.75 |
35527 | Urethral caruncle, excision of (S) (Anaes.) | 123.85 |
35530 |
Clitoris, amputation of, where medically indicated (H) (Anaes.) (Assist.) | 228.90 |
35533 | Vulvoplasty or labioplasty, where medically indicated, not being a service associated with a service to which item 35536 applies (Anaes.) | 296.85 |
35536 |
Vulva, wide local excision of suspected malignancy or hemivulvectomy, 1 or both procedures (Anaes.) (Assist.) | 295.65 |
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.) | 231.60 |
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.) | 271.20 |
35545 | Colposcopically directed CO 2 laser therapy for condylomata, unsuccessfully treated by other methods (Anaes.) | 155.85 |
35548 | Vulvectomy, radical, for malignancy (H) (Anaes.) (Assist.) | 707.75 |
35551 | Pelvic lymph glands, excision of (radical) (H) (Anaes.) (Assist.) | 580.25 |
35554 | Vagina, dilatation of, as an independent procedure including any associated consultation (Anaes.) | 36.90 |
35557 | Vagina, removal of simple tumour (including Gartner duct cyst) (Anaes.) | 182.00 |
35560 | Vagina, partial or complete removal of (H) (Anaes.) (Assist.) | 580.25 |
35561 | Vaginectomy, radical, for proven invasive malignancy 1 surgeon (H) (Anaes.) (Assist.) |
1 170.60 |
35562 | Vaginectomy, radical, for proven invasive
malignancy, conjoint surgery abdominal surgeon (including
| 961.05 |
35564 | Vaginectomy, radical, for proven invasive malignancy, conjoint surgery perineal surgeon (H) (Assist.) | 443.70 |
35565 | Vaginal reconstruction for congenital absence, gynatresia or urogenital sinus (H) (Anaes.) (Assist.) | 580.25 |
35566 | Vaginal septum, excision of, for correction of double vagina (H) (Anaes.) (Assist.) | 337.10 |
35567 | Vaginal repair including 1 or more of anterior, posterior or enterocele repair, with sacrospinous colpopexy (H) (Anaes.) (Assist.) | 595.70 |
35569 | Plastic repair to enlarge vaginal orifice (Anaes.) | 136.45 |
35572 | Colpotomy, not being a service to which another item in this group applies (H) (Anaes.) | 105.05 |
35576 |
Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both), with or without mesh, not being a service associated with a service to which item 30405, 35580 or 35584 applies (H) (Anaes.) (Assist.) | 360.60 |
35580 | Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both), with or without mesh, not being a service associated with a service to which item 30405 or 35584 applies (H) (Anaes.) (Assist.) | 454.80 |
35584 | Manchester (Donald-Fothergill) operation or le Fort operation for genital prolapse, with or without mesh, not being a service associated with a service to which item 30405 applies (H) (Anaes.) (Assist.) |
572.30 |
35587 | Urethrocele, operation for (H) (Anaes.) | 148.95 |
35590 | Operation involving abdominal approach for repair of enterocele or suspension of vaginal vault or enterocele and suspension of vaginal vault, with or without mesh, not being a service associated with a service to which item 30405 applies (H) (Anaes.) (Assist.) |
454.80 |
35593 | Vaginal repair of enterocele, with or without repair of rectocele, with or without mesh, not being a service associated with a service to which item 30405, 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 (H) (Anaes.) (Assist.) | 454.80 |
35596 | Fistula between genital and urinary or alimentary tracts, repair of, not being a service to which item 37029, 37333 or 37336 applies (H) (Anaes.) (Assist.) | 580.25 |
35599 | Stress incontinence, sling operation for, with or without mesh or tape, not being a service associated with a service to which item 30405 applies (H) (Anaes.) (Assist.) | 572.30 |
35600 | Stress incontinence, vaginal procedure for, with or without mesh, not being a service associated with a service to which item 30405 applies (H) (Anaes.) (Assist.) | 444.30 |
35602 | Stress incontinence, combined synchronous abdomino-vaginal operation for abdominal procedure, with or without mesh, (including after-care), not being a service associated with a service to which item 30405 applies (H) (Anaes.) (Assist.) | 572.30 |
35605 | Stress incontinence, combined synchronous abdomino-vaginal operation for vaginal procedure, with or without mesh, (including after-care), not being a service associated with a service to which item 30405 applies (Anaes.) (Assist.) | 310.50 |
35608 | Cervix, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix (Anaes.) | 54.25 |
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.) | 54.25 |
35612 | Cervix, residual stump, removal of, by abdominal approach (Anaes.) (Assist.) | 429.30 |
35613 | Cervix, residual stump, removal of, by vaginal approach (H) (Anaes.) (Assist.) | 343.50 |
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.) | 54.15 |
35615 | Vulva, biopsy of, when performed in conjunction with a service to which item 35614 applies |
45.55 |
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 (H) (Anaes.) | 381.45 |
35617 |
Cervix, cone biopsy, amputation or repair of, not being a service to which item 35584 applies (G) (Anaes.) | 147.35 |
35618 | Cervix, cone biopsy, amputation or repair of, not being a service to which item 35584 applies (S) (Anaes.) | 184.95 |
35620 |
Endometrial biopsy where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding (Anaes.) | 45.25 |
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 (H) (Anaes.) | 511.20 |
35623 | Hysteroscopic resection of myoma, or myoma and uterine septum resection (where both are performed), followed by endometrial ablation by laser or diathermy (H) (Anaes.) |
695.10 |
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 | 70.30 |
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.) | 90.90 |
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.) | 155.30 |
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.) | 184.95 |
35634 | Hysteroscopic resection of uterine septum followed by endometrial ablation by laser or diathermy (Anaes.) |
581.80 |
35635 | Hysteroscopy involving resection of the uterine septum (H) (Anaes.) | 254.10 |
35636 | Hysteroscopy, involving resection of myoma, or resection of myoma and uterine septum (where both are performed) (H) (Anaes.) | 367.45 |
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 (H) (Anaes.) (Assist.) |
345.05 |
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 (H) (Anaes.) (Assist.) | 603.70 |
35639 | Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block, including procedures to which item 35626, 35627 or 35630 applies, where performed (G) (H) (Anaes.) | 114.50 |
35640 |
Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block, including procedures to which item 35626, 35627 or 35630 applies, where performed (S) (H) (Anaes.) | 155.30 |
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; | 1 054.40 |
(d) dissection of bowel from uterus from the level of the endocervical junction or above; where the operating time exceeds 90 minutes (H) (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.) | 184.95 |
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.) | 172.80 |
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.) |
270.45 |
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.) |
172.80 |
35647 | Cervix, large loop excision of transformation zone together with colposcopy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not being a service associated with a service to which item 35644 applies (Anaes.) | 172.80 |
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.) | 270.45 |
35649 | Hysterotomy or uterine myomectomy, abdominal (H) (Anaes.) (Assist.) | 454.80 |
35653 |
Hysterectomy, abdominal, sub-total or total, with or without removal of uterine adnexae (H) (Anaes.) (Assist.) | 572.45 |
35657 |
Hysterectomy, vaginal, with or without uterine curettage, not being a service to which item 35673 applies (H) (Anaes.) (Assist.) |
572.45 |
35658 | Uterus (at least equivalent in size to a 10 week gravid uterus), debulking of, prior to vaginal removal at hysterectomy (H) (Anaes.) (Assist.) | 353.00 |
35661 | Hysterectomy, abdominal, requiring extensive retroperitoneal dissection with or without exposure of 1 or both ureters, for the management of severe endometriosis, pelvic inflammatory disease or benign pelvic tumours, with or without conservation of ovaries (H) (Anaes.) (Assist.) |
739.30 |
35664 | Radical hysterectomy with radical excision of pelvic lymph glands (with or without excision of uterine adnexae) for proven malignancy including excision of any 1 or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed (H) (Anaes.) (Assist.) | 1 232.15 |
35667 | Radical hysterectomy without gland dissection (with or without excision of uterine adnexae) for proven malignancy including excision of any 1 or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed (H) (Anaes.) (Assist.) | 1 047.20 |
35670 |
Hysterectomy, abdominal, with radical excision of pelvic lymph glands, with or without removal of uterine adnexae (H) (Anaes.) (Assist.) |
862.35 |
35673 | Hysterectomy, vaginal, (with or without uterine curettage) with salpingectomy, oophorectomy or excision of ovarian cyst, 1 or more, 1 or both sides (H) (Anaes.) (Assist.) | 642.95 |
35674 | Ultrasound guided needling and injection of ectopic pregnancy | 176.30 |
35676 | Ectopic pregnancy, removal of (G) (H) (Anaes.) (Assist.) | 360.60 |
35677 | Ectopic pregnancy, removal of (S) (H) (Anaes.) (Assist.) | 454.80 |
35678 | Ectopic pregnancy, laparoscopic removal of (H) (Anaes.) (Assist.) | 548.35 |
35680 | Bicornuate uterus, plastic reconstruction for (Anaes.) (Assist.) | 493.85 |
35683 | Uterus, suspension or fixation of, as an independent procedure (G) (H) (Anaes.) (Assist.) | 298.05 |
35684 | Uterus, suspension or fixation of, as an independent procedure (S) (H) (Anaes.) (Assist.) | 399.80 |
35687 | Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (G) (H) (Anaes.) (Assist.) | 276.00 |
35688 | Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (S) (H) (Anaes.) (Assist.) |
337.10 |
35691 | Sterilisation by interruption of fallopian tubes when performed in conjunction with Caesarean section (H) (Anaes.) (Assist.) | 134.65 |
35694 | Tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, 1 or more procedures (H) (Anaes.) (Assist.) | 541.10 |
35697 | Microsurgical tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, 1 or more procedures (H) (Anaes.) (Assist.) | 802.85 |
35700 | Fallopian tubes, unilateral microsurgical anastomosis of, using operating microscope, for other than reversal of previous sterilisation (H) (Anaes.) (Assist.) | 619.50 |
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.) | 57.25 |
35706 | Rubin test for patency of fallopian tubes (Anaes.) | 57.25 |
35709 | Fallopian tubes, hydrotubation of, as a repetitive post-operative procedure (Anaes.) |
36.90 |
35710 | Falloposcopy, unilateral or bilateral, including hysteroscopy and tubal catheterisation (H) (Anaes.) (Assist.) | 393.15 |
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) (H) (Anaes.) (Assist.) | 307.30 |
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) (H) (Anaes.) (Assist.) | 384.25 |
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) (H) (Anaes.) (Assist.) | 368.55 |
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) (H) (Anaes.) (Assist.) | 462.65 |
35720 | Radical or debulking operation for advanced gynaecological malignancy, with or without omentectomy (H) (Anaes.) (Assist.) |
572.30 |
35723 | Retro-peritoneal lymph node biopsies from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy (H) (Anaes.) (Assist.) | 409.90 |
35726 |
Infra-colic omentectomy with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy (H) (Anaes.) (Assist.) | 409.90 |
35729 | Ovarian transposition out of the pelvis, in conjunction with radical hysterectomy for invasive malignancy (H) (Anaes.) | 184.80 |
35750 | Laparoscopically assisted hysterectomy, including any associated laparoscopy (H) (Anaes.) (Assist.) | 665.75 |
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 (H) (Anaes.) (Assist.) | 736.20 |
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 (H) (Anaes.) (Assist.) | 926.40 |
35756 | Laparoscopically assisted hysterectomy, when procedure is completed by open hysterectomy, including any associated laparoscopy (H) (Anaes.) (Assist.) | 665.75 |
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 (H) (Anaes.) (Assist.) | 477.95 |
Subgroup 5 Urological | ||
36500 | Adrenal gland, excision of partial or total (H) (Anaes.) (Assist.) |
784.55 |
36502 | Pelvic lymphadenectomy, open or laparoscopic, or both, unilateral or bilateral (H) (Anaes.) (Assist.) | 580.25 |
36503 | Renal transplant, not being a service to which item 36506 or 36509 applies (H) (Anaes.) (Assist.) | 1 180.40 |
36506 | Renal transplant, performed by vascular surgeon and urologist operating together vascular anastomosis, including after-care (H) (Anaes.) (Assist.) | 784.55 |
36509 | Renal transplant, performed by vascular surgeon and urologist operating together ureterovesical anastomosis, including after-care (H) (Assist.) |
664.35 |
36516 | Nephrectomy, complete (H) (Anaes.) (Assist.) | 784.55 |
36519 | Nephrectomy, complete, complicated by previous surgery on the same kidney (H) (Anaes.) (Assist.) | 1 095.55 |
36522 |
Nephrectomy, partial (H) (Anaes.) (Assist.) | 940.10 |
36525 |
Nephrectomy, partial, complicated by previous surgery on the same kidney (H) (Anaes.) (Assist.) | 1 335.95 |
36526 | Nephrectomy, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour of less than 10 cm in diameter, where performed if malignancy is clinically suspected but not confirmed by histopathological examination (Anaes.) (Assist.) | 1 095.55 |
36527 | Nephrectomy, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour of 10 cm or more in diameter, or complicated by previous open or laparoscopic surgery on the same kidney, where performed if malignancy is clinically suspected but not confirmed by histopathological examination (Anaes.) (Assist.) | 1 352.00 |
36528 | Nephrectomy, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour less than 10 cm in diameter (H) (Anaes.) (Assist.) | 1 095.55 |
36529 | Nephrectomy, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour 10 cm or more in diameter, or complicated by previous open or laparoscopic surgery on the same kidney (H) (Anaes.) (Assist.) | 1352.00 |
36531 |
Nephro-ureterectomy, complete, including associated bladder repair and any associated endoscopic procedure (H) (Anaes.) (Assist.) | 982.40 |
36532 | Nephro-ureterectomy, for tumour, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures (H) (Anaes.) (Assist.) |
1 410.10 |
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 (H) (Anaes.) (Assist.) | 1 666.55 |
36537 | Kidney or perinephric area, exploration of, with or without drainage of, by open exposure, not being a service to which another item in this subgroup applies (H) (Anaes.) (Assist.) | 586.65 |
36540 | Nephrolithotomy or pyelolithotomy, or both, through the same skin incision, for 1 or 2 stones (Anaes.) (Assist.) | 940.10 |
36543 | Nephrolithotomy or pyelolithotomy, or both, extended, for staghorn stone or 3 or more stones, including 1 or more of the following: nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (Anaes.) (Assist.) | 1 095.55 |
36546 | Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post-treatment care for 3 days, including pre-treatment consultations, unilateral (Anaes.) |
586.65 |
36549 | Ureterolithotomy (H) (Anaes.) (Assist.) | 706.85 |
36552 | Nephrostomy or pyelostomy, open, as an independent procedure (H) (Anaes.) (Assist.) | 629.15 |
36558 | Renal cyst or cysts, excision or unroofing of (Anaes.) (Assist.) | 551.35 |
36561 | Renal biopsy (closed) (Anaes.) | 146.35 |
36564 | Pyeloplasty (plastic reconstruction of the pelvi-ureteric junction), by open exposure, laparoscopy or laparoscopic assisted techniques (H) (Anaes.) (Assist.) | 784.55 |
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 (H) (Anaes.) (Assist.) | 862.35 |
36570 | Pyeloplasty, complicated by previous surgery on the same kidney, by open exposure (H) (Anaes.) (Assist.) | 1 095.55 |
36573 | Divided ureter, repair of (H) (Anaes.) (Assist.) | 784.55 |
36576 | Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, not being a service associated with any other procedure performed on the kidney, renal pelvis or renal pedicle (H) (Anaes.) (Assist.) | 982.40 |
36579 | Ureterectomy, complete or partial, with or without associated bladder repair, not being a service associated with a service to which item 37000 applies (H) (Anaes.) (Assist.) | 629.15 |
36585 | Ureter, transplantation of, into skin (H) (Anaes.) (Assist.) | 629.15 |
36588 | Ureter, reimplantation into bladder (H) (Anaes.) (Assist.) | 784.55 |
36591 | Ureter, reimplantation into bladder with psoas hitch or Boari flap or both (H) (Anaes.) (Assist.) | 940.10 |
36594 | Ureter, transplantation of, into intestine (H) (Anaes.) (Assist.) | 784.55 |
36597 | Ureter, transplantation of, into another ureter (H) (Anaes.) (Assist.) | 784.55 |
36600 | Ureter, transplantation of, into isolated intestinal segment, unilateral (Anaes.) (Assist.) | 940.10 |
36603 |
Ureters, transplantation of, into isolated intestinal segment, bilateral (H) (Anaes.) (Assist.) | 1 095.55 |
36604 | Ureteric stent, passage of through percutaneous nephrostomy tube, using interventional imaging techniques (Anaes.) | 227.10 |
36606 |
Intestinal urinary reservoir, continent, formation of, including formation of non-return valves and implantation of ureters (1 or both) into reservoir (H) (Anaes.) (Assist.) | 1 964.95 |
36609 | Intestinal urinary conduit or ureterostomy, revision of (H) (Anaes.) (Assist.) | 629.15 |
36612 | Ureter, exploration of, with or without drainage of, as an independent procedure (H) (Anaes.) (Assist.) | 551.35 |
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 (H) (Anaes.) (Assist.) | 629.15 |
36618 | Reduction ureteroplasty (H) (Anaes.) (Assist.) | 551.35 |
36621 | Closure of cutaneous ureterostomy (H) (Anaes.) (Assist.) | 394.10 |
36624 | Nephrostomy, percutaneous, using interventional imaging techniques (Anaes.) (Assist.) | 473.55 |
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 (H) (Anaes.) | 586.65 |
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 (H) (Anaes.) (Assist.) | 289.80 |
36633 | Nephroscopy, percutaneous, with incision of any 1 or more of renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, not being a service associated with a service to which item 36627, 36639, 36642, 36645 or 36648 applies (Anaes.) (Assist.) | 629.15 |
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 (H) (Anaes.) (Assist.) | 339.35 |
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) (H) (Anaes.) | 706.85 |
36642 |
Nephroscopy, being a service to which item 36639 applies, where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation due to bleeding (H) (Anaes.) (Assist.) | 353.40 |
36645 | Nephroscopy, percutaneous, with removal or destruction of a stone greater than 3 cm in any dimension, or for 3 or more stones (H) (Anaes.) (Assist.) | 904.70 |
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 (H) (Anaes.) (Assist.) | 805.80 |
36649 | Nephrostomy drainage tube, exchange of but not including imaging (Anaes.) (Assist.) | 227.10 |
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 (H) (Anaes.) (Assist.) | 551.35 |
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 (H) (Anaes.) (Assist.) | 706.85 |
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 (H) (Anaes.) (Assist.) | 904.70 |
36800 | Bladder, catheterisation of, where no other procedure is performed (Anaes.) |
23.45 |
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.) | 395.70 |
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 (H) (Anaes.) (Assist.) | 551.35 |
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 (H) (Anaes.) (Assist.) | 706.85 |
36811 |
Cystoscopy with insertion of urethral prosthesis (Anaes.) | 274.40 |
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.) | 141.40 |
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.) | 201.85 |
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.) |
234.65 |
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.) | 274.25 |
36824 | Cystoscopy with ureteric catheterisation, unilateral or bilateral, not being a service associated with a service to which item 36818 or 36821 applies (Anaes.) | 180.85 |
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 (H) (Anaes.) (Assist.) | 493.25 |
36827 | Cystoscopy, with controlled hydro-dilatation of the bladder (Anaes.) | 195.05 |
36830 | Cystoscopy, with ureteric meatotomy (H) (Anaes.) | 172.50 |
36833 | Cystoscopy with removal of ureteric stent or other foreign body (Anaes.) (Assist.) | 234.65 |
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.) | 195.05 |
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.) | 274.25 |
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 (H) (Anaes.) (Assist.) | 276.00 |
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 (H) (Anaes.) | 586.65 |
36848 |
Cystoscopy with resection of ureterocele (H) (Anaes.) | 195.05 |
36851 | Cystoscopy with injection into bladder wall (H) (Anaes.) | 195.05 |
36854 | Cystoscopy with endoscopic incision or resection of external sphincter, bladder neck or both (H) (Anaes.) | 395.70 |
36857 |
Endoscopic manipulation or extraction of ureteric calculus (H) (Anaes.) | 310.95 |
36860 | Endoscopic examination of intestinal conduit or reservoir (Anaes.) | 141.40 |
36863 | Litholapaxy, with or without cystoscopy (H) (Anaes.) (Assist.) | 395.70 |
37000 | Bladder, partial excision of (H) (Anaes.) (Assist.) | 629.15 |
37004 | Bladder, repair of rupture (H) (Anaes.) (Assist.) | 551.35 |
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.) | 353.40 |
37011 | Suprapubic stab cystotomy, not being a service associated with a service to which items 37200 to 37221 apply (Anaes.) | 79.15 |
37014 | Bladder, total excision of (H) (Anaes.) (Assist.) | 904.70 |
37020 | Bladder diverticulum, excision or obliteration of (H) (Anaes.) (Assist.) | 629.15 |
37023 |
Vesical fistula, cutaneous, operation for (H) (Anaes.) | 353.40 |
37026 | Cutaneous vesicostomy, establishment of (H) (Anaes.) (Assist.) | 353.40 |
37029 | Vesico-vaginal fistula, closure of, by abdominal approach (H) (Anaes.) (Assist.) | 784.55 |
37038 | Vesico-intestinal fistula, closure of, excluding bowel resection (H) (Anaes.) (Assist.) | 587.00 |
37041 | Bladder aspiration, by needle | 39.55 |
37042 |
Bladder stress incontinence sling procedure for, using autologous fascial sling, including harvesting of sling, with or without mesh, not being a service associated with a service to which item 30405 or 35599 applies (H) (Anaes.) (Assist.) | 773.25 |
37043 | Bladder stress incontinence, Stamey or similar type needle colposuspension, with or without mesh, not being a service associated with a service to which item 30405 or 35599 applies (H) (Anaes.) (Assist.) | 572.30 |
37044 | Bladder stress incontinence, suprapubic procedure for, eg Burch colposuspension, with or without mesh, not being a service associated with a service to which item 30405 or 35599 applies (H) (Anaes.) (Assist.) | 587.00 |
37045 | Mitrofanoff continent valve, formation of (H) (Anaes.) (Assist.) | 1 212.30 |
37047 | Bladder enlargement using intestine (H) (Anaes.) (Assist.) |
1 413.65 |
37050 | Bladder exstrophy closure, not involving sphincter reconstruction (H) (Anaes.) (Assist.) | 629.15 |
37053 |
Bladder transection and re-anastomosis to trigone (H) (Anaes.) (Assist.) | 726.95 |
37200 | Prostatectomy, open (H) (Anaes.) (Assist.) | 862.35 |
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 (H) (Anaes.) | 703.35 |
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.) | 353.00 |
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 (H) (Anaes.) | 884.20 |
37206 | Prostatectomy (endoscopic, using diathermy or cold punch), with or without cystoscopy, and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by item 37201, 37203 or 37207 which had to be discontinued for medical reasons (H) (Anaes.) |
473.55 |
37207 | Prostate, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy, and with or without urethroscopy, and including services to which item 36854, 37201, 37202, 37203, 37206, 37303, 37321 or 37324 applies (H) (Anaes.) |
735.20 |
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 (H) (Anaes.) | 353.00 |
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 (H) (Anaes.) (Assist.) |
1 095.55 |
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 (H) (Anaes.) (Assist.) | 1 352.00 |
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 (H) (Anaes.) (Assist.) |
1 642.05 |
37212 | Prostate, open perineal biopsy or open drainage of abscess (H) (Anaes.) (Assist.) | 234.65 |
37215 |
Prostate, biopsy of, endoscopic, with or without cystoscopy (Anaes.) (Assist.) | 353.40 |
37218 | Prostate, needle biopsy of, or injection into (Anaes.) | 117.35 |
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.) | 238.30 |
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 (H) | 886.00 |
37221 | Prostatic abscess, endoscopic drainage of (H) (Anaes.) (Assist.) | 395.70 |
37223 |
Prostatic coil, insertion of, under ultrasound control (H) (Anaes.) | 175.00 |
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.) | 274.25 |
37300 | Urethral sounds, passage of, as an independent procedure (Anaes.) | 39.55 |
37303 | Urethral stricture, dilatation of (Anaes.) | 62.85 |
37306 | Urethra, repair of rupture of distal section (H) (Anaes.) (Assist.) | 551.35 |
37309 |
Urethra, repair of rupture of prostatic or membranous segment (H) (Anaes.) (Assist.) | 784.55 |
37315 | Urethroscopy, as an independent procedure (Anaes.) | 117.35 |
37318 | Urethroscopy, with any 1 or more of biopsy, diathermy, visual laser destruction of stone or removal of foreign body or stone (Anaes.) (Assist.) | 234.65 |
37321 | Urethral meatotomy, external (Anaes.) | 79.15 |
37324 | Urethrotomy or urethrostomy, internal or external (H) (Anaes.) | 195.05 |
37327 | Urethrotomy, optical, for urethral stricture (H) (Anaes.) (Assist.) |
274.25 |
37330 | Urethrectomy, partial or complete, for removal of tumour (H) (Anaes.) (Assist.) | 551.35 |
37333 | Urethro-vaginal fistula, closure of (H) (Anaes.) (Assist.) | 473.55 |
37336 |
Urethro-rectal fistula, closure of (H) (Anaes.) (Assist.) | 629.15 |
37339 | Periurethral or transurethral injection of materials for the treatment of urinary incontinence, including cystoscopy and urethroscopy (Anaes.) | 203.55 |
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 (H) (Anaes.) (Assist.) | 360.60 |
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 (H) (Anaes.) (Assist.) | 773.25 |
37342 |
Urethroplasty single stage operation (H) (Anaes.) (Assist.) | 706.85 |
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 (H) (Anaes.) (Assist.) | 1 180.40 |
37345 |
Urethroplasty 2 stage operation first stage (H) (Anaes.) (Assist.) | 586.65 |
37348 |
Urethroplasty 2 stage operation second stage (H) (Anaes.) (Assist.) | 586.65 |
37351 | Urethroplasty, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 234.65 |
37354 | Hypospadias, meatotomy and hemi-circumcision (H) (Anaes.) (Assist.) | 274.25 |
37369 |
Urethra, excision of prolapse of (H) (Anaes.) | 158.30 |
37372 |
Urethral diverticulum, excision of (H) (Anaes.) (Assist.) | 395.70 |
37375 | Urethral sphincter, reconstruction by bladder tubularisation technique or similar procedure (H) (Anaes.) (Assist.) | 982.40 |
37381 | Artificial urinary sphincter, insertion of cuff, perineal approach (H) (Anaes.) (Assist.) | 629.15 |
37384 | Artificial urinary sphincter, insertion of cuff, abdominal approach (H) (Anaes.) (Assist.) | 982.40 |
37387 | Artificial urinary sphincter, insertion of pressure regulating balloon and pump (H) (Anaes.) (Assist.) |
274.25 |
37390 | Artificial urinary sphincter, revision or removal of, with or without replacement (H) (Anaes.) (Assist.) | 784.55 |
37393 |
Priapism, decompression by glanular stab caverno-sospongiosum shunt or penile aspiration with or without lavage (Anaes.) | 195.05 |
37396 |
Priapism, shunt operation for, not being a service to which item 37393 applies (H) (Anaes.) (Assist.) | 629.15 |
37402 | Penis, partial amputation of (H) (Anaes.) (Assist.) | 395.70 |
37405 |
Penis, complete or radical amputation of (H) (Anaes.) (Assist.) |
784.55 |
37408 | Penis, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (H) (Anaes.) (Assist.) | 395.70 |
37411 | Penis, repair of avulsion (Anaes.) (Assist.) | 784.55 |
37415 | Penis, injection of, for the investigation and treatment of impotence 2 services only in a period of 36 consecutive months | 39.55 |
37417 | Penis, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting (H) (Anaes.) (Assist.) | 473.55 |
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.) | 629.15 |
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 (H) (Anaes.) (Assist.) |
310.95 |
37423 | Penis, lengthening by translocation of corpora (H) (Anaes.) (Assist.) | 784.55 |
37426 | Penis, artificial erection device, insertion of, into 1 or both corpora (H) (Anaes.) (Assist.) | 826.90 |
37429 | Penis, artificial erection device, insertion of pump and pressure regulating reservoir (H) (Anaes.) (Assist.) | 274.25 |
37432 | Penis, artificial erection device, complete or partial revision or removal of components, with or without replacement (H) (Anaes.) (Assist.) | 784.55 |
37435 | Penis, frenuloplasty as an independent procedure (Anaes.) | 79.15 |
37438 |
Scrotum, partial excision of (Anaes.) (Assist.) | 234.65 |
37444 |
Ureterolithotomy complicated by previous surgery at the same site of the same ureter (Anaes.) (Assist.) | 848.20 |
37601 | Spermatocele or epididymal cyst, excision of, 1 or more of, on 1 side (Anaes.) |
234.65 |
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.) | 234.65 |
37607 |
Retroperitoneal lymph node dissection, unilateral, not being a service associated with a service to which item 36528 applies (H) (Anaes.) (Assist.) | 784.55 |
37610 | Retroperitoneal lymph node dissection, unilateral, not being a service associated with a service to which item 36528 applies, following previous similar retroperitoneal dissection, retroperitoneal irradiation or chemotherapy (H) (Anaes.) (Assist.) | 1 180.40 |
37613 |
Epididymectomy (Anaes.) | 234.65 |
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 (H) (Anaes.) (Assist.) | 586.65 |
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.) | 234.65 |
37622 | Vasotomy or vasectomy, unilateral or bilateral (G) (Anaes.) | 163.95 |
37623 | Vasotomy or vasectomy, unilateral or bilateral (S) (Anaes.) | 195.05 |
37800 | Patent urachus, excision of (H) (Anaes.) (Assist.) | 442.25 |
37803 | Undescended testis, orchidopexy for, not being a service to which item 37806 applies (H) (Anaes.) (Assist.) | 442.25 |
37806 |
Undescended testis in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for (Anaes.) (Assist.) | 511.00 |
37809 | Undescended testis, revision orchidopexy for (H) (Anaes.) (Assist.) | 511.00 |
37812 | Impalpable testis, exploration of groin for, not being a service associated with a service to which items 37803 to 37809 apply (H) (Anaes.) (Assist.) | 471.80 |
37815 |
Hypospadias, examination under anaesthesia with erection test (H) (Anaes.) | 78.65 |
37818 | Hypospadias, glanuloplasty incorporating meatal advancement (Anaes.) (Assist.) | 417.00 |
37821 | Hypospadias, distal, 1 stage repair (H) (Anaes.) (Assist.) | 706.85 |
37824 |
Hypospadias, proximal, 1 stage repair (H) (Anaes.) (Assist.) | 982.85 |
37827 | Hypospadias, staged repair, first stage (H) (Anaes.) (Assist.) | 452.75 |
37830 | Hypospadias, staged repair, second stage (Anaes.) (Assist.) | 586.65 |
37833 | Hypospadias, repair of post operative urethral fistula (H) (Anaes.) (Assist.) | 280.00 |
37836 | Epispadias, staged repair, first stage (H) (Anaes.) (Assist.) | 589.75 |
37839 | Epispadias, staged repair, second stage (H) (Anaes.) (Assist.) | 668.30 |
37842 | Exstrophy of bladder or epispadias, secondary repair with bladder neck tightening, with or without ureteric reimplantation (H) (Anaes.) (Assist.) | 1 297.45 |
37845 | Ambiguous genitalia with urogenital sinus, reduction clitoroplasty, with or without endoscopy (H) (Anaes.) (Assist.) | 589.75 |
37848 |
Ambiguous genitalia with urogenital sinus, reduction clitoroplasty, with endoscopy and vaginoplasty (H) (Anaes.) (Assist.) |
1 061.45 |
37851 | Congenital adrenal hyperplasia, mixed gonadal dysgenesis or similar condition, vaginoplasty for, with or without endoscopy (H) (Anaes.) (Assist.) | 786.35 |
37854 | Urethral valve, destruction of, including cystoscopy and urethroscopy (H) (Anaes.) (Assist.) | 310.95 |
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.) | 377.95 |
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 (H) (Anaes.) | 451.00 |
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.) | 545.25 |
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.) | 700.05 |
38212 | Cardiac electrophysiological study: (a) 4 or more catheter
supraventricular tachycardia investigation; or | 1 164.50 |
(e) catheter ablation to
intentionally induce complete AV block; or 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.) | 346.75 |
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.) | 376.40 |
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.) | 564.55 |
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 (H) (Anaes.) |
188.20 |
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.) | 376.40 |
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.) | 564.60 |
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.) | 752.85 |
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.) |
941.05 |
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.) | 752.80 |
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.) |
941.00 |
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.) |
1 129.10 |
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 (H) (Anaes.) |
376.40 |
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.) | 941.00 |
38256 | Temporary transvenous pacemaking electrode, insertion of (H) (Anaes.) | 226.70 |
38270 | Balloon valvuloplasty or isolated atrial septostomy, including cardiac catheterisations before and after balloon dilatation (H) (Anaes.) (Assist.) | 774.05 |
38275 | Myocardial biopsy, by cardiac catheterisation (H) (Anaes.) | 253.05 |
38278 | Single chamber permanent transvenous electrode, insertion, removal or replacement of (Anaes.) | 541.95 |
38281 | Permanent cardiac pacemaker, insertion, removal or replacement of (Anaes.) | 216.75 |
38284 | Dual chamber permanent transvenous electrodes, insertion, removal or replacement of (Anaes.) | 710.50 |
38285 | Implantable ECG loop recorder, insertion of, for diagnosis of primary disorder, if: (a) the patient to whom
the service is provided: including initial programming and testing (H) (Anaes.) | 163.70 |
38286 | Implantable ECG loop recorder, removal of (H) (Anaes.) | 147.40 |
38287 | Ablation of arrhythmia circuit or focus or isolation procedure involving 1 atrial chamber (Anaes.) (Assist.) | 1 780.45 |
38290 | Ablation of arrhythmia circuits or foci, or isolation procedure involving both atrial chambers and including curative procedures for atrial fibrillation (H) (Anaes.) (Assist.) | 2 267.15 |
38293 |
Ventricular arrhythmia with mapping and ablation, including all associated electrophysiological studies performed on the same day (Anaes.) (Assist.) | 2 433.50 |
38400 | Thoracic cavity, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38403 applies | 32.70 |
38403 | Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample | 65.20 |
38406 | Pericardium, paracentesis of (excluding after-care) (Anaes.) | 113.35 |
38409 |
Intercostal drain, insertion of, not involving resection of rib (excluding after-care) (Anaes.) | 113.35 |
38410 | Intercostal drain, insertion of, with pleurodesis and not involving resection of rib (excluding after-care) (Anaes.) | 139.65 |
38412 | Percutaneous needle biopsy of lung (Anaes.) | 177.50 |
38415 | Empyema, radical operation for, involving resection of rib (Anaes.) (Assist.) | 338.80 |
38418 |
Thoracotomy, exploratory, with or without biopsy (H) (Anaes.) (Assist.) | 813.25 |
38421 | Thoracotomy, with pulmonary decortication (H) (Anaes.) (Assist.) | 1 299.90 |
38424 | Thoracotomy, with pleurectomy or pleurodesis, or enucleation of hydatid cysts (H) (Anaes.) (Assist.) | 813.25 |
38427 | Thoracoplasty (complete) 3 or more ribs (H) (Anaes.) (Assist.) |
1 004.10 |
38430 | Thoracoplasty (in stages) each stage (H) (Anaes.) (Assist.) | 517.50 |
38436 | Thoracoscopy, with or without division of pleural adhesions, including insertion of intercostal catheter, where necessary, with or without biopsy (H) (Anaes.) | 211.90 |
38438 | Pneumonectomy or lobectomy or segmentectomy not being a service associated with a service to which item 38418 applies (H) (Anaes.) (Assist.) | 1 299.90 |
38440 | Lung, wedge resection of (H) (Anaes.) (Assist.) | 973.40 |
38441 |
Radical lobectomy or pneumonectomy including resection of chest wall, diaphragm, pericardium, or formal mediastinal node dissection (H) (Anaes.) (Assist.) | 1 540.15 |
38446 | Thoracotomy or sternotomy, for removal of thymus or mediastinal tumour (H) (Anaes.) (Assist.) | 1 004.10 |
38447 | Pericardiectomy via sternotomy or anterolateral thoracotomy without cardiopulmonary bypass (H) (Anaes.) (Assist.) | 1 299.90 |
38448 | Mediastinum, cervical exploration of, with or without biopsy (H) (Anaes.) (Assist.) | 308.05 |
38449 | Pericardiectomy via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass (H) (Anaes.) (Assist.) |
1 818.55 |
38450 | Pericardium, transthoracic drainage of (H) (Anaes.) (Assist.) | 726.90 |
38452 | Pericardium, sub-xyphoid drainage of (H) (Anaes.) (Assist.) | 486.75 |
38453 | Tracheal excision and repair without cardiopulmonary bypass (H) (Anaes.) (Assist.) | 1 460.15 |
38455 | Tracheal excision and repair of, with cardiopulmonary bypass (H) (Anaes.) (Assist.) | 1 975.05 |
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 (H) (Anaes.) (Assist.) | 1 299.90 |
38457 | Pectus excavatum or pectus carinatum, repair or radical correction of (H) (Anaes.) (Assist.) | 1 213.60 |
38458 | Pectus excavatum, repair of, with implantation of subcutaneous prosthesis (H) (Anaes.) (Assist.) | 646.90 |
38460 | Sternal wires or wires, removal of (H) (Anaes.) | 233.70 |
38462 | Sternotomy wound, debridement of, not involving reopening of the mediastinum (H) (Anaes.) | 276.90 |
38464 |
Sternotomy wound, debridement of, involving curettage of infected bone with or without removal of wires but not involving reopening of the mediastinum (H) (Anaes.) | 301.05 |
38466 | Sternum, re-operation on, for dehiscence or infection involving reopening of the mediastinum, with or without rewiring (H) (Anaes.) (Assist.) | 812.90 |
38468 |
Sternum and mediastinum, re-operation for infection of, involving muscle advancement flaps or greater omentum (H) (Anaes.) (Assist.) |
1 252.55 |
38469 | Sternum and mediastinum, re-operation for infection of, involving muscle advancement flaps and greater omentum (H) (Anaes.) (Assist.) | 1 460.15 |
38470 | Permanent myocardial electrode, insertion of, by thoracotomy or sternotomy (H) (Anaes.) (Assist.) | 813.25 |
38473 | Permanent pacemaker electrode, insertion by sub-xyphoid approach (H) (Anaes.) (Assist.) | 486.75 |
38475 |
Valve annuloplasty without insertion of ring, not being a service associated with a service to which item 38480 or 38481 applies (H) (Anaes.) (Assist.) | 705.80 |
38477 | Valve annuloplasty with insertion of ring not being a service to which item 38478 applies (H) (Anaes.) (Assist.) | 1 699.85 |
38478 | Valve annuloplasty with insertion of ring performed in conjunction with item 38480 or 38481 (H) (Anaes.) (Assist.) | 823.45 |
38480 | Valve repair, 1 leaflet (H) (Anaes.) (Assist.) | 1 699.85 |
38481 | Valve repair, 2 or more leaflets (H) (Anaes.) (Assist.) | 1 935.15 |
38483 | Aortic valve leaflet or leaflets, decalcification of, not being a service to which item 38475, 38477, 38480, 38481, 38488 or 38489 applies (H) (Anaes.) (Assist.) | 1 460.15 |
38485 | Mitral annulus, reconstruction of, after decalcification, when performed in association with valve surgery (H) (Anaes.) (Assist.) | 693.35 |
38487 | Mitral valve, open valvotomy of (H) (Anaes.) (Assist.) | 1 460.15 |
38488 |
Valve replacement with bioprosthesis or mechanical prosthesis (H) (Anaes.) (Assist.) | 1 620.30 |
38489 | Valve replacement with allograft (subcoronary or cylindrical implant), or unstented xenograft (H) (Anaes.) (Assist.) | 1 926.95 |
38490 | Sub-valvular structures, reconstruction and re-implantation of, associated with mitral and tricuspid valve replacement (H) (Anaes.) (Assist.) | 470.50 |
38493 | Operative management of acute infective endocarditis, in association with heart valve surgery (H) (Anaes.) (Assist.) |
1 661.05 |
38496 | Artery harvesting (other than internal mammary), for coronary artery bypass (H) (Anaes.) (Assist.) | 529.40 |
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 (H) (Anaes.) (Assist.) | 1 737.35 |
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 (H) (Anaes.) (Assist.) | 1 737.35 |
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 (H) (Anaes.) (Assist.) | 1 866.65 |
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 (H) (Anaes.) (Assist.) | 1 866.65 |
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 (H) (Anaes.) (Assist.) | 2 026.80 |
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 (H) (Anaes.) (Assist.) | 2 026.80 |
38505 | Coronary endarterectomy, by open operation, including repair with 1 or more patch grafts, each vessel (H) (Anaes.) (Assist.) |
235.25 |
38506 | Left ventricular aneurysm, plication of (H) (Anaes.) (Assist.) | 1 379.90 |
38507 | Left ventricular aneurysm resection with primary repair (H) (Anaes.) (Assist.) | 1 619.95 |
38508 | Left ventricular aneurysm resection with patch reconstruction of the left ventricle (H) (Anaes.) (Assist.) | 2 026.80 |
38509 |
Ischaemic ventricular septal rupture, repair of (H) (Anaes.) (Assist.) | 2 026.80 |
38512 | Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving 1 atrial chamber only (H) (Anaes.) (Assist.) |
1 780.45 |
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 (H) (Anaes.) (Assist.) | 2 267.15 |
38518 |
Ventricular arrhythmia with mapping and muscle ablation, with or without aneurysmeotomy (H) (Anaes.) (Assist.) | 2 433.50 |
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 (H) (Anaes.) (Assist.) | 893.20 |
38524 | Automatic defibrillator generator, insertion or replacement of not being a service associated with a service to which item 38213 applies (H) (Anaes.) (Assist.) | 244.20 |
38550 | Ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (H) (Anaes.) (Assist.) | 1 821.05 |
38553 |
Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (H) (Anaes.) (Assist.) | 2 307.70 |
38556 | Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (H) (Anaes.) (Assist.) |
2 634.30 |
38559 | Aortic arch and ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (H) (Anaes.) (Assist.) | 2 147.55 |
38562 | Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (H) (Anaes.) (Assist.) |
2 634.30 |
38565 | Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (H) (Anaes.) (Assist.) |
2 954.60 |
38568 | Descending thoracic aorta, repair or replacement of, without shunt or cardiopulmonary bypass (H) (Anaes.) (Assist.) | 1 580.70 |
38571 | Descending thoracic aorta, repair or replacement of, using shunt or cardiopulmonary bypass (H) (Anaes.) (Assist.) | 1 740.90 |
38572 | Operative management of acute rupture or dissection, in conjunction with procedures on the thoracic aorta (H) (Anaes.) (Assist.) | 1 686.05 |
38577 |
Cannulation for, and supervision and monitoring of, the administration of retrograde cerebral perfusion during deep hypothermic arrest (H) (Assist.) | 470.50 |
38588 | Cannulation of the coronary sinus for, and supervision of, the retrograde administration of blood or crystalloid for cardioplegia, including pressure monitoring (H) (Assist.) | 353.00 |
38600 | Central cannulation for cardiopulmonary bypass excluding post-operative management, not being a service associated with a service to which another item in this subgroup applies (H) (Anaes.) (Assist.) | 1 299.90 |
38603 | Peripheral cannulation for cardiopulmonary bypass excluding post-operative management (H) (Anaes.) (Assist.) | 813.25 |
38606 | Intra-aortic balloon pump, percutaneous insertion of (H) (Anaes.) | 326.55 |
38609 | Intra-aortic balloon pump, insertion of, by arteriotomy (H) (Anaes.) (Assist.) | 406.55 |
38612 | Intra-aortic balloon pump, removal of, with closure of artery by direct suture (Anaes.) (Assist.) | 455.75 |
38613 | Intra-aortic balloon pump, removal of, with closure of artery by patch graft (H) (Anaes.) (Assist.) | 572.00 |
38615 |
Left or right ventricular assist device, insertion of (H) (Anaes.) (Assist.) | 1 299.90 |
38618 | Left and right ventricular assist device, insertion of (H) (Anaes.) (Assist.) |
1 620.30 |
38621 | Left or right ventricular assist device, removal of, as an independent procedure (H) (Anaes.) (Assist.) |
646.90 |
38624 | Left and right ventricular assist device, removal of, as an independent procedure (H) (Anaes.) (Assist.) | 726.90 |
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 (H) (Anaes.) (Assist.) | 568.15 |
38637 | Patent diseased coronary artery bypass vein graft or grafts, dissection, disconnection and oversewing of (H) (Anaes.) (Assist.) | 470.50 |
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 (H) (Anaes.) (Assist.) | 813.25 |
38643 | Thoracotomy or sternotomy involving division of adhesions where the time taken to divide the adhesions exceeds 45 minutes (H) (Anaes.) (Assist.) | 905.65 |
38647 |
Thoracotomy or sternotomy involving division of extensive adhesions where the time taken to divide the adhesions exceeds 2 hours (H) (Anaes.) (Assist.) | 1 811.15 |
38650 | Myomectomy or myotomy for hypertrophic obstructive cardiomyopathy (H) (Anaes.) (Assist.) |
1 620.30 |
38653 | Open heart surgery, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
1 620.30 |
38656 | Thoracotomy or median sternotomy for post-operative bleeding (H) (Anaes.) (Assist.) | 813.25 |
38670 |
Cardiac tumour, excision of, involving the wall of the atrium or inter-atrial septum, without patch or conduit reconstruction (H) (Anaes.) (Assist.) | 1 619.95 |
38673 | Cardiac tumour, excision of, involving the wall of the atrium or inter-atrial septum, requiring reconstruction with patch or conduit (H) (Anaes.) (Assist.) |
1 823.35 |
38677 | Cardiac tumour arising from ventricular myocardium, partial thickness excision of (H) (Anaes.) (Assist.) |
1 705.75 |
38680 | Cardiac tumour arising from ventricular myocardium, full thickness excision of including repair or reconstruction (Anaes.) (Assist.) | 2 023.30 |
38700 | Patent ductus arteriosus, shunt, collateral or other single large vessel, division or ligation of, without cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) | 905.65 |
38703 | Patent ductus arteriosus, shunt, collateral or other single large vessel, division or ligation of, with cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) | 1 632.60 |
38706 | Aorta, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 546.30 |
38709 | Aorta, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) | 1 811.15 |
38712 | Aortic interruption, repair of, for congenital heart disease (H) (Anaes.) (Assist.) | 2 174.80 |
38715 | Main pulmonary artery, banding, debanding or repair of, without cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) | 1 447.80 |
38718 | Main pulmonary artery, banding, debanding or repair of, with cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) | 1 811.15 |
38721 | Vena cava, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 269.10 |
38724 | Vena cava, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) | 1 811.15 |
38727 | Intrathoracic vessels, anastomosis or repair of, without cardiopulmonary bypass, not being a service to which item 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721 or 38724 applies, for congenital heart disease (H) (Anaes.) (Assist.) | 1 269.10 |
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 (H) (Anaes.) (Assist.) |
1 811.15 |
38733 | Systemic pulmonary or cavo-pulmonary shunt, creation of, without cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) | 1 269.10 |
38736 | Systemic pulmonary or cavo-pulmonary shunt, creation of, with cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 811.15 |
38739 | Atrial septectomy, with or without cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) | 1 632.60 |
38742 | Atrial septal defect, closure by open exposure and direct suture or patch, for congenital heart disease (H) (Anaes.) (Assist.) | 1 632.60 |
38743 | Atrial septal defect, closure using a septal occluder or similar device by transcatheter approach (Anaes.) (Assist.) | 774.05 |
38745 | Intra-atrial baffle, insertion of, for congenital heart disease (H) (Anaes.) (Assist.) |
1 811.15 |
38748 | Ventricular septectomy, for congenital heart disease (H) (Anaes.) (Assist.) | 1 811.15 |
38751 |
Ventricular septal defect, closure by direct suture or patch, for congenital heart disease (H) (Anaes.) (Assist.) | 1 811.15 |
38754 | Intraventricular baffle or conduit, insertion of, for congenital heart disease (H) (Anaes.) (Assist.) | 2 267.15 |
38757 | Extracardiac conduit, insertion of, for congenital heart disease (H) (Anaes.) (Assist.) | 1 811.15 |
38760 | Extracardiac conduit, replacement of, for congenital heart disease (H) (Anaes.) (Assist.) | 1 811.15 |
38763 | Ventricular myectomy, for relief of ventricular obstruction, right or left, for congenital heart disease (H) (Anaes.) (Assist.) | 1 811.15 |
38766 |
Ventricular augmentation, right or left, for congenital heart disease (H) (Anaes.) (Assist.) | 1 811.15 |
Subgroup 7 Neurosurgical | ||
39000 | Lumbar puncture (Anaes.) | 63.90 |
39003 |
Cisternal puncture (Anaes.) | 72.70 |
39006 | Ventricular puncture (not including burr-hole) (Anaes.) | 135.30 |
39009 | Subdural haemorrhage, tap for, each tap (H) (Anaes.) | 50.35 |
39012 |
Burr-hole, single, preparatory to ventricular puncture or for inspection purpose not being a service to which another item applies (H) (Anaes.) | 201.60 |
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.) | 92.65 |
39015 | Ventricular reservoir, external ventricular drain or intracranial pressure monitoring device, insertion of including burr-hole (excluding after-care) (H) (Anaes.) (Assist.) | 319.00 |
39018 | Cerebrospinal fluid reservoir, insertion of (H) (Anaes.) (Assist.) | 319.00 |
39100 | Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (Anaes.) | 201.60 |
39106 | Neurectomy, intracranial, for trigeminal neuralgia (H) (Anaes.) (Assist.) | 1 008.20 |
39109 | Trigeminal gangliotomy by radiofrequency, balloon or glycerol (Anaes.) | 376.45 |
39112 | Cranial nerve, intracranial decompression of, using microsurgical techniques (H) (Anaes.) (Assist.) |
1 308.05 |
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.) | 63.90 |
39118 | Percutaneous neurotomy for facet joint denervation by radio-frequency probe or cryoprobe using radiological imaging control (Anaes.) (Assist.) | 252.70 |
39121 | Percutaneous cordotomy (Anaes.) (Assist.) | 536.05 |
39124 |
Cordotomy or myelotomy, laminectomy for, or operation for dorsal root entry zone (Drez) lesion (H) (Anaes.) (Assist.) | 1 371.80 |
39125 | Spinal catheter, insertion of for an automated infusion device (H) (Anaes.) (Assist.) | 252.90 |
39126 | Automated subcutaneous infusion device, insertion of (H) (Anaes.) (Assist.) | 307.05 |
39127 | Subcutaneous reservoir and spinal catheter for pain, insertion of (H) (Anaes.) | 401.90 |
39128 | Automated subcutaneous infusion device and spinal catheter, insertion of (H) (Anaes.) (Assist.) | 559.95 |
39130 | Epidural lead, percutaneous placement of, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris to a maximum of 4 leads (H) (Anaes.) | 572.05 |
39131 | Epidural or peripheral nerve electrodes, management, adjustment, and electronic programming of, by a medical practitioner, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris each day | 108.50 |
39133 | Spinal infusion device, revision of (Anaes.) | 135.30 |
39134 | Neurostimulator or receiver, subcutaneous placement of, including placement and connection of extension wires to epidural or peripheral nerve electrodes, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris (H) (Anaes.) (Assist.) | 289.00 |
39135 | Neurostimulator or receiver that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, removal of, performed in the operating theatre of a hospital or approved day hospital facility (Anaes.) | 135.30 |
39136 | Epidural or peripheral nerve lead that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, removal of, performed in the operating theatre of a hospital or approved day hospital facility (Anaes.) | 135.30 |
39137 | Epidural or peripheral nerve lead that was inserted for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris, surgical repositioning of, to correct displacement or unsatisfactory positioning, including intraoperative test stimulation, not being a service to which item 39130, 39138 or 39139 applies (Anaes.) | 513.70 |
39138 | Peripheral nerve lead, surgical placement of 1 or more, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris (Anaes.) (Assist.) | 572.05 |
39139 | Epidural lead, surgical placement of 1 or more of by laminectomy, including intraoperative test stimulation, for the management of chronic intractable neuropathic pain or pain from refractory angina pectoris to a maximum of 4 leads (H) (Anaes.) (Assist.) |
767.95 |
39140 | Epidural catheter, insertion of, under imaging control, with epidurogram and epidural therapeutic injection for lysis of adhesions (Anaes.) | 248.50 |
39300 | Cutaneous nerve (including digital nerve), primary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) | 299.85 |
39303 | Cutaneous nerve (including digital nerve), secondary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) | 395.50 |
39306 | Nerve trunk, primary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) | 574.30 |
39309 | Nerve trunk, secondary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) | 606.10 |
39312 | Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques (H) (Anaes.) (Assist.) | 338.15 |
39315 | Nerve trunk, nerve graft to, (cable graft) including harvesting of nerve graft using microsurgical techniques (H) (Anaes.) (Assist.) | 874.10 |
39318 | Cutaneous nerve (including digital nerve), nerve graft to, using microsurgical techniques (H) (Anaes.) (Assist.) | 542.35 |
39321 |
Nerve, transposition of (H) (Anaes.) (Assist.) | 401.90 |
39323 |
Percutaneous neurotomy by cryotherapy or radiofrequency lesion generator, not being a service to which another item applies (Anaes.) (Assist.) | 234.80 |
39324 | Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve, by open operation (Anaes.) (Assist.) | 234.80 |
39327 | Neurectomy, neurotomy or removal of tumour from deep peripheral nerve, by open operation (H) (Anaes.) (Assist.) | 401.90 |
39330 | Neurolysis by open operation without transposition, not being a service associated with a service to which item 39312 applies (H) (Anaes.) (Assist.) | 234.80 |
39331 |
Carpal tunnel release (division of transverse carpal ligament), by any method (Anaes.) | 234.80 |
39333 | Brachial plexus, exploration of, not being a service to which another item in this group applies (Anaes.) (Assist.) | 338.15 |
39500 | Vestibular nerve, section of, via posterior fossa (H) (Anaes.) (Assist.) | 1 078.40 |
39503 | Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of (H) (Anaes.) (Assist.) | 810.30 |
39600 | Intracranial haemorrhage, burr-hole craniotomy for including burr-holes (H) (Anaes.) (Assist.) | 401.90 |
39603 | Intracranial haemorrhage, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (H) (Anaes.) (Assist.) | 1 014.50 |
39606 | Fractured skull, depressed or comminuted, operation for (H) (Anaes.) (Assist.) | 676.30 |
39609 | Fractured skull, compound, without dural penetration, operation for (H) (Anaes.) (Assist.) | 810.30 |
39612 | Fractured skull, compound, depressed or complicated, with dural penetration and brain laceration, operation for (H) (Anaes.) (Assist.) | 950.75 |
39615 | Fractured skull with rhinorrhoea or otorrhoea, cranioplasty and repair of (H) (Anaes.) (Assist.) | 1 014.50 |
39640 | Tumour involving anterior cranial fossa, removal of, involving craniotomy, radical excision of the skull base, and dural repair (H) (Anaes.) (Assist.) | 2 572.35 |
39642 | Tumour involving anterior cranial fossa, removal of, involving frontal craniotomy with lateral rhinotomy for clearance of paranasal sinus extension, (intracranial procedure) (H) (Anaes.) (Assist.) | 2 704.35 |
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) (H) (Anaes.) (Assist.) | 3 100.05 |
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) (H) (Anaes.) (Assist.) | 2 242.50 |
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 (H) (Anaes.) (Assist.) | 3 990.55 |
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 (H) (Anaes.) (Assist.) | 2 902.25 |
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 (H) (Assist.) | 2 176.65 |
39658 | Tumour involving the clivus, radical or sub-total radical excision of, involving transoral or transmaxillary approach (H) (Anaes.) (Assist.) | 2 572.35 |
39660 | Tumour or vascular lesion of cavernous sinus, radical excision of, involving craniotomy with or without intracranial carotid artery exposure (H) (Anaes.) (Assist.) | 2 572.35 |
39662 | Tumour or vascular lesion of foramen magnum, radical excision of, via transcondylar or far lateral suboccipital approach (H) (Anaes.) (Assist.) | 2 572.35 |
39700 | Skull tumour, benign or malignant, excision of, excluding cranioplasty (H) (Anaes.) (Assist.) | 472.30 |
39703 | Intracranial tumour, cyst or other brain tissue, burr-hole and biopsy of, or drainage of, or both (H) (Anaes.) (Assist.) | 440.25 |
39706 | Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (H) (Anaes.) (Assist.) | 944.20 |
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 (H) (Anaes.) (Assist.) |
1 346.30 |
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 (H) (Anaes.) (Assist.) | 2 430.95 |
39715 | Pituitary tumour, removal of, by transcranial or transphenoidal approach (H) (Anaes.) (Assist.) | 1 684.50 |
39718 | Arachnoidal cyst, craniotomy for (H) (Anaes.) (Assist.) | 740.15 |
39721 | Craniotomy, involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling, etc (H) (Anaes.) (Assist.) | 676.30 |
39800 | Aneurysm, clipping or reinforcement of sac (H) (Anaes.) (Assist.) | 2 424.60 |
39803 | Intracranial arteriovenous malformation, excision of (H) (Anaes.) (Assist.) |
2 424.60 |
39806 | Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping of (H) (Anaes.) (Assist.) |
1 091.05 |
39812 | Intracranial aneurysm or arteriovenous fistula, ligation of cervical vessel or vessels (H) (Anaes.) (Assist.) | 536.05 |
39815 | Carotid-cavernous fistula, obliteration of combined cervical and intracranial procedure (Anaes.) (Assist.) | 1 550.45 |
39818 | Extracranial to intracranial bypass using superficial temporal artery (H) (Anaes.) (Assist.) |
1 550.45 |
39821 | Extracranial to intracranial bypass using saphenous vein graft (H) (Anaes.) (Assist.) | 1 841.05 |
39900 |
Intracranial infection, drainage of, via burr-hole including burr-hole (H) (Anaes.) (Assist.) | 440.25 |
39903 |
Intracranial abscess, excision of (H) (Anaes.) (Assist.) |
1 346.30 |
39906 | Osteomyelitis of skull or removal of infected bone flap, craniectomy for (H) (Anaes.) (Assist.) | 676.30 |
40000 |
Ventriculo-cisternostomy (Torkildsen's operation) (H) (Anaes.) (Assist.) | 778.45 |
40003 | Cranial or cisternal shunt diversion, insertion of (H) (Anaes.) (Assist.) | 778.45 |
40006 | Lumbar shunt diversion, insertion of (H) (Anaes.) (Assist.) | 612.55 |
40009 | Cranial, cisternal or lumbar shunt, revision or removal of (H) (Anaes.) (Assist.) | 446.60 |
40012 | Third ventriculostomy (open or endoscopic) with or without endoscopic septum pellucidotomy (H) (Anaes.) (Assist.) | 874.10 |
40015 | Subtemporal decompression (H) (Anaes.) (Assist.) | 541.95 |
40018 | Lumbar cerebrospinal fluid drain, insertion of (Anaes.) | 135.30 |
40100 | Meningocele, excision and closure of (H) (Anaes.) (Assist.) | 587.00 |
40103 |
Myelomeningocele, excision and closure of, including skin flaps or Z plasty where performed (H) (Anaes.) (Assist.) | 861.40 |
40106 |
Arnold-Chiari malformation, decompression of (H) (Anaes.) (Assist.) | 874.10 |
40109 | Encephalocoele, excision and closure of (H) (Anaes.) (Assist.) | 944.20 |
40112 | Tethered cord, release of, including lipomeningocele or diastematomyelia (H) (Anaes.) (Assist.) |
1 212.30 |
40115 | Craniostenosis, operation for single suture (H) (Anaes.) (Assist.) | 612.55 |
40118 |
Craniostenosis, operation for more than 1 suture (H) (Anaes.) (Assist.) | 810.30 |
40300 | Intervertebral disc or discs, laminectomy for removal of (H) (Anaes.) (Assist.) | 810.30 |
40301 |
Intervertebral disc or discs, microsurgical discectomy of (H) (Anaes.) (Assist.) | 812.90 |
40303 | Recurrent disc lesion or spinal stenosis, or both, laminectomy for 1 level (H) (Anaes.) (Assist.) |
925.15 |
40306 | Spinal stenosis, laminectomy for, involving more than 1 vertebral interspace (disc level) (H) (Anaes.) (Assist.) |
1 218.70 |
40309 | Extradural tumour or abscess, laminectomy for (H) (Anaes.) (Assist.) | 925.15 |
40312 | Intradural lesion, laminectomy for, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 1 244.15 |
40315 |
Craniocervical junction lesion, transoral approach for (H) (Anaes.) (Assist.) | 1 346.30 |
40316 | Odontoid screw fixation (H) (Anaes.) (Assist.) | 1 764.60 |
40318 |
Intramedullary tumour or arteriovenous malformation, laminectomy and radical excision of (H) (Anaes.) (Assist.) | 1 684.50 |
40321 |
Posterior spinal fusion, not being a service to which items 40324 and 40327 apply (H) (Anaes.) (Assist.) | 925.15 |
40324 | Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together laminectomy, including after-care (H) (Anaes.) (Assist.) | 542.35 |
40327 |
Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together posterior fusion, including after-care (H) (Assist.) | 542.35 |
40330 |
Spinal rhizolysis involving exposure of spinal nerve roots for lateral recess, exit foraminal stenosis, adhesive radiculopathy or extensive epidural fibrosis, at 1 or more levels with or without laminectomy (H) (Anaes.) (Assist.) | 810.30 |
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 (H) (Anaes.) (Assist.) | 810.30 |
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 (H) (Anaes.) (Assist.) | 1 322.25 |
40333 | Cervical discectomy (anterior), without fusion (H) (Anaes.) (Assist.) | 676.30 |
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 (H) (Anaes.) (Assist.) |
894.15 |
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 (H) (Anaes.) (Assist.) | 1 642.25 |
40336 | Intradiscal injection of chymopapain (discase) 1 disc (H) (Anaes.) (Assist.) | 268.05 |
40339 | Hydromyelia, plugging of obex for, with or without duroplasty (H) (Anaes.) (Assist.) | 1 346.30 |
40342 |
Hydromyelia, craniotomy and laminectomy for, with cavity packing and CSF shunt (H) (Anaes.) (Assist.) | 1 244.15 |
40345 | Thoracic decompression of spinal cord with or without involvement of nerve roots, via pedicle or costotransversectomy (H) (Anaes.) (Assist.) |
1 158.25 |
40348 | Thoracic decompression of spinal cord via thoracotomy with vertebrectomy, not including stabilisation procedure (H) (Anaes.) (Assist.) | 1 470.50 |
40351 | Thoraco-lumbar or high lumbar anterior decompression of spinal cord, not including stabilisation procedure (H) (Anaes.) (Assist.) | 1 470.50 |
40600 | Cranioplasty, reconstructive (H) (Anaes.) (Assist.) | 810.30 |
40700 | Corpus callosum, anterior section of, for epilepsy (H) (Anaes.) (Assist.) | 1 480.35 |
40703 | Corticectomy, topectomy or partial lobectomy for epilepsy (H) (Anaes.) (Assist.) |
1 244.15 |
40706 | Hemispherectomy for intractable epilepsy (Anaes.) (Assist.) | 1 818.45 |
40709 | Burr-hole placement of intracranial depth or surface electrodes (H) (Anaes.) (Assist.) |
440.25 |
40712 | Intracranial electrode placement via craniotomy (H) (Anaes.) (Assist.) | 886.85 |
40800 | Stereotactic anatomical localisation, as an independent procedure (Anaes.) (Assist.) | 541.95 |
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 (H) (Anaes.) (Assist.) | 1 481.25 |
40803 |
Intracranial stereotactic procedure by any method, not being a service to which item 40800 or 40801 applies (Anaes.) (Assist.) |
1 014.50 |
40903 | Neuroendoscopy, for inspection of an intraventricular lesion, with or without biopsy including burr-hole (H) (Anaes.) (Assist.) | 470.50 |
40905 | Craniotomy, performed in association with items 45767, 45776, 45782 and 45785 for the correction of craniofacial abnormalities (Anaes.) | 510.50 |
Subgroup 8 Ear, nose and throat | ||
41500 | Ear, foreign body (other than ventilating tube) in, removal of, other than by simple syringing (Anaes.) | 70.00 |
41503 | Ear, removal of foreign body in, involving incision of external auditory canal (Anaes.) | 202.65 |
41506 | Aural polyp, removal of (Anaes.) | 122.20 |
41509 | External auditory meatus, surgical removal of keratosis obturans from, not being a service to which another item in this group applies (Anaes.) | 138.30 |
41512 | Meatoplasty involving removal of cartilage or bone or both cartilage and bone, not being a service to which item 41515 applies (Anaes.) (Assist.) | 497.20 |
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 (H) (Anaes.) (Assist.) | 326.25 |
41518 | External auditory meatus, removal of exostoses in (H) (Anaes.) (Assist.) | 788.05 |
41521 | Correction of auditory canal stenosis, including meatoplasty, with or without grafting (H) (Anaes.) (Assist.) | 839.05 |
41524 |
Reconstruction of external auditory canal, being a service associated with a service to which items 41557, 41560 and 41563 apply (Anaes.) (Assist.) | 242.40 |
41527 | Myringoplasty, trans-canal approach (Rosen incision) (Anaes.) (Assist.) | 498.60 |
41530 | Myringoplasty, post-aural or endaural approach with or without mastoid inspection (H) (Anaes.) | 812.25 |
41533 | Atticotomy without reconstruction of the bony defect, with or without myringoplasty (H) (Anaes.) (Assist.) |
971.00 |
41536 | Atticotomy with reconstruction of the bony defect with or without myringoplasty (H) (Anaes.) (Assist.) | 1 087.55 |
41539 | Ossicular chain reconstruction (H) (Anaes.) (Assist.) | 924.80 |
41542 | Ossicular chain reconstruction and myringoplasty (H) (Anaes.) (Assist.) | 1 013.35 |
41545 | Mastoidectomy (cortical) (H) (Anaes.) (Assist.) | 442.25 |
41548 | Obliteration of the mastoid cavity (H) (Anaes.) (Assist.) | 587.00 |
41551 |
Mastoidectomy, intact wall technique, with myringoplasty (H) (Anaes.) (Assist.) | 1 351.70 |
41554 | Mastoidectomy, intact wall technique, with myringoplasty and ossicular chain reconstruction (H) (Anaes.) (Assist.) | 1 592.55 |
41557 | Mastoidectomy (radical or modified radical) (H) (Anaes.) (Assist.) | 924.80 |
41560 | Mastoidectomy (radical or modified radical) and myringoplasty (H) (Anaes.) | 1 013.35 |
41563 | Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruction (H) (Anaes.) (Assist.) | 1 254.45 |
41564 | Mastoidectomy (radical or modified radical), obliteration of the mastoid cavity, blind sac closure of external auditory canal and obliteration of eustachian tube (H) (Anaes.) (Assist.) | 1 622.20 |
41566 |
Revision of mastoidectomy (radical, modified radical or intact wall), including myringoplasty (H) (Anaes.) (Assist.) | 924.80 |
41569 |
Decompression of facial nerve in its mastoid portion (H) (Anaes.) (Assist.) | 1 013.35 |
41572 | Labyrinthotomy or destruction of labyrinth (H) (Anaes.) (Assist.) | 876.60 |
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) (H) (Anaes.) (Assist.) | 2 066.70 |
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 (H) (Anaes.) (Assist.) | 3 100.05 |
41578 |
Cerebello-pontine angle tumour, removal of, by transmastoid, translabyrinthine or retromastoid approach (intracranial procedure) conjoint surgery, principal surgeon (H) (Anaes.) (Assist.) | 2 066.70 |
41579 | Cerebello-pontine angle tumour, removal of, by transmastoid, translabyrinthine or retromastoid approach (intracranial procedure) conjoint surgery, co-surgeon (H) (Assist.) | 1 550.00 |
41581 | Tumour involving infra-emporal fossa, removal of, involving craniotomy and radical excision of (Anaes.) (Assist.) | 2 377.10 |
41584 | Partial temporal bone resection for removal of tumour involving mastoidectomy with or without decompression of facial nerve (H) (Anaes.) (Assist.) |
1 631.30 |
41587 | Total temporal bone resection for removal of tumour (H) (Anaes.) (Assist.) | 2 221.80 |
41590 |
Endolymphatic sac, transmastoid decompression with or without drainage of (H) (Anaes.) (Assist.) | 1 013.35 |
41593 | Translabyrinthine vestibular nerve section (H) (Anaes.) (Assist.) | 1 320.70 |
41596 | Retrolabyrinthine vestibular nerve section or cochlear nerve section, or both (H) (Anaes.) (Assist.) | 1 476.00 |
41599 |
Internal auditory meatus, exploration by middle cranial fossa approach with cranial nerve decompression (H) (Anaes.) (Assist.) |
1 476.00 |
41608 | Stapedectomy (H) (Anaes.) (Assist.) | 924.80 |
41611 | Stapes mobilisation (H) (Anaes.) (Assist.) | 595.00 |
41614 |
Round window surgery including repair of cochleotomy (Anaes.) (Assist.) | 924.80 |
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.) | 924.80 |
41617 |
Cochlear implant, insertion of, including mastoidectomy (H) (Anaes.) (Assist.) | 1 608.10 |
41620 | Glomus tumour, transtympanic removal of (H) (Anaes.) (Assist.) | 699.60 |
41623 | Glomus tumour, transmastoid removal of, including mastoidectomy (H) (Anaes.) (Assist.) | 1 013.35 |
41626 | Abscess or inflammation of middle ear, operation for (excluding after-care) (Anaes.) | 122.20 |
41629 |
Middle ear, exploration of (Anaes.) (Assist.) | 442.25 |
41632 |
Middle ear, insertion of tube for drainage of (including myringotomy) (Anaes.) | 202.65 |
41635 | Clearance of middle ear for granuloma, cholesteatoma and polyp, 1 or more, with or without myringoplasty (Anaes.) (Assist.) | 971.00 |
41638 | Clearance of middle ear for granuloma, cholesteatoma and polyp, 1 or more, with or without myringoplasty with ossicular chain reconstruction (H) (Anaes.) (Assist.) | 1 211.95 |
41641 | Perforation of tympanum, cauterisation or diathermy of (Anaes.) | 40.30 |
41644 | Excision of rim of eardrum perforation, not being a service associated with myringoplasty (Anaes.) | 121.15 |
41647 | Ear toilet requiring use of operating microscope and microinspection of tympanic membrane with or without general anaesthesia (Anaes.) | 93.25 |
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.) | 93.25 |
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.) | 61.05 |
41656 |
Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after-care) (Anaes.) | 104.20 |
41659 | Nose, removal of foreign body in, other than by simple probing (Anaes.) | 65.85 |
41662 | Nasal polyp or polypi (simple), removal of | 70.00 |
41665 | Nasal polyp or polypi, removal of (G) (H) (Anaes.) | 146.35 |
41668 | Nasal polyp or polypi, removal of (S) (H) (Anaes.) | 186.60 |
41671 | Nasal septum, septoplasty, submucous resection or closure of septal perforation (Anaes.) | 410.05 |
41672 | Nasal septum, reconstruction of (H) (Anaes.) (Assist.) | 511.55 |
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.) | 85.25 |
41677 | Nasal haemorrhage, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes.) | 76.30 |
41680 | Cryotherapy to nose in the treatment of nasal haemorrhage (Anaes.) | 138.30 |
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.) | 99.35 |
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.) | 61.05 |
41689 |
Turbinectomy or turbinectomies, partial or total, unilateral (Anaes.) | 115.80 |
41692 | Turbinates, submucous resection of, unilateral (H) (Anaes.) | 151.05 |
41695 | Nasal turbinates, cryotherapy to (Anaes.) | 84.85 |
41698 | Maxillary antrum, proof puncture and lavage of (Anaes.) | 27.55 |
41701 | Maxillary antrum, proof puncture and lavage of under general anaesthesia, not being a service associated with a service to which another item in this group applies (H) (Anaes.) | 78.05 |
41704 | Maxillary antrum, lavage of each attendance at which the procedure is performed, including any associated consultation (Anaes.) | 30.85 |
41707 |
Maxillary artery, transantral ligation of (Anaes.) (Assist.) | 380.60 |
41710 | Antrostomy (radical) (H) (Anaes.) (Assist.) | 442.25 |
41713 | Antrostomy (radical) with transantral ethmoidectomy or transantral vidian neurectomy (H) (Anaes.) (Assist.) | 514.65 |
41716 | Antrum, intranasal operation on or removal of foreign body from (Anaes.) (Assist.) | 250.90 |
41719 | Antrum, drainage of, through tooth socket (Anaes.) | 99.70 |
41722 | Oro-antral fistula, plastic closure of (Anaes.) (Assist.) | 498.60 |
41725 | Ethmoidal artery or arteries, transorbital ligation of (unilateral) (H) (Anaes.) (Assist.) | 380.60 |
41728 | Lateral rhinotomy with removal of tumour (H) (Anaes.) (Assist.) | 761.35 |
41729 | Dermoid of nose, excision of, with intranasal extension (H) (Anaes.) (Assist.) | 482.50 |
41731 |
Fronto-nasal ethmoidectomy by external approach with or without sphenoidectomy (H) (Anaes.) (Assist.) | 659.40 |
41734 | Radical fronto-ethmoidectomy with osteoplastic flap (H) (Anaes.) (Assist.) | 860.45 |
41737 | Frontal sinus, or ethmoidal sinuses on the one side, intranasal operation on (Anaes.) (Assist.) | 410.05 |
41740 | Frontal sinus, catheterisation of (H) (Anaes.) | 49.90 |
41743 | Frontal sinus, trephine of (H) (Anaes.) (Assist.) | 286.30 |
41746 |
Frontal sinus, radical obliteration of (Anaes.) (Assist.) | 659.40 |
41749 | Ethmoidal sinuses, external operation on (Anaes.) (Assist.) |
514.65 |
41752 | Sphenoidal sinus, intranasal operation on (H) (Anaes.) (Assist.) | 250.90 |
41755 | Eustachian tube, catheterisation of (Anaes.) | 39.45 |
41758 | Division of pharyngeal adhesions (Anaes.) | 99.70 |
41761 | Post nasal space, direct examination of, with or without biopsy (Anaes.) | 104.20 |
41764 | Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx and larynx, 1 or more of these procedures (Anaes.) | 104.20 |
41767 | Nasopharyngeal angiofibroma, transpalatal removal (Anaes.) (Assist.) | 625.30 |
41770 | Pharyngeal pouch, removal of, with or without cricopharyngeal myotomy (H) (Anaes.) (Assist.) | 595.00 |
41773 | Pharyngeal pouch, endoscopic resection of (Dohlman's operation) (H) (Anaes.) (Assist.) |
498.60 |
41776 | Cricopharyngeal myotomy with or without inversion of pharyngeal pouch (H) (Anaes.) (Assist.) | 497.20 |
41779 |
Pharyngotomy (lateral), with or without total excision of tongue (H) (Anaes.) (Assist.) | 595.00 |
41782 | Partial pharyngectomy via pharyngotomy (Anaes.) (Assist.) | 807.85 |
41785 | Partial pharyngectomy via pharyngotomy with partial or total glossectomy (H) (Anaes.) (Assist.) | 1 002.20 |
41786 |
Uvulopalatopharyngoplasty, with or without tonsillectomy, by any means (H) (Anaes.) (Assist.) | 625.30 |
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.) | 482.50 |
41788 | Tonsils or tonsils and adenoids, removal of, in a person aged less than 12 years (G) (H) (Anaes.) | 186.60 |
41789 | Tonsils or tonsils and adenoids, removal of, in a person aged less than 12 years (S) (H) (Anaes.) |
250.90 |
41792 | Tonsils or tonsils and adenoids, removal of, in a person 12 years of age or over (G) (H) (Anaes.) | 234.80 |
41793 | Tonsils or tonsils and adenoids, removal of, in a person 12 years of age or over (S) (H) (Anaes.) | 315.25 |
41796 |
Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (G) (H) (Anaes.) |
96.50 |
41797 | Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (S) (H) (Anaes.) | 122.20 |
41800 | Adenoids, removal of (G) (H) (Anaes.) | 99.70 |
41801 | Adenoids, removal of (S) (H) (Anaes.) |
138.30 |
41804 | Lingual tonsil or lateral pharyngeal bands, removal of (Anaes.) | 76.30 |
41807 | Peritonsillar abscess (quinsy), incision of (Anaes.) | 59.50 |
41810 | Uvulotomy or uvulectomy (Anaes.) | 30.20 |
41813 | Vallecular or pharyngeal cysts, removal of (Anaes.) (Assist.) | 302.35 |
41816 | Oesophagoscopy (with rigid oesophagoscope) (Anaes.) | 157.55 |
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.) | 296.10 |
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.) | 355.35 |
41822 | Oesophagoscopy (with rigid oesophagoscope) with biopsy (H) (Anaes.) | 202.65 |
41825 |
Oesophagoscopy (with rigid oesophagoscope) with removal of foreign body (H) (Anaes.) (Assist.) | 302.35 |
41828 | Oesophageal stricture, dilatation of, without oesophagoscopy (Anaes.) | 44.30 |
41831 |
Oesophagus, endoscopic pneumatic dilatation of (Anaes.) (Assist.) |
302.95 |
41832 | Oesophagus, balloon dilatation of, using interventional imaging techniques (Anaes.) | 193.85 |
41834 |
Laryngectomy (total) (H) (Anaes.) (Assist.) | 1 093.75 |
41837 |
Vertical hemi-laryngectomy including tracheostomy (H) (Anaes.) (Assist.) | 1 048.75 |
41840 | Supraglottic laryngectomy including tracheostomy (H) (Anaes.) (Assist.) | 1 289.55 |
41843 | Laryngopharyngectomy or primary restoration of alimentary continuity after laryngopharyngectomy using stomach or bowel (H) (Anaes.) (Assist.) | 1 133.95 |
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.) | 157.55 |
41849 | Larynx, direct examination of, with biopsy (Anaes.) (Assist.) | 231.55 |
41852 | Larynx, direct examination of, with removal of tumour (Anaes.) (Assist.) | 250.90 |
41855 | Microlaryngoscopy (Anaes.) (Assist.) | 244.55 |
41858 | Microlaryngoscopy with removal of juvenile papillomata (Anaes.) (Assist.) | 419.30 |
41861 |
Microlaryngoscopy with removal of papillomata by laser surgery (H) (Anaes.) (Assist.) | 512.70 |
41864 | Microlaryngoscopy with removal of tumour (H) (Anaes.) (Assist.) | 345.80 |
41867 | Microlaryngoscopy with arytenoidectomy (H) (Anaes.) (Assist.) | 520.45 |
41868 |
Laryngeal web, division of, using microlarygoscopic techniques (H) (Anaes.) | 329.85 |
41870 | Injection of vocal cord by teflon, fat, collagen or gelfoam (H) (Anaes.) (Assist.) | 385.95 |
41873 | Larynx, fractured, operation for (Anaes.) (Assist.) | 498.60 |
41876 | Larynx, external operation on, or laryngofissure, with or without cordectomy (Anaes.) (Assist.) | 498.60 |
41879 | Laryngoplasty or tracheoplasty, including tracheostomy (H) (Anaes.) (Assist.) | 807.85 |
41880 |
Tracheostomy by a percutaneous technique using sequential dilatation or partial splitting method to allow insertion of a cuffed tracheostomy tube (H) (Anaes.) | 215.65 |
41881 | Tracheostomy by open exposure of the trachea, including separation of the strap muscles or division of the thyroid isthmus, where performed (H) (Anaes.) (Assist.) | 340.85 |
41884 | Cricothyrostomy by direct stab or Seldinger technique, using Minitrach or similar device (H) (Anaes.) |
77.25 |
41885 | Trache-oesophageal fistula, formation of, as a secondary procedure following laryngectomy, including associated endoscopic procedures (Anaes.) (Assist.) | 244.25 |
41886 | Trachea, removal of foreign body in (Anaes.) | 151.05 |
41889 | Bronchoscopy, as an independent procedure (Anaes.) | 151.05 |
41892 | Bronchoscopy with 1 or more endobronchial biopsies or other diagnostic or therapeutic procedures (Anaes.) | 199.45 |
41895 | Bronchus, removal of foreign body in (H) (Anaes.) (Assist.) | 312.00 |
41898 |
Fibreoptic bronchoscopy with 1 or more transbronchial lung biopsies, with or without bronchial or broncho-alveolar lavage, with or without the use of interventional imaging (Anaes.) (Assist.) | 218.05 |
41901 | Endoscopic laser resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures (H) (Anaes.) (Assist.) | 512.70 |
41904 | Bronchoscopy with dilatation of tracheal stricture (Anaes.) | 209.10 |
41905 | Trachea or bronchus, dilatation of stricture and endoscopic insertion of stent (H) (Anaes.) (Assist.) | 384.70 |
41907 | Nasal septum button, insertion of (Anaes.) | 104.20 |
41910 | Duct of major salivary gland, transposition of (H) (Anaes.) (Assist.) | 331.10 |
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.) | 86.95 |
42506 | Eye, enucleation of, with or without sphere implant (Anaes.) (Assist.) | 408.35 |
42509 | Eye, enucleation of, with insertion of integrated implant (H) (Anaes.) (Assist.) | 516.80 |
42510 | Eye, enucleation of, with insertion of hydroxy apatite implant or similar coralline implant (Anaes.) (Assist.) | 595.70 |
42512 | Globe, evisceration of (Anaes.) (Assist.) | 408.35 |
42515 | Globe, evisceration of, and insertion of intrascleral ball or cartilage (Anaes.) (Assist.) | 516.80 |
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.) | 299.85 |
42521 | Anophthalmic socket, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure (H) (Anaes.) (Assist.) | 1 020.95 |
42524 | Orbit, skin graft to, as a delayed procedure (Anaes.) | 173.60 |
42527 |
Contracted socket, reconstruction including mucous membrane grafting and stent mould (Anaes.) (Assist.) | 344.50 |
42530 | Orbit, exploration with or without biopsy, requiring removal of bone (H) (Anaes.) (Assist.) | 536.05 |
42533 | Orbit, exploration of, with drainage or biopsy not requiring removal of bone (H) (Anaes.) (Assist.) | 344.50 |
42536 | Orbit, exenteration of, with or without skin graft and with or without temporalis muscle transplant (H) (Anaes.) (Assist.) | 708.20 |
42539 | Orbit, exploration of, with removal of tumour or foreign body, requiring removal of bone (Anaes.) (Assist.) | 1 008.20 |
42542 | Orbit, exploration of anterior aspect with removal of tumour or foreign body (Anaes.) (Assist.) | 427.55 |
42543 | Orbit, exploration of retrobulbar aspect with removal of tumour or foreign body (H) (Anaes.) (Assist.) | 749.90 |
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 (H) (Anaes.) (Assist.) | 1 084.65 |
42548 | Optic nerve meninges, incision of (H) (Anaes.) (Assist.) | 644.40 |
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.) | 536.05 |
42554 | Eyeball, perforating wound of, with incarceration or prolapse of uveal tissue repair (Anaes.) (Assist.) | 625.30 |
42557 | Eyeball, perforating wound of, with incarceration of lens or vitreous repair (H) (Anaes.) (Assist.) | 874.10 |
42560 |
Intraocular foreign body, magnetic removal from anterior segment (Anaes.) (Assist.) | 344.50 |
42563 | Intraocular foreign body, nonmagnetic removal from anterior segment (Anaes.) (Assist.) | 440.25 |
42566 | Intraocular foreign body, magnetic removal from posterior segment (H) (Anaes.) (Assist.) | 625.30 |
42569 | Intraocular foreign body, nonmagnetic removal from posterior segment (H) (Anaes.) (Assist.) | 874.10 |
42572 | Orbital abscess or cyst, drainage of (Anaes.) | 99.50 |
42573 | Dermoid, periorbital, excision of (Anaes.) | 193.00 |
42574 | Dermoid, orbital, excision of (Anaes.) (Assist.) |
410.05 |
42575 | Tarsal cyst, extirpation of (Anaes.) | 70.25 |
42578 | Tarsal cartilage, excision of (Anaes.) (Assist.) | 395.50 |
42581 |
Ectropion or entropion, tarsal cauterisation of (Anaes.) | 99.50 |
42584 | Tarsorrhaphy (Anaes.) (Assist.) | 234.80 |
42587 | Trichiasis, treatment of by cryotherapy, laser or electrolysis each eyelid (Anaes.) | 44.05 |
42590 | Canthoplasty, medial or lateral (Anaes.) (Assist.) | 287.05 |
42593 | Lacrimal gland, excision of palpebral lobe (H) (Anaes.) | 173.60 |
42596 | Lacrimal sac, excision of, or operation on (Anaes.) (Assist.) | 427.55 |
42599 | Lacrimal canalicular system, establishment of patency by closed operation using silicone tubes or similar, 1 eye (Anaes.) (Assist.) | 536.05 |
42602 |
Lacrimal canalicular system, establishment of patency by open operation, 1 eye (Anaes.) (Assist.) | 536.05 |
42605 | Lacrimal canaliculus, immediate repair of (Anaes.) (Assist.) | 395.50 |
42608 |
Lacrimal drainage by insertion of glass tube, as an independent procedure (Anaes.) (Assist.) | 255.20 |
42610 | Nasolacrimal tube (unilateral), removal or replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage under general anaesthesia (Anaes.) | 81.65 |
42611 | Nasolacrimal tube (bilateral), removal or replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage under general anaesthesia (Anaes.) | 122.50 |
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) | 40.95 |
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) | 61.25 |
42617 | Punctum snip operation (Anaes.) | 116.20 |
42620 | Punctum, occlusion of, by use of a plug (Anaes.) | 44.70 |
42621 | Punctum, temporary occlusion of, by use of electrical cautery (Anaes.) | 44.70 |
42622 | Punctum, permanent occlusion of, by use of electrical cautery (Anaes.) | 70.25 |
42623 | Dacryocystorhinostomy (H) (Anaes.) (Assist.) | 593.50 |
42626 | Dacryocystorhinostomy where a previous dacryocystorhinostomy has been performed (Anaes.) (Assist.) | 957.10 |
42629 |
Conjunctivorhinostomy including dacryocystorhinostomy and fashioning of conjunctival flaps (H) (Anaes.) (Assist.) | 721.00 |
42632 |
Conjunctival peritomy or repair of corneal laceration by conjunctival flap (Anaes.) | 99.50 |
42635 | Corneal perforations, sealing of, with tissue adhesive (Anaes.) (Assist.) | 255.20 |
42638 | Conjunctival graft over cornea (Anaes.) (Assist.) | 319.00 |
42641 |
Autoconjunctival transplant, or mucous membrane graft (Anaes.) (Assist.) | 414.70 |
42644 | Cornea or sclera, removal of imbedded foreign body from (excluding after-care) (Anaes.) | 61.20 |
42647 |
Corneal scars, removal of, by partial keratectomy, not being a service associated with a service to which item 42686 applies (Anaes.) |
173.60 |
42650 | Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after-care) (Anaes.) | 61.20 |
42651 |
Cornea, epithelial debridement for eliminating band keratopathy (Anaes.) | 136.40 |
42653 | Cornea, transplantation of, full thickness (H) (Anaes.) (Assist.) | 1 135.70 |
42656 | Cornea, transplantation of, second and subsequent procedures (H) (Anaes.) (Assist.) | 1 416.50 |
42659 | Cornea, transplantation of, superficial or lamellar (Anaes.) (Assist.) | 765.65 |
42662 | Sclera, transplantation of, full thickness, including collection of donor material (Anaes.) (Assist.) | 765.65 |
42665 | Sclera, transplantation of, superficial or lamellar, including collection of donor material (Anaes.) (Assist.) | 510.45 |
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 | 120.45 |
42668 |
Corneal sutures, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.) | 63.90 |
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.) | 765.65 |
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.) | 382.80 |
42676 | Conjunctiva, biopsy of, as an independent procedure | 98.20 |
42677 | Conjunctiva, cautery of, including treatment of pannus each attendance at which treatment is given including any associated consultation (Anaes.) | 51.70 |
42680 |
Conjunctiva, cryotherapy to, for melanotic lesions or similar using CO 2 or N 20 (Anaes.) | 255.20 |
42683 | Conjunctival cysts, removal of (H) (Anaes.) | 102.10 |
42686 | Pterygium, removal of (Anaes.) |
232.25 |
42689 | Pinguecula, removal of, not being a service associated with the fitting of contact lenses (Anaes.) | 99.50 |
42692 | Limbic tumour, removal of, excluding Pterygium (Anaes.) (Assist.) |
234.80 |
42695 | Limbic tumour, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.) | 382.80 |
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.) | 597.20 |
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.) | 333.00 |
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.) | 763.75 |
42703 | Artificial lens, insertion of, into the posterior chamber and suture to the iris and sclera (Anaes.) (Assist.) | 485.40 |
42704 |
Artificial lens, removal or repositioning of by open operation not being a service associated with a service to which item 42701 applies (Anaes.) | 395.50 |
42707 | Artificial lens, removal of and replacement with a different lens (Anaes.) | 676.30 |
42710 | Artificial lens, removal of, and replacement with a lens inserted into the posterior chamber and sutured to the iris or sclera (H) (Anaes.) (Assist.) | 765.65 |
42713 | Intraocular lenses, repositioning of, by the use of a McCannell suture or similar (Anaes.) (Assist.) | 319.00 |
42716 | Cataract, juvenile, removal of, including subsequent needlings (Anaes.) (Assist.) | 1 014.50 |
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.) | 440.25 |
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.) | 481.65 |
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.) | 1 135.70 |
42728 | Cryotherapy of retina or other intraocular structures with an internal probe, being a service associated with a service to which item 42725 applies (H) (Anaes.) | 191.45 |
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 (H) (Anaes.) (Assist.) | 1 288.80 |
42734 | Capsulotomy, other than by laser (Anaes.) (Assist.) | 255.20 |
42737 | Needling of posterior capsule (Anaes.) (Assist.) | 255.20 |
42740 | Paracentesis of anterior or posterior chamber or both, |
255.20 |
42743 | Anterior chamber, irrigation of blood from, as an independent procedure (Anaes.) (Assist.) | 536.05 |
42746 | Glaucoma, filtering operation for (Anaes.) (Assist.) | 810.30 |
42749 |
Glaucoma, filtering operation for, where previous filtering operation has been performed (H) (Anaes.) (Assist.) | 1 014.50 |
42752 | Glaucoma, insertion of Molteno valve for, 1 or more stages (H) (Anaes.) (Assist.) | 1 135.70 |
42755 | Glaucoma, removal of Molteno valve (Anaes.) | 140.40 |
42758 | Goniotomy (Anaes.) (Assist.) | 593.50 |
42761 | Division of anterior or posterior synechiae, as an independent procedure, other than by laser (Anaes.) (Assist.) | 440.25 |
42764 | Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (Anaes.) (Assist.) | 440.25 |
42767 | Tumour, involving ciliary body or ciliary body and iris, excision of (H) (Anaes.) (Assist.) | 925.15 |
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.) | 250.20 |
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 (H) (Anaes.) (Assist.) |
246.25 |
42773 | Detached retina, diathermy or cryotherapy for, not being a service associated with a service to which item 42776 applies (Anaes.) (Assist.) | 765.65 |
42776 | Detached retina, buckling or resection operation for (H) (Anaes.) (Assist.) | 1 135.70 |
42779 | Detached retina, revision operation for (H) (Anaes.) (Assist.) | 1 416.50 |
42782 | Laser trabeculoplasty each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.) (Assist.) | 382.80 |
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.) | 382.80 |
42785 | Laser iridotomy each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.) | 299.85 |
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.) | 299.85 |
42788 | Laser capsulotomy each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.) | 299.85 |
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.) | 299.85 |
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.) | 299.85 |
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.) | 299.85 |
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.) | 57.40 |
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.) | 57.40 |
42806 | Iris tumour, laser photocoagulation of (Anaes.) (Assist.) | 299.85 |
42807 |
Photomydriasis, laser | 301.90 |
42808 | Photoiridosyneresis, laser |
301.90 |
42809 | Retina, photocoagulation of, not being a service associated with photodynamic therapy with verteporfin (Anaes.) (Assist.) | 382.80 |
42810 | Phototherapeutic keratectomy, by laser, for corneal scarring or disease, excluding surgery for refractive error (Anaes.) | 481.70 |
42812 | Detached retina, removal of encircling silicone band from (Anaes.) | 140.40 |
42815 | Posterior chamber, removal of silicone oil from (H) (Anaes.) (Assist.) |
536.05 |
42818 | Retina, cryotherapy to, as an independent procedure, with external probe (Anaes.) | 497.60 |
42821 | Ocular transillumination, for the diagnosis and measurement of intraocular tumours, as an independent procedure (Anaes.) | 76.60 |
42824 |
Retrobulbar injection of alcohol or other drug, as an independent procedure | 59.30 |
42833 | Squint, operation for, on 1 or both eyes, the operation involving a total of 1 or 2 muscles (Anaes.) (Assist.) |
497.60 |
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 (H) (Anaes.) (Assist.) | 618.90 |
42839 | Squint, operation for, on 1 or both eyes, the operation involving a total of 3 or more muscles (H) (Anaes.) (Assist.) | 593.50 |
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 (H) (Anaes.) (Assist.) | 740.15 |
42845 | Readjustment of adjustable sutures, 1 or both eyes, as an independent procedure following an operation for correction of squint (Anaes.) |
160.70 |
42848 | Squint, muscle transplant for (Hummelsheim type, or similar operation) (H) (Anaes.) (Assist.) | 593.50 |
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 (H) (Anaes.) (Assist.) | 740.15 |
42854 | Ruptured medial palpebral ligament or ruptured extra-ocular muscle, repair of (Anaes.) (Assist.) | 344.50 |
42857 | Resuturing of wound following intraocular procedures with or without excision of prolapsed iris (Anaes.) (Assist.) | 344.50 |
42860 | Eyelid (upper or lower), scleral or Goretex or other non-autogenous graft to, with recession of the lid retractors (Anaes.) (Assist.) | 765.65 |
42863 | Eyelid, recession of (Anaes.) (Assist.) | 657.15 |
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.) | 638.00 |
42869 | Eyelid closure in facial nerve paralysis, insertion of foreign implant for (Anaes.) (Assist.) | 465.85 |
42872 |
Eyebrow, elevation of, for paretic states (Anaes.) | 204.20 |
Subgroup 10 Operations for osteomyelitis | ||
43500 | Operation on phalanx (for acute osteomyelitis) (H) (Anaes.) | 104.70 |
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 (H) (Anaes.) | 173.70 |
43506 | Operation on humerus or femur (for acute osteomyelitis) 1 bone (H) (Anaes.) (Assist.) | 302.35 |
43509 | Operation on spine or pelvic bones (for acute osteomyelitis) 1 bone (H) (Anaes.) (Assist.) |
302.35 |
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 (H) (Anaes.) (Assist.) | 302.35 |
43515 | Operation on humerus or femur (for chronic osteomyelitis) 1 bone (Anaes.) (Assist.) | 302.35 |
43518 | Operation on spine or pelvic bones (for chronic osteomyelitis) 1 bone (H) (Anaes.) (Assist.) |
498.60 |
43521 | Operation on skull (for chronic osteomyelitis) (H) (Anaes.) (Assist.) | 394.10 |
43524 | Operation on any combination of adjoining bones, being bones referred to in item 43515, 43518 or 43521 (for chronic osteomyelitis) (Anaes.) (Assist.) | 498.60 |
Subgroup 11 Paediatric | ||
43801 | Intestinal malrotation with or without volvulus, laparotomy for, not involving bowel resection (H) (Anaes.) (Assist.) | 812.25 |
43804 | Intestinal malrotation with or without volvulus, laparotomy for, with bowel resection and anastomosis, with or without formation of stoma (H) (Anaes.) (Assist.) | 864.85 |
43807 | Duodenal atresia or stenosis, duodenoduodenostomy or duodenojejunostomy for (H) (Anaes.) (Assist.) |
943.55 |
43810 | Jejunal atresia, bowel resection and anastomosis for, with or without tapering (H) (Anaes.) (Assist.) | 1 100.85 |
43813 | Meconium ileus, laparotomy for, complicated by 1 or more of associated volvulus, atresia, intestinal perforation with or without meconium peritonitis (H) (Anaes.) (Assist.) | 1 100.85 |
43816 |
Ileal atresia, colonic atresia or meconium ileus not being a service associated with a service to which item 43813 applies, laparotomy for (H) (Anaes.) (Assist.) | 1 022.10 |
43819 | Hirschsprung's disease, laparotomy for, with or without frozen section biopsies and formation of stoma (H) (Anaes.) (Assist.) | 825.60 |
43822 |
Anorectal malformation, laparotomy and colostomy for (H) (Anaes.) (Assist.) | 825.60 |
43825 | Neonatal alimentary obstruction, laparotomy for, not being a service to which any other item in this subgroup applies (H) (Anaes.) (Assist.) | 943.55 |
43828 | Acute neonatal necrotising enterocolitis, laparotomy for, with resection, including any anastomoses or stoma formation (H) (Anaes.) (Assist.) |
1 042.40 |
43831 | Acute neonatal necrotising enterocolitis where no definitive procedure is possible, laparotomy for (H) (Anaes.) (Assist.) | 812.25 |
43834 | Bowel resection for necrotising enterocolitis stricture or strictures, including any anastomoses or stoma formation (H) (Anaes.) (Assist.) | 943.55 |
43837 |
Congenital diaphragmatic hernia, repair by thoracic or abdominal approach, with diagnosis confirmed in the first 24 hours of life (H) (Anaes.) (Assist.) | 1 179.35 |
43840 | Congenital diaphragmatic hernia, repair by thoracic or abdominal approach, diagnosed after the first day of life and before 20 days of age (H) (Anaes.) (Assist.) | 1 022.10 |
43843 | Oesophageal atresia (with or without repair of tracheo-oesophageal fistula), complete correction of, not being a service to which item 43846 applies (H) (Anaes.) (Assist.) | 1 572.50 |
43846 | Oesophageal atresia (with or without repair of tracheo-oesophageal fistula), complete correction of, in infant of birth weight less than 1 500 gms (H) (Anaes.) (Assist.) | 1 690.40 |
43849 | Oesophageal atresia, gastrostomy for (H) (Anaes.) (Assist.) | 432.45 |
43852 | Oesophageal atresia, thoracotomy for, and division of tracheo-oesophageal fistula without anastomosis (Anaes.) (Assist.) | 1 375.90 |
43855 | Oesophageal atresia, delayed primary anastomosis for (H) (Anaes.) (Assist.) |
1 454.60 |
43858 | Oesophageal atresia, cervical oesophagostomy for (Anaes.) (Assist.) | 511.00 |
43861 | Congenital cystadenomatoid malformation or congenital lobar emphysema, thoracotomy and lung resection for (H) (Anaes.) (Assist.) | 1 415.30 |
43864 |
Gastroschisis, operation for (H) (Anaes.) (Assist.) | 1 061.45 |
43867 | Gastroschisis, secondary operation for, with removal of silo and closure of abdominal wall (H) (Anaes.) (Assist.) | 589.75 |
43870 | Exomphalos containing small bowel only, operation for (H) (Anaes.) (Assist.) | 825.60 |
43873 | Exomphalos containing small bowel and other viscera, operation for (H) (Anaes.) (Assist.) |
1 100.85 |
43876 | Sacrococcygeal teratoma, excision of, by posterior approach (H) (Anaes.) (Assist.) | 943.55 |
43879 |
Sacrococcygeal teratoma, excision of, by combined posterior and abdominal approach (H) (Anaes.) (Assist.) | 1 100.85 |
43882 |
Cloacal exstrophy, operation for (Anaes.) (Assist.) | 1 415.30 |
43900 | Tracheo-oesophageal fistula without atresia, division and repair of (H) (Anaes.) (Assist.) | 943.55 |
43903 | Oesophageal atresia or corrosive oesophageal stricture, oesophageal replacement for, utilising gastric tube, jejunum or colon (H) (Anaes.) (Assist.) |
1 572.50 |
43906 | Oesophagus, resection of congenital, anastomic or corrosive stricture and anastomosis, not being a service to which item 43903 applies (H) (Anaes.) (Assist.) | 1 375.90 |
43909 |
Tracheomalacia, aortopexy for (H) (Anaes.) (Assist.) | 1 375.90 |
43912 | Thoracotomy and excision of 1 or more of bronchogenic or enterogenous cyst or mediastinal teratoma (H) (Anaes.) (Assist.) |
1 299.90 |
43915 | Eventration, plication of diaphragm for (Anaes.) (Assist.) | 982.85 |
43930 | Hypertrophic pyloric stenosis, pyloromyotomy for (H) (Anaes.) (Assist.) | 377.95 |
43933 |
Idiopathic intussusception, laparotomy and manipulative reduction of (H) (Anaes.) (Assist.) | 442.35 |
43936 | Intussusception, laparotomy and resection with anastomosis (H) (Anaes.) (Assist.) | 825.60 |
43939 | Ventral hernia following neonatal closure of exomphalos or gastroschisis, repair of (H) (Anaes.) (Assist.) | 629.05 |
43942 |
Abdominal wall vitello intestinal remnant, excision of (Anaes.) |
196.65 |
43945 | Patent vitello intestinal duct, excision of (H) (Anaes.) (Assist.) | 825.60 |
43948 | Umbilical granuloma, excision of, under general anaesthesia (Anaes.) | 118.00 |
43951 |
Gastro-oesophageal reflux with or without hiatus hernia, laparotomy and fundoplication for, without gastrostomy (H) (Anaes.) (Assist.) | 739.30 |
43954 | Gastro-oesophageal reflux with or without hiatus hernia, laparotomy and fundoplication for, with gastrostomy (H) (Anaes.) (Assist.) | 904.30 |
43957 | Gastro-oesophageal reflux, laparotomy and fundoplication for, with or without hiatus hernia, in child with neurological disease, with gastrostomy (H) (Anaes.) (Assist.) | 982.85 |
43960 | Anorectal malformation, perineal anoplasty of (H) (Anaes.) (Assist.) | 345.80 |
43963 |
Anorectal malformation, posterior sagittal anorectoplasty of (H) (Anaes.) (Assist.) | 1 375.90 |
43966 | Anorectal malformation, posterior sagittal anorectoplasty of, with laparotomy (H) (Anaes.) (Assist.) | 1 572.50 |
43969 | Persistent cloaca, total correction of, with genital repair using posterior sagittal approach, with or without laparotomy (H) (Anaes.) (Assist.) | 2 162.25 |
43972 | Choledochal cyst, resection of, with 1 duct anastomosis (H) (Anaes.) (Assist.) | 1 572.50 |
43975 | Choledochal cyst, resection of, with 2 duct anastomoses (H) (Anaes.) (Assist.) | 1 847.75 |
43978 | Biliary atresia, portoenterostomy for (H) (Anaes.) (Assist.) | 1 572.50 |
43981 | Nephroblastoma, neuroblastoma or other malignant tumour, laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (H) (Anaes.) (Assist.) |
432.45 |
43984 | Nephroblastoma, radical nephrectomy for (H) (Anaes.) (Assist.) | 1 100.85 |
43987 | Neuroblastoma, radical excision of (H) (Anaes.) (Assist.) | 1 218.75 |
43990 | Hirschsprung's disease, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends to sigmoid colon (H) (Anaes.) (Assist.) |
1 493.95 |
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.) | 1 611.85 |
43996 | Hirschsprung's disease, total colectomy for total colonic aganglionosis with ileoanal pull-through, with or without side to side ileocolonic anastomosis (Anaes.) (Assist.) |
1 808.45 |
43999 | Hirschsprung's disease, anal sphincterotomy as an independent procedure for (H) (Anaes.) (Assist.) | 226.15 |
44102 |
Rectum, examination of, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (H) (Anaes.) (Assist.) | 218.05 |
44105 | Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia (Anaes.) | 38.30 |
44108 |
Inguinal hernia repair at age less than 3 months (H) (Anaes.) (Assist.) | 417.00 |
44111 | Obstructed or strangulated inguinal hernia, repair of, at age less than 3 months, including orchidopexy when performed (Anaes.) (Assist.) | 488.40 |
44114 | Inguinal hernia repair at age less than 3 months when orchidopexy also required (H) (Anaes.) (Assist.) | 488.40 |
44130 | Lymphadenectomy, for atypical mycobacterial infection or other granulomatous disease (Anaes.) (Assist.) | 393.15 |
44133 | Torticollis, open division of sternomastoid muscle for (H) (Anaes.) (Assist.) | 312.00 |
44136 | Ingrown toe nail, operation for, under general anaesthesia (Anaes.) |
143.80 |
Subgroup 12 Amputations | ||
44325 | Hand, midcarpal or transmetacarpal, amputation of (Anaes.) (Assist.) |
250.90 |
44328 | Hand, forearm or through arm, amputation of (H) (Anaes.) (Assist.) | 302.35 |
44331 | Amputation at shoulder (H) (Anaes.) (Assist.) | 498.60 |
44334 |
Interscapulothoracic amputation (Anaes.) (Assist.) |
1 013.35 |
44338 | 1 digit of foot, amputation of (Anaes.) |
122.20 |
44342 | 2 digits of 1 foot, amputation of (H) (Anaes.) |
186.60 |
44346 | 3 digits of 1 foot, amputation of (H) (Anaes.) (Assist.) | 215.50 |
44350 | 4 digits of 1 foot, amputation of (H) (Anaes.) (Assist.) | 244.55 |
44354 | 5 digits of 1 foot, amputation of (H) (Anaes.) (Assist.) | 279.85 |
44358 |
Toe, including metatarsal or part of metatarsal each toe, amputation of (H) (Anaes.) | 156.05 |
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 (H) (Anaes.) (Assist.) | 223.90 |
44361 | Foot at ankle (Syme, Pirogoff types), amputation of (H) (Anaes.) (Assist.) | 302.35 |
44364 | Foot, midtarsal or transmetatarsal, amputation of (H) (Anaes.) (Assist.) | 250.90 |
44367 | Amputation through thigh, at knee or below knee (H) (Anaes.) (Assist.) | 442.80 |
44370 | Amputation at hip (H) (Anaes.) (Assist.) | 611.10 |
44373 |
Hindquarter, amputation of (Anaes.) (Assist.) | 1 254.45 |
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.) | 459.35 |
45003 | Single stage local myocutaneous flap repair to 1 defect, simple and small (Anaes.) | 510.45 |
45006 | Single stage large myocutaneous flap repair to 1 defect (pectoralis major, latissimus dorsi, or similar large muscle) (H) (Anaes.) (Assist.) | 880.50 |
45009 | Single stage local muscle flap repair to 1 defect, simple and small (H) (Anaes.) (Assist.) | 321.65 |
45012 | Single stage large muscle flap repair to 1 defect (pectoralis major, gastrocnemius, gracilis or similar large muscle) (H) (Anaes.) (Assist.) | 538.75 |
45015 | Muscle or myocutaneous flap, delay of (H) (Anaes.) | 255.20 |
45018 | Dermis, dermofat or fascia graft (excluding transfer of fat by injection) (Anaes.) (Assist.) | 401.90 |
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.) | 336.55 |
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.) | 336.55 |
45021 |
Abrasive therapy for severely disfiguring scarring resulting from trauma, burns or acne limited to 1 aesthetic area (Anaes.) | 150.55 |
45024 | Abrasive therapy for severely disfiguring scarring resulting from trauma, burns or acne more than 1 aesthetic area (Anaes.) | 338.15 |
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.) | 150.55 |
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.) | 338.15 |
45027 | Angioma, cauterisation of or injection into, where undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes.) |
102.10 |
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.) | 109.65 |
45033 |
Angioma (haemangioma or lymphangioma or both), large or involving deeper tissue including facial muscle or breast, excision and suture of (Anaes.) | 204.20 |
45035 | Angioma (haemangioma or lymphangioma or both) large and deep, involving muscles or nerves, excision of (H) (Anaes.) (Assist.) | 595.70 |
45036 | Angioma (haemangioma or lymphangioma or both) of neck, deep, excision of (H) (Anaes.) (Assist.) | 957.10 |
45039 | Arteriovenous malformation (3 cm or less) of superficial tissue, excision of (Anaes.) | 204.20 |
45042 |
Arteriovenous malformation, (greater than 3 cm), excision of (Anaes.) (Assist.) | 261.65 |
45045 | Arteriovenous malformation on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of (Anaes.) | 261.65 |
45048 | Lymphoedematous tissue or lymphangiectasis, of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of (H) (Anaes.) (Assist.) | 657.15 |
45051 | Contour reconstruction for pathological deformity, insertion of foreign implant (non biological but excluding injection of liquid or semisolid material) by open operation (H) (Anaes.) (Assist.) |
402.00 |
45054 | Limb or chest, decompression escharotomy of (including all incisions), for acute compartment syndrome secondary to burn (H) (Anaes.) (Assist.) | 208.75 |
45200 | Single stage local flap, where indicated to repair 1 defect, simple and small, excluding flap for male pattern baldness (Anaes.) | 241.25 |
45203 |
Single stage local flap, where indicated to repair 1 defect, complicated or large, excluding flap for male pattern baldness (Anaes.) (Assist.) | 344.50 |
45206 | Single stage local flap where indicated to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals (Anaes.) | 325.50 |
45209 | Direct flap repair (cross arm, abdominal or similar), first stage (Anaes.) (Assist.) | 402.00 |
45212 | Direct flap repair (cross arm, abdominal or similar), second stage (Anaes.) | 199.45 |
45215 | Direct flap repair, cross leg, first stage (H) (Anaes.) (Assist.) | 860.45 |
45218 | Direct flap repair, cross leg, second stage (Anaes.) (Assist.) |
385.95 |
45221 | Direct flap repair, small (cross finger or similar), first stage (Anaes.) | 221.85 |
45224 | Direct flap repair, small (cross finger or similar), second stage (Anaes.) | 99.70 |
45227 |
Indirect flap or tubed pedicle, formation of (Anaes.) (Assist.) |
377.95 |
45230 | Direct or indirect flap or tubed pedicle, delay of (Anaes.) | 188.90 |
45233 | Indirect flap or tubed pedicle, preparation of intermediate or final site and attachment to the site (Anaes.) (Assist.) | 402.00 |
45236 | Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure (H) (Anaes.) | 315.25 |
45239 | Direct, indirect or local flap, revision of (Anaes.) | 221.85 |
45400 | Free grafting (split skin) of a granulating area, small (Anaes.) | 173.70 |
45403 | Free grafting (split skin) of a granulating area, extensive (Anaes.) (Assist.) | 345.80 |
45406 | Free grafting (split skin) to burns, including excision of burnt tissue involving not more than 3% of total body surface (Anaes.) (Assist.) | 382.80 |
45409 | Free grafting (split skin) to burns, including excision of burnt tissue involving 3% or more but less than 6% of total body surface (H) (Anaes.) (Assist.) |
510.45 |
45412 | Free grafting (split skin) to burns, including excision of burnt tissue involving 6% or more but less than 9% of total body surface (H) (Anaes.) (Assist.) | 701.90 |
45415 | Free grafting (split skin) to burns, including excision of burnt tissue involving 9% or more but less than 12% of total body surface (H) (Anaes.) (Assist.) | 765.65 |
45418 | Free grafting (split skin) to burns, including excision of burnt tissue involving 12% or more but less than 15% of total body surface (H) (Anaes.) (Assist.) | 829.45 |
45439 | Free grafting (split skin) to 1 defect, including elective dissection, small (Anaes.) | 241.25 |
45442 | Free grafting (split skin) to 1 defect, including elective dissection, extensive (Anaes.) (Assist.) | 497.60 |
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.) | 472.30 |
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.) | 319.00 |
45451 | Free grafting (full thickness) to 1 defect, excluding grafts for male pattern baldness (Anaes.) (Assist.) | 402.00 |
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 (H) (Anaes.) (Assist.) | 1 063.45 |
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 (H) (Anaes.) (Assist.) |
757.90 |
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 (H) (Assist.) | 572.00 |
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 (H) (Anaes.) (Assist.) | 1 623.30 |
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 (H) (Anaes.) (Assist.) |
1 156.50 |
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 (H) (Assist.) | 872.15 |
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 (H) (Anaes.) (Assist.) | 1 555.00 |
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 (H) (Assist.) |
1 173.20 |
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 (H) (Anaes.) (Assist.) | 1 954.60 |
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 (H) (Assist.) | 1 474.30 |
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 (H) (Anaes.) (Assist.) | 2 353.15 |
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 (H) (Assist.) | 1 775.45 |
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 (H) (Anaes.) (Assist.) | 2 751.70 |
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 (H) (Assist.) | 2 075.50 |
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 (H) (Anaes.) (Assist.) | 3 150.15 |
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 (H) (Assist.) | 2 376.70 |
45483 | Free grafting (split skin) to burns, including excision of burnt tissue, involving 80% or more of total body surface conjoint surgery, principal surgeon (H) (Anaes.) (Assist.) |
3 589.05 |
45484 | Free grafting (split skin) to burns, including excision of burnt tissue, involving 80% or more of total body surface conjoint surgery, co-surgeon (H) (Assist.) |
2 708.00 |
45485 | Free grafting (split skin) to burns, including excision of burnt tissue upper eyelid, nose, lip, ear or palm of the hand (H) (Anaes.) (Assist.) | 447.75 |
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 (H) (Anaes.) (Assist.) | 382.80 |
45487 | Free grafting (split skin) to burns, including excision of burnt tissue whole of toe (Anaes.) (Assist.) | 344.50 |
45488 | Free grafting (split skin) to burns, including excision of burnt tissue the whole of 1 digit of the hand (H) (Anaes.) (Assist.) | 382.80 |
45489 | Free grafting (split skin) to burns, including excision of burnt tissue the whole of 2 digits of the hand (H) (Anaes.) (Assist.) | 574.30 |
45490 | Free grafting (split skin) to burns, including excision of burnt tissue the whole of 3 digits of the hand (H) (Anaes.) (Assist.) | 765.75 |
45491 | Free grafting (split skin) to burns, including excision of burnt tissue the whole of 4 digits of the hand (H) (Anaes.) (Assist.) | 957.10 |
45492 | Free grafting (split skin) to burns, including excision of burnt tissue the whole of 5 digits of the hand (H) (Anaes.) (Assist.) | 1 148.55 |
45493 | Free grafting (split skin) to burns, including excision of burnt tissue portion of digit of hand (H) (Anaes.) (Assist.) | 344.50 |
45494 | Free grafting (split skin) to burns, including excision of burnt tissue whole of face (excluding ears) (H) (Anaes.) (Assist.) | 1 390.40 |
45496 | Flap, free tissue transfer using microvascular techniques revision of, by open operation (H) (Anaes.) | 353.00 |
45497 | Flap, free tissue transfer using microvascular techniques complete revision of, by liposuction (H) (Anaes.) | 275.75 |
45498 | Flap, free tissue transfer using microvascular techniques staged revision of, by liposuction (first stage) (H) (Anaes.) | 221.85 |
45499 |
Flap, free tissue transfer using microvascular techniques staged revision of, by liposuction (second stage) (H) (Anaes.) |
165.45 |
45500 | Microvascular repair using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (H) (Anaes.) (Assist.) | 925.15 |
45501 | Microvascular anastomosis of artery using microsurgical techniques, for re-implantation of limb or digit (H) (Anaes.) (Assist.) |
1 505.85 |
45502 | Microvascular anastomosis of vein using microsurgical techniques, for re-implantation of limb or digit (H) (Anaes.) (Assist.) | 1 505.85 |
45503 | Micro-arterial or micro-venous graft using microsurgical techniques (Anaes.) (Assist.) | 1 722.80 |
45504 | Microvascular anastomosis of artery using microsurgical techniques, for free transfer of tissue including setting in of free flap (H) (Anaes.) (Assist.) |
1 505.85 |
45505 | Microvascular anastomosis of vein using microsurgical techniques, for free transfer of tissue including setting in of free flap (H) (Anaes.) (Assist.) | 1 505.85 |
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.) | 186.60 |
45512 |
Scar, of face or neck, more than 3 cm in length, revision of, where undertaken in the operating theatre of a hospital or approved day hospital facility, or where performed by a specialist in the practice of his or her specialty (Anaes.) | 250.90 |
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.) | 158.25 |
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.) | 191.45 |
45519 |
Extensive burn scars of skin (more than 1% of body surface area), excision of, for correction of scar contracture (H) (Anaes.) (Assist.) | 364.05 |
45520 | Reduction mammaplasty (unilateral) with surgical repositioning of nipple (H) (Anaes.) (Assist.) | 764.00 |
45522 |
Reduction mammaplasty (unilateral) without surgical repositioning of nipple (Anaes.) (Assist.) | 536.05 |
45524 | Mammaplasty, augmentation, for significant breast asymmetry where the augmentation is limited to 1 breast (H) (Anaes.) (Assist.) | 629.30 |
45527 |
Mammaplasty, augmentation, (unilateral), following mastectomy (H) (Anaes.) (Assist.) | 629.30 |
45528 | Mammaplasty, augmentation, bilateral, not being a service to which item 45527 applies, where it can be demonstrated that surgery is indicated because of malformation of breast tissue (excluding hypomastia), or disease or trauma of the breast (other than trauma resulting from previous elective cosmetic surgery) (H) (Anaes.) (Assist.) | 943.85 |
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, not being a service associated with a service to which item 30165, 30168, 30171, 30174 or 30177 applies (H) (Anaes.) (Assist.) | 932.85 |
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, 30177 or 30178 applies (H) (Anaes.) (Assist.) | 1 056.45 |
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 (H) (Anaes.) (Assist.) | 388.50 |
45539 | Breast reconstruction (unilateral), following mastectomy, using tissue expansion insertion of tissue expansion unit and all attendances for subsequent expansion injections (H) (Anaes.) (Assist.) | 908.95 |
45542 | Breast reconstruction (unilateral), following mastectomy, using tissue expansion removal of tissue expansion unit and insertion of permanent prosthesis (H) (Anaes.) (Assist.) | 520.45 |
45545 | Nipple or areola or both, reconstruction of, by any surgical technique (Anaes.) (Assist.) | 528.20 |
45546 |
Nipple or areola or both, intradermal colouration of, following breast reconstruction after mastectomy or for congenital absence of nipple |
167.90 |
45548 | Breast prosthesis, removal of, as an independent procedure (Anaes.) | 234.80 |
45551 | Breast prosthesis, removal of, with complete excision of fibrous capsule (H) (Anaes.) (Assist.) |
376.45 |
45552 | Breast prosthesis, removal of, with complete excision of fibrous capsule and replacement of prosthesis (Anaes.) (Assist.) |
541.95 |
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.) | 593.50 |
45555 | Silicone breast prosthesis, removal of and replacement with prosthesis other than silicone gel prosthesis (H) (Anaes.) (Assist.) | 541.95 |
45556 |
Breast ptosis, correction of (unilateral), to match the position of the contralateral breast (Anaes.) (Assist.) | 649.95 |
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 (H) (Anaes.) (Assist.) | 649.95 |
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 (H) (Anaes.) (Assist.) | 974.90 |
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.) | 401.90 |
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.) | 932.85 |
45563 |
Neurovascular island flap, including direct repair of secondary cutaneous defect if performed, excluding flap for male pattern baldness (Anaes.) (Assist.) | 932.85 |
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 (H) (Anaes.) (Assist.) | 2 160.50 |
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 (H) (Assist.) |
1 620.45 |
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 (H) (Anaes.) (Assist.) | 908.95 |
45568 | Tissue expander, removal of, with complete excision of fibrous capsule (Anaes.) (Assist.) | 376.45 |
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.) | 247.55 |
45575 | Facial nerve paralysis, free fascia graft for (Anaes.) (Assist.) |
611.10 |
45578 | Facial nerve paralysis, muscle transfer for (H) (Anaes.) (Assist.) | 707.75 |
45581 | Facial nerve palsy, excision of tissue for (Anaes.) | 234.80 |
45584 | Liposuction (suction assisted lipolysis) to 1 regional area (thigh, buttock, or similar), for treatment of post-traumatic pseudolipoma (Anaes.) |
536.05 |
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.) | 536.05 |
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 (H) (Anaes.) | 536.05 |
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.) | 755.90 |
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) (H) (Anaes.) (Assist.) | 1 133.90 |
45590 | Orbital cavity, reconstruction of a wall or floor, with or without foreign implant (H) (Anaes.) (Assist.) | 410.05 |
45593 | Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (H) (Anaes.) (Assist.) | 481.65 |
45596 | Maxilla, total resection of (H) (Anaes.) (Assist.) | 764.00 |
45597 | Maxilla, total resection of both maxillae (Anaes.) (Assist.) | 1 022.75 |
45599 | Mandible, total resection of both sides, including condylectomies where performed (Anaes.) (Assist.) | 794.70 |
45602 | Mandible, including lower border, or maxilla, sub-total resection of (H) (Anaes.) (Assist.) | 593.50 |
45605 | Mandible or maxilla, segmental resection of, for tumours or cysts (H) (Anaes.) (Assist.) | 498.60 |
45608 | Mandible, hemi-mandibular reconstruction with bone graft, not being a service associated with a service to which item 45599 applies (H) (Anaes.) (Assist.) | 701.90 |
45611 | Mandible, condylectomy (H) (Anaes.) (Assist.) | 402.00 |
45614 | Eyelid, whole thickness reconstruction of, other than by direct suture only (Anaes.) (Assist.) | 498.60 |
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.) | 199.45 |
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.) |
276.60 |
45623 | Ptosis of eyelid (unilateral), correction of (Anaes.) (Assist.) | 613.55 |
45624 | Ptosis of eyelid, correction of, where previous ptosis surgery has been performed on that side (Anaes.) (Assist.) | 795.40 |
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.) |
159.10 |
45626 | Ectropion or entropion, correction of (unilateral) (Anaes.) | 276.60 |
45629 | Symblepharon, grafting for (Anaes.) (Assist.) | 402.00 |
45632 | Rhinoplasty, correction of lateral or alar cartilages (Anaes.) | 434.35 |
45635 | Rhinoplasty, correction of bony vault only (Anaes.) | 498.60 |
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.) | 860.45 |
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.) |
860.45 |
45641 | Rhinoplasty involving nasal or septal cartilage graft, or nasal bone graft, or nasal bone and nasal cartilage graft (H) (Anaes.) | 918.80 |
45644 | Rhinoplasty involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft (Anaes.) (Assist.) | 1 085.65 |
45645 |
Choanal atresia, repair of by puncture and dilatation (H) (Anaes.) | 189.75 |
45646 | Choanal atresia, correction by open operation with bone removal (Anaes.) (Assist.) | 764.00 |
45647 |
Face, contour restoration of 1 region, using autogenous bone or cartilage graft (not being a service to which item 45644 applies) (H) (Anaes.) (Assist.) | 1 085.65 |
45650 | Rhinoplasty, secondary revision of (Anaes.) | 125.45 |
45652 | Rhinophyma, carbon dioxide laser or erbium laser excision ablation of (Anaes.) | 302.35 |
45653 | Rhinophyma, shaving of (Anaes.) | 302.35 |
45656 | Composite graft (chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid (Anaes.) (Assist.) | 426.20 |
45659 | Lop ear, bat ear or similar deformity, correction of (Anaes.) | 442.25 |
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 (H) (Anaes.) (Assist.) |
2 442.65 |
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 (H) (Anaes.) (Assist.) | 1 085.65 |
45662 |
Congenital atresia, reconstruction of external auditory canal (H) (Anaes.) (Assist.) | 595.00 |
45665 | Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures (Anaes.) |
276.60 |
45668 | Vermilionectomy, by surgical excision (Anaes.) |
276.60 |
45669 | Vermilionectomy, using carbon dioxide laser or erbium laser excision ablation (Anaes.) | 276.60 |
45671 | Lip or eyelid reconstruction using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.) | 707.75 |
45674 | Lip or eyelid reconstruction using full thickness flap (Abbe or similar), second stage (Anaes.) | 205.85 |
45675 | Macrocheilia or macroglossia, operation for (H) (Anaes.) (Assist.) | 410.05 |
45676 |
Macrostomia, operation for (H) (Anaes.) (Assist.) | 488.15 |
45677 |
Cleft lip, unilateral primary repair, 1 stage, without anterior palate repair (H) (Anaes.) (Assist.) | 459.35 |
45680 | Cleft lip, unilateral primary repair, 1 stage, with anterior palate repair (H) (Anaes.) (Assist.) | 574.30 |
45683 | Cleft lip, bilateral primary repair, 1 stage, without anterior palate repair (H) (Anaes.) (Assist.) | 638.00 |
45686 | Cleft lip, bilateral primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.) | 753.00 |
45689 | Cleft lip, lip adhesion procedure, unilateral or bilateral (H) (Anaes.) (Assist.) |
222.05 |
45692 | Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (Anaes.) | 255.20 |
45695 | Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (H) (Anaes.) (Assist.) | 414.70 |
45698 | Cleft lip, primary columella lengthening procedure, bilateral (H) (Anaes.) | 389.20 |
45701 | Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage (H) (Anaes.) (Assist.) |
701.90 |
45704 | Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (Anaes.) | 255.20 |
45707 | Cleft palate, primary repair (H) (Anaes.) (Assist.) | 663.50 |
45710 | Cleft palate, secondary repair, closure of fistula using local flaps (H) (Anaes.) | 414.70 |
45713 | Cleft palate, secondary repair, lengthening procedure (H) (Anaes.) (Assist.) | 472.30 |
45714 |
Oro-nasal fistula, plastic closure of, including services to which item 45200, 45203 or 45239 applies (H) (Anaes.) (Assist.) |
663.50 |
45716 | Velo-pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (H) (Anaes.) | 663.50 |
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.) | 820.30 |
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 (H) (Anaes.) (Assist.) | 925.15 |
45726 | Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.) | 1 045.40 |
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 (H) (Anaes.) (Assist.) | 1 174.00 |
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 (H) (Anaes.) (Assist.) |
1 190.20 |
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.) | 1 339.95 |
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 (H) (Anaes.) (Assist.) | 1 366.95 |
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 (H) (Anaes.) (Assist.) | 1 537.80 |
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 (H) (Anaes.) (Assist.) |
1 503.80 |
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 (H) (Anaes.) (Assist.) | 1 690.80 |
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.) | 1 640.60 |
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.) |
1 837.65 |
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.) | 1 848.60 |
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 (H) (Anaes.) (Assist.) | 2 215.95 |
45755 | Temporo-mandibular meniscectomy (Anaes.) (Assist.) | 312.00 |
45758 | Temporo-mandibular joint, arthroplasty (H) (Anaes.) (Assist.) | 558.40 |
45761 | Genioplasty, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) | 635.25 |
45767 | Hypertelorism, correction of, intra-cranial (Anaes.) (Assist.) | 2 131.10 |
45770 |
Hypertelorism, correction of, sub-cranial (H) (Anaes.) (Assist.) | 1 632.45 |
45773 | Treacher Collins Syndrome, periorbital correction of, with rib and iliac bone grafts (Anaes.) (Assist.) |
1 487.75 |
45776 | Orbital dystopia (unilateral), correction of, with total repositioning of 1 orbit, intra-cranial (H) (Anaes.) (Assist.) | 1 487.75 |
45779 | Orbital dystopia (unilateral), correction of, with total repositioning of 1 orbit, extra-cranial (H) (Anaes.) (Assist.) | 1 093.75 |
45782 | Fronto-orbital advancement, unilateral (Anaes.) (Assist.) | 836.40 |
45785 | Cranial vault reconstruction for oxycephaly, brachycephaly, turricephaly or similar condition (bilateral fronto-orbital advancement) (H) (Anaes.) (Assist.) | 1 415.35 |
45788 | Glenoid fossa, zygomatic arch and temporal bone, reconstruction of, (Obwegeser technique) (H) (Anaes.) (Assist.) | 1 399.25 |
45791 | Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (H) (Anaes.) (Assist.) |
755.90 |
45794 | Osseo-integration procedure extra-oral, implantation of titanium fixture (H) (Anaes.) | 427.55 |
45797 |
Osseo-integration procedure, fixation of transcutaneous abutment (H) (Anaes.) | 158.25 |
45799 | Aspiration biopsy of 1 or more jaw cysts as an independent procedure to obtain material for diagnostic purposes, not being a service associated with an operative procedure on the same day (Anaes.) | 25.00 |
45801 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, 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 45803 applies (Anaes.) | 107.70 |
45803 | Tumour, cyst, ulcers or scar (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, 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.) | 276.60 |
45805 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (Anaes.) | 146.35 |
45807 | 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), in the oral and maxillofacial region, removal of, not being a service to which another item in this subgroup applies, involving muscle, bone, or other deep tissue (Anaes.) | 209.10 |
45809 | 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), in the oral and maxillofacial region, removal of, requiring wide excision, not being a service to which another item in this subgroup applies (Anaes.) (Assist.) | 315.25 |
45811 | Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (Anaes.) (Assist.) | 426.20 |
45813 | Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (Anaes.) (Assist.) | 498.60 |
45815 | Operation on mandible or maxilla (other than alveolar margins) for chronic osteomyelitis 1 bone or in combination with adjoining bones (Anaes.) (Assist.) | 302.35 |
45817 | Operation on skull for osteomyelitis (Anaes.) (Assist.) | 394.10 |
45819 | Operation on any combination of adjoining bones in the oral and maxillofacial region, being bones referred to in item 45817 (Anaes.) (Assist.) | 498.55 |
45821 | Bone growth stimulator in the oral and maxillofacial region, insertion of (Anaes.) (Assist.) | 323.10 |
45823 | Arch bars, 1 or more, that 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.) | 92.40 |
45825 | Mandibular or palatal exostosis, excision of (Anaes.) (Assist.) | 287.05 |
45827 | Mylohyoid ridge, reduction of (Anaes.) (Assist.) | 274.40 |
45829 | Maxillary tuberosity, reduction of (Anaes.) | 209.30 |
45831 | Papillary hyperplasia of the palate, removal of less than 5 lesions (Anaes.) (Assist.) | 274.40 |
45833 | Papillary hyperplasia of the palate, removal of 5 to 20 lesions (Anaes.) (Assist.) | 344.50 |
45835 | Papillary hyperplasia of the palate, removal of more than 20 lesions (Anaes.) (Assist.) | 427.55 |
45837 | Vestibuloplasty, submucosal or open, including excision of muscle and skin or mucosal graft when performed unilateral or bilateral (Anaes.) (Assist.) | 497.60 |
45839 | Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed unilateral (Anaes.) (Assist.) | 497.60 |
45841 | Alveolar ridge augmentation with bone or alloplast or both unilateral (Anaes.) (Assist.) |
401.90 |
45843 | Alveolar ridge augmentation unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region (Anaes.) (Assist.) | 246.45 |
45845 |
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.) | 427.55 |
45847 | 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.) | 158.25 |
45849 | Maxillary sinus, bone graft to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral (Anaes.) (Assist.) |
492.85 |
45851 | 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 this subgroup applies (Anaes.) | 121.25 |
45853 |
Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (Anaes.) (Assist.) | 755.90 |
45855 | Temporomandibular joint, arthroscopy of, with or without biopsy, not being a service associated with any other arthroscopic procedure of that joint (Anaes.) (Assist.) | 346.75 |
45857 | Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions 1 or more of such procedures (Anaes.) (Assist.) | 554.70 |
45859 |
Temporomandibular joint, arthrotomy of, not being a service to which another item in this subgroup applies (Anaes.) (Assist.) | 279.65 |
45861 | Temporomandibular joint, open surgical exploration of, with or without microsurgical techniques (Anaes.) (Assist.) | 740.15 |
45863 |
Temporomandibular joint, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (Anaes.) (Assist.) | 820.50 |
45865 | Arthrocentesis, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.) | 246.45 |
45867 |
Temporomandibular joint, synovectomy of, not being a service to which another item in this subgroup applies (Anaes.) (Assist.) | 265.00 |
45869 | Temporomandibular joint, open surgical exploration of, with or without meniscus or capsular surgery, including meniscectomy when performed, with or without microsurgical techniques (Anaes.) (Assist.) | 1 008.20 |
45871 | Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (Anaes.) (Assist.) |
1 135.70 |
45873 | Temporomandibular joint, surgery of, involving procedures to which item 45863, 45867, 45869 or 45871 applies and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (Anaes.) (Assist.) | 1 276.15 |
45875 | 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 subgroup applies (Anaes.) (Assist.) | 399.35 |
45877 |
Temporomandibular joint, arthrodesis of, not being a service to which another item in this subgroup applies (Anaes.) (Assist.) | 399.35 |
45879 | Temporomandibular joint or joints, application of external fixator to, other than for treatment of fractures (Anaes.) (Assist.) |
265.00 |
Subgroup 14 Hand surgery | ||
46300 |
Interphalangeal joint or metacarpophalangeal joint, arthrodesis of (H) (Anaes.) (Assist.) | 287.10 |
46303 | Carpometacarpal joint, arthrodesis of (H) (Anaes.) (Assist.) | 319.10 |
46306 |
Interphalangeal joint or metacarpophalangeal joint interposition arthroplasty of and including tendon transfers or realignment on the 1 ray (H) (Anaes.) (Assist.) | 446.70 |
46307 |
Interphalangeal joint or metacarpophalangeal joint volar plate arthroplasty for traumatic deformity including tendon transfers or realignment on the 1 ray (H) (Anaes.) (Assist.) | 446.70 |
46309 |
Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment 1 joint (H) (Anaes.) (Assist.) | 446.70 |
46312 | Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment 2 joints (H) (Anaes.) (Assist.) |
574.40 |
46315 | Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment 3 joints (H) (Anaes.) (Assist.) | 765.80 |
46318 |
Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment 4 joints (H) (Anaes.) (Assist.) | 957.30 |
46321 | Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment 5 or more joints (H) (Anaes.) (Assist.) | 1 148.80 |
46324 | Carpal bone replacement arthroplasty including associated tendon transfer or realignment when performed (H) (Anaes.) (Assist.) | 685.05 |
46325 | Carpal bone replacement or resection arthroplasty using adjacent tendon or other soft tissue including associated tendon transfer or realignment when performed (H) (Anaes.) (Assist.) | 714.85 |
46327 |
Interphalangeal joint or metacarpophalangeal joint, arthrotomy of (Anaes.) | 172.40 |
46330 | Interphalangeal joint or metacarpophalangeal joint, arthrotomy of, with ligamentous or capsular repair (H) (Anaes.) (Assist.) | 293.65 |
46333 | Interphalangeal joint or metacarpophalangeal joint, ligamentous repair of, using free tissue graft or implant (H) (Anaes.) (Assist.) | 478.65 |
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.) | 223.45 |
46339 | Extensor tendons or flexor tendons of hand or wrist, synovectomy of (Anaes.) (Assist.) | 395.60 |
46342 | Distal radioulnar joint or carpometacarpal joint or joints, synovectomy of (H) (Anaes.) (Assist.) | 395.60 |
46345 | Distal radioulnar joint, reconstruction or stabilisation of, including fusion, or ligamentous arthroplasty and excision of distal ulna, when performed (H) (Anaes.) (Assist.) | 478.65 |
46348 | Digit, synovectomy of flexor tendon or tendons 1 digit (Anaes.) | 207.40 |
46351 | Digit, synovectomy of flexor tendon or tendons 2 digits (H) (Anaes.) (Assist.) | 309.50 |
46354 | Digit, synovectomy of flexor tendon or tendons 3 digits (H) (Anaes.) (Assist.) | 414.80 |
46357 | Digit, synovectomy of flexor tendon or tendons 4 digits (H) (Anaes.) (Assist.) |
516.95 |
46360 | Digit, synovectomy of flexor tendon or tendons 5 digits (H) (Anaes.) (Assist.) | 622.20 |
46363 | Tendon sheath of hand or wrist, open operation on, for stenosing tenovaginitis (Anaes.) | 178.70 |
46366 | Dupuytren's contracture, subcutaneous fasciotomy for each hand (Anaes.) | 108.55 |
46369 | Dupuytren's contracture, palmar fasciectomy for 1 hand (Anaes.) | 178.70 |
46372 |
Dupuytren's contracture, fasciectomy for, from 1 ray, including dissection of nerves 1 hand (Anaes.) (Assist.) | 363.05 |
46375 | Dupuytren's contracture, fasciectomy for, from 2 rays, including dissection of nerves 1 hand (H) (Anaes.) (Assist.) | 430.80 |
46378 | Dupuytren's contracture, fasciectomy for, from 3 or more rays, including dissection of nerves 1 hand (H) (Anaes.) (Assist.) | 574.40 |
46381 | Interphalangeal joint, joint capsule release when performed in conjunction with operation for Dupuytren's contracture each procedure (H) (Anaes.) (Assist.) | 255.25 |
46384 | Z plasty (or similar local flap procedure) when performed in conjunction with operation for Dupuytren's contracture 1 such procedure (H) (Anaes.) (Assist.) | 255.25 |
46387 | Dupuytren's contracture, fasciectomy for, from 1 ray, including dissection of nerves operation for recurrence in that ray (Anaes.) (Assist.) | 526.55 |
46390 |
Dupuytren's contracture, fasciectomy for, from 2 rays, including dissection of nerves operation for recurrence in those rays (H) (Anaes.) (Assist.) | 702.05 |
46393 | Dupuytren's contracture, fasciectomy for, from 3 or more rays, including dissection of nerves operation for recurrence in those rays (H) (Anaes.) (Assist.) | 813.70 |
46396 | Phalanx or metacarpal of the hand, osteotomy or osteectomy of (Anaes.) (Assist.) | 279.65 |
46399 | Phalanx or metacarpal of the hand, osteotomy of, with internal fixation (H) (Anaes.) (Assist.) | 439.40 |
46402 | Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non-union), including obtaining of graft material (H) (Anaes.) (Assist.) | 439.40 |
46405 | Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non-union), involving internal fixation and including obtaining of graft material (H) (Anaes.) (Assist.) | 536.15 |
46408 | Tendon, reconstruction of, by tendon graft (H) (Anaes.) (Assist.) | 587.20 |
46411 | Flexor tendon pulley, reconstruction of, by graft (H) (Anaes.) (Assist.) | 344.60 |
46414 | Artificial tendon prosthesis, insertion of, in preparation for tendon grafting (Anaes.) (Assist.) | 446.60 |
46417 | Tendon transfer for restoration of hand function, each transfer (H) (Anaes.) (Assist.) | 414.80 |
46420 |
Extensor tendon of hand or wrist, primary repair of, each tendon (Anaes.) | 173.60 |
46423 | Extensor tendon of hand or wrist, secondary repair of, each tendon (Anaes.) (Assist.) | 277.60 |
46426 |
Flexor tendon of hand or wrist, primary repair of, proximal to A1 pulley, each tendon (H) (Anaes.) (Assist.) | 287.10 |
46429 | Flexor tendon of hand or wrist, secondary repair of, proximal to A1 pulley, each tendon (Anaes.) (Assist.) | 351.00 |
46432 | Flexor tendon of hand, primary repair of, distal to A1 pulley, each tendon (H) (Anaes.) (Assist.) | 383.00 |
46435 | Flexor tendon of hand, secondary repair of, distal to A1 pulley, each tendon (H) (Anaes.) (Assist.) | 446.70 |
46438 | Mallet finger, closed pin fixation of (Anaes.) | 114.90 |
46441 | Mallet finger, open repair of, including pin fixation when performed (Anaes.) (Assist.) | 277.60 |
46442 |
Mallet finger with intra-articular fracture involving more than one-third of base of terminal phalanx open reduction (H) (Anaes.) (Assist.) | 238.30 |
46444 | Boutonniere deformity without joint contracture, reconstruction of (H) (Anaes.) (Assist.) | 414.80 |
46447 | Boutonniere deformity with joint contracture, reconstruction of (H) (Anaes.) (Assist.) | 516.95 |
46450 | Extensor tendon, tenolysis of, following tendon injury, repair or graft (H) (Anaes.) |
191.45 |
46453 | Flexor tendon, tenolysis of, following tendon injury, repair or graft (H) (Anaes.) (Assist.) | 319.10 |
46456 | Finger, percutaneous tenotomy of (Anaes.) | 82.95 |
46459 | Operation for osteomyelitis on distal phalanx (Anaes.) | 159.60 |
46462 | Operation for osteomyelitis on middle or proximal phalanx, metacarpal or carpus (Anaes.) (Assist.) | 255.25 |
46464 | Amputation of a supernumerary complete digit (Anaes.) | 191.45 |
46465 | Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) | 191.45 |
46468 | Amputation of 2 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (H) (Anaes.) (Assist.) | 335.05 |
46471 |
Amputation of 3 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) (Assist.) |
478.65 |
46474 | Amputation of 4 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (H) (Anaes.) (Assist.) | 622.20 |
46477 | Amputation of 5 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (H) (Anaes.) (Assist.) | 765.80 |
46480 |
Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover, including metacarpal (Anaes.) (Assist.) | 319.10 |
46483 | Revision of amputation stump to provide adequate soft tissue cover (Anaes.) (Assist.) |
255.25 |
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.) | 191.45 |
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.) |
223.45 |
46492 | Contracture of digits of hand, flexor or extensor, correction of, involving tissues deeper than skin and subcutaneous tissue (H) (Anaes.) (Assist.) | 306.35 |
46494 | Ganglion of hand, excision of, not being a service associated with a service to which another item in this group applies (Anaes.) | 186.60 |
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.) | 172.40 |
46498 | Ganglion of flexor tendon sheath, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.) | 186.60 |
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.) |
223.45 |
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.) | 279.25 |
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.) |
257.00 |
46503 | Recurrent ganglion of volar wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.) (Assist.) | 321.05 |
46504 | Neurovascular island flap, for pulp innervation (Anaes.) (Assist.) | 938.10 |
46507 | Digit or ray, transposition or transfer of, on vascular pedicle, complete procedure (H) (Anaes.) (Assist.) | 1 091.25 |
46510 |
Macrodactyly, surgical reduction of enlarged elements each digit (H) (Anaes.) (Assist.) | 297.85 |
46513 | Digital nail of finger or thumb, removal of, not being a service to which item 46516 applies (Anaes.) | 47.95 |
46516 | Digital nail of finger or thumb, removal of, in the operating theatre of a hospital or approved day hospital facility (Anaes.) | 95.80 |
46519 | Middle palmar, thenar or hypothenar spaces of hand, drainage of (excluding after-care) (Anaes.) | 119.85 |
46522 | Flexor tendon sheath of finger or thumb open operation and drainage for infection (H) (Anaes.) (Assist.) |
357.40 |
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.) | 47.95 |
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.) | 143.80 |
46531 | Ingrowing nail of finger or thumb, partial resection of nail, including phenolisation but not including excision of nail bed (Anaes.) | 72.25 |
46534 | Nail plate injury or deformity, radical excision of nail germinal matrix (Anaes.) | 199.75 |
Subgroup 15 Orthopaedic | ||
47000 | Mandible, treatment of dislocation of, by closed reduction (Anaes.) | 60.00 |
47003 |
Clavicle, treatment of dislocation of, by closed reduction (Anaes.) |
71.90 |
47006 | Clavicle, treatment of dislocation of, by open reduction (Anaes.) | 144.45 |
47009 | Shoulder, treatment of dislocation of, requiring general anaesthesia, not being a service to which item 47012 applies (Anaes.) | 143.80 |
47012 | Shoulder, treatment of dislocation of, requiring general anaesthesia, open reduction (H) (Anaes.) (Assist.) | 287.55 |
47015 | Shoulder, treatment of dislocation of, not requiring general anaesthesia | 71.90 |
47018 | Elbow, treatment of dislocation of, by closed reduction (Anaes.) | 167.65 |
47021 | Elbow, treatment of dislocation of, by open reduction (H) (Anaes.) (Assist.) | 223.70 |
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.) | 167.65 |
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 (H) (Anaes.) (Assist.) | 223.70 |
47030 |
Carpus, or carpus on radius and ulna, or carpometacarpal joint, treatment of dislocation of, by closed reduction (Anaes.) | 167.65 |
47033 | Carpus, or carpus on radius and ulna, or carpometacarpal joint, treatment of dislocation of, by open reduction (Anaes.) (Assist.) | 223.70 |
47036 | Interphalangeal joint, treatment of dislocation of, by closed reduction (Anaes.) | 71.90 |
47039 |
Interphalangeal joint, treatment of dislocation of, by open reduction (Anaes.) | 95.80 |
47042 | Metacarpophalangeal joint, treatment of dislocation of, by closed reduction (Anaes.) | 95.80 |
47045 |
Metacarpophalangeal joint, treatment of dislocation of, by open reduction (Anaes.) | 127.90 |
47048 | Hip, treatment of dislocation of, by closed reduction (Anaes.) | 275.60 |
47051 | Hip, treatment of dislocation of, by open reduction (H) (Anaes.) (Assist.) | 367.40 |
47054 | Knee, treatment of dislocation of, by closed reduction (Anaes.) (Assist.) | 275.60 |
47057 | Patella, treatment of dislocation of, by closed reduction (Anaes.) | 107.80 |
47060 |
Patella, treatment of dislocation of, by open reduction (Anaes.) |
143.80 |
47063 | Ankle or tarsus, treatment of dislocation of, by closed reduction (Anaes.) | 215.70 |
47066 | Ankle or tarsus, treatment of dislocation of, by open reduction (H) (Anaes.) (Assist.) | 287.55 |
47069 | Toe, treatment of dislocation of, by closed reduction (Anaes.) | 60.00 |
47072 | Toe, treatment of dislocation of, by open reduction (Anaes.) | 79.75 |
47300 | Distal phalanx of finger or thumb, treatment of fracture of, by closed reduction, including percutaneous fixation where used (Anaes.) | 71.90 |
47303 | Distal phalanx of finger or thumb, treatment of intra-articular fracture of, by closed reduction (Anaes.) | 83.90 |
47306 | Distal phalanx of finger or thumb, treatment of fracture of, by open reduction (Anaes.) | 95.80 |
47309 | Distal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction (Anaes.) | 119.85 |
47312 | Middle phalanx of finger, treatment of fracture of, by closed reduction (Anaes.) | 107.80 |
47315 | Middle phalanx of finger, treatment of intra-articular fracture of, by closed reduction (Anaes.) | 123.80 |
47318 | Middle phalanx of finger, treatment of fracture of, by open reduction (Anaes.) | 143.80 |
47321 | Middle phalanx of finger, treatment of intra-articular fracture of, by open reduction (H) (Anaes.) | 179.70 |
47324 | Proximal phalanx of finger or thumb, treatment of fracture of, by closed reduction (Anaes.) | 143.80 |
47327 | Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by closed reduction (Anaes.) | 167.65 |
47330 | Proximal phalanx of finger or thumb, treatment of fracture of, by open reduction (Anaes.) | 191.75 |
47333 | Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction (H) (Anaes.) (Assist.) | 239.55 |
47336 | Metacarpal, treatment of fracture of, by closed reduction (Anaes.) | 143.80 |
47339 | Metacarpal, treatment of intra-articular fracture of, by closed reduction (Anaes.) | 167.65 |
47342 | Metacarpal, treatment of fracture of, by open reduction (Anaes.) | 191.75 |
47345 | Metacarpal, treatment of intra-articular fracture of, by open reduction (H) (Anaes.) (Assist.) | 239.55 |
47348 | Carpus (excluding scaphoid), treatment of fracture of, not being a service to which item 47351 applies (Anaes.) | 79.75 |
47351 | Carpus (excluding scaphoid), treatment of fracture of, by open reduction (Anaes.) | 199.75 |
47354 | Carpal scaphoid, treatment of fracture of, not being a service to which item 47357 applies (Anaes.) | 143.80 |
47357 | Carpal scaphoid, treatment of fracture of, by open reduction (Anaes.) (Assist.) |
319.55 |
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.) | 111.85 |
47363 | Radius or ulna, distal end of, treatment of fracture of, by closed reduction (Anaes.) | 167.65 |
47366 | Radius or ulna, distal end of, treatment of fracture of, by open reduction (Anaes.) (Assist.) | 223.70 |
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.) | 143.80 |
47372 | Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by closed reduction (Anaes.) | 239.55 |
47375 | Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by open reduction (H) (Anaes.) (Assist.) | 319.55 |
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.) |
143.80 |
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.) | 215.70 |
47384 | Radius or ulna, shaft of, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) | 287.55 |
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.) | 247.60 |
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 (H) (Anaes.) (Assist.) |
399.35 |
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.) | 231.60 |
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.) | 347.50 |
47393 | Radius and ulna, shafts of, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) | 463.30 |
47396 | Olecranon, treatment of fracture of, not being a service to which item 47399 applies (Anaes.) | 159.75 |
47399 |
Olecranon, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) | 319.55 |
47402 | Olecranon, treatment of fracture of, involving excision of olecranon fragment and reimplantation of tendon (Anaes.) (Assist.) | 239.55 |
47405 | Radius, treatment of fracture of head or neck of, closed management of (Anaes.) | 159.75 |
47408 | Radius, treatment of fracture of head or neck of, open management of, including internal fixation and excision where performed (H) (Anaes.) (Assist.) | 319.55 |
47411 | Humerus, treatment of fracture of tuberosity of, not being a service to which item 47417 applies (Anaes.) | 95.80 |
47414 | Humerus, treatment of fracture of tuberosity of, by open reduction (Anaes.) | 191.75 |
47417 | Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by closed reduction (Anaes.) (Assist.) |
223.70 |
47420 | Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by open reduction (H) (Anaes.) (Assist.) | 439.40 |
47423 | Humerus, proximal, treatment of fracture of, not being a service to which item 47426, 47429 or 47432 applies (Anaes.) | 183.70 |
47426 | Humerus, proximal, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes.) | 275.60 |
47429 | Humerus, proximal, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) | 367.40 |
47432 |
Humerus, proximal, treatment of intra-articular fracture of, by open reduction (H) (Anaes.) (Assist.) | 459.30 |
47435 | Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by closed reduction (Anaes.) (Assist.) | 351.50 |
47438 | Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by open reduction (H) (Anaes.) (Assist.) | 559.25 |
47441 | Humerus, proximal, treatment of intra-articular fracture of, and associated dislocation of shoulder, by open reduction (H) (Anaes.) (Assist.) | 699.00 |
47444 | Humerus, shaft of, treatment of fracture of, not being a service to which item 47447 or 47450 applies (Anaes.) | 191.75 |
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.) | 287.55 |
47450 | Humerus, shaft of, treatment of fracture of, by internal or external (H) (Anaes.) (Assist.) | 383.45 |
47451 | Humerus, shaft of, treatment of fracture of, by intramedullary fixation (H) (Anaes.) (Assist.) |
462.25 |
47453 | Humerus, distal, (supracondylar or condylar), treatment of fracture of, not being a service to which item 47456 or 47459 applies (Anaes.) (Assist.) | 223.70 |
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.) | 335.60 |
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.) | 447.35 |
47462 |
Clavicle, treatment of fracture of, not being a service to which item 47465 applies (Anaes.) | 95.80 |
47465 | Clavicle, treatment of fracture of, by open reduction (Anaes.) | 191.75 |
47466 | Sternum, treatment of fracture of, not being a service to which item 47467 applies (Anaes.) | 95.80 |
47467 | Sternum, treatment of fracture of, by open reduction (H) (Anaes.) | 191.75 |
47468 | Scapula, neck or glenoid region of, treatment of fracture of, by open reduction (Anaes.) (Assist.) | 367.40 |
47471 | Ribs (1 or more), treatment of fracture of each attendance | 36.40 |
47474 | Pelvic ring, treatment of fracture of, not involving disruption of pelvic ring or acetabulum | 159.75 |
47477 | Pelvic ring, treatment of fracture of, with disruption of pelvic ring or acetabulum | 199.75 |
47480 | Pelvic ring, treatment of fracture of, requiring traction (H) (Anaes.) (Assist.) | 399.35 |
47483 | Pelvic ring, treatment of fracture of, requiring control by external fixation (H) (Anaes.) (Assist.) | 479.25 |
47486 | Pelvic ring, treatment of fracture of, by open reduction and involving internal fixation of anterior segment, including diastasis of pubic symphysis (H) (Anaes.) (Assist.) | 798.85 |
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 (H) (Anaes.) (Assist.) |
1 198.30 |
47492 | Acetabulum, treatment of fracture of, and associated dislocation of hip (Anaes.) | 199.75 |
47495 | Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring traction (Anaes.) (Assist.) | 399.35 |
47498 | Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring internal fixation, with or without traction (H) (Anaes.) (Assist.) | 599.05 |
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 (H) (Anaes.) (Assist.) | 798.85 |
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.) | 1 198.30 |
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 (H) (Anaes.) (Assist.) |
1 198.30 |
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 (H) (Anaes.) (Assist.) | 1 198.30 |
47513 |
Sacro-iliac joint disruption, treatment of, requiring internal fixation, being a service associated with a service to which items 47501 to 47510 apply (H) (Anaes.) (Assist.) | 319.55 |
47516 |
Femur, treatment of fracture of, by closed reduction or traction (Anaes.) (Assist.) | 367.40 |
47519 | Femur, treatment of trochanteric or subcapital fracture of, by internal fixation (H) (Anaes.) (Assist.) | 734.95 |
47522 | Femur, treatment of subcapital fracture of, by hemi-arthroplasty (H) (Anaes.) (Assist.) | 639.10 |
47525 | Femur, treatment of fracture of, for slipped capital femoral epiphysis (H) (Anaes.) (Assist.) | 734.95 |
47528 | Femur, treatment of fracture of, by internal fixation or external fixation (H) (Anaes.) (Assist.) |
639.10 |
47531 | Femur, treatment of fracture of shaft, by intramedullary fixation and cross fixation (H) (Anaes.) (Assist.) |
814.75 |
47534 | Femur, condylar region of, treatment of intra-articular (T-shaped condylar) fracture of, requiring internal fixation, with or without internal fixation of 1 or more osteochondral fragments (H) (Anaes.) (Assist.) | 918.65 |
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.) | 367.40 |
47540 | Hip spica or shoulder spica, application of, as an independent procedure (Anaes.) | 183.70 |
47543 | Tibia, plateau of, treatment of medial or lateral fracture of, not being a service to which item 47546 or 47549 applies (Anaes.) | 191.75 |
47546 | Tibia, plateau of, treatment of medial or lateral fracture of, by closed reduction (Anaes.) | 287.55 |
47549 | Tibia, plateau of, treatment of medial or lateral fracture of, by open reduction (H) (Anaes.) (Assist.) | 383.45 |
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.) | 319.55 |
47555 | Tibia, plateau of, treatment of both medial and lateral fractures of, by closed reduction (H) (Anaes.) | 479.25 |
47558 | Tibia, plateau of, treatment of both medial and lateral fractures of, by open reduction (H) (Anaes.) (Assist.) |
639.10 |
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.) | 231.60 |
47564 | Tibia, shaft of, treatment of fracture of, by closed reduction, with or without treatment of fibular fracture (Anaes.) | 347.50 |
47565 | Tibia, shaft of, treatment of fracture of, by internal fixation or external fixation (H) (Anaes.) (Assist.) | 604.45 |
47566 | Tibia, shaft of, treatment of fracture of, by intramedullary fixation and cross fixation (H) (Anaes.) (Assist.) | 770.50 |
47567 | Tibia, shaft of, treatment of intra-articular fracture of, by closed reduction, with or without treatment of fibular fracture (Anaes.) (Assist.) | 403.35 |
47570 | Tibia, shaft of, treatment of fracture of, by open reduction, with or without treatment of fibular fracture (Anaes.) (Assist.) |
463.30 |
47573 | Tibia, shaft of, treatment of intra-articular fracture of, by open reduction, with or without treatment of fibular fracture (H) (Anaes.) (Assist.) | 579.10 |
47576 | Fibula, treatment of fracture of (Anaes.) | 95.80 |
47579 | Patella, treatment of fracture of, not being a service to which item 47582 or 47585 applies (Anaes.) | 135.85 |
47582 | Patella, treatment of fracture of, by excision of patella or pole with reattachment of tendon (H) (Anaes.) (Assist.) | 279.65 |
47585 | Patella, treatment of fracture of, by internal fixation (H) (Anaes.) (Assist.) | 359.55 |
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 (H) (Anaes.) (Assist.) | 1 118.25 |
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 (H) (Anaes.) (Assist.) |
1 358.15 |
47594 | Ankle joint, treatment of fracture of, not being a service to which item 47597 applies (Anaes.) | 183.70 |
47597 | Ankle joint, treatment of fracture of, by closed reduction (Anaes.) |
275.60 |
47600 | Ankle joint, treatment of fracture of, by internal fixation of 1 of malleolus, fibula or diastasis (H) (Anaes.) (Assist.) | 367.40 |
47603 | Ankle joint, treatment of fracture of, by internal fixation of more than 1 of malleolus, fibula or diastasis (H) (Anaes.) (Assist.) | 479.25 |
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.) |
199.75 |
47609 | Calcaneum or talus, treatment of fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.) |
299.55 |
47612 | Calcaneum or talus, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.) | 347.50 |
47615 | Calcaneum or talus, treatment of fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.) | 399.35 |
47618 | Calcaneum or talus, treatment of intra-articular fracture of, by open reduction, with or without dislocation (H) (Anaes.) (Assist.) | 499.35 |
47621 | Tarso-metatarsal, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.) | 347.50 |
47624 |
Tarso-metatarsal, treatment of fracture of, by open reduction, with or without dislocation (H) (Anaes.) (Assist.) | 479.25 |
47627 |
Tarsus (excluding calcaneum or talus), treatment of fracture of (Anaes.) | 135.85 |
47630 | Tarsus (excluding calcaneum or talus), treatment of fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.) | 287.55 |
47633 | Metatarsal, 1 of, treatment of fracture of (Anaes.) | 95.80 |
47636 | Metatarsal, 1 of, treatment of fracture of, by closed reduction (Anaes.) | 143.80 |
47639 | Metatarsal, 1 of, treatment of fracture of, by open reduction (Anaes.) | 191.75 |
47642 | Metatarsals, 2 of, treatment of fracture of (Anaes.) | 127.90 |
47645 | Metatarsals, 2 of, treatment of fracture of, by closed reduction (Anaes.) | 191.75 |
47648 |
Metatarsals, 2 of, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) | 255.50 |
47651 | Metatarsals, 3 or more of, treatment of fracture of (Anaes.) | 199.75 |
47654 | Metatarsals, 3 or more of, treatment of fracture of, by closed reduction (Anaes.) (Assist.) | 299.55 |
47657 | Metatarsals, 3 or more of, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) | 399.35 |
47663 | Phalanx of great toe, treatment of fracture of, by closed reduction (Anaes.) | 119.85 |
47666 | Phalanx of great toe, treatment of fracture of, by open reduction (Anaes.) | 199.75 |
47672 | Phalanx of toe (other than great toe), 1 of, treatment of fracture of, by open reduction (Anaes.) | 95.80 |
47678 | Phalanx of toe (other than great toe), more than 1 of, treatment of fracture of, by open reduction (Anaes.) | 143.80 |
47681 | Spine (excluding sacrum), treatment of fracture of transverse process, vertebral body, or posterior elements each attendance | 36.40 |
47684 | Spine, treatment of fracture, dislocation or fracture-dislocation, without spinal cord involvement, including immobilisation by calipers (Anaes.) (Assist.) | 639.10 |
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 (H) (Assist.) | 1 118.25 |
47690 | Spine, treatment of fracture, dislocation or fracture-dislocation, without cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation (H) (Anaes.) (Assist.) | 878.70 |
47693 |
Spine, treatment of fracture, dislocation or fracture-dislocation, with cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation, including up to 14 days post-operative care (H) (Assist.) | 1 118.25 |
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.) | 319.55 |
47699 |
Spine, treatment of fracture, dislocation or fracture-dislocation without cord involvement requiring open reduction with or without internal fixation (H) (Anaes.) (Assist.) | 1 278.15 |
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 (H) (Anaes.) (Assist.) | 1 597.70 |
47703 | Skull, treatment of fracture of, each attendance | 36.40 |
47705 | Skull calipers, insertion of, as an independent procedure (H) (Anaes.) (Assist.) |
239.55 |
47708 | Plaster jacket, application of, as an independent procedure (Anaes.) | 183.70 |
47711 | Halo, application of, as an independent procedure (H) (Anaes.) (Assist.) | 271.70 |
47714 |
Halo, application of, in addition to spinal fusion for scoliosis, or other conditions (H) (Anaes.) | 203.70 |
47717 | Halo-thoracic traction application of both halo and thoracic jacket (H) (Anaes.) (Assist.) | 359.55 |
47720 | Halo-femoral traction, as an independent procedure (Anaes.) (Assist.) | 359.55 |
47723 |
Halo-femoral traction in conjunction with a major spine operation (Anaes.) (Assist.) | 359.55 |
47726 | Bone graft, harvesting of, via separate incision, in conjunction with another service, autogenous, small quantity (H) (Anaes.) | 119.85 |
47729 | Bone graft, harvesting of, via separate incision, in conjunction with another service, autogenous, large quantity (H) (Anaes.) | 199.75 |
47732 |
Vascularised pedicle bone graft, harvesting of, in conjunction with another service (H) (Anaes.) (Assist.) | 319.55 |
47735 | Nasal bones, treatment of fracture of, not being a service to which item 47738 or 47741 applies each attendance | 36.40 |
47738 | Nasal bones, treatment of fracture of, by reduction (Anaes.) | 199.75 |
47741 | Nasal bones, treatment of fracture of, by open reduction involving osteotomies (H) (Anaes.) (Assist.) | 407.55 |
47753 |
Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) (Anaes.) (Assist.) | 345.05 |
47756 | Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) (Anaes.) (Assist.) | 345.05 |
47762 | Zygomatic bone, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach (Anaes.) | 202.65 |
47765 |
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (H) (Anaes.) (Assist.) | 332.70 |
47768 | Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (H) (Anaes.) (Assist.) | 407.55 |
47771 |
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (H) (Anaes.) (Assist.) | 468.20 |
47774 | Maxilla, treatment of fracture of, requiring open operation (H) (Anaes.) (Assist.) | 369.70 |
47777 | Mandible, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.) | 369.70 |
47780 | Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (H) (Anaes.) (Assist.) | 480.55 |
47783 | Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.) | 480.55 |
47786 |
Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (H) (Anaes.) (Assist.) | 609.85 |
47789 | Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (H) (Anaes.) (Assist.) |
609.85 |
47900 | Bone cyst, injection into or aspiration of (Anaes.) |
143.80 |
47903 | Epicondylitis, open operation for (Anaes.) | 199.75 |
47904 | Digital nail of toe, removal of, not being a service to which item 47906 applies (Anaes.) | 47.95 |
47906 | Digital nail of toe, removal of, in the operating theatre of a hospital or approved day hospital facility (Anaes.) | 95.80 |
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.) | 47.95 |
47915 | Ingrowing nail of toe, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed (Anaes.) |
143.80 |
47916 | Ingrowing nail of toe, partial resection of nail, including phenolisation but not including excision of nail bed (Anaes.) | 72.25 |
47918 | Ingrowing toenail, radical excision of nailbed (Anaes.) | 199.75 |
47920 | Bone growth stimulator, insertion of (H) (Anaes.) (Assist.) | 323.10 |
47921 | Orthopaedic pin or wire, insertion of, as an independent procedure (Anaes.) | 95.80 |
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.) | 31.90 |
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.) | 119.85 |
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 (H) (Anaes.) (Assist.) | 223.70 |
47933 |
Exostosis of small bone, excision of, including simple removal of bunion and any associated bursa (Anaes.) | 175.70 |
47936 | Exostosis of large bone, excision of (H) (Anaes.) (Assist.) | 215.70 |
47948 |
External fixation, removal of, in the operating theatre of a hospital or approved day hospital facility (Anaes.) | 135.85 |
47951 | External fixation, removal of, in conjunction with operations involving internal fixation or bone grafting or both (Anaes.) | 159.75 |
47954 |
Tendon, repair of, not being a service to which another item in this group applies (Anaes.) (Assist.) | 319.55 |
47957 | Tendon, large, lengthening of, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 239.55 |
47960 | Tenotomy, subcutaneous, not being a service to which another item in this group applies (Anaes.) | 111.85 |
47963 | Tenotomy, open, with or without tenoplasty, not being a service to which another item in this group applies (Anaes.) | 183.70 |
47966 | Tendon or ligament transfer, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 367.40 |
47969 | Tenosynovectomy, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 223.70 |
47972 | Tendon sheath, open operation for teno-vaginitis, not being a service to which another item in this group applies (H) (Anaes.) | 178.70 |
47975 | Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (H) (Anaes.) (Assist.) | 313.20 |
47978 | Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue (H) (Anaes.) | 190.25 |
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.) | 127.70 |
47982 | Forage (Drill decompression), of neck or head of femur, or both (H) (Anaes.) (Assist.) | 309.60 |
48200 | Femur, bone graft to (H) (Anaes.) (Assist.) | 639.10 |
48203 | Femur, bone graft to, with internal fixation (H) (Anaes.) (Assist.) | 774.90 |
48206 | Tibia, bone graft to (H) (Anaes.) (Assist.) | 479.75 |
48209 | Tibia, bone graft to, with internal fixation (H) (Anaes.) (Assist.) | 615.10 |
48212 |
Humerus, bone graft to (H) (Anaes.) (Assist.) | 479.75 |
48215 |
Humerus, bone graft to, with internal fixation (H) (Anaes.) (Assist.) | 615.10 |
48218 | Radius or ulna, bone graft to (H) (Anaes.) (Assist.) | 479.75 |
48221 | Radius and ulna, bone graft to, with internal fixation of 1 or both bones (H) (Anaes.) (Assist.) | 639.10 |
48224 | Radius or ulna, bone graft to (H) (Anaes.) (Assist.) | 319.55 |
48227 | Radius or ulna, bone graft to, with internal fixation of 1 or both bones (H) (Anaes.) (Assist.) | 415.40 |
48230 | Scaphoid, bone graft to, for non-union (H) (Anaes.) (Assist.) | 359.55 |
48233 | Scaphoid, bone graft to, for non-union, with internal fixation (H) (Anaes.) (Assist.) | 519.25 |
48236 | Scaphoid, bone graft to, for mal-union, including osteotomy, bone graft and internal fixation (H) (Anaes.) (Assist.) | 679.00 |
48239 | Bone graft, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 375.40 |
48242 | Bone graft, with internal fixation, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 519.25 |
48400 | Phalanx, metatarsal, accessory bone or sesamoid bone, osteotomy or osteectomy of, excluding services to which item 49848 or 49851 applies (H) (Anaes.) (Assist.) |
279.65 |
48403 | Phalanx or metatarsal, osteotomy or osteectomy of, with internal fixation (H) (Anaes.) (Assist.) | 439.40 |
48406 |
Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy of (H) (Anaes.) (Assist.) |
279.65 |
48409 | Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy, with internal fixation (H) (Anaes.) (Assist.) | 439.40 |
48412 | Humerus, osteotomy or osteectomy of (H) (Anaes.) (Assist.) | 535.10 |
48415 |
Humerus, osteotomy or osteectomy of, with internal fixation (H) (Anaes.) (Assist.) | 679.00 |
48418 | Tibia, osteotomy or osteectomy of (H) (Anaes.) (Assist.) | 535.10 |
48421 | Tibia, osteotomy or osteectomy of, with internal fixation (H) (Anaes.) (Assist.) | 679.00 |
48424 | Femur or pelvis, osteotomy or osteectomy of (H) (Anaes.) (Assist.) | 639.10 |
48427 | Femur or pelvis, osteotomy or osteectomy of, with internal fixation (H) (Anaes.) (Assist.) | 774.90 |
48500 |
Femur, epiphysiodesis of (H) (Anaes.) (Assist.) | 279.65 |
48503 |
Tibia and fibula, epiphysiodesis of (H) (Anaes.) (Assist.) | 279.65 |
48506 | Femur, tibia and fibula, epiphysiodesis of (H) (Anaes.) (Assist.) | 415.40 |
48509 | Epiphysiodesis, staple arrest of hemi-epiphysis (H) (Anaes.) | 199.75 |
48512 | Epiphysiolysis, operation to prevent closure of plate (H) (Anaes.) (Assist.) |
758.85 |
48600 | Spine, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility (Anaes.) |
79.75 |
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.) | 119.85 |
48606 | Scoliosis or Kyphosis, spinal fusion for (without instrumentation) (H) (Anaes.) (Assist.) | 1 118.25 |
48609 | Scoliosis or Kyphosis, spinal fusion for, using Harrington or other non-segmental fixation (H) (Anaes.) (Assist.) | 1 397.95 |
48612 | Scoliosis, spinal fusion for, using segmental instrumentation (C D, Zielke, Luque, or similar) (H) (Anaes.) (Assist.) | 2 076.95 |
48613 | Scoliosis or Kyphosis, spinal fusion for, using segmental instrumentation, reconstruction using separate anterior and posterior approaches (H) (Anaes.) (Assist.) | 2 954.25 |
48615 | Scoliosis, re-exploration for, involving adjustment or removal of instrumentation or simple bone grafting procedure (H) (Anaes.) (Assist.) | 375.40 |
48618 | Scoliosis, revision of failed scoliosis surgery, involving more than 1 of multiple osteotomy, fusion or instrumentation (H) (Anaes.) (Assist.) | 2 076.95 |
48621 | Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke, or similar) not more than 4 levels (H) (Anaes.) (Assist.) |
1 358.15 |
48624 | Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) more than 4 levels (H) (Anaes.) (Assist.) | 1 677.65 |
48627 |
Scoliosis, spinal fusion for, combined with segmental instrumentation (C D, Zielke or similar) down to and including pelvis (H) (Anaes.) (Assist.) | 2 156.75 |
48630 | Scoliosis, requiring anterior decompression of spinal cord with resection of vertebrae including bone graft and instrumentation in the presence of spinal cord involvement (H) (Anaes.) (Assist.) | 2 396.45 |
48632 |
Scoliosis, congenital, vertebral resection and fusion for (H) (Anaes.) (Assist.) | 1 324.70 |
48636 | Percutaneous lumbar discectomy, 1 or more levels, not being a service associated with intradiscal electrothermal annuloplasty (Anaes.) (Assist.) |
686.90 |
48639 | Vertebral body, total or sub-total excision of, including bone grafting or other form of fixation (H) (Anaes.) (Assist.) | 1 158.25 |
48640 | Vertebral body, disease of, excision and spinal fusion for, using segmental instrumentation, reconstruction utilising separate anterior and posterior approaches (H) (Anaes.) (Assist.) | 2 954.25 |
48642 | Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies 1 or 2 levels (H) (Anaes.) (Assist.) |
679.00 |
48645 | Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies more than 2 levels (H) (Anaes.) (Assist.) | 918.65 |
48648 | Spine, bone graft to, (postero-lateral fusion) 1 or 2 levels (H) (Anaes.) (Assist.) | 918.65 |
48651 | Spine, bone graft to, (postero-lateral fusion) more than 2 levels (H) (Anaes.) (Assist.) | 1 278.15 |
48654 | Spinal fusion (posterior interbody), with laminectomy 1 level (H) (Anaes.) (Assist.) | 918.65 |
48657 | Spinal fusion (posterior interbody), with laminectomy more than 1 level (H) (Anaes.) (Assist.) |
1 278.15 |
48660 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions 1 level (H) (Anaes.) (Assist.) | 918.65 |
48663 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions 1 level (where an assisting surgeon performs the approach) principal surgeon (H) (Anaes.) (Assist.) | 686.90 |
48666 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions 1 level (where an assisting surgeon performs the approach) assisting surgeon (H) (Assist.) | 415.40 |
48669 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions more than 1 level (H) (Anaes.) (Assist.) |
1 238.20 |
48672 | Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions more than 1 level (where an assisting surgeon performs the approach) principal surgeon (H) (Anaes.) (Assist.) | 926.75 |
48675 |
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions more than 1 level (where an assisting surgeon performs the approach) assisting surgeon (H) (Assist.) | 559.25 |
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 (H) (Anaes.) (Assist.) | 479.75 |
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 (H) (Anaes.) (Assist.) | 798.85 |
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 (H) (Anaes.) (Assist.) | 798.85 |
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 (H) (Anaes.) (Assist.) |
1 118.25 |
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 (H) (Anaes.) (Assist.) | 1 278.15 |
48900 | Shoulder, excision of coraco-acromial ligament or removal of calcium deposit from cuff or both (Anaes.) (Assist.) | 239.55 |
48903 | Shoulder, decompression of subacromial space by acromioplasty, excision of coraco-acromial ligament and distal clavicle, or any combination (H) (Anaes.) (Assist.) | 479.25 |
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 (H) (Anaes.) (Assist.) | 479.25 |
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 (H) (Anaes.) (Assist.) | 639.10 |
48912 | Shoulder, arthrotomy of (Anaes.) (Assist.) | 279.65 |
48915 | Shoulder, hemi-arthroplasty of (H) (Anaes.) (Assist.) | 639.10 |
48918 |
Shoulder, total replacement arthroplasty of, including any associated rotator cuff repair (H) (Anaes.) (Assist.) | 1 278.15 |
48921 |
Shoulder, total replacement arthroplasty, revision of (H) (Anaes.) (Assist.) | 1 318.05 |
48924 | Shoulder, total replacement arthroplasty, revision of, requiring bone graft to scapula or humerus, or both (H) (Anaes.) (Assist.) | 1 517.85 |
48927 | Shoulder prosthesis, removal of (H) (Anaes.) (Assist.) |
311.45 |
48930 | Shoulder, stabilisation procedure for recurrent anterior or posterior dislocation (H) (Anaes.) (Assist.) | 639.10 |
48933 | Shoulder, stabilisation procedure for multi-directional instability, anterior or posterior (or both) repair when performed (H) (Anaes.) (Assist.) | 838.80 |
48936 | Shoulder, synovectomy of, as an independent procedure (H) (Anaes.) (Assist.) | 639.10 |
48939 |
Shoulder, arthrodesis of (H) (Anaes.) (Assist.) | 918.65 |
48942 |
Shoulder, arthrodesis of, including removal of prosthesis, requiring bone grafting or internal fixation (H) (Anaes.) (Assist.) |
1 198.30 |
48945 | Shoulder, diagnostic arthroscopy of (including biopsy) not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.) |
231.60 |
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 (H) (Anaes.) (Assist.) | 519.25 |
48951 | Shoulder, arthroscopic division of coraco-acromial ligament including acromioplasty not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.) | 758.85 |
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 (H) (Anaes.) (Assist.) | 798.85 |
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 (H) (Anaes.) (Assist.) | 918.65 |
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 (H) (Anaes.) (Assist.) | 798.85 |
49100 | Elbow, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture (H) (Anaes.) (Assist.) |
279.65 |
49103 | Elbow, ligamentous stabilisation of (H) (Anaes.) (Assist.) | 599.05 |
49106 | Elbow, arthrodesis of (Anaes.) (Assist.) | 798.85 |
49109 | Elbow, total synovectomy of (H) (Anaes.) (Assist.) | 599.05 |
49112 | Elbow, silastic or other replacement of radial head (H) (Anaes.) (Assist.) | 599.05 |
49115 | Elbow, total joint replacement of (H) (Anaes.) (Assist.) | 958.55 |
49118 | Elbow, diagnostic arthroscopy of, including biopsy (H) (Anaes.) (Assist.) | 231.60 |
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 (H) (Anaes.) (Assist.) | 519.25 |
49200 | Wrist, arthrodesis of, including bone graft, with or without internal fixation of the radiocarpal joint (H) (Anaes.) (Assist.) | 694.90 |
49203 | Wrist, limited arthrodesis of the intercarpal joint, including bone graft (H) (Anaes.) (Assist.) | 519.25 |
49206 |
Wrist, proximal carpectomy of, including styloidectomy when performed (H) (Anaes.) (Assist.) | 479.25 |
49209 | Wrist, total replacement arthroplasty of (H) (Anaes.) (Assist.) | 639.10 |
49212 | Wrist, arthrotomy of (H) (Anaes.) | 199.75 |
49215 | Wrist, reconstruction of, including repair of single or multiple ligaments or capsules, including associated arthrotomy (H) (Anaes.) (Assist.) | 551.25 |
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 (H) (Anaes.) (Assist.) | 231.60 |
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 (H) (Anaes.) (Assist.) |
519.25 |
49224 | Wrist, arthroscopic debridement of: 2 or more distinct areas; or osteoplasty including excision of the distal ulna; or total synovectomy (H) (Anaes.) (Assist.) | 599.05 |
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 (H) (Anaes.) (Assist.) | 599.05 |
49300 | Sacro-iliac joint arthrodesis of (H) (Anaes.) (Assist.) | 442.25 |
49303 | Hip, arthrotomy of, including lavage, drainage or biopsy when performed (H) (Anaes.) (Assist.) | 463.30 |
49306 | Hip-arthrodesis of (H) (Anaes.) (Assist.) | 918.65 |
49309 | Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (Austin Moore or similar (non cement)) (H) (Anaes.) (Assist.) | 639.10 |
49312 | Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (cemented, porous coated or similar) (H) (Anaes.) (Assist.) | 798.85 |
49315 | Hip, arthroplasty of, unipolar or bipolar (H) (Anaes.) (Assist.) | 719.00 |
49318 | Hip, total replacement arthroplasty of, including minor bone grafting (H) (Anaes.) (Assist.) | 1 118.25 |
49319 | Hip, total replacement arthroplasty of, including associated minor grafting, if performed bilateral (H) (Anaes.) (Assist.) | 1 964.50 |
49321 | Hip, total replacement arthroplasty of, including major bone grafting, including obtaining of graft (H) (Anaes.) (Assist.) |
1 358.15 |
49324 | Hip, total replacement arthroplasty of, revision procedure including removal of prosthesis (H) (Anaes.) (Assist.) | 1 597.70 |
49327 | Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to acetabulum, including obtaining of graft (H) (Anaes.) (Assist.) |
1 837.30 |
49330 | Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to femur, including obtaining of graft (H) (Anaes.) (Assist.) | 1 837.30 |
49333 |
Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to both acetabulum and femur, including obtaining of graft (H) (Anaes.) (Assist.) | 2 076.95 |
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 (H) (Anaes.) (Assist.) |
303.50 |
49339 | Hip, revision total replacement of, requiring anatomic specific allograft of proximal femur greater than 5 cm in length (H) (Anaes.) (Assist.) | 2 356.45 |
49342 | Hip, revision total replacement of, requiring anatomic specific allograft of acetabulum (H) (Anaes.) (Assist.) | 2 356.45 |
49345 | Hip, revision total replacement of, requiring anatomic specific allograft of both femur and acetabulum (H) (Anaes.) (Assist.) |
2 795.90 |
49346 | Hip, revision arthroplasty with replacement of acetabular liner or ceramic head, not requiring removal of femoral component or acetabular shell (H) (Anaes.) (Assist.) | 719.00 |
49360 | Hip, diagnostic arthroscopy of (H) (Anaes.) (Assist.) | 291.85 |
49363 | Hip, diagnostic arthroscopy of, with synovial biopsy (H) (Anaes.) (Assist.) | 351.45 |
49366 | Hip, arthroscopic surgery of (Anaes.) (Assist.) | 519.25 |
49500 | Knee, arthrotomy of, involving 1 or more of; capsular release, biopsy or lavage, or removal of loose body or foreign body (H) (Anaes.) (Assist.) | 319.55 |
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 (H) (Anaes.) (Assist.) | 415.40 |
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 (H) (Anaes.) (Assist.) | 623.10 |
49509 | Knee, total synovectomy or arthrodesis of (H) (Anaes.) (Assist.) | 639.10 |
49512 | Knee, arthrodesis of, with removal of prosthesis (H) (Anaes.) (Assist.) | 918.65 |
49515 | Knee, removal of prosthesis, cemented or uncemented, including associated cement, as the first stage of a 2 stage procedure (H) (Anaes.) (Assist.) | 719.00 |
49517 | Knee, hemiarthroplasty of (H) (Anaes.) (Assist.) | 1 023.60 |
49518 |
Knee, total replacement arthroplasty of (H) (Anaes.) (Assist.) |
1 118.25 |
49519 | Knee, total replacement arthroplasty of, including associated minor grafting, if performed bilateral (H) (Anaes.) (Assist.) | 1 964.50 |
49521 | Knee, total replacement arthroplasty of, requiring major bone grafting to femur or tibia, including obtaining of graft (H) (Anaes.) (Assist.) |
1 358.15 |
49524 | Knee, total replacement arthroplasty of, requiring major bone grafting to femur and tibia, including obtaining of graft (H) (Anaes.) (Assist.) | 1 597.70 |
49527 | Knee, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) (Anaes.) (Assist.) | 1 358.15 |
49530 | Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to femur or tibia, including obtaining of graft and including removal of prosthesis (H) (Anaes.) (Assist.) | 1 677.65 |
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 (H) (Anaes.) (Assist.) |
1 917.25 |
49534 | Knee, patello-femoral joint of, total replacement arthroplasty as a primary procedure (H) (Anaes.) (Assist.) | 381.35 |
49536 | Knee, repair or reconstruction of, for chronic instability (open or arthroscopic, or both) involving either cruciate or collateral ligaments, including notchplasty when performed (H) (Anaes.) (Assist.) | 798.85 |
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 (H) (Anaes.) (Assist.) | 798.85 |
49542 | Knee, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including notchplasty, meniscus repair, extracapsular procedure and debridement when performed (H) (Anaes.) (Assist.) | 1 118.25 |
49545 | Knee, revision arthrodesis of (H) (Anaes.) (Assist.) | 639.10 |
49548 |
Knee, revision of patello-femoral stabilisation (H) (Anaes.) (Assist.) | 798.85 |
49551 | Knee, revision of procedures to which item 49536, 49539 or 49542 applies (H) (Anaes.) (Assist.) |
1 118.25 |
49554 | Knee, revision of total replacement of, by anatomic specific allograft of tibia or femur (H) (Anaes.) (Assist.) |
1 597.70 |
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 (H) (Anaes.) (Assist.) | 231.60 |
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 (H) (Anaes.) (Assist.) | 231.60 |
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 (H) (Anaes.) (Assist.) | 346.75 |
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 (H) (Anaes.) (Assist.) | 468.05 |
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 (H) (Anaes.) (Assist.) | 571.95 |
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 (H) (Anaes.) (Assist.) | 624.05 |
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 (H) (Anaes.) (Assist.) | 675.95 |
49564 | Knee, patello-femoral stabilisation of, combined arthroscopic and open procedure, including lateral release, medial capsulorrhaphy and tendon transfer (H) (Anaes.) (Assist.) | 779.75 |
49566 | Knee, arthroscopic total synovectomy of (H) (Anaes.) (Assist.) | 639.10 |
49569 | Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (H) (Anaes.) (Assist.) | 639.10 |
49700 | Ankle, diagnostic arthroscopy of, including biopsy (H) (Anaes.) (Assist.) | 231.60 |
49703 | Ankle, arthroscopic surgery of (H) (Anaes.) (Assist.) | 519.25 |
49706 |
Ankle, arthrotomy of, involving 1 or more of: lavage, removal of loose body or division of contracture (H) (Anaes.) (Assist.) | 279.65 |
49709 | Ankle, ligamentous stabilisation of (H) (Anaes.) (Assist.) | 599.05 |
49712 | Ankle, arthrodesis of (H) (Anaes.) (Assist.) | 639.10 |
49715 | Ankle, total joint replacement of (H) (Anaes.) (Assist.) | 958.55 |
49718 | Ankle, Achilles' tendon or other major tendon, repair of (H) (Anaes.) (Assist.) | 319.55 |
49721 | Ankle, Achilles' tendon rupture managed by non-operative treatment | 199.75 |
49724 | Ankle, Achilles' tendon, secondary repair or reconstruction of (H) (Anaes.) (Assist.) | 559.25 |
49727 | Ankle, Achilles' tendon, operation for lengthening (H) (Anaes.) (Assist.) | 239.55 |
49800 | Foot, flexor or extensor tendon, primary repair of (Anaes.) | 111.85 |
49803 | Foot, flexor or extensor tendon, secondary repair of (Anaes.) | 143.80 |
49806 | Foot, subcutaneous tenotomy of, 1 or more tendons (Anaes.) | 111.85 |
49809 | Foot, open tenotomy of, with or without tenoplasty (H) (Anaes.) | 183.70 |
49812 | Foot, tendon or ligament transplantation of, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 367.40 |
49815 | Foot, triple arthrodesis of (H) (Anaes.) (Assist.) | 639.10 |
49818 | Foot, excision of calcaneal spur (H) (Anaes.) (Assist.) | 231.60 |
49821 | Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) unilateral (H) (Anaes.) (Assist.) | 367.40 |
49824 | Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) bilateral (H) (Anaes.) (Assist.) |
643.10 |
49827 | Foot, correction of hallux valgus by transfer of adductor hallucis tendon unilateral (H) (Anaes.) (Assist.) | 399.35 |
49830 | Foot, correction of hallux valgus by transfer of adductor hallucis tendon bilateral (H) (Anaes.) (Assist.) | 699.00 |
49833 | Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed unilateral (H) (Anaes.) (Assist.) | 439.40 |
49836 | Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed bilateral (H) (Anaes.) (Assist.) | 758.85 |
49837 | Foot, correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallicus tendon, including internal fixation if performed unilateral (H) (Anaes.) (Assist.) | 549.20 |
49838 | Foot, correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallicus tendon, including internal fixation if performed bilateral (H) (Anaes.) (Assist.) | 948.45 |
49839 | Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty unilateral (H) (Anaes.) (Assist.) | 439.40 |
49842 | Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty bilateral (H) (Anaes.) (Assist.) | 758.85 |
49845 | Foot, arthrodesis of, first metatarso-phalangeal joint (H) (Anaes.) (Assist.) | 399.35 |
49848 | Foot, correction of claw or hammer toe (Anaes.) | 135.85 |
49851 | Foot, correction of claw or hammer toe with internal fixation (H) (Anaes.) | 175.70 |
49854 | Foot, radical plantar fasciotomy or fasciectomy of (H) (Anaes.) (Assist.) | 319.55 |
49857 | Foot, metatarso-phalangeal joint replacement (H) (Anaes.) (Assist.) | 295.55 |
49860 | Foot, synovectomy of metatarso-phalangeal joint, single joint (H) (Anaes.) (Assist.) | 239.55 |
49863 | Foot, synovectomy of metatarso-phalangeal joint, 2 or more joints (H) (Anaes.) (Assist.) |
359.55 |
49866 | Foot, neurectomy for plantar or digital neuritis (Morton's or Bett's syndrome) (H) (Anaes.) (Assist.) | 255.50 |
49878 | Talipes equinovarus, calcaneo valgus or metatarsus varus, treatment by cast, splint or manipulation each attendance (Anaes.) |
47.95 |
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.) | 231.60 |
50102 | Joint, arthroscopic surgery of, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 519.25 |
50103 | Joint, arthrotomy of, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 279.65 |
50104 | Joint, synovectomy of, not being a service to which another item in this group applies (Anaes.) (Assist.) | 265.00 |
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 (H) (Anaes.) (Assist.) | 399.35 |
50109 | Joint, arthrodesis of, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 399.35 |
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 (H) (Anaes.) (Assist.) | 306.35 |
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.) | 119.85 |
50118 | Subtalar joint, arthrodesis of (H) (Anaes.) (Assist.) | 367.40 |
50121 | Greater trochanter, transplantation of ileopsoas tendon to (H) (Anaes.) (Assist.) |
719.00 |
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.) | 25.10 |
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.) | 25.10 |
50127 | Joint or joints, arthroplasty of, by any technique not being a service to which another item applies (H) (Anaes.) (Assist.) | 596.10 |
50130 | Joint or joints, application of external fixator to, other than for treatment of fractures (H) (Anaes.) (Assist.) | 265.00 |
50200 | Aggressive or potentially malignant bone or deep soft tissue tumour, biopsy of (not including after-care) (Anaes.) | 159.75 |
50201 | Aggressive or potentially malignant bone or deep soft tissue tumour involving neurovascular structures, open biopsy of (not including after-care) (Anaes.) (Assist.) | 279.55 |
50203 | Bone or malignant deep soft tissue tumour, lesional or marginal excision of (Anaes.) (Assist.) |
351.50 |
50206 | Bone tumour, lesional or marginal excision of, combined with any 1 of the following: (a) liquid nitrogen freezing; | 519.25 |
50209 | Bone tumour, lesional or marginal excision of, combined with any 2 or more of the following: (a) liquid nitrogen freezing; | 639.10 |
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 (H) (Anaes.) (Assist.) | 1 397.95 |
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) (H) (Anaes.) (Assist.) | 1 757.45 |
50218 | Malignant tumour of long bone, enbloc resection of, with replacement or arthrodesis of adjacent joint (H) (Anaes.) (Assist.) |
2 316.65 |
50221 | Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of (H) (Anaes.) (Assist.) | 2 156.75 |
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.) | 2 396.45 |
50227 |
Malignant bone tumour, enbloc resection of, with massive anatomic specific allograft or autograft, with or without prosthetic replacement (H) (Anaes.) (Assist.) | 2 795.90 |
50230 | Benign tumour, resection of, requiring anatomic specific allograft, with or without internal fixation (H) (Anaes.) (Assist.) | 1 437.85 |
50233 | Malignant tumour, amputation for, hemipelvectomy or interscapulo-thoracic (H) (Anaes.) (Assist.) | 1 837.30 |
50236 |
Malignant tumour, amputation for, hip disarticulation, shoulder disarticulation or proximal third femur (H) (Anaes.) (Assist.) |
1 437.85 |
50239 | Malignant tumour, amputation for, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) | 958.55 |
50300 | Joint deformity, slow correction of, using ring fixator or similar device, including all associated attendances payable only once in any 12 month period (H) (Anaes.) (Assist.) | 982.25 |
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.) | 1 341.10 |
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.) | 2 093.95 |
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.) |
258.75 |
50312 | Ankle, synovectomy of (H) (Anaes.) (Assist.) |
594.05 |
50315 | Talipes equinovarus, posterior release of (H) (Anaes.) (Assist.) | 588.20 |
50318 | Talipes equinovarus, medial release of (H) (Anaes.) (Assist.) | 588.20 |
50321 |
Talipes equinovarus, combined postero-medial release of (H) (Anaes.) (Assist.) | 788.15 |
50324 | Talipes equinovarus, combined postero-medial release of, revision procedure (H) (Anaes.) (Assist.) | 1 123.50 |
50327 | Talipes equinovarus, bilateral procedures (H) (Anaes.) (Assist.) |
1 370.45 |
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.) |
194.05 |
50333 | Tarsal coalition, excision of, with interposition of muscle, fat graft or similar graft (H) (Anaes.) (Assist.) | 523.45 |
50336 | Talus, vertical, congenital, combined anterior and posterior reconstruction (H) (Anaes.) (Assist.) | 782.35 |
50339 | Foot and ankle, tibialis anterior tendon (split or whole) transfer to lateral column (H) (Anaes.) (Assist.) | 476.50 |
50342 | Foot and ankle, tibialis or tibialis posterior tendon transfer, through the interosseous membrane to anterior or posterior aspect of foot (H) (Anaes.) (Assist.) | 552.85 |
50345 | Hyperextension deformity of toe, release incorporating V-Y plasty of skin, lengthening of extensor tendons and release of capsule contracture (H) (Anaes.) (Assist.) |
294.15 |
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.) | 194.05 |
50349 | Hip, congenital dislocation of, treatment of, by closed reduction (Anaes.) (Assist.) | 135.85 |
50350 | Hip, congenital dislocation of, open reduction of (H) (Anaes.) (Assist.) | 719.00 |
50351 | Hip, developmental dislocation of, open reduction of (H) (Anaes.) (Assist.) | 847.00 |
50352 | Hip, congenital dislocation of, treatment of, involving supervision of splint, harness or cast each attendance (Anaes.) | 47.95 |
50353 | Hip spica, initial application of, for congenital dislocation of hip (excluding after-care) (H) (Anaes.) (Assist.) | 301.05 |
50354 | Tibia, pseudarthrosis of, congenital, resection and internal fixation (Anaes.) (Assist.) | 1 111.65 |
50357 | Knee, leg or thigh, rectus femoris tendon transfer or medial or lateral hamstring tendon transfer (H) (Anaes.) (Assist.) | 476.50 |
50360 | Knee, leg or thigh, combined medial and lateral hamstring tendon transfer (H) (Anaes.) (Assist.) | 552.85 |
50363 | Knee, contracture of, posterior release involving multiple tendon lengthening or tenotomies, unilateral (H) (Anaes.) (Assist.) | 423.50 |
50366 | Knee, contracture of, posterior release involving multiple tendon lengthening or tenotomies, bilateral (H) (Anaes.) (Assist.) | 741.15 |
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 (H) (Anaes.) (Assist.) | 552.85 |
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 (H) (Anaes.) (Assist.) | 970.50 |
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 (H) (Anaes.) (Assist.) | 423.50 |
50378 | Hip, contracture of, medial release, involving lengthening of, or division of the adductors and psoas with or without division of the obturator nerve, bilateral (H) (Anaes.) (Assist.) | 741.15 |
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 (H) (Anaes.) (Assist.) | 552.85 |
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 (H) (Anaes.) (Assist.) | 970.50 |
50387 | Hip, iliopsoas tendon transfer to greater trochanter, or transfer of abdominal musculature to greater trochanter, or transfer or adductors to ischium (H) (Anaes.) (Assist.) | 552.85 |
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.) | 194.05 |
50393 | Pelvis, bone graft or shelf procedures for acetabular dysplasia (H) (Anaes.) (Assist.) | 717.55 |
50394 |
Acetabular dysplasia, treatment of, by multiple peri-acetabular osteotomy, including internal fixation where performed (H) (Anaes.) (Assist.) | 2 356.45 |
50396 | Hand, congenital abnormalities or duplication of digits, amputation or splitting of phalanx or phalanges, with ligament or joint reconstruction (H) (Anaes.) (Assist.) | 394.15 |
50399 | Forearm, radial aplasia or dysplasia (radial club hand), centralisation or radialisation of (H) (Anaes.) (Assist.) | 782.35 |
50402 | Torticollis, bipolar release of sternocleidomastoid muscle and associated soft tissue (H) (Anaes.) (Assist.) | 358.80 |
50405 | Elbow, flexorplasty, or tendon transfer to restore elbow function (H) (Anaes.) (Assist.) | 488.20 |
50408 |
Shoulder, congenital or developmental dislocation, open reduction of (H) (Anaes.) (Assist.) | 847.00 |
50411 | Lower limb deficiency, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee fusion (Anaes.) (Assist.) | 1 111.65 |
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.) | 1 499.85 |
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.) | 1 111.65 |
50420 | Patella, congenital dislocation of, reconstruction of the quadriceps (H) (Anaes.) (Assist.) | 917.55 |
50423 | Tibia, fibula or both, congenital deficiency of, transfer of the fibula to tibia, with internal fixation (Anaes.) (Assist.) | 847.00 |
50426 | Diaphyseal aclasia, removal of lesion or lesions from bone 1 approach (H) (Anaes.) (Assist.) | 394.15 |
50950 | Nonresectable hepatocellular carcinoma, destruction of, by percutaneous radiofrequency ablation, including any associated imaging services, not being a service associated with a service to which item 30419 or 50952 applies (Anaes.) | 693.35 |
50952 | Nonresectable hepatocellular carcinoma, destruction of, by open or laparoscopic radiofrequency ablation, where a multi-disciplinary team has assessed that percutaneous radiofrequency ablation cannot be performed or is not practical because of one or more of the following clinical circumstances: (a) percutaneous access cannot be achieved; | 693.35 |
(b) vital organs
or tissues are at risk of damage from the percutaneous radiofrequency
ablation procedure; including any associated imaging services, not being a service associated with a service to which item 30419 or 50950 applies (Anaes.) | ||
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 | 73.25 |
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 32 |
51306 | Assistance at a delivery involving Caesarean section | 105.85 |
51309 |
Assistance at a series or combination of operations that include `(Assist.)' and assistance at a delivery involving Caesarean section |
Amount under rule 33 |
51312 | Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615, 16627 and 16633 | Amount under rule 37 |
51315 | Assistance at cataract and intraocular lens surgery covered by item 42698, 42701, 42702, 42704 or 42707, when performed in association with services covered by item 42551 to 42569, 42653, 42656, 42746, 42749, 42752, 42776 or 42779 | 231.10 |
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 | 152.55 |
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 | 72.60 |
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 | 36.40 |
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 | 73.25 |
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 32 |
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.) |
276.60 |
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.) | 62.70 |
51904 |
Lipectomy wedge excision of skin or fat 1 excision (Anaes.) (Assist.) | 385.95 |
51906 |
Lipectomy wedge excision of skin or fat 2 or more excisions (Anaes.) (Assist.) | 587.00 |
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.) | 70.00 |
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.) | 99.70 |
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.) | 99.70 |
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.) | 157.55 |
52010 | Full thickness laceration of ear, eyelid, nose or lip, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.) | 215.50 |
52012 | Superficial foreign body, removal of, as an independent procedure (Anaes.) | 19.90 |
52015 | Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (Anaes.) | 93.25 |
52018 | Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (Anaes.) (Assist.) | 234.80 |
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.) | 25.00 |
52024 | Biopsy of skin or mucous membrane, as an independent procedure (Anaes.) |
44.30 |
52025 | Lymph node of neck, biopsy of (Anaes.) | 156.05 |
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.) | 127.05 |
52030 | Sinus, excision of, involving superficial tissue only (Anaes.) | 76.30 |
52033 | Sinus, excision of, involving muscle and deep tissue (Anaes.) | 156.05 |
52034 | Premalignant lesions of the oral mucous, treatment by cryotherapy, diathermy or carbon dioxide laser | 36.40 |
52035 |
Endoscopic laser therapy for neoplasia and benign vascular lesions of the oral cavity (Anaes.) | 403.95 |
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.) | 107.70 |
52039 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions (Anaes.) (Assist.) | 276.60 |
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.) | 146.35 |
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.) | 209.10 |
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.) | 315.25 |
52051 | Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (Anaes.) (Assist.) | 426.20 |
52054 | Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (Anaes.) (Assist.) |
498.60 |
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) |
23.20 |
52056 | Haematoma in the oral and maxillofacial region, aspiration of (Anaes.) | 23.20 |
52057 | Large haematoma, large abscess, carbuncle, cellulitis or similar lesion in the oral and maxillofacial region, incision with drainage of (excluding after-care) (H) (Anaes.) | 138.30 |
52058 | Percutaneous drainage of deep abscess in the oral and maxillofacial region, using interventional imaging techniques but not including imaging (Anaes.) |
201.60 |
52059 | Abscess in the oral and maxillofacial region drainage tube, exchange of using interventional imaging techniques but not including imaging (Anaes.) | 227.10 |
52060 | Muscle in the oral and maxillofacial region, excision of (Anaes.) | 160.70 |
52061 |
Muscle, in the oral and maxillofacial region, ruptured, repair of (limited), not associated with external wound (Anaes.) | 189.75 |
52062 | Muscle, in the oral and maxillofacial region, ruptured, repair of (extensive), not associated with external wound (Anaes.) (Assist.) | 250.90 |
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.) | 302.35 |
52064 | Bone cyst in the oral and maxillofacial region, injection into or aspiration of (Anaes.) | 143.80 |
52066 | Submandibular gland, extirpation of (Anaes.) (Assist.) | 377.95 |
52069 | Sublingual gland, extirpation of (Anaes.) | 168.50 |
52072 | Salivary gland, dilatation or diathermy of duct (Anaes.) | 49.90 |
52073 | Salivary gland, repair of cutaneous fistula of (Anaes.) | 127.05 |
52075 | Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (Anaes.) | 127.05 |
52078 | Tongue, partial excision of (Anaes.) (Assist.) | 250.90 |
52081 | Tongue tie, division or excision of frenulum (Anaes.) | 39.45 |
52084 | Tongue tie, mandibular frenulum or maxillary frenulum, division or excision of frenulum, in a person aged not less than 2 years (Anaes.) | 101.35 |
52087 | Ranula or mucous cyst of mouth, removal of (Anaes.) | 173.70 |
52090 | Operation on mandible or maxilla (other than alveolar margins) for chronic osteomyelitis 1 bone or in combination with adjoining bones (Anaes.) (Assist.) | 302.35 |
52092 | Operation on skull for osteomyelitis (Anaes.) (Assist.) | 394.10 |
52094 |
Operation on any combination of adjoining bones in the oral and maxillofacial region, being bones referred to in item 52092 (Anaes.) (Assist.) | 498.55 |
52095 | Bone growth stimulator in the oral and maxillofacial region, insertion of (Anaes.) (Assist.) | 323.10 |
52096 | Orthopaedic pin or wire, insertion of, into maxilla or mandible or zygoma, as an independent procedure (Anaes.) | 95.80 |
52097 |
External fixation in the oral and maxillofacial region, removal of, in the operating theatre of a hospital or approved day hospital facility (Anaes.) | 135.85 |
52098 | External fixation in the oral and maxillofacial region, removal of, in conjunction with operations involving internal fixation or bone grafting or both (Anaes.) | 159.75 |
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.) | 119.85 |
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.) | 119.85 |
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.) | 223.70 |
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.) | 92.40 |
52108 | Lip, full thickness wedge excision of, with repair by direct sutures (Anaes.) (Assist.) | 276.60 |
52111 |
Vermilionectomy (Anaes.) (Assist.) | 276.60 |
52114 | Mandible or maxilla, segmental resection of, for tumours or cysts (Anaes.) (Assist.) | 498.60 |
52117 | Mandible, including lower border, or maxilla, sub-total resection of (Anaes.) (Assist.) | 593.50 |
52120 |
Mandible, hemimandiblectomy of, including condylectomy where performed (Anaes.) (Assist.) | 699.60 |
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.) | 701.90 |
52123 | Mandible, total resection of both sides, including condylectomies where performed (Anaes.) (Assist.) | 794.70 |
52126 |
Maxilla, total resection of (Anaes.) (Assist.) | 764.00 |
52129 |
Maxilla, total resection of both maxillae (Anaes.) (Assist.) |
1 022.75 |
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.) | 375.40 |
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.) |
519.25 |
52132 | Tracheostomy (Anaes.) | 202.65 |
52133 |
Cricothyrostomy by direct stab or Seldinger technique, using Minitrach or similar device (Anaes.) | 77.25 |
52135 | Post-operative or post-nasal haemorrhage, or both, control of, where undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes.) | 122.50 |
52138 | Maxillary artery, ligation of (Anaes.) (Assist.) | 377.95 |
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.) | 376.45 |
52144 | Foreign body, deep, removal of using interventional imaging techniques (Anaes.) (Assist.) | 350.90 |
52147 | Duct of major salivary gland, transposition of (Anaes.) (Assist.) | 331.10 |
52148 | Parotid duct, repair of, using micro-surgical techniques (Anaes.) (Assist.) | 585.30 |
52158 | Submandibular ducts, relocation of, for surgical control of drooling (Anaes.) (Assist.) | 942.40 |
52180 | Aggressive or potentially malignant bone or deep soft tissue tumour in the oral and maxillofacial region, biopsy of (not including after-care) (Anaes.) |
159.75 |
52182 | Bone or malignant deep soft tissue tumour in the oral and maxillofacial region, lesional or marginal excision of (Anaes.) (Assist.) | 351.50 |
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.) | 519.25 |
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.) | 639.10 |
Group O4 Plastic and reconstructive | ||
52300 | Single-stage local flap, where indicated, repair to 1 defect, with skin or mucosa (Anaes.) (Assist.) |
241.25 |
52303 | Single-stage local flap, where indicated, repair to 1 defect, with buccal pad of fat (Anaes.) (Assist.) | 344.50 |
52306 | Single-stage local flap, where indicated, repair to 1 defect, using temporalis muscle (Anaes.) (Assist.) | 511.20 |
52309 | Free grafting (mucosa or split skin) of a granulating area (Anaes.) | 173.70 |
52312 | Free grafting (mucosa, split skin or connective tissue) to 1 defect, including elective dissection (Anaes.) (Assist.) | 241.25 |
52315 | Free grafting, full thickness, to 1 defect (mucosa or skin) (Anaes.) (Assist.) | 402.00 |
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.) | 119.85 |
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.) | 199.45 |
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.) | 402.00 |
52324 | Direct flap repair, using tongue, first stage (Anaes.) (Assist.) | 402.00 |
52327 | Direct flap repair, using tongue, second stage (Anaes.) | 199.45 |
52330 | Palatal defect (oro-nasal fistula), plastic closure of, including services to which item 52300, 52303, 52306 or 52324 applies (Anaes.) (Assist.) | 663.50 |
52333 | Cleft palate, primary repair (Anaes.) (Assist.) | 663.50 |
52336 | Cleft palate, secondary repair, closure of fistula using local flaps (Anaes.) (Assist.) | 414.70 |
52337 | Alveolar cleft (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation (Anaes.) (Assist.) | 907.10 |
52339 | Cleft palate, secondary repair, lengthening procedure (Anaes.) (Assist.) | 472.30 |
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.) | 820.30 |
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.) | 925.15 |
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.) | 1 045.40 |
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.) | 1 174.00 |
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.) | 1 190.20 |
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.) | 1 339.95 |
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.) | 1 366.95 |
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.) | 1 537.80 |
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.) | 1 503.80 |
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.) | 1 690.80 |
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.) | 1 640.60 |
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.) |
1 837.65 |
52378 | Genioplasty including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) | 635.25 |
52379 | Face, contour reconstruction of 1 region, using autogenous bone or cartilage graft (Anaes.) (Assist.) |
1 084.65 |
52380 | Midfacial osteotomies Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) | 1 848.60 |
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.) | 2 215.95 |
52420 |
Mandible, fixation by intermaxillary wiring, excluding wiring for obesity | 204.60 |
52424 | Dermis, dermofat or fascia graft (excluding transfer of fat by injection) in the oral and maxillofacial region (Anaes.) (Assist.) | 401.90 |
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.) | 925.15 |
52440 | Cleft lip, unilateral primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.) | 459.35 |
52442 | Cleft lip, unilateral primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.) | 574.30 |
52444 | Cleft lip, bilateral primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.) | 638.00 |
52446 | Cleft lip, bilateral primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.) | 753.00 |
52450 | Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (Anaes.) |
255.20 |
52452 | Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.) | 414.70 |
52456 | Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.) | 701.90 |
52458 | Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (Anaes.) |
255.20 |
52460 | Velo-pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (Anaes.) | 663.50 |
52480 | Composite graft (chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid (Anaes.) (Assist.) | 426.20 |
52482 | Macrocheilia or macroglossia, operation for (Anaes.) (Assist.) | 410.05 |
52484 | Macrostomia, operation for (Anaes.) (Assist.) | 488.15 |
Group O5 Preprosthetic | ||
52600 | Mandibular or palatal exostosis, excision of (Anaes.) (Assist.) | 287.05 |
52603 | Mylohyoid ridge, reduction of (Anaes.) (Assist.) | 274.40 |
52606 | Maxillary tuberosity, reduction of (Anaes.) | 209.30 |
52609 | Papillary hyperplasia of the palate, removal of less than 5 lesions (Anaes.) (Assist.) | 274.40 |
52612 | Papillary hyperplasia of the palate, removal of 5 to 20 lesions (Anaes.) (Assist.) | 344.50 |
52615 | Papillary hyperplasia of the palate, removal of more than 20 lesions (Anaes.) (Assist.) | 427.55 |
52618 | Vestibuloplasty, submucosal or open, including excision of muscle and skin or mucosal graft when performed unilateral or bilateral (Anaes.) (Assist.) |
497.60 |
52621 | Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed unilateral (Anaes.) (Assist.) | 497.60 |
52624 | Alveolar ridge augmentation with bone or alloplast or both unilateral (Anaes.) (Assist.) | 401.90 |
52626 |
Alveolar ridge augmentation unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (Anaes.) (Assist.) | 246.45 |
52627 | Osseo-integration procedure extra oral implantation of titanium fixture (Anaes.) (Assist.) | 427.55 |
52630 | Osseo-integration procedure fixation of transcutaneous abutment (Anaes.) |
158.25 |
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.) | 427.55 |
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.) | 158.25 |
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.) | 234.80 |
52803 |
Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques (Anaes.) (Assist.) | 338.15 |
52806 |
Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (Anaes.) (Assist.) | 234.80 |
52809 | Neurectomy, neurotomy or removal of tumour from deep peripheral nerve (Anaes.) (Assist.) |
402.00 |
52812 | Nerve trunk, primary repair of, using microsurgical techniques (Anaes.) (Assist.) | 574.30 |
52815 | Nerve trunk, secondary repair of, using microsurgical techniques (Anaes.) (Assist.) | 606.10 |
52818 | Nerve, transposition of (Anaes.) (Assist.) | 402.00 |
52821 | Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques (Anaes.) (Assist.) | 874.10 |
52824 | Peripheral branches of the trigeminal nerve, cryosurgery of, for pain relief (Anaes.) (Assist.) | 376.45 |
52826 | Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (Anaes.) | 201.60 |
52828 |
Cutaneous nerve, primary repair of, using microsurgical techniques (Anaes.) (Assist.) | 299.85 |
52830 | Cutaneous nerve, secondary repair of, using microsurgical techniques (Anaes.) (Assist.) | 395.50 |
52832 | Cutaneous nerve, nerve graft to, using microsurgical techniques (Anaes.) (Assist.) | 542.35 |
Group O7 Ear, nose and throat | ||
53000 | Maxillary antrum, proof puncture and lavage of (Anaes.) | 27.55 |
53003 | Maxillary antrum, proof puncture and lavage of, under general anaesthesia, not being a service associated with a service to which another item in Groups O3 to O9 applies (H) (Anaes.) | 78.05 |
53004 | Maxillary antrum, lavage of each attendance at which the procedure is performed, including any associated consultation (Anaes.) | 28.50 |
53006 | Antrostomy (radical) (Anaes.) (Assist.) | 442.25 |
53009 | Antrum, intranasal operation on or removal of foreign body from (Anaes.) (Assist.) |
250.90 |
53012 | Antrum, drainage of, through tooth socket (Anaes.) |
99.70 |
53015 | Oro-antral fistula, plastic closure of (Anaes.) (Assist.) | 498.60 |
53016 | Nasal septum, septoplasty, submucous resection or closure of septal perforation (Anaes.) (Assist.) | 410.05 |
53017 | Nasal septum, reconstruction of (Anaes.) (Assist.) | 511.55 |
53019 | Maxillary sinus, bone graft to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral (Anaes.) (Assist.) | 492.85 |
53052 | Post-nasal space, direct examination of, with or without biopsy (Anaes.) | 104.20 |
53054 | Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx 1 or more of these procedures (Anaes.) |
104.15 |
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.) | 61.05 |
53058 | Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after-care) (Anaes.) | 104.15 |
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.) | 85.25 |
53062 | Post-surgical nasal haemorrhage, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes.) | 76.30 |
53064 | Cryotherapy to nose in the treatment of nasal haemorrhage (Anaes.) | 138.30 |
53068 |
Turbinectomy or turbinectomies, partial or total, unilateral (Anaes.) | 114.45 |
53070 | Turbinates, submucous resection of, unilateral (Anaes.) | 151.05 |
Group O8 Temporomandibular joint | ||
53200 | Mandible, treatment of a dislocation of, not requiring open reduction (Anaes.) | 60.00 |
53203 | Mandible, treatment of a dislocation of, requiring open reduction (Anaes.) | 100.80 |
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.) | 121.25 |
53209 | Glenoid fossa, zygomatic arch and temporal bone, reconstruction of (Obwegeser technique) (Anaes.) (Assist.) | 1 399.25 |
53212 | Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (Anaes.) (Assist.) | 755.90 |
53215 | Temporomandibular joint, arthroscopy of, with or without biopsy, not being a service associated with any other arthroscopic procedure of that joint (Anaes.) (Assist.) | 346.75 |
53218 |
Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions 1 or more of such procedures (Anaes.) (Assist.) | 554.70 |
53220 |
Temporomandibular joint, arthrotomy of, not being a service to which another item in this group applies (Anaes.) (Assist.) | 279.65 |
53221 | Temporomandibular joint, open surgical exploration of, with or without microsurgical techniques (Anaes.) (Assist.) | 740.15 |
53224 |
Temporomandibular joint, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (Anaes.) (Assist.) | 820.50 |
53225 | Arthrocentesis, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.) | 246.45 |
53226 |
Temporomandibular joint, synovectomy of, not being a service to which another item in this group applies (Anaes.) (Assist.) | 265.00 |
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.) | 1 008.20 |
53230 | Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (Anaes.) (Assist.) |
1 135.70 |
53233 | Temporomandibular joint, surgery of, involving procedures to which item 53224, 53226, 53227 or 53230 applies and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (Anaes.) (Assist.) | 1 276.15 |
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.) | 399.35 |
53239 | Temporomandibular joint, arthrodesis of, not being a service to which another item in this group applies (Anaes.) (Assist.) | 399.35 |
53242 |
Temporomandibular joint or joints, application of external fixator to, other than for treatment of fractures (Anaes.) (Assist.) | 265.00 |
Group O9 Treatment of fractures | ||
53400 | Maxilla, unilateral or bilateral, treatment of fracture of, not requiring splinting | 109.60 |
53403 | Mandible, treatment of fracture of, not requiring splinting | 133.90 |
53406 | Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.) | 345.05 |
53409 | Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.) |
345.05 |
53410 | Zygomatic bone, treatment of fracture of, not requiring surgical reduction | 72.70 |
53411 | Zygomatic bone, treatment of fracture of, requiring surgical reduction, by temporal, intra-oral or other approach (Anaes.) | 202.65 |
53412 | Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (Anaes.) (Assist.) |
332.70 |
53413 | Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (Anaes.) (Assist.) | 406.55 |
53414 | Zygomatic bone, treatment of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (Anaes.) (Assist.) | 468.20 |
53415 | Maxilla, treatment of fracture of, requiring open reduction (Anaes.) (Assist.) | 369.70 |
53416 | Mandible, treatment of fracture of, requiring open reduction (Anaes.) (Assist.) | 369.70 |
53418 |
Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.) | 480.55 |
53419 | Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.) |
480.55 |
53422 | Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.) | 609.85 |
53423 | Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.) | 609.85 |
53424 | Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes.) (Assist.) | 523.25 |
53425 | Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes.) (Assist.) | 523.25 |
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.) | 714.65 |
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.) |
714.65 |
53439 | Mandible, treatment of a closed fracture of, involving a joint surface (Anaes.) | 202.65 |
53453 | Orbital cavity, reconstruction of a wall or floor with or without foreign implant (Anaes.) (Assist.) | 410.05 |
53455 | Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (Anaes.) (Assist.) | 481.65 |
53458 | Nasal bones, treatment of fracture of, not being a service to which item 53459 or 53460 applies | 36.45 |
53459 | Nasal bones, treatment of fracture of, by reduction (Anaes.) | 199.75 |
53460 |
Nasal bones, treatment of fractures of, by open reduction involving osteotomies (Anaes.) (Assist.) | 407.55 |
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 | 33.05 |
Group O11 Regional or field nerve blocks | ||
53700 | Trigeminal nerve, primary division of, injection of an anaesthetic agent | 105.95 |
53702 | Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent | 53.05 |
53704 | Facial nerve, injection of an anaesthetic agent | 31.90 |
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 | 105.95 |
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) | 72.60 |
75004 |
Professional attendance by an accredited orthodontist subsequent to the first professional attendance by the orthodontist in a single course of treatment (AO) | 36.40 |
75006 | Production of dental study models (not being a service associated with a service to which item 75004 applies) prior to provision of a service to which: (a) item
75030, 75033, 75034, 75036, 75037, 75039, 75045 or 75051 applies; or in a single course of treatment (AO) | 64.70 |
75009 | Orthodontic radiography orthopantomography (panoramic radiography), including any consultation on the same occasion (AOS) (AO) | 57.85 |
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) | 91.65 |
75015 | Orthodontic radiography anteroposterior and lateral cephalometric radiography, with cephalometric tracings including any consultation on the same occasion (AOS) (AO) | 126.05 |
75018 | Orthodontic radiography anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography including any consultation on the same occasion (AOS) (AO) | 160.55 |
75021 |
Orthodontic radiography hand-wrist studies (including growth prediction) including any consultation on the same occasion (AOS) (AO) | 196.90 |
75023 | Intraoral radiography single area, periapical or bitewing film (AOS) (AO) | 39.40 |
75024 |
Pre-surgical infant maxillary arch repositioning, including supply of appliances and all adjustments of appliances and supervision where 1 appliance is used (AO) | 509.20 |
75027 | Pre-surgical infant maxillary arch repositioning, including supply of appliances and all adjustments of appliances and supervision where 2 appliances are used (AO) | 698.20 |
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) | 621.75 |
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) |
1 018.95 |
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) | 518.65 |
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) | 1 407.45 |
75037 | Mixed dentition treatment lateral arch expansion and incisor correction 2 arch (maxillary and mandibular) using fixed appliances in both maxillary and mandibular arches, including supply of appliances, all adjustments of appliances, removal of appliances and retention (AO) | 1 772.65 |
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) |
471.10 |
75042 | Permanent dentition treatment single arch (mandibular or maxillary) treatment (correction and alignment) using fixed appliances, including supply of appliances each 3 months of active treatment (including all adjustments and maintenance and removal of the appliances) after the first for a maximum of a further 33 months (AO) | 176.15 |
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) | 943.15 |
75048 | Permanent dentition treatment 2 arch (mandibular and maxillary) treatment (correction and alignment) using fixed appliances, including supply of appliances each subsequent 3 months of active treatment (including all adjustments and maintenance, and removal of the appliances) after the first for a maximum of a further 33 months (AO) | 241.85 |
75049 | Retention, fixed or removable, single arch (mandibular or maxillary) supply of retainer and supervision of retention (AO) | 283.05 |
75050 | Retention, fixed or removable, 2-arch (mandibular and maxillary) supply of retainers and supervision of retention (AO) | 546.45 |
75051 | Jaw growth guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances (AO) | 838.90 |
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) | 72.60 |
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) | 36.40 |
75156 | Production of dental study models (not being a service associated with a service to which item 75153 applies) prior to provision of a service: (a) to which item 52321, 53212 or 75618
applies; or in a single course of treatment, where the patient is referred by an accredited orthodontist (AOS) |
64.70 |
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) | 46.60 |
75203 | Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by an accredited orthodontist (AD) | 69.95 |
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) | 23.20 |
75400 | Surgical removal of erupted tooth, where the patient is referred by an accredited orthodontist (AOS) | 139.85 |
75403 | Surgical removal of tooth with soft tissue impaction, where the patient is referred by an accredited orthodontist (AOS) | 160.55 |
75406 | Surgical removal of tooth with partial bone impaction, where the patient is referred by an accredited orthodontist (AOS) | 183.00 |
75409 | Surgical removal of tooth with complete bone impaction, where the patient is referred by an accredited orthodontist (AOS) | 207.25 |
75412 | Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by an accredited orthodontist (AOS) | 115.75 |
75415 | Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by an accredited orthodontist (AOS) |
139.85 |
75600 | Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by an accredited orthodontist (AOS) | 196.90 |
75603 | Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by an accredited orthodontist (AOS) | 231.40 |
75606 |
Surgical repositioning of unerupted tooth, where the patient is referred by an accredited orthodontist (AOS) | 231.40 |
75609 |
Transplantation of tooth bud, where the patient is referred by an accredited orthodontist (AOS) | 345.45 |
75612 | Surgical procedure for intra oral implantation of osseointegrated fixture (first stage), where the patient is referred by an accredited orthodontist (AOS) |
427.55 |
75615 | Surgical procedure for fixation of trans-mucosal abutment (second stage of osseointegrated implant), where the patient is referred by an accredited orthodontist (AOS) | 158.25 |
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) | 196.55 |
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 where the patient is referred by an accredited orthodontist (AOS) | 196.55 |
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) | 69.95 |
75803 | Provision and fitting of acrylic base partial denture, including retainers 1 tooth (AD) | 279.80 |
75806 |
Provision and fitting of acrylic base partial denture, including retainers 2 teeth (AD) | 328.15 |
75809 | Provision and fitting of acrylic base partial denture, including retainers 3 teeth (AD) | 388.60 |
75812 | Provision and fitting of acrylic base partial denture, including retainers 4 teeth (AD) | 431.75 |
75815 | Provision and fitting of acrylic base partial denture, including retainers 5 to 9 teeth (AD) | 526.80 |
75818 | Provision and fitting of acrylic base partial denture, including retainers 10 to 12 teeth (AD) | 621.75 |
75821 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 1 tooth (AD) | 500.75 |
75824 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 2 teeth (AD) | 578.55 |
75827 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 3 teeth (AD) | 664.95 |
75830 |
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 4 teeth (AD) | 734.05 |
75833 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 5 to 9 teeth (AD) | 898.00 |
75836 |
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers 10 to 12 teeth (AD) | 1 027.55 |
75839 | Provision and fitting of retainers (not being treatment associated with treatment to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies) each retainer (AD) | 23.20 |
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) | 34.55 |
75845 | Relining of partial denture by laboratory process and associated fitting (AD) | 172.80 |
75848 | Remodelling and fitting of partial denture of more than 4 teeth (AD) | 207.25 |
75851 |
Repair to cast metal base of partial denture 1 or more points (AD) | 103.65 |
75854 | Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD) | 103.65 |
Part 4 Non-medicare services
1. Endoluminal gastroplication, for the treatment of
gastro-oesophageal reflux disease
2. Endovenous laser treatment, for varicose veins
3. Gamma knife surgery
4. Intradiscal electro thermal arthroplasty
5. Intravascular ultrasound (except where used in conjunction with
intravascular brachytherapy)
6. Intro-articular viscosupplementation, for the treatment of osteoarthritis
of the knee
7. Low intensity ultrasound treatment, for the acceleration of bone fracture
healing, using a bone growth stimulator
8. Lung volume reduction surgery, for advanced emphysema
9. Photodynamic therapy, for skin and mucosal cancer
10. Placement of artificial bowel sphincters, in the management of faecal
incontinence
11. Sacral nerve stimulation, for urinary incontinence
12. Selective internal radiation therapy, for hepatic metastases
13. Specific mass measurement of bone alkaline phosphatase
14. Transmyocardial laser revascularisation
15. Vertebral axial decompression therapy, for chronic back pain