Commonwealth Numbered Regulations Commonwealth Numbered Regulations1 Prescription of table
For section 4 of the Act, these Regulations prescribe a table of general medical services that sets out:
(a) in Part 2 -- rules for interpretation of the table; and
(b) in Part 3:
(i) items of general medical services; and
(ii) the amount of fees applicable for each item; and
(c) in Part 4 -- additional supporting information.
Part 2 Rules of interpretation
2 Application of table
An item in Part 3 does not apply to a service provided in contravention of a law of the Commonwealth or of a State or Territory.
3 General
(1) In this table, unless the contrary intention appears:
2004 General Medical Services Table (or 2004 GMST ) means the table prescribed for subsection 4 (1) of the Act by the Health Insurance (General Medical Services Table ) Regulations 2004 as in force immediately before 1 November 2005.
"ACRRM" means the Australian College of Rural and Remote Medicine.
"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:
(a) is a second or subsequent attendance on the patient, in the course of a single course of treatment by the consultant physician, during which it is not necessary for the consultant physician to carry out a physical examination of the patient; and
(b) does not result in a substantial alteration to the treatment of the patient.
closed reduction :
(a) means treatment of a dislocation or fracture by non‑operative reduction; and
(b) includes the use of percutaneous fixation, or external splintage by cast or splints.
comprehensive hyperbaric medicine facility means a separate hospital area that, on a 24‑hour basis:
(a) is equipped and staffed so that it is capable of providing to a patient:
(i) hyperbaric oxygen therapy at a treatment pressure of at least 2.8 atmospheric pressure absolute (180 kilopascal gauge pressure); and
(ii) mechanical ventilation and invasive cardiovascular monitoring within a monoplace or multiplace chamber for the duration of the hyperbaric treatment; and
(b) is under the direction of at least 1 practitioner who is rostered, and immediately available, to the facility during normal working hours and who:
(i) is a specialist with training in diving and hyperbaric medicine; or
(ii) holds a Diploma of Diving and Hyperbaric Medicine of the South Pacific Underwater Medicine Society; and
(c) is staffed by:
(i) at least 1 medical practitioner with training in diving and hyperbaric medicine who is present in the facility and immediately available at all times when patients are being treated at the facility; and
(ii) at least 1 registered nurse with specific training in hyperbaric patient care to the published standards of the Hyperbaric Technicians and Nurses Association, who is present during hyperbaric oxygen therapy; and
(d) has admission and discharge policies in operation.
general intensive care unit means a separate hospital area that:
(a) is equipped and staffed so that it is capable of providing to a patient:
(i) mechanical ventilation for a period of several days; and
(ii) invasive cardiovascular monitoring; and
(b) is supported by:
(i) during normal working hours -- at least 1 specialist, or consultant physician, in the specialty of intensive care, who is immediately available, and exclusively rostered, to that area; and
(ii) at all times -- at least 1 registered medical practitioner who is present in the hospital and immediately available to that area; and
(iii) at least 18 hours each day -- at least 1 registered nurse; and
(c) has admission and discharge policies in operation.
general practitioner means:
(a) a practitioner who is vocationally registered under section 3F of the Act; or
(b) a practitioner who:
(i) is a Fellow of the RACGP; and
(ii) participates in the quality assurance and continuing medical education program of the RACGP; and
(iii) meets the RACGP requirements for quality assurance and continuing education; or
(c) a practitioner who is undertaking a placement in general practice that is approved by the RACGP:
(i) as part of a training program for general practice leading to the award of Fellowship of the RACGP; or
(ii) as part of another training program recognised by the RACGP as being of an equivalent standard; or
(iii) as part of the Rural and Remote Area Placement Program administered by the Australian College of Rural and Remote Medicine; or
(d) an eligible non‑vocationally recognised medical practitioner; or
(e) a practitioner who is undertaking a placement in general practice as part of the Pre‑vocational General Practice Placements Program administered by the ACRRM, RACGP or GPET.
"GPET" means the body registered under the Corporations Act 2001 as General Practice Education and Training Limited (ACN 095 433 140).
institution means a place (other than a hospital or residential aged care facility) at which residential accommodation or day care is, or both residential accommodation and day care are, made available to:
(a) disadvantaged children; or
(b) juvenile offenders; or
(c) aged persons; or
(d) chronically ill psychiatric patients; or
(e) homeless persons; or
(f) unemployed persons; or
(g) persons suffering from alcoholism; or
(h) persons addicted to drugs; or
(i) physically or intellectually disabled persons.
"intensive care unit" means a general intensive care unit or a neo-natal intensive care unit.
item means:
(a) an item mentioned, by number, in column 1 of:
(i) Part 3; or
(ii) Part 3 of the diagnostic imaging services table; or
(iii) Part 3 of the pathology services table; and
(b) in a reference immediately followed by a number -- the item so numbered.
Example
A reference (if any) by number to item 55028 is a reference to the item so numbered in the diagnostic imaging services table.
Note Because of the Health Insurance (Allied Health and Dental Services) Determination 2006 , certain health services are treated as if there were an item in this table, the diagnostic imaging services table or the pathology services table relating to that health service. A reference in this table to such an item is followed by an asterisk, with a note at the foot of the provision explaining what the asterisk means. (See rule 77A for an example.)
neo‑natal intensive care unit means a separate hospital area that:
(a) is equipped and staffed so that it is capable of providing to a patient who is a newly born child:
(i) mechanical ventilation for a period of several days; and
(ii) invasive cardiovascular monitoring; and
(b) is supported by:
(i) during normal working hours -- at least 1 consultant physician in paediatric medicine who is immediately available, and exclusively rostered, to that area; and
(ii) at all times -- at least 1 registered medical practitioner who is present in the hospital and immediately available to that area; and
(iii) at least 18 hours each day -- at least 1 registered nurse; and
(c) has admission and discharge policies in operation.
open reduction means treatment of a dislocation or fracture by either:
(a) operative exposure, including the use of any internal or external fixation; or
(b) non‑operative (closed) reduction using intra‑medullary fixation or external fixation.
"RACGP" means the Royal Australian College of General Practitioners.
referring practitioner , for the referral of a patient, means:
(a) in the case of all referrals -- a medical practitioner; and
(b) for a referral made to a specialist who is an ophthalmologist -- an optometrist; and
(c) for a referral that arises out of a dental service provided by a dental practitioner and that is made to a specialist (but not a consultant physician) -- a dental practitioner; and
(d) for a referral that arises out of a dental service provided by a dental practitioner who is approved by the Minister for the purposes of paragraph (b) of the definition of professional service in subsection 3 (1) of the Act and that is made to a consultant physician -- a dental practitioner.
"residential aged care facility" means a facility where residential care (within the meaning given by section 41-3 of the Aged Care Act 1997 ) is provided.
"Rural, Remote and Metropolitan Areas Classification" means the document so titled, as in force on 1 January 2001, setting out certain categories of areas in Australia that have been determined by the Department by reference to population size and remoteness of locality on the basis of 1991 census data published by the Australian Bureau of Statistics in 1994.
(2) A reference to a Group in the table includes every item in the Group, and a reference to a Subgroup in the table includes every item in the Subgroup.
(3) A reference in the table to an eligible non‑vocationally recognised medical practitioner is a reference to:
(a) a medical practitioner (including an overseas trained practitioner or a temporary resident medical practitioner) who:
(i) is registered as a medical practitioner under the Rural Other Medical Practitioners' Program; and
(ii) is providing general medical services in accordance with that Program; or
(b) a medical practitioner who:
(i) is registered as a medical practitioner under the Outer Metropolitan (Other Medical Practitioners) Relocation Incentive Program; and
(ii) is providing general medical services in accordance with that Program; and
(iii) is not vocationally registered under section 3F of the Act, but is required under that Program to undertake additional training or other activities:
(A) that could enable vocational registration within 4 years or, on written application, 5 years, after commencing the training or other activities; and
(B) of which the Medicare Australia CEO has written notice; or
(c) a medical practitioner who:
(i) is registered as a medical practitioner under the MedicarePlus for Other Medical Practitioners Program; and
(ii) is providing general medical services in accordance with that Program; and
(iii) is not vocationally registered under section 3F of the Act; or
(d) a medical practitioner who:
(i) is registered as a medical practitioner under the After Hours Other Medical Practitioners Program; and
(ii) is providing general medical services in accordance with that Program; and
(iii) is not vocationally registered under section 3F of the Act.
(4) For subrule (3):
(a) the Rural Other Medical Practitioners' Program is a program administered by the Medicare Australia CEO that, in relation to medical services provided in accordance with the Program, provides a particular level of medicare benefits; and
(b) the Outer Metropolitan (Other Medical Practitioners) Relocation Incentive Program is a program administered by the Department that, in relation to medical services provided in accordance with the Program, provides a particular level of medicare benefits; and
(c) the MedicarePlus for Other Medical Practitioners Program is a program administered by the Medicare Australia CEO that, in relation to medical services provided in accordance with the Program, provides a particular level of medicare benefits; and
(d) the After Hours Other Medical Practitioners Program is a program administered by the Medicare Australia CEO that, in relation to medical services provided in accordance with the Program, provides a particular level of medicare benefits.
4 Meaning of symbols (S) and (G)
(1) An item including the symbol ( S ) applies only to a service performed by a specialist (and not to a service performed by a consultant physician) in the practice of his or her specialty, being:
(a) a service that:
(i) is provided to a patient who has been referred to the specialist; and
(ii) is the first service performed by the specialist in accordance with the referral; or
(b) a service that:
(i) is provided to a patient who has been referred to the specialist; and
(ii) is part of a single course of treatment given for the condition identified in the referral or, if no condition was identified in the referral, part of a single course of treatment for the condition identified by the specialist; and
(iii) is provided within the period of validity of the referral that is applicable under regulation 31 of the Health Insurance Regulations 1975 ; or
(c) a service that:
(i) is provided to a patient who has declared that a written referral completed by a named referring practitioner has been lost, stolen or destroyed before the service was provided; and
(ii) is the first service performed by the specialist in accordance with the referral; or
(d) a service that:
(i) is provided to a patient who has not been referred to the specialist; and
(ii) is a service that, in an emergency within the meaning of subregulation 30 (5) of the Health Insurance Regulations 1975 , the specialist decides is necessary in the patient's interests to be provided as soon as practicable without a referral.
(2) An item including the symbol ( G ) applies only to a service provided otherwise than by a specialist in accordance with subrule (1).
An item including the symbol ( H ) applies only to a service performed or provided in a hospital or approved day hospital facility.
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, 109, 110, 116, 119, 122, 128, 131, 385, 386, 387, 388, 2801, 2806, 2814, 2824, 2832, 2840, 3005, 3010, 3014, 3018, 3023, 3028, 6007, 6009, 6011, 6013 and 6015, single course of treatment , in relation to a patient, includes:
(a) the initial attendance on the patient by a specialist or consultant physician; and
(b) the continuing management or treatment up to and including the stage when the patient is referred back to the care of the referring practitioner; and
(c) any subsequent review of the patient's condition by the specialist or consultant physician that may be necessary, whether the review is initiated by the referring practitioner or by the specialist or consultant physician.
(2) For subrule (1), single course of treatment does not include treatment of an unrelated illness that requires referral of the patient to the specialist's or consultant physician's care.
(3) For subrule (1), an attendance (the later attendance ) on the patient by the specialist or consultant physician, after the end of the period of validity of the last referral to have application under regulation 31 of the Health Insurance Regulations 1975 , initiates a new course of treatment if:
(a) the referring practitioner considers the later attendance necessary for the patient's condition to be reviewed; and
(b) the patient was most recently attended by the specialist or consultant physician more than 9 months before the later attendance.
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, 700 to 799, 900 to 903, 2501 to 2727, 2801 to 2840, 3005 to 3028, 5000 to 5267, 6007 to 6015, 10900 to 10929 and 17610 to 17680, professional attendance includes (but is not limited to) the provision, in relation to a patient, of any of the following services:
(a) the evaluation of the patient's condition or conditions including, if applicable, evaluation using a health screening service mentioned in subsection 19 (5) of the Act;
(b) the formulation of a plan for the management and, if applicable, for the treatment of the patient's condition or conditions;
(c) the provision of advice to the patient about the patient's condition or conditions and, if applicable, about treatment;
(d) if authorised by the patient, the provision of advice to another person, or other persons, about the patient's condition or conditions and, if applicable, about treatment;
(e) the recording of the clinical details of the service or services provided to the patient.
(2) If:
(a) in connection with a professional attendance mentioned in any of items 3 to 96 and 5000 to 5267, vaccine is supplied to a patient; and
(b) the cost of the vaccine is not subsidised by the Commonwealth or a State;
the professional attendance is taken not to include that supply.
(1) In items 104 to 131, 291 to 388, 2801 to 2840, 3005 to 3028, 6007 to 6015, 17640, 17645, 17650 and 17655 a reference to an attendance on a patient by a specialist, or consultant physician, in the practice of his or her specialty following referral of the patient to him or her:
(a) includes such an attendance on a patient who:
(i) has declared that a written referral of the patient was completed by a medical practitioner; or
(ii) in an emergency (within the meaning of subregulation 30 (5) of the Health Insurance Regulations 1975 ) has not been referred to the specialist, or consultant physician, if the specialist or consultant physician decides that it is necessary in the patient's interests to provide the service mentioned in the item as soon as practicable without a referral; but
(b) does not include such an attendance if:
(i) the attendance forms part of a single course of treatment in which the first service was provided more than 12 months (or such other period, if any, set by the referring practitioner in, or in connection with, the referral) before the attendance; and
(ii) a later referral has not been made.
(2) For this rule, referral means referral by a referring practitioner.
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:
(a) the fee for item 3; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(2) In items 24, 25, 33 and 35, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 23; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(3) In items 37, 38, 40 and 43, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 36; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(4) In items 47, 48, 50 and 51, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 44; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(5) In items 58, 81, 87 and 92, amount under rule 9 means an amount equal to the sum of:
(a) $8.50; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $15.50 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- 70 cents.
(6) In items 59, 83, 89, 93, 2610, 2631 and 2673, amount under rule 9 means an amount equal to the sum of:
(a) $16.00; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $17.50 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- 70 cents.
(7) In items 60, 84, 90, 95, 2613, 2633, 2675 and 2707, amount under rule 9 means an amount equal to the sum of:
(a) $35.50; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $15.50 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- 70 cents.
(8) In items 65, 86, 91, 96, 2616, 2635, 2677 and 2708, amount under rule 9 means an amount equal to the sum of:
(a) $57.50; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $15.50 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- 70 cents.
(9) In item 195, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 193; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(10) In item 414, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 410; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(11) In item 415, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 411; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(12) In item 416, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 412; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(13) In item 417, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 413; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(13A) In item 716, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 714; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(14) In items 5003, 5007 and 5010, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 5000; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(15) In items 5023, 5026 and 5028, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 5020; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(16) In items 5043, 5046 and 5049, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 5040; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(17) In items 5063, 5064 and 5067, amount under rule 9 means an amount equal to the sum of:
(a) the fee for item 5060; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(18) In items 5220, 5240 and 5260, amount under rule 9 means an amount equal to the sum of:
(a) $18.50; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $15.50 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- 70 cents.
(19) In items 5223, 5243 and 5263, amount under rule 9 means an amount equal to the sum of:
(a) $26.00; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $17.50 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- 70 cents.
(20) In items 5227, 5247 and 5265, amount under rule 9 means an amount equal to the sum of:
(a) $45.50; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $15.50 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- 70 cents.
(21) In items 5228, 5248 and 5267, amount under rule 9 means an amount equal to the sum of:
(a) $67.50; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $15.50 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- 70 cents.
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:
(a) because the patient does not want to wear spectacles for reasons of appearance;
(b) because the patient wants contact lenses for work or sporting purposes;
(c) because the patient has difficulty in using, or cannot use, spectacles for psychological reasons.
11 Personal attendance by medical practitioners generally
(1) The items mentioned in subrule (2) apply only to a service provided in the course of a personal attendance by a single medical practitioner on a single patient on a single occasion.
(2) The items are items 1 to 164, 173 to 338, 348 to 698, 2497 to 10816, 2713, 6007 to 6015, 11012, 11015, 11018, 11021, 11212, 11304, 11500, 11600, 11627, 11701, 11712, 11724, 11921, 12000, 12003, 12201, 13030, 13100, 13103, 13104, 13106, 13109, 13110, 13112, 13209, 13290, 13292, 13300, 13303, 13306, 13309, 13312, 13318, 13319, 13400, 13500, 13503, 13506, 13700, 13815, 13818, 13830, 13839, 13842, 13847, 13848, 13851, 13854, 13857, 13870, 13873, 13876, 13881, 13882, 13885, 13888, 14100, 14106, 14109, 14112, 14115, 14118, 14124, 14200, 14203, 14206, 14209, 14212, 14215, 14224, 15600, 16003 to 16512 and 16515 to 51318.
(3) Items 170, 171, 172, 342, 344 and 346 apply only to a service provided in the course of a personal attendance by a single medical practitioner.
(4) Items 700 to 727, 900, 903, 2710 and 2712 apply only to a service provided in the course of personal attendance by a single medical practitioner on a single patient.
(5) For this rule, each of the following is taken to be personal attendance by the medical practitioner on a patient:
(a) an attendance by a medical practitioner on a patient by way of a telepsychiatry consultation to which any of items 353 to 358 applies;
(b) an attendance by a medical practitioner on a patient in relation to the planning, management and supervision of the patient on home dialysis to which item 13104 applies.
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:
(a) a medical practitioner (other than a medical practitioner employed by the proprietor of a hospital that is not a private hospital); or
(b) a medical practitioner who:
(i) is employed by the proprietor of a hospital that is not a private hospital; and
(ii) provides the service otherwise than in the course of employment by that proprietor.
(2) Paragraph (1) (b) applies whether or not another person provides essential assistance to the medical practitioner in accordance with accepted medical practice.
(3) The items are items 1 to 727, 900 to 10816, 2710, 2712, 2713, 6007 to 6015, 11012, 11015, 11018, 11021, 11212, 11304, 11500, 11600, 11627, 11701, 11712, 11722, 11724, 11820, 11921, 12000, 12003, 12201, 13030, 13100, 13103, 13104, 13106, 13109, 13110, 13112, 13209, 13290, 13292, 13300, 13303, 13306, 13309, 13312, 13318, 13319, 13400, 13500, 13503, 13506, 13700, 13815, 13818, 13830, 13839, 13842, 13847, 13848, 13851, 13854, 13857, 13870, 13873, 13876, 13881, 13882, 13885, 13888, 14100, 14106, 14109, 14112, 14115, 14118, 14124, 14200, 14203, 14206, 14209, 14212, 14215, 14224, 15600, 16003 to 16512, 16515 to 16573 and 16600 to 51318.
(4) For this rule, each of the following is taken to be personal attendance by the medical practitioner on a patient:
(a) an attendance by a medical practitioner on a patient by way of a telepsychiatry consultation to which any of items 353 to 358 applies;
(b) an attendance by a medical practitioner on a patient in relation to the planning, management and supervision of the patient on home dialysis to which item 13104 applies.
12AA Health checks of 45‑49 year olds -- item 717
(1) For item 717, a patient is at risk of developing a chronic disease or a terminal condition if, in the clinical judgement of the attending medical practitioner, based on the identification of a specific risk factor, the patient is at risk of developing a disease mentioned in subrule (3).
(2) For subrule (1), specific risk factors include (but are not limited to):
(a) lifestyle risk factors, such as smoking, physical inactivity, poor nutrition or alcohol misuse; and
(b) biomedical risk factors, such as high cholesterol, high blood pressure, impaired glucose metabolism or excess weight; and
(c) family history of a chronic disease.
(3) For subrule (1), a chronic disease is a disease that has been, or is likely to be, present for at least 6 months, including (but not limited to) asthma, cancer, cardiovascular illness, diabetes mellitus, a mental health condition, arthritis and a musculoskeletal condition.
(4) The health check should generally be undertaken by the patient's usual doctor, that is, the medical practitioner who has provided the majority of services to the patient in the past 12 months, or is likely to provide the majority of services in the next 12 months.
(5) The health check must include the following components:
(a) information collection, including taking a patient history and undertaking examinations and investigations as required;
(b) making an overall assessment of the patient;
(c) interventions as indicated;
(d) providing advice and information to the patient.
(6) Item 717 is applicable only once for the same patient.
(7) The medical practitioner providing the service mentioned in item 717 is responsible for the overall health check of the patient.
(8) Elements of the health check may be delegated by the medical practitioner to a practice nurse or other qualified health professional.
(9) Item 717 is not applicable to a service provided to an admitted patient of a hospital or day hospital.
(10) In this rule:
"practice nurse" means a registered nurse or an enrolled nurse who is employed by, or whose services are otherwise retained by, a medical practitioner.
12A Service by certain medical practitioners -- items 729 to 866
(1) Items 729 to 866 apply only to a service provided by:
(a) a medical practitioner (other than a medical practitioner employed by the proprietor of a hospital that is not a private hospital); or
(b) a medical practitioner who:
(i) is employed by the proprietor of a hospital that is not a private hospital; and
(ii) provides the service otherwise than in the course of employment by that proprietor.
(2) Paragraph (1) (b) applies whether or not another person provides essential assistance to the medical practitioner in accordance with accepted medical practice.
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:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who:
(i) is employed by a medical practitioner; or
(ii) in accordance with accepted medical practice, acts under the supervision of a medical practitioner.
(2) The items are items 11000, 11003, 11004, 11005, 11006, 11009, 11024, 11027, 11200, 11203, 11204, 11205, 11210, 11211, 11215, 11218, 11221, 11222, 11224, 11225, 11235, 11237, 11240, 11241, 11242, 11243, 11300, 11303, 11306, 11309, 11312, 11315, 11318, 11321, 11324, 11327, 11330, 11332, 11333, 11336, 11339, 11503, 11506, 11509, 11512, 11602, 11604, 11605, 11610, 11611, 11612, 11614, 11615, 11700, 11702, 11708, 11709, 11710, 11711, 11713, 11715, 11718, 11721, 11800, 11810, 11830, 11833, 11900, 11903, 11906, 11909, 11912, 11915, 11919, 12012, 12015, 12018, 12021, 12200, 12203, 12207, 12210, 12213, 12215, 12217, 12500 to 12533, 13020, 13025, 13200, 13203, 13206, 13212, 13215, 13218, 13221, 13703, 13706, 13709, 13750, 13755, 13757, 13760, 13915 to 13948, 14050, 14053, 14218, 14221, 15000 to 15336, 15339 to 15357, 15500 to 15539, 16514 and 17610 to 17690.
15 Application of items 1 to 10943
An item in the range 1 to 10943 does not apply to the service described in that item if the service is provided at the same time as, or in connection with, any of the services specified in Part 4 of this table.
15A Application of items 5000 to 5267
An item in the range 5000 to 5267 applies only to a professional attendance that is initiated:
(a) on a public holiday; or
(b) on a Sunday; or
(c) before 8 am, or after 1 pm, on a Saturday; or
(d) before 8 am, or after 8 pm, on any day other than a Saturday, Sunday or public holiday.
16 Application of items 51700 to 53706
Items 51700 to 53706 apply only to a service provided in the course of dental practice by a dental practitioner approved by the Minister before 1 November 2004 for the purposes of the definition of professional service in subsection 3 (1) of the Act.
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:
(a) the fee for item 15000; and
(b) $15.10 for each field separately treated in excess of 1.
(2) In item 15009, amount under rule 17 means an amount equal to the sum of:
(a) the fee for item 15006; and
(b) $16.40 for each field separately treated in excess of 1.
(3) In item 15103, amount under rule 17 means an amount equal to the sum of:
(a) the fee for item 15100; and
(b) $16.65 for each field separately treated in excess of 1.
(4) In item 15109, amount under rule 17 means an amount equal to the sum of:
(a) the fee for item 15106; and
(b) $20.05 for each field separately treated in excess of 1.
(5) In item 15115, amount under rule 17 means an amount equal to the sum of:
(a) the fee for item 15112; and
(b) $41.80 for each field separately treated in excess of 1.
(6) In item 15214, amount under rule 17 means an amount equal to the sum of:
(a) the fee for item 15211; and
(b) $28.20 for each field separately treated in excess of 1.
(7) In items 15230, 15233, 15236, 15239, 15242, 15260, 15263, 15266, 15269 and 15272, amount under rule 17 means an amount equal to the sum of:
(a) $51.65; and
(b) $33.50 for each field separately treated in excess of 1.
18 Meaning of amount under rule 18 in certain items
In item 44376 (reamputation), amount under rule 18 means an amount equal to 75% of the fee specified for the item relating to an original amputation (any of items 44325 to 44373) of the body part for which the reamputation is performed.
19 Cleft lip and cleft palate services
An item in Group C1, C2 or C3 applies only to a service provided to a prescribed dental patient.
Note For the meaning of prescribed dental patient , see section 3BA of the Act.
20 Meaning of (AD) in Group C2 -- Oral and maxillofacial surgical services and Group C3 -- General and prosthodontic services
An item in the range 75200 to 75206 and 75800 to 75854 that includes the symbol ( AD ) applies only to a service provided by a dental practitioner.
21 Orthodontic services
(1) An item in the range 75001 to 75006 or 75024 to 75051 that includes the symbol ( AO ) applies only to a service provided by an accredited orthodontist.
(2) An item in the range 75009 to 75023 that includes the symbol ( AO ) and the symbol ( AOS ) applies only to a service provided by:
(a) an accredited orthodontist; or
(b) a dental practitioner who is:
(i) registered or licensed as an oral and maxillofacial surgeon under a law of the State or Territory in which the service is rendered that provides for the registration or licensing of oral and maxillofacial surgeons; and
(ii) a dental practitioner approved by the Minister for the purposes of the definition of professional service in subsection 3 (1) of the Act.
(3) In this rule:
accredited orthodontist means:
(a) a dental practitioner who is:
(i) registered or licensed as an orthodontist under the relevant law; and
(ii) accredited by the Minister for the purposes of this rule; or
(b) a dental practitioner:
(i) who is not registered or licensed under the relevant law as an orthodontist or who practises in a State or Territory in which there is no provision for the registration or licensing of orthodontists; and
(ii) whose qualifications or experience demonstrate to the Committee his or her competence in the field of orthodontics that is applicable to the giving of the services specified in items 75001 to 75051; and
(iii) who is accredited by the Minister for the purposes of this rule.
"Committee" means the Medical Benefits (Dental Practitioners) Advisory Committee established under section 136 of the National Health Act 1953 .
"relevant law" , in relation to a service provided to a patient, means a law of the State or Territory in which the service is provided that provides for the registration or licensing of orthodontists.
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:
(a) registered as an oral and maxillofacial surgeon under a law of the State or Territory in which the service is rendered that provides for the registration or licensing of oral and maxillofacial surgeons; and
(b) a dental practitioner approved by the Minister for the purposes of the definition of professional service in subsection 3 (1) of the Act.
23 Meaning of report in Group D1 -- Miscellaneous diagnostic procedures and investigations
In items 11000 to 12217, report means a report prepared by a medical practitioner.
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:
(i) if treatment with superovulatory drugs is given -- on the day on which that treatment begins; or
(ii) if treatment with superovulatory drugs is not given -- on the first day of a menstrual cycle of the patient; and
(b) ends not more than 30 days after that day.
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:
(a) an item in Subgroup 3 of Group T1 (assisted reproductive services); and
(b) any other item (the associated item ) associated with an item in Subgroup 3 of Group T1.
(2) A service provided as part of a treatment cycle to which an item in paragraph (1) (a) applies, is not a medical service for the purposes of the associated item.
26 Items relating to assisted reproductive services not to apply in certain pregnancy‑related circumstances
Items 13200 to 13221 do not apply to a service provided in relation to a patient's pregnancy, or intended pregnancy, that is, at the time of the service, the subject of an agreement, or arrangement, under which the patient makes provision for transfer to another person of the guardianship of, or custodial rights to, a child born as a result of the pregnancy.
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:
(a) egg recovery from aspirated follicular fluid; and
(b) insemination; and
(c) monitoring of fertilisation and embryo development; and
(d) preparation of gametes or embryos for transfer or freezing.
28 Meaning of delivery in certain items
In items 16515, 16519 and 16522, delivery includes:
(a) induction of labour by surgical or intravenous infusion methods; and
(b) forceps or vacuum extraction; and
(c) breech delivery; and
(d) management of multiple deliveries; and
(e) episiotomy; and
(f) repair of tears; and
(g) evacuation of the products of conception by manual removal.
29 Meaning of maxilla in certain items
In items 45720 to 45752 and 52342 to 52375, maxilla includes the zygoma.
30 Items 46300 to 46534 apply only in certain circumstances
Items 46300 to 46534 apply only to a service provided in the course of an operation on a hand or hands.
31 Assistance at operations
(1) Items 51300 to 51318 apply only to assistance rendered by a medical practitioner other than:
(a) the practitioner performing the operation; or
(b) the anaesthetist administering the anaesthetic in connection with the operation, if any; or
(c) the assistant anaesthetist, if any.
(2) Items 51800 and 51803 apply only to assistance rendered by an approved dental practitioner other than:
(a) the practitioner performing the operation; or
(b) the anaesthetist administering the anaesthetic in connection with the operation, if any; or
(c) the assistant anaesthetist, if any.
32 Meaning of amount under rule 32 in items 51303 and 51803
In items 51303 and 51803, amount under rule 32 , in relation to assistance at an operation or series of operations, means an amount equal to 20% of the sum of the fees payable under the Act for the services provided at that operation, or series of operations, by the practitioner to whom the assistance was given.
33 Meaning of amount under rule 33 in item 51309
(1) In item 51309, amount under rule 33 , in relation to assistance at a series or combination of operations, means an amount equal to 20% of the sum of the fees payable under the Act for the services provided at those operations by the practitioner to whom the assistance was given.
(2) For subrule (1), the fee for the caesarean section component of the operations is the fee applicable to item 16520.
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:
(a) the fee for item 18216; and
(b) $16.85 for each additional period of 15 minutes, and part of a period of 15 minutes, of continuous attendance beyond the first hour of attendance.
(2) In item 18227, amount under rule 34 means an amount equal to the sum of:
(a) the fee for item 18226; and
(b) $25.25 for each additional period of 15 minutes, and part of a period of 15 minutes, of continuous attendance beyond the first hour of attendance.
35 Histopathological proof of malignancy in certain cases for purposes of certain items relating to surgical procedures
For items 30196 to 30205, the requirement for histopathological proof of malignancy is satisfied in a case where multiple lesions are to be removed from a single anatomical region if a single lesion from that region is histologically tested and proven positive for malignancy.
36 Meaning of amount under rule 36 in items 16633 and 16636
(1) In item 16633, amount under rule 36 means, for a second or subsequent foetus, the amount that is equal to 50% of the amount of the fee specified in items 16606, 16609, 16612, 16615 and 16627 for services provided in relation to the multiple pregnancy.
(2) In item 16636, amount under rule 36 means, for a second or subsequent foetus, the amount that is equal to 50% of the amount of the fee specified in items 16600, 16603, 16618, 16621 and 16624 for services provided in relation to the multiple pregnancy.
37 Meaning of amount under rule 37 in item 51312
In item 51312, amount under rule 37 , in relation to assistance at a procedure, means an amount equal to 20% of the sum of the fees payable under the Act for the services provided at that procedure by the practitioner to whom the assistance was given.
38 Meaning of amount under rule 38 in item 31340
In item 31340, amount under rule 38 , in relation to the excision of muscle, bone or cartilage in association with the excision of a malignant tumour of skin under another item, means an amount equal to 75% of the fee payable under that other item.
39 Meaning of previous significant surgical complication in item 51318
In item 51318, previous significant surgical complication means:
(a) vitreous loss; or
(b) rupture of posterior capsule; or
(c) loss of nuclear material into the vitreous; or
(d) intraocular haemorrhage; or
(e) intraocular infection (endophthalmitis); or
(f) cystoid macular oedema; or
(g) corneal decompensation; or
(h) retinal detachment.
40 Meaning of amount under rule 40 in item 30001
In item 30001, amount under rule 40 means 50% of the specified fee that would normally apply for a surgical procedure if the surgical procedure had not been discontinued before completion.
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:
(i) may be affected by the patient's working environment; or
(ii) affects the patient's capacity to be employed;
(b) management of an accepted medical condition that, in the consultant's opinion, may affect a patient's capacity for continued employment, or return to employment, following a non‑compensable accident, injury or ill‑health;
(c) evaluation and forming an opinion, including management as the case requires, of a patient's medical condition where causation may be related to acute or chronic exposure to scientifically acknowledged environmental hazards or toxins.
42 Meaning of qualified sleep medicine practitioner
(1) For items 12203 to 12217, qualified sleep medicine practitioner means a qualified adult sleep medicine practitioner or a qualified paediatric sleep medicine practitioner.
(2) A person is a qualified adult sleep medicine practitioner or a qualified paediatric sleep medicine practitioner if:
(a) the person has been assessed by the Credentialling Subcommittee or the Appeal Committee as having had, before 1 March 1999, sufficient training and experience in the relevant field of sleep medicine to be competent in independent clinical assessment and management of patients with respiratory sleep disorders and in reporting sleep studies; or
(b) the person has been assessed by the Credentialling Subcommittee or the Appeal Committee as having had, before 1 March 1999, substantial training or experience in adult sleep medicine, but requiring further specified training or experience in the relevant field of sleep medicine to be competent in independent clinical assessment and management of patients with respiratory sleep disorders and in reporting sleep studies, and either:
(i) the period of 2 years immediately following that assessment has not expired; or
(ii) the person has been assessed by the Credentialling Subcommittee as having satisfactorily finished the further training or gained the further experience specified for that person; or
(c) the person has attained Level I or Level II of the relevant Advanced Training Program of the Thoracic Society of Australia and New Zealand and the Australasian Sleep Association, after having completed at least 12 months core training, including clinical practice in the relevant field of sleep medicine and in reporting sleep studies; or
(d) the Advisory Committee has recognised the person, in writing, as having training equivalent to the training mentioned in paragraph (c).
(3) In this rule:
"Advisory" Committee means the Specialist Advisory Committee in Thoracic and Sleep Medicine of the Royal Australasian College of Physicians.
"Appeal Committee" means the Appeal Committee of the Royal Australasian College of Physicians.
"Credentialling Subcommittee" means the Credentialling Subcommittee of the Advisory Committee.
relevant Advanced Training Program means:
(a) in relation to an assessment for qualification as a qualified adult sleep medicine practitioner -- the Advanced Training Program in Adult Sleep Medicine; and
(b) in relation to an assessment for qualification as a qualified paediatric sleep medicine practitioner -- the Advanced Training Program in Paediatric Sleep Medicine.
relevant field of sleep medicine means:
(a) in relation to an assessment for qualification as a qualified adult sleep medicine practitioner -- adult sleep medicine; and
(b) in relation to an assessment for qualification as a qualified paediatric sleep medicine practitioner -- paediatric sleep medicine.
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:
(a) management of a patient's vaccination requirements for immunisation programs;
(b) prevention or management of sexually transmitted disease;
(c) prevention or management of disease caused by scientifically accepted environmental hazards or toxins;
(d) prevention or management of infection arising from an outbreak of an infectious disease;
(e) prevention or management of an exotic disease.
Note An exotic disease is medically accepted as a disease that is of foreign origin.
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:
(i) at least 75 years old; or
(ii) at least 55 years old and of Aboriginal or Torres Strait Islander descent; and
(b) is not an in‑patient of a hospital or approved day hospital facility, or a care recipient in a residential aged care facility.
(2) Item 710 applies only to a service in relation to a patient who is:
(a) of Aboriginal or Torres Strait Islander descent; and
(b) at least 15 years old and less than 55 years old; and
(c) not an in‑patient of a hospital or approved day hospital facility, or a care recipient in a residential aged care facility.
(2A) Item 714 applies only to a service in relation to a patient who:
(a) has been a humanitarian visa holder for less than 12 months at the time of the service; or
(b) first entered Australia less than 12 months before the service.
(2B) Item 716 applies only to a service in relation to a patient who:
(a) is a person who:
(i) has been a humanitarian visa holder for less than 12 months at the time of the service; or
(ii) first entered Australia less than 12 months before the service; and
(b) is not an in‑patient of a hospital or approved day hospital facility, or a care recipient in a residential aged care facility.
(3) For items 704, 706, 708 and 710, a person is of Aboriginal or Torres Strait Islander descent if the person identifies himself or herself as being of that descent.
45 Application of items in Group A15 to certain patients only
(1) Items 740, 742, 744, 759, 762 and 765 apply only to a service in relation to a patient who:
(a) suffers from at least 1 medical condition that:
(i) has been (or is likely to be) present for at least 6 months; or
(ii) is terminal; and
(b) is not an in‑patient of a hospital or approved day hospital facility, or a care recipient in a residential aged care facility.
(1A) Items 721 and 725 apply only to a service in relation to a patient who:
(a) suffers from at least 1 medical condition that:
(i) has been (or is likely to be) present for at least 6 months; or
(ii) is terminal; and
(b) is a person who:
(i) is not:
(A) an in‑patient of a hospital or approved day hospital facility; or
(B) a care recipient in a residential aged care facility; or
(ii) being an in‑patient of a hospital or approved day hospital facility, is a private patient of that hospital or facility.
(2) Items 746, 749, 757, 768, 771 and 773 apply only to a service in relation to a patient who:
(a) suffers from at least 1 medical condition that:
(i) has been (or is likely to be) present for at least 6 months; or
(ii) is terminal; and
(b) is an in‑patient of a hospital or approved day hospital facility; and
(c) is not a care recipient in a residential aged care facility.
(2A) Items 723 and 727 apply only to a service in relation to a patient who:
(a) suffers from at least 1 medical condition that:
(i) has been (or is likely to be) present for at least 6 months; or
(ii) is terminal; and
(b) requires ongoing care from at least 3 collaborating providers, each of whom provides a different kind of treatment or service to the patient, and at least 1 of whom is a medical practitioner; and
(c) is a person who:
(i) is not:
(A) an in‑patient of a hospital or approved day hospital facility; or
(B) a care recipient in a residential aged care facility; or
(ii) being an in‑patient of a hospital or approved day hospital facility, is a private patient of that hospital or facility.
(2B) Item 729 applies only to a service in relation to a patient who:
(a) suffers from at least 1 medical condition that:
(i) has been (or is likely to be) present for at least 6 months; or
(ii) is terminal; and
(b) requires ongoing care from at least 3 collaborating providers, each of whom provides a different kind of treatment or service to the patient, and at least 1 of whom is a medical practitioner; and
(c) is not a care recipient in a residential aged care facility.
(3) Items 734, 736, 738, 775, 778 and 779 apply only to a service in relation to a patient who:
(a) suffers from at least 1 medical condition that:
(i) has been (or is likely to be) present for at least 6 months; or
(ii) is terminal; and
(b) is a care recipient in a residential aged care facility; and
(c) is not an in‑patient of a hospital or approved day hospital facility.
(4) Item 731 applies only to a service in relation to a patient who:
(a) suffers from at least 1 medical condition that:
(i) has been (or is likely to be) present for at least 6 months; or
(ii) is terminal; and
(b) requires ongoing care from at least 3 collaborating providers, each of whom provides a different kind of treatment or service to the patient, and at least 1 of whom is a medical practitioner; and
(c) is a care recipient in a residential aged care facility.
(5) In this rule:
collaborating provider is a person who:
(a) provides treatment or a service to a patient; and
(b) is not a family carer of the patient.
family carer includes a person who:
(a) is a relative or friend of the patient; and
(b) is providing care to the patient other than as a paid service.
45A Limitation on items 721, 723, 725, 727, 729 and 731
(1) For any particular patient, unless exceptional circumstances exist in relation to the patient, item 721:
(a) is not applicable if, in the 3 months preceding the performance of the service, a service has been performed in respect of which a payment has been made under item 725, 727, 729 or 731 in respect of the patient; and
(b) is applicable not more than once in a 12 month period.
(2) For any particular patient, unless exceptional circumstances exist in relation to the patient, item 723:
(a) is not applicable, if in the 3 months preceding the performance of the service, a service has been performed in respect of which a payment has been made under item 727 in respect of the patient; and
(b) is applicable not more than once in a 12 month period.
(3) For any particular patient, unless exceptional circumstances exist in relation to the patient, item 725:
(a) is not applicable if, in the 3 months preceding the performance of the service, a service has been performed in respect of which a payment has been made under item 721 in respect of the patient; and
(b) is applicable not more than once in a 3 month period.
(4) For any particular patient, unless exceptional circumstances exist in relation to the patient, item 727:
(a) is not applicable if, in the 3 months preceding the performance of the service, a service has been performed in respect of which a payment has been made under item 723 in respect of the patient; and
(b) is applicable not more than once in a 3 month period.
(5) For any particular patient, unless exceptional circumstances exist in relation to the patient, item 729:
(a) is not applicable if:
(i) in the 3 months preceding the performance of the service, a service has been performed in respect of which a payment has been made under item 725, 727 or 731 in respect of the patient; or
(ii) in the 12 months preceding the performance of the service, a service has been performed in respect of the patient:
(A) by the medical practitioner who performs the service to which item 729 would, but for this subrule, apply; and
(B) in respect of which a payment has been made under item 721 or 723; and
(b) is applicable not more than once in a 3 month period.
(6) For any particular patient, unless exceptional circumstances exist in relation to the patient, item 731:
(a) is not applicable if, in the 3 months preceding the performance of the service, a service has been performed in respect of which a payment has been made under item 721, 723, 725, 727 or 729 in respect of the patient; and
(b) is applicable not more than once in a 3 month period.
(7) For this rule, exceptional circumstances exist in relation to a patient if there has been a significant change in the patient's clinical condition or care circumstances that necessitates the performance of the service in respect of the patient.
46 Meaning of health assessment in items 700, 702, 704 and 706
(1) For items 700, 702, 704 and 706, health assessment means the assessment of:
(a) a patient's health and physical, psychological and social function; and
(b) whether preventative health care and education should be offered to the patient, to improve the patient's health and physical, psychological or social function.
(2) A health assessment involves all of the following:
(a) a personal attendance by the medical practitioner;
(b) measurement of the patient's blood pressure, pulse rate and rhythm;
(c) an assessment of the patient's medication;
(d) an assessment of the patient's continence;
(e) an assessment of the patient's immunisation status for influenza, tetanus and pneumococcus;
(f) an assessment of the patient's physical functions, including the patient's activities of daily living and whether or not the patient has had a fall in the last 3 months;
(g) an assessment of the patient's psychological function, including the patient's cognition and mood;
(h) an assessment of the patient's social function, including:
(i) the availability and adequacy of paid, and unpaid, help; and
(ii) whether the patient is responsible for caring for another person.
(3) A health assessment also includes:
(a) keeping a record of the health assessment; and
(b) offering the patient a written report about the health assessment, with recommendations about matters covered by the health assessment; and
(c) offering the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees) a copy of the report or extracts of the report relevant to the carer.
46A Meaning of child health check in item 708
(1) For item 708, a child health check means the assessment of:
(a) a patient's health and physical, psychological and social function; and
(b) whether preventative health care, education and other assistance should be offered to the patient, or the patient's parent or carer, to improve the patient's health and physical, psychological or social function.
(2) A child health check of a patient involves all of the following:
(a) a personal attendance by a medical practitioner;
(b) taking the patient's medical history, including the following:
(i) mother's pregnancy history;
(ii) birth and neo‑natal history;
(iii) breastfeeding history;
(iv) weaning, food access and dietary history;
(v) physical activity;
(vi) previous presentations, hospital admissions and medication usage;
(vii) relevant family medical history;
(viii) immunisation status;
(ix) vision and hearing (including neonatal hearing screening);
(x) development (including achievement of age appropriate milestones);
(xi) family relationships, social circumstances and whether the person is cared for by another person;
(xii) exposure to environmental factors (including tobacco smoke);
(xiii) environmental and living conditions;
(xiv) educational progress;
(xv) stressful life events;
(xvi) mood (including incidence of depression and risk of self‑harm);
(xvii) substance use;
(xviii) sexual and reproductive health;
(xix) dental hygiene (including access to dental services);
(c) examination of the patient, including the following:
(i) measurement of height and weight to calculate body mass index and position on the growth curve;
(ii) newborn baby check (if not previously completed);
(iii) vision (including red reflex in a newborn);
(iv) ear examination (including otoscopy);
(v) oral examination (including gums and dentition);
(vi) trachoma check, if indicated;
(vii) skin examination, if indicated;
(viii) respiratory examination, if indicated;
(ix) cardiac auscultation, if indicated;
(x) development assessment, if indicated, to determine whether age appropriate milestones have been achieved;
(xi) assessment of parent and child interaction, if indicated;
(xii) other examinations:
(A) in accordance with national or regional guidelines or specific regional needs; or
(B) as indicated by a previous child health assessment;
(d) undertaking or arranging any required investigation, considering the need for the following tests, in particular:
(i) haemoglobin testing for those at a high risk of anaemia;
(ii) audiometry, if required, especially for those of school age;
(e) assessing the patient using the information gained in the child health check;
(f) making or arranging any necessary interventions and referrals, and documenting a simple strategy for the good health of the patient.
(3) A child health check also includes:
(a) keeping a record of the child health check; and
(b) offering the patient, or the patient's parent or carer, a written report about the health check, with recommendations about matters covered by the health check (including a simple strategy for the good health of the patient).
47 Meaning of adult health check in item 710
(1) For item 710, an adult health check means the assessment of:
(a) a patient's health and physical, psychological and social function; and
(b) whether preventative health care, education and other assistance should be offered to that patient, to improve the patient's health and physical, psychological or social function.
(2) An adult health check of a patient involves all of the following:
(a) a personal attendance by a medical practitioner;
(b) taking the patient's medical history, including the following:
(i) current health problems and risk factors;
(ii) relevant family medical history;
(iii) medication usage (including medication obtained without prescription or from other doctors);
(iv) immunisation status, by reference to the appropriate current age and sex immunisation schedule;
(v) sexual and reproductive health;
(vi) physical activity, nutrition and alcohol, tobacco or other substance use;
(vii) hearing loss;
(viii) mood (including incidence of depression and risk of self‑harm);
(ix) family relationships and whether the patient is a carer, or is cared for by another person;
(c) examination of the patient, including the following:
(i) measurement of the patient's blood pressure, pulse rate and rhythm;
(ii) measurement of height and weight to calculate body mass index and, if indicated, measurement of waist circumference for central obesity;
(iii) oral examination (including gums and dentition);
(iv) ear and hearing examination (including otoscopy and, if indicated, a whisper test);
(v) urinalysis (by dipstick) for proteinurea;
(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):
(i) fasting blood sugar and lipids (by laboratory based test on venous sample) or, if necessary, random blood glucose levels;
(ii) pap smear;
(iii) examination for sexually transmitted infection (by urine or endocervical swab for chlamydia and gonorrhoea, especially for those aged from 15 to 35 years);
(iv) mammography, where eligible (by scheduling appointments with visiting services or facilitating direct referral);
(e) assessing the patient using the information gained in the adult health check;
(f) making or arranging any necessary interventions and referrals, and documenting a simple strategy for the good health of the patient.
(3) An adult health check also includes:
(a) keeping a record of the adult health check; and
(b) offering the patient a written report about the health check, with recommendations about matters covered by the health check (including a simple strategy for the good health of the patient).
48 Meaning of comprehensive medical assessment in item 712
(1) For item 712, a comprehensive medical assessment of a resident of a residential aged care facility is a full systems review of the resident, including an assessment of the resident's health and physical and psychological function.
(2) A comprehensive medical assessment involves all of the following:
(a) a personal attendance by a medical practitioner;
(b) taking a detailed relevant medical history;
(c) conducting a comprehensive medical examination of the resident;
(d) developing a list of diagnoses and medical problems based on the medical history and examination;
(e) providing, for the resident's records, a written summary of the outcomes of the assessment to inform the provision of care for the resident and to assist in the provision of medication management review services for the resident.
(3) A comprehensive medical assessment also includes:
(a) making a written summary of the comprehensive medical assessment; and
(b) providing a copy of the summary to the residential aged care facility; and
(c) offering the resident a copy of the summary or relevant parts of the summary.
48A Meaning of health assessment in items 714 and 716
(1) In items 714 and 716, health assessment means the assessment of:
(a) a patient's health and physical, psychological and social function; and
(b) whether preventative health care and education should be offered to the patient, to improve the patient's health and physical, psychological or social function.
(2) A health assessment involves all of the following:
(a) a personal attendance by a medical practitioner;
(b) taking the patient's medical history;
(c) examination of the patient;
(d) undertaking or arranging any required investigations;
(e) assessing the patient using the information gained in paragraphs (b) to (d);
(f) developing a management plan addressing the patient's health care needs, health problems and relevant conditions;
(g) making or arranging any necessary interventions and referrals.
(3) A health assessment also includes:
(a) keeping a record of the health assessment; and
(b) offering the patient a written report about the health assessment.
48B Meaning of humanitarian visa holder in items 714 and 716
In items 714 and 716:
humanitarian visa holder means a person who is the holder of a visa of any of the following subclasses granted under the Migration Act 1958 :
(a) Subclass 200 (Refugee) visa;
(b) Subclass 201 (In‑country Special Humanitarian) visa;
(c) Subclass 202 (Global Special Humanitarian) visa;
(d) Subclass 203 (Emergency Rescue) visa;
(e) Subclass 204 (Woman at Risk) visa;
(f) Subclass 447 (Secondary Movement Offshore Entry (Temporary)) visa;
(g) Subclass 451 (Secondary Movement Relocation (Temporary)) visa;
(h) Subclass 785 (Temporary Protection) visa;
(i) Subclass 786 (Temporary (Humanitarian Concern)) visa;
(j) Subclass 866 (Protection) visa.
49A Meaning of GP management plan
(1) For item 721, preparation of a GP management plan means the preparation of a comprehensive written plan describing all of the following matters:
(a) the patient's health care needs, health problems and relevant conditions;
(b) management goals with which the patient agrees;
(c) actions to be taken by the patient;
(d) treatment and services the patient is likely to need;
(e) arrangements for providing the treatment and services referred to in paragraph (d);
(f) arrangements to review the plan by a day specified in the plan.
(2) Preparation of the plan also includes:
(a) explaining to the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees) the steps involved in preparing the plan; and
(b) recording the plan; and
(c) recording the patient's agreement to the preparation of the plan; and
(d) offering a copy of the plan to the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees); and
(e) adding a copy of the plan to the patient's medical records.
51 Meaning of multidisciplinary discharge care plan
For items 725 and 727, a multidisciplinary discharge care plan is a multidisciplinary care plan that is prepared for a patient before the patient is discharged from a hospital.
51A Meaning of team care arrangements
(1) For item 723, co‑ordinating the development of team care arrangements means a process by which the medical practitioner:
(a) in consultation with at least 2 collaborating providers, each of whom provides a different kind of treatment or service, and 1 of whom may be another medical practitioner -- makes arrangements for the multidisciplinary care of the patient; and
(b) prepares a document that describes all of the matters specified in subrule (2); and
(c) undertakes all of the activities specified in subrule (3).
(2) The matters to be described for paragraph (1) (b) are:
(a) treatment and service goals for the patient; and
(b) treatment and services that collaborating providers will provide to the patient; and
(c) actions to be taken by the patient; and
(d) arrangements to review the matters mentioned in paragraphs (a), (b) and (c) by a day specified in the document.
(3) The activities to be undertaken for paragraph (1) (c) are:
(a) explaining the steps involved in the development of the arrangements to the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees); and
(b) discussing with the patient the collaborating providers who will contribute to the development of the team care arrangements, and provide treatment and services to the patient under those arrangements; and
(c) recording the patient's agreement to the development of team care arrangements; and
(d) giving copies of the relevant parts of the document to the collaborating providers; and
(e) offering a copy of the document to the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees); and
(f) adding a copy of the document to the patient's medical records.
(4) In this rule:
collaborating provider is a person who:
(a) provides treatment or a service to a patient; and
(b) is not a family carer of the patient.
family carer includes a person who:
(a) is a relative or friend of the patient; and
(b) is providing care to the patient other than as a paid service.
51B Meaning of associated medical practitioner
(1) For item 725 and item 727, an associated medical practitioner is a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) who, if not engaged in same general practice as the medical practitioner mentioned in that item, performs the service mentioned in the item at the request of the patient (or the patient's guardian).
(2) In subrule (1):
"general practice" means a business, consisting of 1 or more medical practitioners, that provides a general practice of medical services.
52A Meaning of review of plans
(1) For item 725, review of a GP management plan, a multidisciplinary community care plan, or a multidisciplinary discharge care plan, means a process by which the medical practitioner:
(a) reviews the matters mentioned in subrule 49 (1) of the 2004 General Medical Services Table or subrule 49A (1), as applicable; and
(b) if different arrangements need to be made, makes amendments to the plan that:
(i) state those new arrangements; and
(ii) provide for further review of the amended plan by a date specified in the plan.
(2) Review of the plan also includes:
(a) explaining to the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees) the steps involved in the review; and
(b) recording the patient's agreement to the review of the plan; and
(c) if amendments are made to the plan:
(i) offering a copy of the amended plan to the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees); and
(ii) adding a copy of the amended plan to the patient's medical records.
53A Meaning of co‑ordinate a review of team care arrangements or of a multidisciplinary care plan
(1) For item 727, to co‑ordinate a review of team care arrangements, a multidisciplinary community care plan, or a multidisciplinary discharge care plan, means a process by which the medical practitioner:
(a) in consultation with at least 2 collaborating providers, each of whom provides a different kind of treatment or service, and 1 of whom may be another medical practitioner, reviews the matters mentioned in subrule 49 (1) of the 2004 General Medical Services Table or subrule 51A (2), as applicable; and
(b) if different arrangements need to be made, makes amendments to the document mentioned in paragraph 51A (1) (b), or to the plan, that:
(i) state those new arrangements; and
(ii) provide for the review of the amended document or plan by a date specified in the document or plan.
(2) Co‑ordinating a review of team care arrangements or of a multidisciplinary care plan also includes:
(a) explaining the steps involved in the review to the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees); and
(b) recording the patient's agreement to the review of the team care arrangements or the plan; and
(c) giving copies of the relevant parts of the amended document mentioned in paragraph (1) (b), or the amended plan, to the collaborating providers; and
(d) offering a copy of the amended document or plan to the patient and the patient's carer (if any, and if the practitioner considers it appropriate and the patient agrees); and
(e) adding a copy of the amended document or plan to the patient's medical records.
(3) In this rule:
collaborating provider is a person who:
(a) provides treatment or a service to a patient; and
(b) is not a family carer of the patient.
family carer includes a person who:
(a) is a relative or friend of the patient; and
(b) is providing care to the patient other than as a paid service.
53B Meaning of contribute to a multidisciplinary care plan for items 729 and 731
(1) For items 729 and 731, to contribute to a multidisciplinary care plan or to the review of a plan includes:
(a) preparing part of the plan or amendments to the plan, and adding a copy of that part or those amendments to the patient's medical records; or
(b) giving advice to a person who prepares or reviews the plan, and recording in writing, on the patient's medical records, any advice provided to such a person.
(2) In subrule (1):
multidisciplinary care plan means a written plan that:
(a) is prepared for a patient by:
(i) a medical practitioner, in consultation with 2 other collaborating providers, each of whom provides a different kind of treatment or service to the patient, and 1 of whom may be another medical practitioner; or
(ii) a collaborating provider (other than a medical practitioner), in consultation with at least 2 other collaborating providers, each of whom provides a different kind of treatment or service to the patient; and
(b) describes, at least, treatment and services to be provided to the patient by the collaborating providers.
(3) In this rule:
collaborating provider :
(a) is a person who:
(i) provides treatment or a service to a patient; and
(ii) is not a family carer of the patient; and
(b) includes a medical practitioner.
family carer includes a person who:
(a) is a relative or friend of the patient; and
(b) is providing care to the patient other than as a paid service.
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:
(a) discussing a patient's history;
(b) identifying the patient's multidisciplinary care needs;
(c) identifying outcomes to be achieved by members of the case conference team giving care and service to the patient;
(d) identifying tasks that need to be undertaken to achieve these outcomes, and allocating those tasks to members of the case conference team;
(e) assessing whether previously identified outcomes (if any) have been achieved.
55 Meaning of multidisciplinary discharge case conference
For items 746, 749, 757, 768, 771 and 773, a multidisciplinary discharge case conference is a multidisciplinary case conference carried out in relation to a patient before the patient is discharged from a hospital or approved day hospital facility.
56 Meaning of multidisciplinary case conference in a residential aged care facility
For items 734, 736, 738, 775, 778 and 779, a multidisciplinary case conference in a residential aged care facility is a multidisciplinary case conference carried out in relation to a care recipient in a residential aged care facility.
57 Meaning of multidisciplinary case conference team
(1) For this table, a multidisciplinary case conference team :
(a) includes a medical practitioner; and
(b) includes at least 2 other members, each of whom provides a different kind of care or service to the patient and is not a family carer of the patient, and 1 of whom may be another medical practitioner; and
(c) may additionally include a family carer of the patient.
Example
Examples of persons who, for paragraph (b), may be included in a team are:
(a) allied health professionals such as:
* Aboriginal health care workers
* asthma educators
* audiologists
* dental therapists
* dentists
* diabetes educators
* dieticians
* mental health workers
* occupational therapists
* optometrists
* orthoptists
* orthotists or prosthetists
* pharmacists
* physiotherapists
* podiatrists
* psychologists
* registered nurses
* social workers
* speech pathologists; and
(b) home and community service providers, or care organisers, such as:
* education providers
* 'meals on wheels' providers
* personal care workers
* probation officers.
(2) In subrule (1):
family carer includes a person who:
(a) is a relative or friend of the patient; and
(b) is providing care to the patient other than as a paid service.
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:
(a) explaining to the patient the nature of a multidisciplinary case conference, and asking the patient whether the patient agrees to the conference taking place;
(b) recording the patient's agreement to the conference;
(c) recording the day on which the conference was held, and the times at which the conference started and ended;
(d) recording the names of the participants;
(e) recording the matters mentioned in rule 54, and putting a copy of that record in the patient's medical records;
(f) offering the patient and the patient's carer (if any and if the practitioner considers appropriate and the patient agrees), and giving each other member of the team, a summary of the conference;
(g) discussing the outcomes of the conference with the patient and the patient's carer (if any and if the practitioner considers appropriate and the patient agrees).
(2) For items 759, 762, 765, 768, 771, 773, 775, 778 and 779, participation in a multidisciplinary case conference must be at the request of the person who organises and co‑ordinates the conference, and involves undertaking all of the following activities in relation to a case conference:
(a) explaining to the patient the nature of a multidisciplinary case conference, and asking the patient whether the patient agrees to the practitioner's participation in the conference;
(b) recording the patient's agreement to the practitioner's participation;
(c) recording the day on which the conference was held, and the times at which the conference started and ended;
(d) recording the names of the participants;
(e) recording the matters mentioned in rule 54, and putting a copy of that record in the patient's medical records.
(3) Participation in a multidisciplinary case conference does not include organising and co‑ordinating a multidisciplinary case conference.
58A Meaning of co‑ordinate in item 880
For item 880, co‑ordinating a case conference means undertaking all of the following activities in relation to a case conference:
(a) co‑ordinating and facilitating the case conference;
(b) resolving any disagreement or conflict to enable the members of the case conference team giving care and service to the patient to agree on the outcomes to be achieved;
(c) identifying tasks that need to be undertaken to achieve these outcomes, and allocating those tasks to members of the case conference team;
(d) recording the input of each member and the outcome of the conference.
58B Meaning of case conference team in item 880
(1) For item 880, a case conference team :
(a) includes a specialist, or consultant physician, in the practice of his or her specialty of geriatric or rehabilitation medicine; and
(b) includes at least 2 other allied health professionals, each of whom provides a different kind of care or service to the patient and is not a medical practitioner or family carer of the patient; and
(c) may include the patient, a family carer of the patient or a medical practitioner.
Example
Examples of persons who, for paragraph (b), may be included in a team are:
* dieticians
* mental health workers
* occupational therapists
* pharmacists
* physiotherapists
* podiatrists
* psychologists
* social workers
* speech pathologists.
(2) In subrule (1):
family carer includes a person who:
(a) is a relative or friend of the patient; and
(b) is providing care to the patient other than as a paid service.
(1) Item 880 applies only if:
(a) the attendance is by a specialist, or consultant physician, in the specialty of geriatric medicine or rehabilitation medicine for the purposes of the Act; and
(b) the attendance is on a patient who:
(i) is an admitted patient of a hospital (other than an approved day hospital facility or residential aged care facility); and
(ii) is being provided with 1 of the following types of specialist care:
(A) geriatric evaluation and management;
(B) rehabilitation care.
(2) In this rule:
"geriatric evaluation and management" means care provided to a patient with a disability or psychosocial problem for the purpose of maximising the patient's health status or optimising the patient's living arrangements.
"rehabilitation care" means care provided to a patient with an impairment or disability for the purpose of improving the patient's functional status.
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:
(a) is not an in‑patient of a hospital or approved day hospital facility; and
(b) is not a care recipient in a residential aged care facility.
60 Meaning of residential medication management review in item 903
(1) For item 903, a residential medication management review is a collaborative service provided by a medical practitioner and a pharmacist to review the medication management needs of a permanent resident of a residential aged care facility.
(2) A medical practitioner's involvement in a residential medication management review includes all of the following:
(a) discussing the proposed review with the resident and seeking the resident's consent to the review;
(b) collaborating with the reviewing pharmacist about the pharmacist's involvement in the review;
(c) providing input from the resident's most recent comprehensive medical assessment or, if such an assessment has not been undertaken, providing relevant clinical information for the review and for the resident's records;
(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:
(i) the findings of the review; and
(ii) medication management strategies; and
(iii) means to ensure that the strategies are implemented and reviewed, including any issues for implementation and follow‑up;
(e) developing or revising the resident's medication management plan after discussion with the reviewing pharmacist, and finalising the plan after discussion with the resident.
(3) A medical practitioner's involvement in a residential medication management review also includes:
(a) offering a copy of the medication management plan to the resident (or the resident's carer or representative if appropriate); and
(b) providing copies of the plan for the resident's records and for the nursing staff of the residential aged care facility; and
(c) discussing the plan with nursing staff if necessary.
(4) A post‑review discussion is not required if:
(a) there are no recommended changes to the resident's medication management arising out of the review; or
(b) any changes are minor in nature and do not require immediate discussion; or
(c) the pharmacist and medical practitioner agree that issues arising out of the review should be considered in an enhanced primary care case conference.
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:
(a) the fee for item 2501; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(2) In item 2506, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2504; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(3) In item 2509, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2507; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(4) In item 2518, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2517; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(5) In item 2522, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2521; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(6) In item 2526, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2525; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(7) In item 2547, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2546; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(8) In item 2553, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2552; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(9) In item 2559, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2558; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(10) In item 2575, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2574; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(11) In item 2578, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2577; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(12) In item 2723, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2721; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
(13) In item 2727, amount under rule 61 means an amount equal to the sum of:
(a) the fee for item 2725; and
(b) either:
(i) if not more than 6 patients are attended at a single attendance -- $22.45 divided by the number of patients attended; or
(ii) if more than 6 patients are attended at a single attendance -- $1.65.
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 11 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 a cycle of care of a patient with established diabetes mellitus if the attendance completes a series of attendances that involve, over a period of at least 11 months and up to 13 months, (the current cycle ), the following:
(a) at least 1 assessment of the patient's diabetes control, by measuring the patient's HbA 1c ;
(b) subject to subrule (3), if the patient has not had a comprehensive eye examination in the cycle of care ending immediately before the current cycle -- at least 1 comprehensive eye examination;
(c) measurement of the patient's weight and height, and calculation of the patient's BMI;
(d) 2 further measurements of the patient's weight with each measurement being taken at least 5 months after the previous measurement;
(e) 2 measurements of the patient's blood pressure, taken at least 5 months but not more than 7 months apart;
(f) subject to subrule (3), 2 examinations of the patient's feet, carried out at least 5 months but not more than 7 months apart;
(g) at least 1 measurement of the patient's total cholesterol, triglycerides and HDL cholesterol;
(h) at least 1 test of the patient's microalbuminuria;
(i) provision to the patient of self‑management education regarding diabetes;
(j) a review of the patient's diet, and provision to the patient of information about appropriate dietary choices;
(k) a review of the patient's level of physical activity, and provision to the patient of information about the appropriate level of physical activity;
(l) checking the patient's tobacco smoking activity, and, if relevant, encouraging the patient to stop smoking;
(m) a review of the patient's medication.
(3) For a patient with established diabetes mellitus who is mentioned in the following table, the minimum requirements of a cycle of care for the patient in relation to paragraphs (2) (b) and (f) may be completed as set out in the table.
|
Item |
Patient |
How minimum requirements completed |
|
1 |
A patient who is blind |
Without an eye examination |
|
2 |
A patient who has sight in only 1 eye |
Examination of that eye |
|
3 |
A patient does not have any feet |
Without a foot examination |
|
4 |
A patient who has only 1 foot |
Examination of that foot |
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:
(a) is provided to a patient who has already been provided, in the previous 12 months, with another service to which an item in either of those Subgroups applies; and
(b) is not clinically indicated.
(2) For an item in Subgroup 3 of Group A18 or Subgroup 3 of Group A19, a professional attendance completes the minimum requirements of the Asthma Cycle of Care if the attendance completes a series of attendances that involve:
(a) documented diagnosis and documented assessment of level of asthma control and severity of asthma; and
(b) at least 2 asthma‑related consultations within 12 months (at least 1 of which (the review consultation ) is a consultation that was planned at a previous consultation and includes the review mentioned in subparagraph (iv)) that involve the following for a patient with moderate to severe asthma:
(i) a review of the patient's use of and access to asthma related medication and devices;
(ii) either:
(A) provision to the patient of a written asthma action plan; or
(B) if the patient is unable to use a written asthma action plan -- discussion with the patient about an alternative method of providing an asthma action plan, and documentation of the discussion in the patient's medical records;
(iii) provision of asthma self‑management education to the patient;
(iv) at the review consultation:
(A) a review of the patient's written or documented asthma action plan; and
(B) if necessary, adjustment of that plan.
(1) Subgroups 1 and 2 of Group A24 apply only if the attendance is by a medical practitioner who is recognised as a specialist, or consultant physician, in the specialty of pain medicine for the purposes of the Act.
(2) Subgroups 3 and 4 of Group A24 apply only if the attendance is by a medical practitioner who is recognised as a specialist, or consultant physician, in the specialty of palliative medicine for the purposes of the Act.
In items 5906, 5908, 5910 and 5912:
"outer metropolitan area" means an area in Australia that has been determined by the Department by reference to a locality that lies outside the urban centre area of a capital city (on the basis of 1991 census data published by the Australian Bureau of Statistics in 1994).
"outer metropolitan" specialist trainee means:
(a) a medical practitioner who is currently enrolled in and undertaking a training course in an approved specialist college listed as a specified body in Schedule 5 to the Health Insurance Regulations 1975 (excluding the Royal Australian College of General Practitioners); or
(b) a practitioner who is undertaking a placement as part of the structured training program of the approved specialist college that provides experience not available in teaching hospitals:
(i) as part of an accredited 'advanced' training placement, or a training placement approved by the Department, that fully counts towards training time and other formal requirements; and
(ii) as a college trainee with access to medicare benefits that is limited to attendances provided at a practice nominated by the approved specialist college for a specified time period.
63B Application of items 14227, 14230, 14233, 14236, 14239 and 14242
Items 14227, 14230, 14233, 14236, 14239 and 14242 apply to a service in relation to a patient only if:
(a) the patient has:
(i) chronic spasticity of cerebral origin; or
(ii) chronic spasticity caused by multiple sclerosis, spinal cord injury or spinal cord disease; and
(b) oral antispastic agents have failed or have caused the patient to experience unacceptable side effects; and
(c) an authority has been given by Medicare Australia to provide the service to the patient.
64 Meaning of approved site in items 15338 and 37220
For items 15338 and 37220, approved site , in relation to radiation oncology, means a site at which radiation oncology may be performed lawfully under the law of the State or Territory in which the site is located.
(1) Item 14245 applies only to a service provided by a medical practitioner who is registered by the Medicare Australia CEO to participate in the arrangements made, under paragraph 100 (1) (b) of the National Health Act 1953 , for the purpose of providing an adequate pharmaceutical service for persons requiring treatment with infliximab.
(2) Item 14245 is applicable once only on the same day.
64B Meaning of expressions used in rule 64C and item 16400
In rule 64C and item 16400:
"midwife" means a person:
(a) who is registered, and holds a current practising certificate issued by a State or Territory regulatory authority, as a midwife; and
(b) who is employed by, or whose services are otherwise retained by, a medical practitioner or a practice operated by a medical practitioner.
"nurse" means a person:
(a) who is registered, and holds a current practising certificate issued by a State or Territory regulatory authority, as a registered nurse or enrolled nurse; and
(b) who is employed by, or whose services are otherwise retained by, a medical practitioner or a practice operated by a medical practitioner.
"practice location" has the same meaning as in paragraph 83 (4) (d).
"regional, rural or remote area" has the same meaning as in paragraph 83 (4) (d).
"registered Aboriginal Health Worker" means a person:
(a) who is registered, and holds a current registration issued by a State or Territory regulatory authority, as an Aboriginal Health Worker; and
(b) who is employed by, or whose services are otherwise retained by, a medical practitioner, a practice operated by a medical practitioner or a health service in relation to which the Minister has made a direction under subsection 19 (2) of the Act.
(1) Item 16400 applies to an antenatal service provided to a patient by a midwife, nurse or registered Aboriginal Health Worker only if:
(a) the nurse or registered Aboriginal Health Worker has the appropriate training and skills to perform antenatal care; and
(b) the medical practitioner under whose supervision the antenatal service is provided retains responsibility for clinical outcomes and for the health and safety of the patient; and
(c) the midwife, nurse or registered Aboriginal Health Worker complies with relevant legislative or regulatory requirements regarding the provision of the antenatal service in the State or Territory where the servive is provided.
(2) Item 16400 is not applicable in conjunction with another antenatal attendance item for the same patient, on the same day by the same practitioner.
(3) Item 16400 is not applicable in conjunction with items 10990, 10991 or 10992.
(4) For any particular patient, item 16400 is applicable not more than 10 times in a 9 month period.
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:
(a) is a professional service within the meaning of subsection 3 (1) of the Act; and
(b) is specified in an item that includes, in its description, '(Anaes.)'.
(2) Each of items 22900 and 22905 applies to a service only if the service is provided in connection with a dental service (other than a dental service that is a prescribed medical service under paragraph (b) of the definition of professional service in subsection 3 (1) of the Act).
66 Services specified in Subgroups 21 to 25 of Group T10
In Subgroups 21 to 25 of Group T10:
(a) a reference to anaesthesia is a reference to administration of anaesthesia performed in association with a service to which any of items 20100 to 21997, 22900 and 22905 applies; and
(b) a reference to perfusion is a reference to perfusion to which item 22060 applies; and
(c) a reference to assistance is a reference to assistance:
(i) in the administration of anaesthesia; and
(ii) to which item 25200 or 25205 applies.
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:
(i) begins when the anaesthetist commences exclusive and continuous care of the patient for anaesthesia; and
(ii) ends when the anaesthetist places the patient safely under the supervision of other personnel; and
(b) in relation to perfusion performed on a patient under anaesthesia -- the period that:
(i) begins when the anaesthetic commences; and
(ii) ends with the closure of the chest of the patient; and
(c) in relation to assistance given by an assistant anaesthetist in the administration of anaesthesia performed on a patient -- the period when the assistant anaesthetist is actively attending on the patient.
68 Application of Subgroup 21 of Group T10
(1) An item in the range 23010 to 24136 applies to perfusion in addition to any other item that applies to the perfusion.
(2) An item in the range 23010 to 24136 applies to assistance only as a component of item 25200 or 25205 and for the purpose of calculating the amount of fee for that item.
69 Application of Subgroups 22 and 23 of Group T10
(1) An item in the range 25000 to 25020 applies to anaesthesia in addition to any other item that applies to the anaesthesia.
(2) An item in the range 25000 to 25020 applies to perfusion in addition to any other item that applies to the perfusion.
(3) An item in the range 25000 to 25020 applies to assistance only as a component of item 25200 or 25205 and for the purpose of calculating the amount of fee for that item.
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:
(a) the fee specified in any of items 20100 to 21997 and 22900 for the initiation of management of anaesthesia in association with which the anaesthesia is performed; and
(b) the fee specified in the item in the range 23010 to 24136 that applies to the anaesthesia; and
(c) if any of items 25000 to 25015 applies to the anaesthesia -- the fee specified in that item; and
(d) if a service specified in an item in the range 22001 to 22050 is performed in association with the anaesthesia -- the fee specified in that item.
(2) For item 25030, amount under rule 70 means the amount that is equal to 50% of the sum of:
(a) the fee specified in the item in the range 23010 to 24136 that applies to the assistance; and
(b) if any of items 25000 to 25015 applies to the assistance -- the fee specified in that item; and
(c) if any of items 25200 to 25205 applies to the assistance -- the fee specified in that item; and
(d) if a service specified in an item in the range 22001 to 22050 is performed in association with the assistance -- the fee specified in that item.
(3) For item 25050, amount under rule 70 means the amount that is equal to 50% of the sum of:
(a) the fee specified in item 22060; and
(b) the fee specified in the item in the range 23010 to 24136 that applies to the perfusion; and
(c) if any of items 25000 to 25015 applies to the perfusion -- the fee specified in that item; and
(d) if a service specified in an item in the range 22001 to 22050 or 22065 to 22075 is performed in association with the perfusion -- the fee specified in that item.
71 Application of Subgroups 24 and 25 of Group T10
An item in the range 25025 to 25050 applies to the anaesthesia, assistance or perfusion in addition to any other item that applies to the service.
72 Meaning of complex paediatric case in item 25205
For item 25205, a complex paediatric case involves 1 or more of the following services:
(a) invasive monitoring, either intravascular or transoesophageal;
(b) organ transplantation;
(c) craniofacial surgery;
(d) major tumour resection;
(e) separation of conjoint twins.
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:
(a) $87.55; and
(b) the fee specified in the item in the range 23010 to 24136 that applies to the assistance; and
(c) if any of items 25000 to 25020 applies to the assistance -- the fee specified in that item.
74 Restriction of telepsychiatry consultations to rural and remote areas
Each of items 353 to 358 applies only to a consultation that is provided:
(a) by a consultant physician located in a Statistical Local Area that is a M1, M2 or R1 area within the meaning of the Rural, Remote and Metropolitan Areas Classification; and
(b) to a patient located in a different Statistical Local Area that is a R1, R2, R3, Rem1 or Rem2 area within the meaning of the Rural, Remote and Metropolitan Areas Classification.
75 Meaning of recognised emergency department and problem focussed history in Group A21
(1) In Group A21, recognised emergency department , of a private hospital, means a department of the hospital that is licensed, under a law of the State or Territory in which the hospital is located, to operate as an emergency department.
(2) In items 501, 503 and 507, problem focussed history means a history focussing on the medical condition of the patient that necessitates the patient presenting for emergency attention.
76 Prolonged attendances by emergency physicians
In items 519 to 536, an attendance for emergency evaluation of a critically ill patient with an immediately life threatening problem means an attendance that requires:
(a) immediate and rapid assessment; and
(b) initiation of resuscitation and electronic monitoring of vital signs; and
(c) taking a comprehensive history and evaluation while undertaking resuscitative measures; and
(d) ordering and evaluation of appropriate investigations; and
(e) transitional evaluation and monitoring; and
(f) formulation and documentation of a diagnosis and management plan in relation to 1 or more problems; and
(g) initiation of appropriate treatment interventions; and
(h) liaison with relevant health care professionals and discussion with, as appropriate, the patient or the patient's relatives or agent.
76A Meaning of expressions used in rules 77 to 78 and Group A20
(1) The following expressions, when used in rules 77 to 77B or an item of Group A20, have the following meanings:
"mental disorder" means a significant impairment of any or all of an individual's cognitive, affective and relational abilities that:
(a) may require medical intervention; and
(b) may be a recognised, medically diagnosable illness or disorder; and
(c) is not dementia, delirium, tobacco use disorder or mental retardation.
Note In relation to this definition, attention is drawn to the Diagnostic and Management Guidelines for Mental Disorders in Primary Care (ICD‑10, Chapter 5, Primary Care Version), developed by the World Health Organisation and published in 1996.
"outcome measurement tool" means a tool used to monitor changes in a patient's health that occur in response to treatment received by the patient.
(2) For rules 77B and 78, exceptional circumstances exist in relation to a service mentioned in an item for a patient if performance of the service for the patient is necessitated by:
(a) a significant change in the patient's clinical condition; or
(b) a significant change in the patient's circumstances.
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:
(a) whose name is entered in the register maintained by the Medicare Australia CEO under section 28 of the Medicare Australia (Functions of Chief Executive Officer) Direction 2005 ; and
(b) who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration, for providing services to which those Subgroups apply.
(2) An item in Subgroup 4 of Group A18 or Subgroup 4 of Group A19 does not apply to a service that:
(a) is provided to a patient who has already been provided, in the previous 12 months, with another service to which an item in either of those Subgroups applies; and
(b) is not clinically indicated.
(3) A reference in an item in Subgroup 4 of Group A18 or Subgroup 4 of Group A19 to the minimum requirements of the 3 Step Mental Health Process is a reference to the following procedures in relation to the patient concerned:
(a) at least 2 consultations related to a mental disorder:
(i) at least 1 of which (the review consultation ) is a consultation that:
(A) was planned at a previous consultation; and
(B) includes the review described in paragraph (e); and
(ii) each of which is of at least 20 minutes duration;
(b) assessment of the mental disorder, including administration of an outcome measurement tool (except if considered clinically inappropriate);
(c) formulation or diagnosis or both formulation and diagnosis of the mental disorder;
(d) supplying the patient or, if the patient agrees, the patient's carer with:
(i) a written mental health plan; and
(ii) suitable education about the mental disorder;
(e) at the review consultation (which must be at least 4 weeks, but no later than 6 months, after the consultation at which the written mental health plan was prepared):
(i) a review of the patient's progress against the goals recorded in that plan; and
(ii) if necessary, adjustment of that plan; and
(iii) administration of the outcome measurement tool used in the assessment mentioned in paragraph (b) (except if considered clinically inappropriate).
(4) In this rule:
"written mental health plan" means a written plan that:
(a) is prepared in consultation with a patient or, if the patient agrees, a patient's carer; and
(b) describes arrangements for:
(i) treatment of the mental disorder or disorders; and
(ii) crisis intervention; and
(iii) relapse prevention.
77A GP Mental Health Care Plans (Subgroup 1 of Group A20)
(1) For item 2710, preparation of a GP mental health care plan means the preparation of a comprehensive written plan, in consultation with a patient (and, if subrule (6) applies, the patient's carer), that includes:
(a) assessment of the patient's mental disorder, including administration of an outcome measurement tool (except if considered clinically inappropriate); and
(b) formulation or diagnosis or both formulation and diagnosis of the mental disorder; and
(c) treatment goals with which the patient agrees; and
(d) any actions to be taken by the patient; and
(e) a plan for crisis intervention and/or for relapse prevention, if appropriate; and
(f) referral and treatment options for the patient; and
(g) arrangements for providing the treatment and services referred to in paragraph (f); and
(h) arrangements to review the plan.
(2) For paragraph (1) (f), the referral and treatment options for a patient include:
(a) support services; and
(b) psychiatric services; and
(c) subject to the applicable limitations:
(i) psychological therapies provided by a clinical psychologist (items 80000* to 80020*); and
(ii) focussed psychological strategy services provided by a medical practitioner who is qualified in the way mentioned in paragraph 78 (1) (b) to provide those services (items 2721 to 2727); and
(iii) focussed psychological strategy services provided by an allied mental health professional (items 80100* to 80170*).
Note Asteriked items relate to a health service specified in the Health Insurance (Allied Health and Dental Services) Determination 2006 .
(3) Preparation of the plan also includes:
(a) explaining to the patient (and, if subrule (6) applies, the patient's carer) the steps involved in preparing the plan; and
(b) recording the plan; and
(c) recording the patient's agreement to the preparation of the plan; and
(d) offering the patient (and, if subrule (6) applies, the patient's carer):
(i) a copy of the plan; and
(ii) suitable education about the mental disorder; and
(e) adding a copy of the plan to the patient's medical records.
(4) For item 2712, review of a GP mental health care plan means a process by which the medical practitioner:
(a) reviews the matters mentioned in subrule 49 (1) of the 2004 General Medical Services Table or subrule 49A (1), as applicable; and
(b) checks, reinforces and expands any education given under the plan; and
(c) prepares a plan for crisis intervention and/or for relapse prevention, if appropriate; and
(d) re‑administers the outcome measurement tool used in the assessment mentioned in paragraph (1) (a) (except if considered clinically inappropriate or not previously used); and
(e) if different arrangements need to be made, makes amendments to the plan that state those new arrangements.
(5) Review of the plan also includes:
(a) explaining to the patient (and, if subrule (6) applies, the patient's carer) the steps involved in the review; and
(b) recording the patient's agreement to the review of the plan; and
(c) if amendments are made to the plan:
(i) offering a copy of the amended plan to the patient (and, if subrule (6) applies, the patient's carer); and
(ii) adding a copy of the amended plan to the patient's medical records.
(6) This subrule applies if:
(a) a patient has a carer; and
(b) the practitioner who is preparing or reviewing a GP mental health care plan considers it appropriate to involve the carer; and
(c) the patient agrees to the carer being involved.
77B Application of items in Subgroup 1 of Group A20
(1) Items 2710, 2712, 2713 apply only in relation to a patient with a mental disorder.
(2) Items 2710 and 2712 apply to:
(a) a patient in the community; and
(b) a private in‑patient (including a private in‑patient who is a resident of an aged care facility) being discharged from hospital.
(3) Item 2713 applies only as a surgery consultation.
(4) Unless exceptional circumstances exist, item 2710 is not applicable:
(a) in association with a service to which any of items 2713 or 734 to 779 apply; or
(b) more than once in a 12 month period for a particular patient; or
(c) within 12 months of the provision of a service in a 3 Step Mental Health Process (items 2574, 2575, 2577, 2578, 2704, 2705, 2707 and 2708); or
(d) within 3 months following the provision of a service to which item 2712 applies.
(5) Item 2712 applies only if 1 of the following services has been provided to the patient in the previous 12 months:
(a) a GP Mental Health Care Plan (item 2710);
(b) a Review of a GP Mental Health Care Plan (item 2712);
(c) a psychiatrist assessment and management plan (item 291).
(6) Item 2712 is not applicable in association with a service to which any of items 2713 or 734 to 779 apply.
(7) Unless exceptional circumstances exist, item 2712 is not applicable:
(a) more than once in a 3 month period; or
(b) within 4 weeks following provision of a GP Mental Health Care Plan item (item 2710).
(8) Item 2713:
(a) applies only to an attendance of at least 20 minutes duration; and
(b) does not apply in association with a service to which item 2710 or 2712 applies.
78 Focussed psychological strategies
(1) An item in Subgroup 2 of Group A20 applies only to a service that:
(a) is clinically indicated under a 3 Step Mental Health Process, GP Mental Health Care Plan or a Psychiatrist Assessment and Management Plan; and
(b) is provided by a medical practitioner:
(i) whose name is entered in the register maintained by the Medicare Australia CEO under section 28 of the Medicare Australia (Functions of Chief Executive Officer) Direction 2005 ; and
(ii) who is identified in the register as a practitioner who can provide services to which Subgroup 2 of Group A20 applies; and
(iii) who meets any training and skills requirements, as determined by the General Practice Mental Health Standards Collaboration, for providing services to which Subgroup 2 of Group A20 applies; and
(c) is provided in a general practice that participates in the Practice Incentives Program or is an accredited general practice that is not participating in the Program.
(2) An item in Subgroup 2 of Group A20 does not apply to:
(a) a service that:
(i) is provided to a patient who has already been provided, in the calender year, with a group of 6 other services to which any of the items in that Subgroup applies; and
(ii) is provided before the medical practitioner managing the 3 Step Mental Health Process, GP Mental Health Care Plan or Psychiatrist Assessment and Management Plan has conducted a review and has noted in the patient's records a recommendation that the patient have additional sessions of psychological strategies in the calender year; or
(b) a service that is provided to a patient who has already been provided, in the calender year, with 12 (or, if exceptional circumstances exist, 18) other services to which any of items in that Subgroup applies.
(3) In Group A20, a reference to focussed psychological strategies is a reference to any of the following mental health care management strategies, being a strategy that has been derived from evidence‑based psychological therapies:
(a) psycho‑education;
(b) cognitive‑behavioural therapy that involves cognitive or behavioural interventions;
(c) relaxation strategies;
(d) skills training;
(e) interpersonal therapy.
(4) In this rule:
"general practice" means a business, consisting of 1 or more medical practitioners, that provides a general practice of medical services.
(1) A service to which item 4001 applies must not be provided by a medical practitioner who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination.
(2) Item 4001 does not apply if a patient has already been provided, for the same pregnancy, with 3 services to which that item or item 81000*, 81005* or 81010* applies.
Note Asterisked items relate to a health service specified in the Health Insurance (Allied Health and Dental Services) Determination 2006 .
(3) A reference in item 4001 to non‑directive pregnancy support counselling is a reference to counselling provided by a medical practitioner to a woman in which:
(a) information and issues relating to pregnancy are discussed; but
(b) the medical practitioner does not impose his or her views or values about what the woman should or should not do in relation to the pregnancy.
(4) A service to which item 4001 applies may be used to address any pregnancy‑related issue.
79 Meaning of qualified surgeon in items 31539 and 31545
For items 31539 and 31545, a medical practitioner is a qualified surgeon if:
(a) he or she is a specialist in the practice of his or her specialty of surgery; and
(b) the Medicare Australia CEO has received a written notice from the Royal Australasian College of Surgeons stating that the person meets the skills requirements for providing services to which the items apply.
80 Meaning of qualified radiologist in item 31542
For item 31542, a medical practitioner is a qualified radiologist if:
(a) he or she is a specialist in the practice of his or her specialty of radiology; and
(b) the Medicare Australia CEO has received a written notice from the Royal Australian and New Zealand College of Radiologists stating that the person meets the skills requirements for providing services to which the item applies.
81 Injection of botulinum toxin
(1) Each of items 18350 to 18373 applies only to a service provided by a medical practitioner who is registered by the Medicare Australia CEO to participate in the arrangements made, under paragraph 100 (1) (b) of the National Health Act 1953 , for the purpose of providing an adequate pharmaceutical service for persons requiring treatment with botulinum toxin.
(2) If the cost of the botulinum toxin injection supplied in connection with a service described in each of items 18350 to 18373 is not subsidised by the Commonwealth or a State, the service is taken not to include the supply of that toxin.
82 Meaning of qualified medical acupuncturist in items 193, 195, 197 and 199
For items 193, 195, 197 and 199, a person is a qualified medical acupuncturist if:
(a) the person is a general practitioner; and
(b) the Medicare Australia CEO has received a written notice from the Royal Australian College of General Practitioners stating that the person meets the skills requirements for providing services to which the items apply.
(1) In this rule and item 10988:
"general practice" has the meaning given by subrule 84 (1).
"immunisation" has the meaning given by subrule 84 (1).
"registered Aboriginal health worker" means a person registered as an Aboriginal health worker under the Health Practitioners Act (NT) who is employed by, or whose services are otherwise retained by, a general practice or health service in the Northern Territory in relation to which the Minister has made a direction under subsection 19 (2) of the Act.
(2) Item 10988 applies to an immunisation provided to a person by a registered Aboriginal health worker only if:
(a) the registered Aboriginal health worker is appropriately qualified and trained to provide immunisations to persons; and
(b) the medical practitioner under whose supervision the immunisation is provided retains responsibility for the health, safety and clinical outcomes of the person.
(3) If the cost of the vaccine supplied in connection with a service described in item 10988 is not subsidised by the Commonwealth or a State, the service is taken not to include the supply of that vaccine.
82B Application of item 10989
(1) In this rule and item 10989:
"registered Aboriginal health worker" has the meaning given by subrule 82A (1).
(2) Item 10989 applies to the treatment of a person's wound (other than normal aftercare) provided by a registered Aboriginal health worker only if:
(a) the registered Aboriginal health worker is appropriately qualified and trained to treat wounds; and
(b) the medical practitioner under whose supervision the treatment is provided has conducted an initial assessment of the person; and
(c) the registered Aboriginal health worker has been instructed by the medical practitioner in relation to the treatment of the wound; and
(d) the medical practitioner retains responsibility for the health, safety and clinical outcomes of the person.
83 Application of items 10990, 10991 and 10992
(1) If the medical service described in item 10991 is provided to a person, either that item or 10990, but not both those items, applies to the service.
(1A) If the medical service described in item 10992 is provided to a person, either that item or 10990, but not both those items, applies to the service.
(2) If item 10990, 10991 or 10992 applies to a medical service, the fee specified in that item applies in addition to the fee specified in any other item in this table that applies to the service.
(3) For items 10990, 10991 and 10992:
"bulk-billed" , in relation to a medical service, means:
(a) a medicare benefit is payable to a person in respect of the service; and
(b) under an agreement entered into under section 20A of the Act:
(i) the person assigns to the medical practitioner by whom, or on whose behalf, the service is provided, his or her right to the payment of the medicare benefit; and
(ii) the medical practitioner accepts the assignment in full payment of his or her fee for the service provided.
"Commonwealth concession card holder" means a person who is a concessional beneficiary within the meaning given by subsection 84 (1) of the National Health Act 1953 .
"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.
(4) For items 10991 and 10992:
"ASGC" means the document titled Australian Standard Geographical Classification (ASGC) 2002, published by the Australian Bureau of Statistics, as in force on 1 July 2002.
eligible area means:
(a) a regional, rural or remote area; or
(b) Tasmania; or
(c) a geographical area included in any of the following SSD spatial units:
(i) Beaudesert Shire Part A;
(ii) Belconnen;
(iii) Darwin City;
(iv) Eastern Outer Melbourne;
(v) East Metropolitan;
(vi) Frankston City;
(vii) Gosford‑Wyong;
(viii) Greater Geelong City Part A;
(ix) Gungahlin‑Hall;
(x) Ipswich City (Part in BSD);
(xi) Litchfield Shire;
(xii) Melton‑Wyndham;
(xiii) Mornington Peninsula Shire;
(xiv) Newcastle;
(xv) North Canberra;
(xvi) Palmerston‑East Arm;
(xvii) Pine Rivers Shire;
(xviii) Queanbeyan;
(xix) South Canberra;
(xx) South Eastern Outer Melbourne;
(xxi) Southern Adelaide;
(xxii) South West Metropolitan;
(xxiii) Thuringowa City Part A;
(xxiv) Townsville City Part A;
(xxv) Tuggeranong;
(xxvi) Weston Creek‑Stromlo;
(xxvii) Woden Valley;
(xxviii) Yarra Ranges Shire Part A; or
(d) the geographical area included in the SLA spatial unit of Palm Island (AC).
"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 Medicare Australia CEO.
"regional, rural or remote area" means an area classified as RRMAs 3-7 under the Rural, Remote and Metropolitan Areas Classification.
"SLA" means a Statistical Local Area specified in the ASGC.
"SSD" means a Statistical Subdivision specified in the ASGC.
84 Application of item 10993
(1) For item 10993:
"enrolled nurse" means a person who:
(a) holds a current practising certificate as a nurse issued by a State or Territory regulatory authority; and
(b) is licensed to provide nursing care under the supervision of a registered nurse.
"general practice" means a business, consisting of 1 or more medical practitioners, that provides a general practice of medical services.
"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 .
(2) Item 10993 applies to an immunisation provided to a person by a practice nurse only if:
(a) the practice nurse is appropriately qualified and trained to provide immunisations to persons; and
(b) the medical practitioner under whose supervision the immunisation is provided retains responsibility for the health, safety and clinical outcomes of the person.
(3) If the cost of the vaccine supplied in connection with a service described in item 10993 is not subsidised by the Commonwealth or a State, the service is taken not to include the supply of that vaccine.
84A Application of items 10994 and 10995
(1) For items 10994 and 10995:
"enrolled nurse" has the meaning given by subrule 84 (1).
"general practice" has the meaning given by subrule 84 (1).
"practice nurse" has the meaning given by subrule 84 (1).
"preventive check" :
(a) includes at least 1 of the following:
(i) a check for sexually transmitted infections (including chlamydia),
(ii) taking of a sexual and reproductive history;
(ii) advice on contraception;
(iii) breast awareness education;
(iv) advice on post natal issues;
(v) continence advice and education; and
(b) may also include a smoking, nutrition, alcohol and physical activity (SNAP) behavioural risk factor assessment, and blood pressure measurement.
(2) Items 10994 and 10995 apply only if:
(a) the practice nurse is appropriately qualified and trained to perform the services provided; and
(b) the medical practitioner under whose supervision the treatment is provided retains responsibility for clinical outcomes and for the health and safety of the person.
(3) Items 10994 and 10995 do not apply to a service that is provided to a person in conjunction with a service to which any of items 10998, 10999, 2497 to 2509 and 2598 to 2616 apply.
(4) Items 10994 is not applicable in conjunction with a service to which item 10995 applies.
85 Application of item 10996
(1) For item 10996:
"enrolled nurse" has the meaning given by subrule 84 (1).
"general practice" has the meaning given by subrule 84 (1).
"practice nurse" has the meaning given by subrule 84 (1).
(2) Item 10996 applies to the treatment of a person's wound (other than normal aftercare) provided by a practice nurse only if:
(a) the practice nurse is appropriately qualified and trained to treat wounds; and
(b) the medical practitioner under whose supervision the treatment is provided has conducted an initial assessment of the person; and
(c) the practice nurse has been instructed by the medical practitioner in relation to the treatment of the wound; and
(d) the medical practitioner retains responsibility for the health, safety and clinical outcomes of the person.
86 Application of items 10998 and 10999
(1) For this rule and items 10998 and 10999:
"practice nurse" has the meaning given by subrule 84 (1).
(2) Items 10998 and 10999 apply to the taking of a cervical smear from a person by a practice nurse only if:
(a) the practice nurse is appropriately qualified and trained to take a cervical smear; and
(b) the medical practitioner under whose supervision the smear is taken retains responsibility for the health, safety and clinical outcomes of the person.
87 Meaning of foreign body in items 35360 to 35363
For items 35360, 35361, 35362 and 35363, foreign body does not include an instrument inserted for the purpose of a service being rendered.
87A Application of items 35404, 35406 and 35408
(1) Items 35404, 35406 and 35408 do not apply to selective internal radiation therapy provided in combination with systemic chemotherapy using any drugs other than 5 fluorouracil (5FU) and leucovorin.
(2) Item 35404 applies only to a service provided by a medical practitioner recognised as a specialist, or consultant physician, in the specialty of nuclear medicine or radiation oncology for the purposes of the Act.
88 Limitation on certain items
(1) For any particular patient, each of items 291, 293, 10943 and 45019 is applicable not more than once in a 12 month period.
(2) For any particular patient, item 10942 is applicable not more than twice in a 12 month period.
(2A) For any particular patient, each of items 2946 to 3000 and 3032 to 3093 is applicable not more than 5 times in a 12 month period.
(3) For any particular patient, each of items 10921, 10922, 10923, 10924, 10925, 10926, 10927, 10928 and 10929 is applicable not more than once in a 36 month period.
(4) For any particular patient, item 13104 is applicable not more than 12 times in a 12 month period.
89 Application of items 30440, 30451, 30492 and 30495
A service described in item 30440, 30451, 30492 or 30495 does not include imaging.
Note The imaging services associated with these services are described in the diagnostic imaging services table.
90 Application of items 10900, 10940 and 10941
(1) A service described in item 10900 applies to any particular patient only if that patient has not received a service described in item 10900, 10905, 10907, 10912, 10913, 10914 or 10915 in the previous 24 months.
(2) A service described in item 10940 applies to any particular patient not more than twice in any 12 month period and includes a service described in item 10941.
(3) A service described in item 10941 applies to any particular patient not more than twice in any 12 month period and includes a service described in item 10940.
91 Application of items 10931, 10932 and 10933
(1) If item 10931, 10932 or 10933 applies, the fee specified in that item applies in addition to the fee specified in any other item in this table that applies to the service.
(2) The fee charged for the following must not exceed $125.50:
(a) the fee specified in item 10931, 10932 or 10933 is not bulk‑billed;
(b) the fee specified in any other item in this table that applies to the service is not bulk‑billed;
(c) the fee charged by an optometrist for the service.
(3) For items 10931, 10932 and 10933:
bulk‑billed , in relation to a medical service, means:
(a) a medicare benefit is payable to a person in respect of the service; and
(b) under an agreement entered into under section 20A of the Act:
(i) the person assigns to the medical practitioner by whom, or on whose behalf, the service is provided, his or her right to the payment of the medicare benefit; and
(ii) the medical practitioner accepts the assignment in full payment of his or her fee for the service provided.
92 Limitation of items 10943, 16590, 18360, 18364 and 50303
(1) A service described in item 10943 does not apply to a service used to assess learning difficulties or learning disabilities.
(2) A service described in item 16590 is applicable not more than once in a pregnancy that has progressed beyond 20 weeks.
(3) A service described in items 18360 and 18364 is applicable to the first 4 treatments, not exceeding 2 for each limb, on any day.
(4) A service described in item 50303 is applicable once in any 12 month period for each limb.
93 Application of items 30299 and 30300
A service described in items 30299 and 30300 is applicable if only pre‑operative lymphoscinitigraphy is used because the patient is allergic to lymphotrophic dye.
94 Application of items 15556, 15559 and 15562
A service described in item 15556, 15559 or 15562 applies only if:
(a) each gross tumour target, clinical target, planning target and organ at risk specified in the prescription is rendered as a volume; and
(b) each organ at risk is nominated as a planning dose goal or constraint; and
(c) each organ at risk is specified in the prescription as a dose goal or constraint; and
(d) dose volume histograms are generated, approved and recorded with the plan; and
(e) a CT image volume dataset is required for the relevant region to be planned and treated; and
(f) the CT image is required to be suitable for the generation of quality digitally reconstructed radiographic images.
95 Application of items 38365, 38368 and 38654
A service described in item 38365, 38368 or 38654 applies to any particular patient only if:
(a) the patient:
(i) has moderate to severe chronic heart failure (New York Heart Association (NYHA) class III or IV) despite optimised medical therapy; and
(ii) has sinus rhythm; and
(iii) has a left vernicular ejection fraction of 35% or less; and
(iv) has a QRS duration of 120 milliseconds or more; or
(b) the patient satisfied the requirements mentioned in paragraph (a) immediately before the insertion of a cardiac resynchronisation therapy device and transvenous left ventricular electrode.
96 Application of items 38470 to 38766
An item in the range 38470 to 38766 must be performed using open exposure or minimally invasive surgery unless otherwise stated in the item.
Items 2497, 2501, 2503, 2504, 2506, 2507, 2509, 2598, 2600, 2603, 2606, 2610, 2613, 2616 do not apply in conjunction with any of items 10994, 10995, 10998 and 10999.
|
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 |
112.50 |
|
|||||
|
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 |
112.50 |
|
|||||
|
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 |
14.70 |
|
|||||
|
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 |
32.10 |
|
|||||
|
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 |
60.95 |
|
|||||
|
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 |
89.75 |
|
|||||
|
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 |
97.95 |
|
|||||
|
98 |
Professional attendance being an attendance at consulting rooms, by a medical practitioner (not being a general practitioner) on not more than 1 patient on the 1 occasion -- each attendance (other than an attendance between 11 pm and 7 am) on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after‑hours period and where the patient's medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance |
97.95 |
|
|||||
|
Group A3 -- Specialist attendances to which no other item applies |
|
|||||||
|
104 |
Professional attendance by a specialist in the practice of his or her specialty 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 or 109 applies |
75.60 |
|
|||||
|
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 subsequent to the first in a single course of treatment where that attendance is at consulting rooms or hospital |
37.95 |
|
|||||
|
106 |
Professional attendance by a specialist in the practice of his or her specialty of ophthalmology 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 the only service provided is refraction testing for the issue of a prescription for spectacles or contact lenses where that attendance is at consulting rooms or hospital (not being a service to which any of items 104, 109 and 10801 to 10816 applies) |
62.75 |
|
|||||
|
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 |
110.90 |
|
|||||
|
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 |
70.15 |
|
|||||
|
109 |
Professional attendance by a specialist in the practice of his or her specialty of ophthalmology 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 a comprehensive eye examination is performed on: (a) a patient younger than 9 years; or (b) a patient younger than 15 years with developmental delay (not being a service to which any of items 104, 106 and 10801 to 10816 applies) |
113.55 |
|
|||||
|
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 |
133.35 |
|
|||||
|
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 |
66.75 |
|
|||||
|
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 |
37.95 |
|
|||||
|
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 |
161.85 |
|
|||||
|
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 |
97.85 |
|
|||||
|
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 |
70.45 |
|
|||||
|
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 |
191.90 |
|
|||||
|
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 |
319.80 |
|
|||||
|
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 |
447.60 |
|
|||||
|
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 |
575.65 |
|
|||||
|
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 |
639.65 |
|
|||||
|
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 |
101.85 |
|
|||||
|
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 |
107.30 |
|
|||||
|
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 |
130.60 |
|
|||||
|
Group A7 -- Acupuncture |
|
|||||||
|
173 |
Professional attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed |
21.65 |
|
|||||
|
193 |
Professional attendance by a qualified medical acupuncturist at a place other than a hospital: (a) involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems; or (b) being attendance of less than 20 minutes duration involving components of a service to which item 197 or 199 applies; at which acupuncture is performed by the qualified medical acupuncturist by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed |
32.10 |
|
|||||
|
195 |
Professional attendance by a qualified medical acupuncturist on 1 or more patients at a hospital on 1 occasion: (a) involving taking a selective history, examination of each patient with implementation of a management plan in relation to 1 or more problems; or (b) being attendance of less than 20 minutes duration involving components of a service to which item 197 or 199 applies; at which acupuncture is performed by the qualified medical acupuncturist by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed |
Amount under rule 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 (b) being attendance of at least 20 minutes, but less than 40 minutes, duration involving components of a service to which item 199 applies; at which acupuncture is performed by the qualified medical acupuncturist by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed |
60.95 |
|
|||||
|
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 |
89.75 |
|
|||||
|
|
(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 |
|
|||||||
|
291 |
Professional attendance of more than 45 minutes duration at consulting rooms by a consultant physician in the practice of his or her specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (including a general practitioner, but not a specialist or consultant physician); and (b) during the attendance , the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring medical practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and |
400.00 |
|
|||||
|
|
(iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees); (Item is subject to rule 88) |
|
|
|||||
|
293 |
Professional attendance of more than 30 minutes but not more than 45 minutes duration at consulting rooms by a consultant physician in the practice of his or her specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner in accordance with a management plan prepared by the consultant in accordance with item 291; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and |
250.00 |
|
|||||
|
|
(d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring medical practitioner a copy of the diagnosis and the revised management plan; and |
|
|
|||||
|
|
(iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees); (Item is subject to rule 88) |
|
|
|||||
|
296 |
Professional attendance of more than 45 minutes duration by a consultant physician in the practice of his or her speciality of psychiatry following referral of the patient to him or her by a medical practitioner -- an attendance at consulting rooms where the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; not being an attendance on a patient in respect of whom this item, item 297 or 299, or any of items 300 to 346 or 353 to 370, has applied in the preceding 24 month period |
230.00 |
|
|||||
|
297 |
Professional attendance of more than 45 minutes by a consultant physician in the practice of his or her speciality of psychiatry following referral of the patient to him or her by a medical practitioner -- an attendance at hospital where the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; not being an attendance on a patient in respect of whom this item, item 296 or 299, or any of items 300 to 346 or 353 to 370, has applied in the preceding 24 month period (H) |
230.00 |
|
|||||
|
299 |
Professional attendance of more than 45 minutes by a consultant physician in the practice of his or her speciality of psychiatry following referral of the patient to him or her by a medical practitioner -- an attendance at a place other than consulting rooms or a hospital where the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; not being an attendance on a patient in respect of whom this item, item 296 or 297, or any of items 300 to 346 or 353 to 370, has applied in the preceding 24 month period |
230.00 |
|
|||||
|
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 , if that attendance and any other attendance to which any of items 296, 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
38.30 |
|
|||||
|
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 , if that attendance and any other attendance to which any of items 296, 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
76.40 |
|
|||||
|
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 ), if that attendance and any other attendance to which any of items 296, 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
117.60 |
|
|||||
|
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 , if that attendance and any other attendance to which any of items 296, 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
162.35 |
|
|||||
|
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), if that attendance and any other attendance to which any of items 296, 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
188.30 |
|
|||||
|
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 296, 300 to 308 and 353 to 370 applies exceed 50 attendances in a calendar year for the patient |
19.15 |
|
|||||
|
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 296, 300 to 308 and 353 to 370 applies exceed 50 attendances in a calendar year for the patient |
38.30 |
|
|||||
|
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 296, 300 to 308 and 353 to 370 applies exceed 50 attendances in a calendar year for the patient |
58.85 |
|
|||||
|
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 296, 300 to 308 and 353 to 370 applies exceed 50 attendances in a calendar year for the patient |
81.30 |
|
|||||
|
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 296, 300 to 308 and 353 to 370 applies exceed 50 attendances in a calendar year for the patient |
94.25 |
|
|||||
|
319 |
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner -- an attendance of more than 45 minutes duration at consulting rooms, if the patient has: (a) been diagnosed as suffering severe personality disorder, anorexia nervosa, bulimia nervosa, dysthymic disorder, substance‑related disorder, somatoform disorder or a pervasive development disorder; and (b) for persons 18 years and over, been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale; if that attendance and any other attendance to which any of items 296, 300 to 319 and 353 to 370 applies have not exceeded 160 attendances in a calendar year for the patient |
162.35 |
|
|||||
|
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 |
38.30 |
|
|||||
|
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 |
76.40 |
|
|||||
|
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 |
117.60 |
|
|||||
|
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 |
162.35 |
|
|||||
|
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 |
188.30 |
|
|||||
|
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 |
70.25 |
|
|||||
|
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 |
110.20 |
|
|||||
|
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 |
160.50 |
|
|||||
|
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 |
194.20 |
|
|||||
|
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 |
220.50 |
|
|||||
|
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 |
43.60 |
|
|||||
|
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 |
57.90 |
|
|||||
|
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 |
85.55 |
|
|||||
|
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 |
112.00 |
|
|||||
|
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 |
154.65 |
|
|||||
|
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 |
112.00 |
|
|||||
|
353 |
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner -- a telepsychiatry consultation of not more than 15 minutes duration, if: (a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 4 since: (i) the patient first started telepsychiatry consultation; or (ii) if the patient has had a face‑to‑face consultation to which any of items 364 to 370 applies -- the patient's last face‑to‑face consultation; and (b) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and (c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
44.00 |
|
|||||
|
355 |
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner -- a telepsychiatry consultation of more than 15 minutes, but not more than 30 minutes, duration, if: (a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 4 since: (i) the patient first started telepsychiatry consultation; or |
87.90 |
|
|||||
|
|
(ii) if the patient has had a face‑to‑face consultation to which any of items 364 to 370 applies -- the patient's last face‑to‑face consultation; and (b) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and |
|
|
|||||
|
|
(c) that atte n dance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
|
|
|||||
|
356 |
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner -- a telepsychiatry consultation of more than 30 minutes, but not more than 45 minutes, duration, if: (a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 4 since: (i) the patient first started telepsychiatry consultation; or (ii) if the patient has had a face‑to‑face consultation to which any of items 364 to 370 applies -- the patient's last face‑to‑face consultation; and (b) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and |
128.90 |
|
|||||
|
|
(c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
|
|
|||||
|
357 |
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner -- a telepsychiatry consultation of more than 45 minutes, but not more than 75 minutes, duration, if: (a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 4 since: (i) the patient first started telepsychiatry consultation; or (ii) if the patient has had a face‑to‑face consultation to which any of items 364 to 370 applies -- the patient's last face‑to‑face consultation; and |
177.85 |
|
|||||
|
|
(b) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and (c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
|
|
|||||
|
358 |
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner -- a telepsychiatry consultation of more than 75 minutes duration, if: (a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 4 since: (i) the patient first started telepsychiatry consultation; or (ii) if the patient has had a face‑to‑face consultation to which any of items 364 to 370 applies -- the patient's last face‑to‑face consultation; and |
216.65 |
|
|||||
|
|
(b) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and (c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
|
|
|||||
|
364 |
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner -- a face‑to‑face consultation of not more than 15 minutes duration, if: (a) the patient has had 4 telepsychiatry consultations to which any of items 353 to 358 applies: (i) before that attendance; or |
38.30 |
|
|||||
|
|
(ii) if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies -- since the patient's last face‑to‑face consultation; and (b) that attendance and any other attendance to which any of items 364 to 370 applies have not exceeded 3 attendances in a calendar year for the patient; and (c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
|
|
|||||
|
366 |
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner -- a face‑to‑face consultation of more than 15 minutes, but not more than 30 minutes, duration, if: (a) the patient has had 4 telepsychiatry consultations to which any of items 353 to 358 applies: (i) before that attendance; or (ii) if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies -- since the patient's last face‑to‑face consultation; and |
76.40 |
|
|||||
|
|
(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 (c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
|
|
|||||
|
367 |
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner -- a face‑to‑face consultation of more than 30 minutes, but not more than 45 minutes, duration, if: (a) the patient has had 4 telepsychiatry consultations to which any of items 353 to 358 applies: (i) before that attendance; or (ii) if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies -- since the patient's last face‑to‑face consultation; and (b) that attendance and any other attendance to which any of items 364 to 370 applies have not exceeded 3 attendances in a calendar year for the patient; and (c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
112.00 |
|
|||||
|
369 |
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner -- a face‑to‑face consultation of more than 45 minutes, but not more than 75 minutes, duration, if: (a) the patient has had 4 telepsychiatry consultations to which any of items 353 to 358 applies: (i) before that attendance; or (ii) if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies -- since the patient's last face‑to‑face consultation; and |
154.65 |
|
|||||
|
|
(b) that attendance and any other attendance to which any of items 364 to 370 applies have not exceeded 3 attendances in a calendar year for the patient; and (c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
|
|
|||||
|
370 |
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner -- a face‑to‑face consultation of more than 75 minutes duration, if: (a) the patient has had 4 telepsychiatry consultations to which any of items 353 to 358 applies: (i) before that attendance; or (ii) if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies -- since the patient's last face‑to‑face consultation; and (b) that attendance and any other attendance to which any of items 364 to 370 applies have not exceeded 3 attendances in a calendar year for the patient; and (c) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient |
188.30 |
|
|||||
|
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 |
75.60 |
|
|||||
|
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 |
37.95 |
|
|||||
|
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 |
110.90 |
|
|||||
|
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 |
70.15 |
|
|||||
|
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 |
17.25 |
|
|||||
|
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 |
37.75 |
|
|||||
|
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 |
71.65 |
|
|||||
|
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 |
105.55 |
|
|||||
|
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 |
17.25 |
|
|||||
|
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 |
37.75 |
|
|||||
|
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 |
71.65 |
|
|||||
|
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 |
105.55 |
|
|||||
|
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 |
132.30 |
|
|||||
|
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 |
155.90 |
|
|||||
|
Group A21 -- Emergency physician attendances to which no other item applies |
|
|||||||
|
501 |
Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine -- attendance for the unscheduled evaluation and management of a patient, involving straightforward medical decision making that requires: (a) taking a problem focussed history; and (b) limited examination; and (c) diagnosis; and (d) initiation of appropriate treatment interventions |
30.20 |
|
|||||
|
503 |
Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine -- attendance for the unscheduled evaluation and management of a patient, involving medical decision making of low complexity that requires: (a) taking an expanded problem focussed history; and (b) expanded examination of 1 or more systems; and (c) formulation and documentation of a diagnosis and management plan in relation to 1 or more problems; and (d) initiation of appropriate treatment interventions |
51.05 |
|
|||||
|
507 |
Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine -- attendance for the unscheduled evaluation and management of a patient, involving medical decision making of moderate complexity that requires: (a) taking an expanded problem focussed history; and (b) expanded examination of 1 or more systems; and (c) ordering and evaluation of appropriate investigations; and (d) formulation and documentation of a diagnosis and management plan in relation to 1 or more problems; and (e) initiation of appropriate treatment interventions |
85.80 |
|
|||||
|
511 |
Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine -- attendance for the unscheduled evaluation and management of a patient, involving medical decision making of moderate complexity that requires: (a) taking a detailed history; and (b) detailed examination of 1 or more systems; and (c) ordering and evaluation of appropriate investigations; and |
121.35 |
|
|||||
|
|
(d) formulation and documentation of a diagnosis and management plan in relation to 1 or more problems; and (e) initiation of appropriate treatment interventions; and (f) liaison with relevant health care professionals and discussion with, as appropriate, the patient or the patient's relatives or agent |
|
|
|||||
|
515 |
Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of his or her specialty of emergency medicine -- attendance for the unscheduled evaluation and management of a patient, involving medical decision making of high complexity that requires: (a) taking a comprehensive history; and (b) comprehensive examination of 1 or more systems; and (c) ordering and evaluation of appropriate investigations; and (d) formulation and documentation of a diagnosis and management plan in relation to 1 or more problems; and (e) initiation of appropriate treatment interventions; and (f) liaison with relevant health care professionals and discussion with, as appropriate, the patient or the patient's relatives or agent |
187.90 |
|
|||||
|
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 |
129.15 |
|
|||||
|
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 |
248.15 |
|
|||||
|
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 |
406.70 |
|
|||||
|
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 |
565.25 |
|
|||||
|
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 |
724.00 |
|
|||||
|
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 |
803.35 |
|
|||||
|
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 |
132.55 |
|
|||||
|
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 |
132.55 |
|
|||||
|
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 |
116.15 |
|
|||||
|
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 |
116.15 |
|
|||||
|
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 |
167.45 |
|
|||||
|
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 |
236.85 |
|
|||||
|
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 |
167.45 |
|
|||||
|
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 |
236.85 |
|
|||||
|
708 |
Attendance by a medical practitioner (other than a specialist or consultant physician) at consulting rooms or another place (other than a hospital, approved day hospital facility or residential aged care facility) for a child health check of a patient who is younger than 15 and of Aboriginal or Torres Strait Islander descent -- not being a child health check of a patient in respect of whom, in the preceding 9 months, a payment has been made under this item |
167.45 |
|
|||||
|
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 |
199.60 |
|
|||||
|
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 |
187.65 |
|
|||||
|
714 |
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 a humanitarian visa holder -- not being a health assessment of a patient in respect of whom a payment has been made under this item or item 700, 702, 712 or 716 (Item is subject to rule 44) |
199.60 |
|
|||||
|
716 |
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 a humanitarian visa holder -- not being a health assessment of a patient in respect of whom a payment has been made under this item or item 700, 702, 712 or 714 (Item is subject to rule 44) |
Amount under rule 9 |
|
|||||
|
717 |
Attendance by a medical practitioner (including a general practitioner but not including a specialist or consultant physician) at a place other than a hospital to undertake a health check for a patient between the age of 45 and 49 (inclusive) at risk of developing a chronic disease |
100.00 |
|
|||||
|
Group A15 -- GP management plans, team care arrangements and multidisciplinary care plans and case conferences |
|
|||||||
|
Subgroup 1 -- GP management plans, team care arrangements and multidisciplinary care plans |
|
|||||||
|
721 |
Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), for preparation of a GP management plan for a patient (not being a service associated with a service to which any of items 734 to 779 apply) (Item is subject to rule 45A) |
124.95 |
|
|||||
|
723 |
Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to co‑ordinate the development of team care arrangements for a patient (not being a service associated with a service to which any of items 734 to 779 apply) (Item is subject to rule 45A) |
98.95 |
|
|||||
|
725 |
Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to review: (a) a GP management plan prepared by that medical practitioner (or an associated medical practitioner) to which item 721 applies; or (b) a multidisciplinary community care plan to which former item 720 applied, or a multidisciplinary discharge care plan to which former item 722 applied, prepared by that medical practitioner (or an associated medical practitioner) (not being a service associated with a service to which any of items 734 to 779 apply) (Item is subject to rule 45A) |
62.50 |
|
|||||
|
727 |
Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to co‑ordinate a review of: (a) team care arrangements co‑ordinated by that medical practitioner (or an associated medical practitioner) to which item 723 applies; or (b) a multidisciplinary community care plan to which former item 720 applied, or a multidisciplinary discharge care plan to which former item 722 applied, prepared by that medical practitioner (or an associated medical practitioner) (not being a service associated with a service to which any of items 734 to 779 apply) (Item is subject to rule 45A) |
62.50 |
|
|||||
|
729 |
Contribution by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (not being a service associated with a service to which any of items 734 to 779 apply) (Item is subject to rule 45A) |
43.40 |
|
|||||
|
731 |
Contribution by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital or an approved day‑hospital facility, or to a review of such a plan prepared by another provider (not being a service associated with a service to which items 734 to 779 apply) (Item is subject to rule 45A) |
43.40 |
|
|||||
|
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 731 applies) |
83.75 |
|
|||||
|
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 731 applies) |
125.65 |
|
|||||
|
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 731 applies) |
167.45 |
|
|||||
|
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 721 to 731 apply) |
83.75 |
|
|||||
|
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 721 to 731 apply) |
125.65 |
|
|||||
|
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 721 to 731 apply) |
167.45 |
|
|||||
|
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 721 to 731 apply) -- payable not more than once for each hospital admission |
83.75 |
|
|||||
|
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 721 to 731 apply) -- payable not more than once for each hospital admission |
125.65 |
|
|||||
|
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 721 to 731 apply) -- payable not more than once for each hospital admission |
167.45 |
|
|||||
|
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 721 to 731 apply) |
59.80 |
|
|||||
|
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 721 to 731 apply) |
95.70 |
|
|||||
|
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 721 to 731 apply) |
131.55 |
|
|||||
|
768 |
Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary discharge case conference (other than to organise and co‑ordinate the conference), where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which items 721 to 731 apply) -- payable not more than once for each hospital admission |
59.80 |
|
|||||
|
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 721 to 731 apply) -- payable not more than once for each hospital admission |
95.70 |
|
|||||
|
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 721 to 731 apply) -- payable not more than once for each hospital admission |
131.55 |
|
|||||
|
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 731 applies) |
59.80 |
|
|||||
|
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 731 applies) |
95.70 |
|
|||||
|
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 731 applies) |
131.55 |
|
|||||
|
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 |
122.90 |
|
|||||
|
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 |
184.40 |
|
|||||
|
823 |
Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and co‑ordinate a community case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines |
245.75 |
|
|||||
|
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 |
88.30 |
|
|||||
|
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 |
140.80 |
|
|||||
|
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 |
193.30 |
|
|||||
|
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 |
122.90 |
|
|||||
|
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 |
184.40 |
|
|||||
|
834 |
Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and co‑ordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines |
245.75 |
|
|||||
|
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 |
88.30 |
|
|||||
|
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 |
140.80 |
|
|||||
|
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 |
193.30 |
|
|||||
|
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 |
122.90 |
|
|||||
|
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 |
184.40 |
|
|||||
|
858 |
Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a case conference team, to organise and co‑ordinate a community case conference of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines |
245.75 |
|
|||||
|
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 |
122.90 |
|
|||||
|
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 |
184.40 |
|
|||||
|
866 |
Attendance by a consultant physician in the practice of his or her specialty of psychiatry, as a member of a case conference team, to organise and co‑ordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines |
245.75 |
|
|||||
|
871 |
Attendance by a medical practitioner (including a specialist or consultant physician in the practice of his or her specialty or a general practitioner), as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, where the case conference is of at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers |
71.00 |
|
|||||
|
872 |
Attendance by a medical practitioner (including a specialist or consultant physician in the practice of his or her specialty or a general practitioner), as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, where the case conference is of at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers |
33.00 |
|
|||||
|
880 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of geriatric or rehabilitation medicine, as a member of a case conference team, to co‑ordinate a case conference of at least 10 minutes but less than 30 minutes -- for any particular patient, 1 attendance only in a 7 day period (not being an attendance on the same day as an attendance in respect of which a payment has been made under item 832, 834, 835, 837 or 838 in respect of the patient) (H) (Item is subject to rule 58C) |
42.95 |
|
|||||
|
Group A17 -- Domiciliary medication management review |
|
|||||||
|
900 |
Participation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) in a Domiciliary Medication Management Review (DMMR) for patients living in a community setting, where the medical practitioner: (a) assesses a patient's medication management needs and, following that assessment, refers the patient to a community pharmacy for a DMMR and, with the patient's consent, provides relevant clinical information required for the review; and (b) discusses with the reviewing pharmacist the results of that review including suggested medication management strategies; and |
134.10 |
|
|||||
|
|
(c) develops a written medication management plan following discussion with the patient. For any particular patient -- applicable not more than once in each 12 month period, except where there has been a significant change in the patient's condition or medication regimen requiring a new DMMR |
|
|
|||||
|
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 |
91.85 |
|
||||||
|
Group A18 -- G eneral practitioner attendances associated with Practice Incentives Program (PIP) payments |
|
|||||||
|
Subgroup 1 -- Taking of a cervical smear from an unscreened or significantly underscreened woman |
|
|||||||
|
2497 |
Professional attendance at consulting rooms by a general practitioner: (a) involving taking a short patient history and, if required, limited examination and management; and (b) at which a cervical smear is taken from a woman between the ages of 20 and 69 years (inclusive) who has not had a cervical smear in the last 4 years |
14.70 |
|
|||||
|
2501 |
Professional attendance at consulting rooms by a general practitioner: (a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or (b) being an attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 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 |
32.10 |
|
|||||
|
2503 |
Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking a short patient history and, if required, limited examination and management; and (b) at which a cervical smear is taken from a woman between the ages of 20 and 69 years (inclusive) who has not had a cervical smear in the last 4 years |
Amount under rule 61 |
|
|||||
|
2504 |
Professional attendance at consulting rooms by a general practitioner: (a) involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes; or (b) being an attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 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 |
60.95 |
|
|||||
|
2506 |
Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes; or (b) being an attendance of less than 40 minutes duration involving components of a service to which item 44, 47, 48, 50 or 51 applies; at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years |
Amount under rule 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 (b) being an attendance of at least 40 minutes duration for implementation of a management plan; at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years |
89.75 |
|
|||||
|
2509 |
Professional attendance at a place other than consulting rooms by a general practitioner involving: (a) taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes; or (b) being an attendance of at least 40 minutes duration for implementation of a management plan; at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years |
Amount under rule 61 |
|
|||||
|
Subgroup 2 -- Completion of a cycle of care for patients with established diabetes mellitus |
|
|||||||
|
2517 |
Professional attendance at consulting rooms by a general practitioner: (a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or (b) being an attendance o f less than 20 minutes duration involving components of a service to which item 2521 or 2525 applies; that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus |
32.10 |
|
|||||
|
2518 |
Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or (b) being an attendance of less than 20 minutes duration involving components of a service to which item 2522 or 2526 applies; that completes the minimum requirements for a 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 (b) being an attendance of less than 40 minutes duration involving components of a service to which item 2525 applies; that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus |
60.95 |
|
|||||
|
2522 |
Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes; or (b) being an attendance of less than 40 minutes duration involving components of a service to which item 2526 applies; that completes the minimum requirements for a 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 (b) being an attendance of at least 40 minutes duration for implementation of a management plan; that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus |
89.75 |
|
|||||
|
2526 |
Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes; or (b) being an attendance of at least 40 minutes duration for implementation of a management plan; that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus |
Amount under rule 61 |
|
|||||
|
Subgroup 3 -- Completion of the Asthma Cycle of Care |
|
|||||||
|
2546 |
Professional attendance at consulting rooms by a general practitioner: (a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or (b) being attendance of less than 20 minutes duration involving components of a service to which item 2552 or 2558 applies; that completes the minimum requirements of the Asthma Cycle of Care |
32.10 |
|
|||||
|
2547 |
Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or (b) being an attendance of less than 20 minutes duration involving components of a service to which item 2553 or 2559 applies; that completes the minimum requirements of the Asthma Cycle of Care |
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 (b) being an attendance of less than 40 minutes duration involving components of a service to which item 2558 applies; that completes the minimum requirements of the Asthma Cycle of Care |
60.95 |
|
|||||
|
2553 |
Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes; or (b) being an attendance of less than 40 minutes duration involving components of a service to which item 2559 applies; that completes the minimum requirements of the Asthma Cycle of Care |
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 (b) being an attendance of at least 40 minutes duration for implementation of a management plan; that completes the minimum requirements of the Asthma Cycle of Care |
89.75 |
|
|||||
|
2559 |
Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes; or (b) being an attendance of at least 40 minutes duration for implementation of a management plan; that completes the minimum requirements of the Asthma Cycle of Care |
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 (b) involving components of a service to which item 2577 applies, being attendance of less than 40 minutes duration; that completes the minimum requirements of the 3 Step Mental Health Process |
60.95 |
|
|||||
|
2575 |
Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes; or (b) involving components of a service to which item 2578 applies, being attendance of less than 40 minutes duration; that completes the minimum requirements of the 3 Step Mental Health Process |
Amount under rule 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 (b) for implementation of a management plan, being attendance of at least 40 minutes duration; that completes the minimum requirements of the 3 Step Mental Health Process |
89.75 |
|
|||||
|
2578 |
Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes; or (b) for implementation of a management plan, being attendance of at least 40 minutes duration; that completes the minimum requirements of the 3 Step Mental Health Process |
Amount under rule 61 |
|
|||||
|
Group A19 -- O ther 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 |
|
|||||||
|
2598 |
Professional attendance at consulting rooms of less than 5 minutes duration by a medical practitioner who practices 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 years (inclusive) who has not had a cervical smear in the last 4 years |
11.00 |
|
|||||
|
2600 |
Professional attendance at consulting rooms of more than 5, 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 a 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 a 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 a 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 a 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 a 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 a 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 a cycle of care of a patient with established diabetes mellitus |
Amount under rule 9 |
|
|||||
|
Subgroup 3 -- Completion of the Asthma Cycle of Care |
|
|||||||
|
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 Cycle of Care |
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 Cycle of Care |
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 Cycle of Care |
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 Cycle of Care |
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 Cycle of Care |
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 Cycle of Care |
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 -- Mental health care |
|
|||||||
|
Subgroup 1 -- GP Mental Health Care Plans |
|
|||||||
|
2710 |
Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) for the preparation of a GP Mental Health Care Plan for a patient |
150.00 |
|
|||||
|
2712 |
Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to review a GP Mental Health Care Plan prepared by that medical practitioner (or an associated medical practitioner) or to review a Psychiatrist Assessment and Management Plan |
100.00 |
|
|||||
|
2713 |
Professional attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) on a patient in relation to a mental disorder and lasting at least 20 minutes, involving taking relevant history and identifying the presenting problem or problems (to the extent not previously recorded), providing treatment, advice and/or referral for other services or treatments and documenting the outcomes of the consultation |
66.00 |
|
|||||
|
Subgroup 2 -- F ocussed 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 for assessed mental disorders by a medical practitioner registered with Medicare Australia as meeting the credentialling requirements for provision of this service , and lasting at least 30 minutes, but less than 40 minutes |
80.35 |
|
|||||
|
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 for assessed mental disorders by a medical practitioner registered with Medicare Australia as meeting the credentialling requirements for provision of this service , and lasting at least 30 minutes, but less than 40 minutes |
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 for assessed mental disorders by a medical practitioner registered with Medicare Australia as meeting the credentialling requirements for provision of this service , and lasting at least 40 minutes |
115.00 |
|
|||||
|
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 for assessed mental disorders by a medical practitioner registered with Medicare Australia as meeting the credentialling requirements for provision of this service , and lasting at least 40 minutes |
Amount under rule 61 |
|
|||||
|
Group A24 -- Palliative and pain medicine |
|
|||||||
|
Subgroup 1 -- Pain medicine attendances |
|
|||||||
|
2801 |
Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a medical practitioner -- initial attendance in a single course of treatment (Item is subject to rule 63A) |
133.35 |
|
|||||
|
2806 |
Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a medical practitioner -- each attendance (not being a service to which item 2814 applies) subsequent to the first in a single course of treatment (Item is subject to rule 63A) |
66.75 |
|
|||||
|
2814 |
Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a medical practitioner -- each minor attendance subsequent to the first attendance in a single course of treatment (Item is subject to rule 63A) |
37.95 |
|
|||||
|
2824 |
Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a medical practitioner -- initial attendance in a single course of treatment (Item is subject to rule 63A) |
161.85 |
|
|||||
|
2832 |
Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a medical practitioner -- each attendance (not being a service to which item 2840 applies) subsequent to the first in a single course of treatment (Item is subject to rule 63A) |
97.85 |
|
|||||
|
2840 |
Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine following referral of the patient to him or her by a medical practitioner -- each minor attendance subsequent to the first attendance in a single course of treatment (Item is subject to rule 63A) |
70.45 |
|
|||||
|
Subgroup 2 -- Pain medicine case conferences |
|
|||||||
|
2946 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, 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 (Item is subject to rules 63A and 88) |
122.90 |
|
|||||
|
2949 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, 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 (Item is subject to rules 63A and 88) |
184.40 |
|
|||||
|
2954 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, 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 (Item is subject to rules 63A and 88) |
245.75 |
|
|||||
|
2958 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a case conference team, to participate in a community case conference (other than to organise and 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 (Item is subject to rules 63A and 88) |
88.30 |
|
|||||
|
2972 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a case conference team, to participate in a community case conference (other than to organise and 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 (Item is subject to rules 63A and 88) |
140.80 |
|
|||||
|
2974 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a case conference team, to participate in a community case conference (other than to organise and co‑ordinate the conference) of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines (Item is subject to rules 63A and 88) |
193.30 |
|
|||||
|
2978 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, 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 (Item is subject to rules 63A and 88) |
122.90 |
|
|||||
|
2984 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, 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 (Item is subject to rules 63A and 88) |
184.40 |
|
|||||
|
2988 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, 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 (Item is subject to rules 63A and 88) |
245.75 |
|
|||||
|
2992 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and 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 (Item is subject to rules 63A and 88) |
88.30 |
|
|||||
|
2996 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and 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 (Item is subject to rules 63A and 88) |
140.80 |
|
|||||
|
3000 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of pain medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and co‑ordinate the conference) of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines (Item is subject to rules 63A and 88) |
193.30 |
|
|||||
|
Subgroup 3 -- Palliative medicine attendances |
|
|||||||
|
3005 |
Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a medical practitioner -- initial attendance in a single course of treatment (Item is subject to rule 63A) |
133.35 |
|
|||||
|
3010 |
Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a medical practitioner -- each attendance (not being a service to which item 3014 applies) subsequent to the first in a single course of treatment (Item is subject to rule 63A) |
66.75 |
|
|||||
|
3014 |
Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a medical practitioner -- each minor attendance subsequent to the first attendance in a single course of treatment (Item is subject to rule 63A) |
37.95 |
|
|||||
|
3018 |
Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a medical practitioner -- initial attendance in a single course of treatment (Item is subject to rule 63A) |
161.85 |
|
|||||
|
3023 |
Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a medical practitioner -- each attendance (not being a service to which item 3028 applies) subsequent to the first in a single course of treatment (Item is subject to rule 63A) |
97.85 |
|
|||||
|
3028 |
Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine following referral of the patient to him or her by a medical practitioner -- each minor attendance subsequent to the first attendance in a single course of treatment (Item is subject to rule 63A) |
70.45 |
|
|||||
|
Subgroup 4 -- Palliative medicine case conferences |
|
|||||||
|
3032 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, 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 (Item is subject to rules 63A and 88) |
122.90 |
|
|||||
|
3040 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, 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 (Item is subject to rules 63A and 88) |
184.40 |
|
|||||
|
3044 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, 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 (Item is subject to rules 63A and 88) |
245.75 |
|
|||||
|
3051 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a case conference team, to participate in a community case conference (other than to organise and 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 (Item is subject to rules 63A and 88) |
88.30 |
|
|||||
|
3055 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a case conference team, to participate in a community case conference (other than to organise and 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 (Item is subject to rules 63A and 88) |
140.80 |
|
|||||
|
3062 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a case conference team, to participate in a community case conference (other than to organise and co‑ordinate the conference) of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines (Item is subject to rules 63A and 88) |
193.30 |
|
|||||
|
3069 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, 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 (Item is subject to rules 63A and 88) |
122.90 |
|
|||||
|
3074 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, 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 (Item is subject to rules 63A and 88) |
184.40 |
|
|||||
|
3078 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, 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 (Item is subject to rules 63A and 88) |
245.75 |
|
|||||
|
3083 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and 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 (Item is subject to rules 63A and 88) |
88.30 |
|
|||||
|
3088 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and 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 (Item is subject to rules 63A and 88) |
140.80 |
|
|||||
|
3093 |
Attendance by a specialist, or consultant physician, in the practice of his or her specialty of palliative medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and co‑ordinate the conference) of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines (Item is subject to rules 63A and 88) |
193.30 |
|
|||||
|
Group A27 -- Pregnancy support counselling |
||||||||
|
4001 |
Professional attendance of at least 20 minutes duration at consulting rooms by a medical practitioner (including a general practitioner but not including a specialist or consultant physician) who is registered with Medicare Australia as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a woman who is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service to which this item or item 81000*, 81005* or 81010* applies in relation to that pregnancy Note Asterisked items relate to a health service specified in the Health Insurance (Allied Health and Dental Services) Determination 2006 . |
66.35 |
||||||
|
Group A22 -- General practitioner after‑hours attendances to which no other item applies |
||||||||
|
5000 |
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 |
25.10 |
||||||
|
5003 |
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 |
||||||
|
5007 |
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 |
||||||
|
5010 |
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 |
||||||
|
5020 |
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 5040 or 5060 applies -- each attendance |
42.50 |
||||||
|
5023 |
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 5043 or 5063 applies -- an attendance on 1 or more patients on 1 occasion -- each patient |
Amount under rule 9 |
||||||
|
5026 |
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 5046 or 5064 applies -- an attendance on 1 or more patients at 1 institution on 1 occasion -- each patient |
Amount under rule 9 |
||||||
|
5028 |
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 5049 or 5067 applies -- an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion -- each patient |
Amount under rule 9 |
||||||
|
5040 |
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 5060 applies -- each attendance |
71.35 |
||||||
|
5043 |
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 5063 applies -- an attendance on 1 or more patients on 1 occasion -- each patient |
Amount under rule 9 |
||||||
|
5046 |
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 5064 applies -- an attendance on 1 or more patients at 1 institution on 1 occasion -- each patient |
Amount under rule 9 |
||||||
|
5049 |
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 5067 applies -- an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion -- each patient |
Amount under rule 9 |
||||||
|
5060 |
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 |
100.15 |
||||||
|
5063 |
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 |
||||||
|
5064 |
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 |
||||||
|
5067 |
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 A23 -- Other non‑referred after‑hours attendances to which no other item applies |
||||||||
|
5200 |
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 |
21.00 |
||||||
|
5203 |
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 |
31.00 |
||||||
|
5207 |
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 |
48.00 |
||||||
|
5208 |
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 |
71.00 |
||||||
|
5220 |
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 |
||||||
|
5223 |
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 |
||||||
|
5227 |
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 |
||||||
|
5228 |
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 |
||||||
|
5240 |
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 |
||||||
|
5243 |
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 |
||||||
|
5247 |
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 |
||||||
|
5248 |
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 |
||||||
|
5260 |
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 |
||||||
|
5263 |
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 |
||||||
|
5265 |
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 |
||||||
|
5267 |
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 |
||||||
|
Group A25 -- Outer metropolitan specialist trainee attendances |
||||||||
|
5906 |
Professional attendance at consulting rooms of not more than 5 minutes duration by an outer metropolitan specialist trainee |
17.25 |
||||||
|
5908 |
Professional attendance at consulting rooms of more than 5 minutes duration but not more than 20 minutes duration by an outer metropolitan specialist trainee |
37.75 |
||||||
|
5910 |
Professional attendance at consulting rooms of more than 20 minutes duration but not more than 40 minutes duration by an outer metropolitan specialist trainee |
71.65 |
||||||
|
5912 |
Professional attendance at consulting rooms of more than 40 minutes duration by an outer metropolitan specialist trainee |
105.55 |
||||||
|
Group A26 -- Neurosurgery attendances to which no other item applies |
||||||||
|
6007 |
Professional attendance by a specialist in the practice of neurosurgery 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 |
114.55 |
||||||
|
6009 |
Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her -- a minor attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms or hospital |
37.95 |
||||||
|
6011 |
Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her -- an attendance subsequent to the first in a single course of treatment, involving an extensive and comprehensive examination, arranging any necessary investigations in relation to 1 or more complex problems and of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at consulting rooms or hospital |
75.60 |
||||||
|
6013 |
Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her -- an attendance subsequent to the first in a single course of treatment, involving a detailed and comprehensive examination, arranging any necessary investigations in relation to 1 or more complex problems and of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at consulting rooms or hospital |
104.75 |
||||||
|
6015 |
Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to him or her -- an attendance subsequent to the first in a single course of treatment, involving an exhaustive and comprehensive examination, arranging any necessary investigations in relation to 1 or more complex problems and of more than 45 minutes duration w here that attendance is at consulting rooms or hospital |
133.35 |
||||||
|
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 |
107.50 |
||||||
|
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 |
107.50 |
||||||
|
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 |
107.50 |
||||||
|
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 |
107.50 |
||||||
|
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) |
107.50 |
||||||
|
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 |
107.50 |
||||||
|
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 |
107.50 |
||||||
|
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 |
107.50 |
||||||
|
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 |
107.50 |
||||||
|
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 |
107.50 |
||||||
|
Group A10 -- Optometric services provided by a participating optometrist |
||||||||
|
10900 |
Professional attendance of more than 15 minutes duration, being the first in a course of attention (Item is subject to rule 90) |
62.75 |
||||||
|
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 |
62.75 |
||||||
|
10907 |
Professional attendance of more than 15 minutes duration, being the first in a course of attention, if 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 $62.75 |
31.40 |
|
|||||
|
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 |
62.75 |
||||||
|
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 |
62.75 |
||||||
|
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 |
62.75 |
||||||
|
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 |
62.75 |
||||||
|
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 10931, 10932, 10933, 10940, 10941, 10942 or 10943 applies) |
31.40 |
||||||
|
10918 |
Professional attendance, being the second or subsequent in a course of attention and being unrelated to the prescription and fitting of contact lenses (not being a service associated with a service to which item 10940 or 10941 applies) |
31.40 |
||||||
|
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 -- patients with myopia of 5. 0 dioptres or greater (spherical equivalent) in 1 eye (Item is subject to rule 88) |
155.65 |
||||||
|
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 -- patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye (Item is subject to rule 88) |
155.65 |
||||||
|
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 -- patients with astigmatism of 3.0 dioptres or greater in 1 eye (Item is subject to rule 88) |
155.65 |
||||||
|
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 -- 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 (Item is subject to rule 88) |
196.45 |
||||||
|
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 -- patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents) (Item is subject to rule 88) |
155.65 |
||||||
|
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 -- 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 (Item is subject to rule 88) |
155.65 |
||||||
|
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 -- 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 (Item is subject to rule 88) |
196.45 |
||||||
|
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 -- patients who, by reason of physical deformity, are unable to wear spectacles (Item is subject to rule 88) |
155.65 |
||||||
|
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 -- 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 (Item is subject to rule 88) |
196.45 |
||||||
|
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 |
155.65 |
||||||
|
10931 |
A service to which an item in Group A10 applies (other than this item or item 10916, 10932, 10933, 10940 or 10941), if the service: (a) is provided: (i) during a home visit to a person; or (ii) in a residential aged care facility; or (iii) in an institution; and (b) is provided to a single patient at a single location on a single occasion; and (c) is: (i) bulk‑billed in respect of the fees for this item and another item in this table applying to the service; or (ii) not bulk‑billed in respect of the fees for this item and another item in this table applying to the service (Item is subject to rule 91) |
21.85 |
||||||
|
10932 |
A service to which an item in Group A10 applies (other than this item or item 10916, 10931, 10933, 10940 or 10941), if the service: (a) is provided: (i) during a home visit to a person; or (ii) in a residential aged care facility; or (iii) in an institution; and (b) is provided to each of 2 patients at a single location on a single occasion; and (c) is: (i) bulk‑billed in respect of the fees for this item and another item in this table applying to the service; or (ii) not bulk‑billed in respect of the fees for this item and another item in this table applying to the service (Item is subject to rule 91) |
10.90 |
||||||
|
10933 |
A service to which an item in Group A10 applies (other than this item or item 10916, 10931, 10932, 10940 or 10941), if the service: (a) is provided: (i) during a home visit to a person; or (ii) in a residential aged care facility; or (iii) in an institution; and (b) is provided to each of 3 patients at a single location on a single occasion; and (c) is: (i) bulk‑billed in respect of the fees for this item and another item in this table applying to the service; or (ii) not bulk‑billed in respect of the fees for this item and another item in this table applying to the service (Item is subject to rule 91) |
7.30 |
||||||
|
10940 |
Full quantitative computerised perimetry (automated absolute static threshold), with bilateral assessment and report, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain that: (a) is not a service involving multifocal multichannel objective perimetry; and (b) is performed by an optometrist; not being a service associated with a service to which item 10916, 10918, 10931, 10932 or 10933 applies (Item is subject to rule 90) |
59.90 |
||||||
|
10941 |
Full quantitative computerised perimetry (automated absolute static threshold) with unilateral assessment and report, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain that: (a) is not a service involving multifocal multichannel objective perimetry; and (b) is performed by an optometrist; not being a service associated with a service to which item 10916, 10918 10931, 10932 or 10933 applies (Item is subject to rule 90) |
36.10 |
||||||
|
10942 |
Testing of residual vision to provide optimum visual performance for a patient who has best corrected visual acuity of 6/15 or N.12 or worse in the better eye or a horizontal visual field of less than 120 degrees and within 10 degrees above and below the horizontal midline, involving 1 or more of the following: (a) spectacle correction; (b) determination of contrast sensitivity; (c) determination of glare sensitivity; (d) prescription of magnification aids; not being a service associated with a service to which item 10916, 10921, 10922, 10923, 10924, 10925, 10926, 10927, 10928, 10929 or 10930 applies (Item is subject to rule 88) |
31.40 |
||||||
|
10943 |
Additional testing to confirm diagnosis of, or establish a treatment regime for, a significant binocular or accommodative dysfunction, in a patient aged 3 to 14 years, including assessment of 1 or more of the following: (a) accommodation; (b) ocular motility; (c) vergences; (d) fusional reserves; (e) cycloplegic refraction; not being a service to which item 10916, 10921, 10922, 10923, 10924, 10925, 10926, 10927, 10928, 10929 or 10930 applies (Item is subject to rules 88 and 92) |
31.40 |
||||||
|
Miscellaneous services |
||||||||
|
Group 5 -- Services provided by a registered Aboriginal health worker on behalf of a medical practitioner |
|
|||||||
|
10988 |
Immunisation provided to a person by a registered Aboriginal health worker if: (a) the immunisation is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital or approved day hospital facility (Item is subject to rule 82A) |
10.60 |
|
|||||
|
10989 |
Treatment of a person's wound (other than normal aftercare) provided by a registered Aboriginal health worker if: (a) the treatment is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital or approved day hospital facility (Item is subject to rule 82B) |
10.60 |
|
|||||
|
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 or 10992) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital or approved day hospital facility; and |
6.20 |
|
|||||
|
|
(d) the service is bulk‑billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service |
|
|
|||||
|
10991 |
A medical service to which an item in this table (other than this item or item 10990 or 10992) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital or approved day hospital facility; and |
9.40 |
|
|||||
|
|
(d) the service is bulk‑billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and |
|
|
|||||
|
|
(e) the service is provided at, or from, a practice location in an eligible area |
|
|
|||||
|
10992 |
A medical service to which item 1, 97, 601, 697, 5003, 5007, 5010, 5023, 5026, 5028, 5043, 5046, 5049, 5063, 5064, 5067, 5220, 5223, 5227, 5228, 5240, 5243, 5247, 5248, 5260, 5263, 5265 or 5267 applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital or approved day hospital facility; and (d) the service is not provided in consulting rooms; and (e) the service is provided in an eligible area; and (f) the service is provided by, or on behalf of, a medical practitioner whose practice location is not in an eligible area; and (g) the service is bulk‑billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service |
9.40 |
|
|||||
|
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 (b) the person is not an admitted patient of a hospital or approved day hospital facility |
10.60 |
|
|||||
|
10994 |
Service provided by a practice nurse, being the taking of a cervical smear and preventive health check on a person, if: (a) the service is provided on behalf of, and under the supervision of a medical practitioner; and (b) the person is not an admitted patient of a hospital or approved day hospital facility |
21.25 |
|
|||||
|
10995 |
Service provided by a practice nurse, being the taking of a cervical smear and preventive health check on a woman between the ages of 20 and 69 years (inclusive) who has not had a cervical smear in the last 4 years, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital or approved day hospital facility |
21.25 |
|
|||||
|
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 (b) the person is not an admitted patient of a hospital or approved day hospital facility |
10.60 |
|
|||||
|
10998 |
Service provided by a practice nurse, being the taking of a cervical smear from a person, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital or approved day hospital facility |
10.60 |
|
|||||
|
10999 |
Service provided by a practice nurse, being the taking of a cervical smear from a woman between the ages of 20 and 69 years (inclusive) who has not had a cervical smear in the last 4 years, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the person is not an admitted patient of a hospital or approved day hospital facility |
10.60 |
|
|||||
|
Diagnostic procedures and investigations Group D1 -- Miscellaneous diagnostic procedures and investigations Subgroup 1 -- Neurology |
||||||||
|
11000 |
Electroencephalography, not being a service: (a) associated with a service to which item 11003, 11006 or 11009 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices (Anaes.) |
108.80 |
||||||
|
11003 |
Electroencephalography, prolonged recording of at least 3 hours duration, not being a service: (a) associated with a service to which item 11000, 11004, 11005, 11006 or 11009 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices |
287.85 |
||||||
|
11004 |
Electroencephalography, ambulatory or video, prolonged recording of at least 3 hours duration up to 24 hours duration, recording on the first day, not being a service: (a) associated with a service to which item 11000, 11003, 11005, 11006 or 11009 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices |
287.85 |
||||||
|
11005 |
Electroencephalography, ambulatory or video, prolonged recording of at least 3 hours duration up to 24 hours duration, recording on each day subsequent to the first day, not being a service: (a) associated with a service to which item 11000, 11003, 11004, 11006 or 11009 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices |
287.85 |
||||||
|
11006 |
Electroencephalography, temporosphenoidal, not being a service involving quantitative topographic mapping using neurometrics or similar devices |
147.60 |
||||||
|
11009 |
Electrocorticography |
201.20 |
||||||
|
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) |
98.90 |
||||||
|
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) |
132.45 |
||||||
|
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) |
197.90 |
||||||
|
11021 |
Neuromuscular electrodiagnosis -- repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations |
132.45 |
||||||
|
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 |
100.65 |
||||||
|
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 |
149.20 |
||||||
|
Subgroup 2 -- Ophthalmology |
||||||||
|
11200 |
Provocative test or tests for glaucoma, including water drinking |
36.05 |
||||||
|
11203 |
Tonography -- in the investigation or management of glaucoma, of 1 or both eyes -- using an electrical tonography machine producing a directly recorded tracing |
60.90 |
||||||
|
11204 |
Electroretinography of 1 or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards |
95.65 |
||||||
|
11205 |
Electrooculography of 1 or both eyes performed according to current professional guidelines or standards |
95.65 |
||||||
|
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 |
95.65 |
||||||
|
11211 |
Dark adaptometry of 1 or both eyes with a quantitative estimation of threshold in log lumens at 45 minutes of dark adaptations |
95.65 |
||||||
|
11212 |
Optic fundi, examination of following intravenous dye injection |
61.95 |
||||||
|
11215 |
Retinal photography, multiple exposures, of 1 eye with intravenous dye injection |
108.70 |
||||||
|
11218 |
Retinal photography, multiple exposures of both eyes with intravenous dye injection |
134.25 |
||||||
|
11221 |
Full quantitative computerised perimetry (automated absolute static threshold), not being a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, bilateral -- to a maximum of 2 examinations (including examinations to which item 11224 applies) in any 12 month period |
59.90 |
||||||
|
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; |
59.90 |
||||||
|
|
(b) established neurological disease which may be progressive and where a visual field is necessary for the management of the patient; (c) monitoring for ocular disease or disease of the visual pathways which may be caused by systemic drug toxicity, where there may also be other disease such as glaucoma or neurological disease; each additional examination |
|
||||||
|
11224 |
Full quantitative computerised perimetry (automated absolute static threshold), not being a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, unilateral -- to a maximum of 2 examinations (including examinations to which item 11221 applies) in any 12 month period |
36.10 |
||||||
|
11225 |
Full quantitative computerised perimetry (automated absolute static threshold), not being a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of his or her specialty, with assessment and report, unilateral, where it can be demonstrated that a further examination is indicated in the same 12 month period to which item 11224 applies due to presence of 1 of the following conditions: (a) established glaucoma (where surgery may be required within a 6 month period) where there has been definite progression of damage over a 12 month period; (b) established neurological disease which may be progressive and where a visual field is necessary for the management of the patient; (c) monitoring for ocular disease or disease of the visual pathways which may be caused by systemic drug toxicity, where there may also be other disease such as glaucoma or neurological disease; each additional examination |
36.10 |
||||||
|
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 |
108.45 |
||||||
|
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 |
71.95 |
||||||
|
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 |
71.95 |
||||||
|
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 |
91.60 |
||||||
|
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 |
70.80 |
||||||
|
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 (b) more than 3 years have elapsed since the surgery for the first eye; not being a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies |
70.80 |
||||||
|
Subgroup 3 -- Otolaryngology |
||||||||
|
11300 |
Brain stem evoked response audiometry (Anaes.) |
170.05 |
||||||
|
11303 |
Electrocochleography, extratympanic method, 1 or both ears |
170.05 |
||||||
|
11304 |
Electrocochleography, transtympanic membrane insertion technique, 1 or both ears |
280.05 |
||||||
|
11306 |
Non‑determinate audiometry |
19.40 |
||||||
|
11309 |
Audiogram, air conduction |
23.25 |
||||||
|
11312 |
Audiogram, air and bone conduction or air conduction and speech discrimination |
32.85 |
||||||
|
11315 |
Audiogram, air and bone conduction and speech |
43.50 |
||||||
|
11318 |
Audiogram, air and bone conduction and speech, with other cochlear tests |
53.65 |
||||||
|
11321 |
Glycerol induced cochlear function changes assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff's test) |
101.95 |
||||||
|
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 |
29.00 |
||||||
|
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 |
17.45 |
||||||
|
11330 |
Impedance audiogram where the patient is not referred by a medical practitioner -- 1 examination in any 4 week period |
7.00 |
||||||
|
11332 |
Oto‑acoustic emission audiometry for the detection of permanent congenital hearing impairment, performed by or on behalf of a specialist or consultant physician, on an infant or child who is at risk due to 1 or more of the following factors: (a) admission to a neonatal intensive care unit; (b) family history of hearing impairment; (c) intra‑uterine or perinatal infection (either suspected or confirmed); (d) birthweight less than 1.5 kg; (e) craniofacial deformity; (f) birth asphyxia; (g) chromosomal abnormality, including Down's Syndrome; |
51.70 |
||||||
|
|
(h) exchange transfusion; where: (i) the patient is referred by another medical practitioner; and (j) middle ear pathology has been excluded by specialist opinion |
|
||||||
|
11333 |
Caloric test of labyrinth or labyrinths |
39.40 |
||||||
|
11336 |
Simultaneous bithermal caloric test of labyrinths |
39.40 |
||||||
|
11339 |
Electronystagmography |
39.40 |
||||||
|
Subgroup 4 -- Respiratory |
||||||||
|
11500 |
Bronchospirometry, including gas analysis |
147.60 |
||||||
|
11503 |
Measurement of: (a) the mechanical or gas exchange function of the respiratory system; or (b) respiratory muscle function; or (c) 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 supervised by a specialist or consultant physician or carried out in the respiratory laboratory of a hospital) (not being a service associated with a service to which item 22018 applies) -- each occasion at which 1 or more such tests are carried out |
122.50 |
||||||
|
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 |
18.10 |
||||||
|
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 |
31.50 |
||||||
|
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 |
54.55 |
||||||
|
Subgroup 5 -- Vascular |
||||||||
|
11600 |
Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter -- each day of monitoring for each type of pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies or a service associated with administration of anaesthesia) |
61.20 |
||||||
|
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 2 examinations in a 12 month period |
51.00 |
||||||
|
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 |
66.95 |
||||||
|
11605 |
Infrared photoplethysmographic assessment of complex chronic lower limb venous disease, assessment of chronic venous disease in the lower extremities (unilateral or bilateral) using infrared photoplethysmography, examination during and following exercise with and without superficial venous occlusion, to assess venous function (reflux and/or obstruction) to determine surgical intervention or the conservative management of deep venous thrombotic disease, not being a service associated with a service to which item 32500 or 32501 applies -- hard copy trace, calculation of 90% recovery time and report |
66.95 |
||||||
|
11610 |
Measurement of ankle -- brachial indices and arterial waveform analysis, measurement of posterior tibial and dorsalis pedis (or toe) and brachial arterial pressures bilaterally using Doppler or plethysmographic techniques, the calculation of ankle (or toe) brachial systolic pressure indices and assessment of arterial waveforms for the evaluation of lower extremity arterial disease -- examination, hard copy trace and report |
56.30 |
||||||
|
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 |
56.30 |
||||||
|
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 |
99.30 |
||||||
|
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 |
66.95 |
||||||
|
11615 |
Measurement of digital temperature, 1 or more digits, (unilateral or bilateral) and report, with hard copy recording of temperature before and for 10 minutes or more after cold stress testing |
67.05 |
||||||
|
11627 |
Pulmonary artery pressure monitoring during open heart surgery, in a person under 12 years of age |
202.05 |
||||||
|
Subgroup 6 -- Cardiovascular |
||||||||
|
11700 |
Twelve‑lead electrocardiography, tracing and report |
27.60 |
||||||
|
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 |
13.75 |
||||||
|
11702 |
Twelve‑lead electrocardiography, tracing only |
13.75 |
||||||
|
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 |
113.00 |
||||||
|
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 |
148.00 |
||||||
|
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 |
45.85 |
||||||
|
11711 |
Ambulatory ECG monitoring for 12 hours or more, patient activated, single or multiple event recording, utilising a memory recording device which is capable of recording for at least 30 seconds after each activation, including transmission, analysis, interpretation and report -- payable once in any 4 week period |
24.95 |
||||||
|
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 |
134.40 |
||||||
|
11713 |
Signal averaged ECG recording involving not more than 300 beats, using at least 3 leads with data acquisition at not less than 1000Hz of at least 100 QRS complexes, including analysis, interpretation and report of recording by a specialist physician or consultant physician |
61.60 |
||||||
|
11715 |
Blood dye -- dilution indicator test |
106.75 |
||||||
|
11718 |
Implanted pacemaker testing involving electrocardiography, measurement of rate, width and amplitude of stimulus, including reprogramming when required, not being a service associated with a service to which item 11700 or 11721 applies |
30.70 |
||||||
|
11721 |
Implanted pacemaker testing of atrioventricular (AV) sequential, rate responsive, or antitachycardia pacemakers, including reprogramming when required, not being a service associated with a service to which item 11700 or 11718 applies |
61.60 |
||||||
|
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 (b) a neurogenic cause is not suspected; and (c) the patient to whom the service is provided does not have a structural heart defect associated with a high risk of sudden cardiac death; including reprogramming when required, retrieval of stored data, analysis, interpretation and report, not being a service to which item 38285 applies |
30.70 |
||||||
|
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 |
149.20 |
||||||
|
11727 |
Implanted defibrillator testing involving electrocardiography, assessment of pacing and sensing thresholds for pacing and defibrillation electrodes, download and interpretation of stored events and electrograms, including programming when required, not being a service associated with a service to which item 11700, 11718 or 11721 applies |
83.80 |
||||||
|
Subgroup 7 -- Gastroenterology and colorectal |
||||||||
|
11800 |
Oesophageal motility test, manometric |
154.20 |
||||||
|
11810 |
Clinical assessment of gastro‑oesophageal reflux disease involving 24‑hour pH monitoring, including analysis, interpretation and report and including any associated consultation |
154.20 |
||||||
|
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 (b) the patient to whom the service is provided: (i) is aged 10 years or over; and (ii) has recurrent or persistent bleeding; and (iii) is anaemic or has active bleeding; and (c) an upper gastrointestinal endoscopy and a colonoscopy have been performed on the patient and have not identified the cause of the bleeding; and (d) the service is performed within 6 months after the upper gastrointestinal endoscopy and colonoscopy |
1 801.90 |
||||||
|
11830 |
Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex |
165.00 |
||||||
|
11833 |
Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency |
220.70 |
||||||
|
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 |
24.35 |
||||||
|
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 |
98.20 |
||||||
|
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 |
98.20 |
||||||
|
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 |
145.85 |
||||||
|
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.) |
145.85 |
||||||
|
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.) |
145.85 |
||||||
|
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.) |
378.45 |
||||||
|
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.) |
378.45 |
||||||
|
11921 |
Bladder washout test for localisation of urinary infection -- not including bacterial counts for organisms in specimens |
66.25 |
||||||
|
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 |
34.40 |
||||||
|
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 |
52.00 |
||||||
|
12012 |
Epicutaneous patch testing in the investigation of allergic dermatitis using less than the number of allergens included in a standard patch test battery |
18.35 |
||||||
|
12015 |
Epicutaneous patch testing in the investigation of allergic dermatitis using all of the allergens in a standard patch test battery |
55.20 |
||||||
|
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 |
71.05 |
||||||
|
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 |
104.15 |
||||||
|
Subgroup 10 -- Other diagnostic procedures and investigations |
||||||||
|
12200 |
Collection of specimen of sweat by iontophoresis |
32.90 |
||||||
|
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 1 ablative dose of radioactive iodine; and (b) the patient is maintained on thyroid hormone therapy; and (c) the patient is at risk of recurrence; and |
2 114.50 |
||||||
|
|
(d) on at least 1 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 (e) either: (i) withdrawal from thyroid hormone therapy resulted in severe psychiatric disturbances when hypothyroid; or (ii) withdrawal is medically contra‑indicated because the patient has: (A) unstable coronary artery disease; or (B) hypopituitarism; or (C) a high risk of relapse or exacerbation of a previous severe psychiatric illness -- applicable 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 (b) a technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and (c) the patient is referred by a medical practitioner; and |
519.60 |
||||||
|
|
(d) the necessity for the investigation is determined by a qualified adult sleep medicine practitioner prior to the investigation; and |
|
||||||
|
|
(e) polygraphic records are analysed (for assessment of sleep stage, arousals, respiratory events and assessment of clinically significant alterations in heart rate and limb movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and (f) interpretation and report are provided by a qualified adult sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient. For any particular patient -- applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period |
|
||||||
|
12207 |
Overnight investigation for sleep apnoea for a period of at least 8 hours duration, for a patient aged 18 years or more where: (a) continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of EEG, EOG, submental EMG, anterior tibial EMG, respiratory movement, airflow, oxygen saturation and ECG are performed; and |
519.60 |
||||||
|
|
(b) a technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and (c) the patient is referred by a medical practitioner; and (d) the necessity for the investigation is determined by a qualified adult sleep medicine practitioner prior to the investigation; and |
|
||||||
|
|
(e) polygraphic records are analysed (for assessment of sleep stage, arousals, respiratory events and assessment of clinically significant alterations in heart rate and limb movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and (f) interpretation and report are provided by a qualified adult sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient; where it can be demonstrated that a further investigation is indicated in the same 12 month period to which item 12203 applies for the adjustment or testing, or both, of the effectiveness of a positive pressure ventilatory support device (other than nasal continuous positive airway pressure) in sleep, in a patient with severe cardio‑respiratory failure, and where previous studies have demonstrated failure of continuous positive airway pressure or oxygen -- each additional investigation |
|
||||||
|
12210 |
Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged 12 years or less, where: (a) continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end‑tidal or transcutaneous), oxygen saturation and ECG are performed; and |
620.15 |
||||||
|
|
(b) a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and (c) the patient is referred by a medical practitioner; and (d) the necessity for the investigation is determined by a qualified paediatric sleep medicine practitioner prior to the investigation; and |
|
||||||
|
|
(e) polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and (f) interpretation and report are provided by a qualified paediatric sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient. For each particular patient -- applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period |
|
||||||
|
12213 |
Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged between 12 and 18 years, where: (a) recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end‑tidal or transcutaneous), oxygen saturation and ECG are performed; and (b) a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and (c) the patient is referred by a medical practitioner; and |
558.70 |
||||||
|
|
(d) the necessity for the investigation is determined by a qualified sleep medicine practitioner prior to the investigation; and |
|
||||||
|
|
(e) polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and (f) interpretation and report are provided by a qualified sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient. For each particular patient -- applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period |
|
||||||
|
12215 |
Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged 12 years or less, where: (a) continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end‑tidal or transcutaneous), oxygen saturation and ECG are performed; and (b) a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and (c) the patient is referred by a medical practitioner; and (d) the necessity for the investigation is determined by a qualified paediatric sleep medicine practitioner prior to the investigation; and |
620.15 |
||||||
|
|
(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 investig ation |
|
||||||
|
12217 |
Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged between 12 and 18 years, where: (a) continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end‑tidal or transcutaneous), oxygen saturation and ECG are performed; and (b) a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and (c) the patient is referred by a medical practitioner; and (d) the necessity for the investigation is determined by a qualified sleep medicine practitioner prior to the investigation; and |
558.70 |
||||||
|
|
(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 investig ation |
|
||||||
|
Group D2 -- Nuclear medicine (non‑imaging) |
||||||||
|
12500 |
Blood volume estimation |
191.45 |
||||||
|
12503 |
Erythrocyte radioactive uptake survival time test or iron kinetic test |
375.35 |
||||||
|
12506 |
Gastrointestinal blood loss estimation involving examination of stool specimens |
268.00 |
||||||
|
12509 |
Gastrointestinal protein loss |
191.45 |
||||||
|
12512 |
Radioactive B12 absorption test -- 1 isotope |
92.80 |
||||||
|
12515 |
Radioactive B12 absorption test -- 2 isotopes |
203.15 |
||||||
|
12518 |
Thyroid uptake (using probe) |
92.80 |
||||||
|
12521 |
Perchlorate discharge study |
111.90 |
||||||
|
12524 |
Renal function test (without imaging procedure) |
139.90 |
||||||
|
12527 |
Renal function test (with imaging and at least 2 blood samples) |
75.05 |
||||||
|
12530 |
Whole body count -- not being a service associated with a service to which another item applies |
111.90 |
||||||
|
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; or |
74.75 |
||||||
|
|
(b) the monitoring of the success of eradication of Helicobactor pylori in patients with peptic ulcer disease
|
|
||||||
|
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 |
228.65 |
||||||
|
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) |
102.25 |
||||||
|
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) |
144.40 |
||||||
|
Subgroup 2 -- Dialysis |
||||||||
|
13100 |
Supervision in hospital by a medical specialist of -- haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in 1 day |
120.75 |
||||||
|
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 |
62.90 |
||||||
|
13104 |
Planning and management of home dialysis (haemodialysis or peritoneal dialysis) for a patient with end‑stage renal disease and supervision of the patient on self‑administered dialysis, if the attendance is by a consultant physician in the practice of his or her specialty of renal medicine (Item is subject to rule 88) |
130.75 |
||||||
|
13106 |
Declotting of an arteriovenous shunt |
107.25 |
||||||
|
13109 |
Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis -- insertion and fixation of (Anaes.) |
201.20 |
||||||
|
13110 |
Tenckhoff peritoneal dialysis catheter, removal of (including catheter cuffs) (Anaes.) |
201.90 |
||||||
|
13112 |
Peritoneal dialysis, establishment of, by abdominal puncture and insertion of temporary catheter (including associated consultation) (Anaes.) |
120.75 |
||||||
|
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 |
1 766.65 |
||||||
|
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 |
441.70 |
||||||
|
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 |
757.05 |
||||||
|
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 |
75.60 |
||||||
|
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.) |
321.80 |
||||||
|
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.) |
101.00 |
||||||
|
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.) |
757.05 |
||||||
|
13221 |
Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination |
46.10 |
||||||
|
13290 |
Semen, collection of, from a patient with spinal injuries or medically induced impotence, for the purposes of analysis, storage or assisted reproduction, by a medical practitioner using a vibrator or electro‑ejaculation device including catheterisation and drainage of bladder where required |
180.50 |
||||||
|
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.) |
361.15 |
||||||
|
Subgroup 4 -- Paediatric and neonatal |
||||||||
|
13300 |
Umbilical or scalp vein catheterisation in a neonate with or without infusion or cannulation of a vein |
50.35 |
||||||
|
13303 |
Umbilical artery catheterisation with or without infusion |
74.60 |
||||||
|
13306 |
Blood transfusion with venesection and complete replacement of blood, including collection from donor |
295.15 |
||||||
|
13309 |
Blood transfusion with venesection and complete replacement of blood, using blood already collected |
251.70 |
||||||
|
13312 |
Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants |
25.10 |
||||||
|
13318 |
Central vein catheterisation (via jugular or subclavian vein) -- by open exposure, in a person under 12 years of age (Anaes.) |
201.00 |
||||||
|
13319 |
Central vein catheterisation in a neonate via peripheral vein (Anaes.) |
201.00 |
||||||
|
Subgroup 5 -- Cardiovascular |
||||||||
|
13400 |
Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (Anaes.) |
85.55 |
||||||
|
Subgroup 6 -- Gastroenterology |
||||||||
|
13500 |
Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage |
159.35 |
||||||
|
13503 |
Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage |
318.70 |
||||||
|
13506 |
Gastro‑oesophageal balloon intubation, Minnesota, Sengstaken‑Blakemore or similar, for control of bleeding from gastric oesophageal varices |
163.00 |
||||||
|
Subgroup 8 -- Haematology |
||||||||
|
13700 |
Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (Anaes.) |
294.50 |
||||||
|
13703 |
Administration of blood including collection from donor |
105.55 |
||||||
|
13706 |
Administration of blood or bone marrow already collected |
73.70 |
||||||
|
13709 |
Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation |
42.80 |
||||||
|
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 |
120.75 |
||||||
|
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 |
120.75 |
||||||
|
13757 |
Therapeutic venesection for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda |
64.50 |
||||||
|
13760 |
In vitro processing (and cryopreservation) of bone marrow or peripheral blood for autologous stem cell transplantation as an adjunct to high dose chemotherapy for: (a) chemosensitive intermediate or high grade non‑Hodgkin's lymphoma at high risk of relapse following first line chemotherapy; or (b) Hodgkin's disease which has relapsed following, or is refractory to, chemotherapy; or (c) acute myelogenous leukaemia in first remission, where suitable genotypically matched sibling donor is not available for allogenic bone marrow transplant; or (d) multiple myeloma in remission (complete or partial) following standard dose chemotherapy; or (e) small round cell sarcomas; or (f) primitive neuroectodermal tumour; or |
673.90 |
||||||
|
|
(g) germ cell tumours which have relapsed following, or are refractory to, chemotherapy; or (h) germ cell tumours which have had an incomplete response to first line therapy; performed under the supervision of a consultant physician -- each day |
|
||||||
|
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.) |
75.35 |
||||||
|
13818 |
Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement (Anaes.) |
100.50 |
||||||
|
13830 |
Intracranial pressure, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician -- each day |
66.60 |
||||||
|
13839 |
Arterial puncture and collection of blood for diagnostic purposes |
20.30 |
||||||
|
13842 |
Intra‑arterial cannulation for the purpose of taking multiple arterial blood samples for blood gas analysis |
61.20 |
||||||
|
13847 |
Counterpulsation by intra‑aortic balloon management, on first day, including initial and subsequent consultations and monitoring of parameters (Anaes.) |
137.95 |
||||||
|
13848 |
Counterpulsation by intra‑aortic balloon‑management on each day subsequent to the first, including associated consultations and monitoring of parameters |
115.80 |
||||||
|
13851 |
Circulatory support device, management of, on first day |
436.20 |
||||||
|
13854 |
Circulatory support device, management of, on each day subsequent to the first |
101.45 |
||||||
|
13857 |
Airway access and initiation of mechanical ventilation (other than initiation of ventilation in the context of an anaesthetic for surgery), outside of an intensive care unit, for the purpose of subsequent ventilatory support in an intensive care unit |
129.35 |
||||||
|
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 who is immediately available and exclusively rostered to intensive care, including initial and subsequent attendances, electrocardiographic monitoring, arterial sampling, bladder catheterisation and blood sampling -- management on the first day |
320.00 |
||||||
|
13873 |
Management of a patient in an intensive care unit by a specialist or consultant physician who is immediately available and exclusively rostered to intensive care, including all attendances, electrocardiographic monitoring, arterial sampling, bladder catheterisation and blood sampling -- management on each day subsequent to the first day |
237.40 |
||||||
|
13876 |
Central venous pressure, pulmonary arterial pressure, systemic arterial pressure or cardiac intracavity pressure, continuous monitoring by indwelling catheter in an intensive care unit, management of a patient by a specialist or consultant physician who is immediately available and exclusively rostered to intensive care -- each day of monitoring for each type of pressure to a maximum of 4 pressures |
67.90 |
||||||
|
13881 |
Airway access and initiation of mechanical ventilation in an intensive care unit by a specialist or consultant physician to enable subsequent ventilatory support -- not in association with any anaesthetic service |
129.35 |
||||||
|
13882 |
Ventilatory support in an intensive care unit, management of a patient: (a) by: (i) invasive means; or (ii) non‑invasive means, if the only alternative to non‑invasive ventilatory support is invasive ventilatory support; and (b) by a specialist or consultant physician who is immediately available and exclusively rostered to intensive care; each day |
101.85 |
||||||
|
13885 |
Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician who is immediately available and exclusively rostered to intensive care -- on the first day |
135.80 |
||||||
|
13888 |
Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician who is immediately available and exclusively rostered to intensive care -- on each day subsequent to the first day |
67.90 |
||||||
|
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 or a service to administer drugs used immediately before, or during, microwave (UHF radiowave) cancer therapy -- for any particular patient, once only on the same day |
57.50 |
||||||
|
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 |
86.50 |
||||||
|
13921 |
Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 6 hours duration -- for the first day of treatment |
97.90 |
||||||
|
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 |
57.70 |
||||||
|
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 |
74.60 |
||||||
|
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 |
104.10 |
||||||
|
13933 |
Cytotoxic chemotherapy, administration of, by intra‑arterial infusion of more than 6 hours duration -- for the first day of treatment |
115.50 |
||||||
|
13936 |
Cytotoxic chemotherapy, administration of, by intra‑arterial infusion of more than 6 hours duration -- on each day subsequent to the first in the same continuous treatment episode |
75.25 |
||||||
|
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 |
86.50 |
||||||
|
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 |
57.70 |
||||||
|
13945 |
Long‑term implanted drug delivery device for cytotoxic chemotherapy, accessing of |
46.40 |
||||||
|
13948 |
Cytotoxic agent, instillation of, into a body cavity |
57.70 |
||||||
|
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 |
46.60 |
||||||
|
14053 |
PUVA therapy or UVB therapy administered to localised body areas in a hand and foot cabinet (not being a service associated with a service to which item 14050 applies) including associated consultations other than an initial consultation |
46.60 |
||||||
|
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.) |
134.75 |
||||||
|
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.) |
134.75 |
||||||
|
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.) |
165.50 |
||||||
|
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.) |
196.00 |
||||||
|
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.) |
226.60 |
||||||
|
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.) |
287.90 |
||||||
|
14124 |
Laser photocoagulation using laser light within the wave length of 510‑1064nm in the treatment of haemangiomas of infancy, including any associated consultation -- if 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 that commences on the date of the 1st session (Anaes.) |
134.75 |
||||||
|
Subgroup 13 -- Other therapeutic procedures |
||||||||
|
14200 |
Gastric lavage in the treatment of ingested poison |
52.90 |
||||||
|
14203 |
Hormone or living tissue implantation, by direct implantation involving incision and suture (Anaes.) |
45.20 |
||||||
|
14206 |
Hormone or living tissue implantation -- by cannula |
31.45 |
||||||
|
14209 |
Intra‑arterial infusion or retrograde intravenous perfusion of a sympatholytic agent |
78.40 |
||||||
|
14212 |
Intussusception, management of fluid or gas reduction for (Anaes.) |
163.75 |
||||||
|
14215 |
Long‑term implanted reservoir associated with the adjustable gastric band, accessing of to add or remove fluid |
86.50 |
||||||
|
14218 |
Implanted infusion pump, refilling of reservoir with a therapeutic agent or agents for infusion to the subarachnoid or epidural space, with or without re‑programming a programmable pump, for the management of chronic intractable pain |
86.50 |
||||||
|
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 |
46.40 |
||||||
|
14224 |
Electroconvulsive therapy, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (Anaes.) |
62.20 |
||||||
|
14227 |
Implanted infusion pump, refilling of reservoir with baclofen for infusion to the subarachnoid or epidural space, with or without re‑programming a programmable pump, for the management of severe chronic spasticity (Item is subject to rule 63B) |
86.50 |
||||||
|
14230 |
Intrathecal or epidural spinal catheter, insertion or replacement of, and connection to a subcutaneous implanted infusion pump, for the management of severe chronic spasticity with baclofen (H) (Anaes.) (Assist.) (Item is subject to rule 63B) |
263.35 |
||||||
|
14233 |
Infusion pump, subcutaneous implantation or replacement of, and (a) connection to an intrathecal or epidural spinal catheter; and (b) filling of reservoir with baclofen; with or without programming the pump, for the management of severe chronic spasticity (H) (Anaes.) (Assist.) (Item is subject to rule 63B) |
319.80 |
||||||
|
14236 |
All of the following: (a) infusion pump, subcutaneous implantation of; (b) intrathecal or epidural spinal catheter, insertion of; (c) connection of pump to catheter; (d) filling of reservoir with baclofen; with or without programming the pump, for the management of severe chronic spasticity (H) (Anaes.) (Assist.) (Item is subject to rule 63B) |
583.15 |
||||||
|
14239 |
Either: (a) subcutaneously implanted infusion pump, removal of; or (b) intrathecal or epidural spinal catheter, removal or repositioning of; for the management of severe chronic spasticity (H) (Anaes.) (Item is subject to rule 63B) |
140.90 |
||||||
|
14242 |
Subcutaneous reservoir and spinal catheter, insertion of, for the management of severe chronic spasticity (H) (Anaes.) (Item is subject to rule 63B) |
418.55 |
||||||
|
14245 |
Infliximab, administration of, by intravenous infusion for at least 2 hours duration |
86.50 |
||||||
|
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 |
37.60 |
||||||
|
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 |
83.40 |
||||||
|
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 |
47.20 |
||||||
|
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 |
42.15 |
||||||
|
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 |
49.75 |
||||||
|
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 |
106.25 |
||||||
|
15115 |
Radiotherapy, deep or orthovoltage -- attendance at which a single dose technique is applied -- 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) |
Amount under rule 17 |
||||||
|
Subgroup 3 -- Megavoltage |
|
|||||||
|
15211 |
Radiation oncology treatment, using cobalt unit or caesium teletherapy unit -- each attendance at which treatment is given -- 1 field |
48.35 |
||||||
|
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) |
52.75 |
||||||
|
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) |
52.75 |
||||||
|
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) |
52.75 |
||||||
|
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 |
52.75 |
||||||
|
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 |
52.75 |
||||||
|
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) |
52.75 |
||||||
|
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) |
52.75 |
||||||
|
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) |
52.75 |
||||||
|
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 |
52.75 |
||||||
|
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 |
52.75 |
||||||
|
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.) |
315.50 |
||||||
|
15304 |
Intrauterine treatment alone using radioactive sealed sources having a half‑life greater than 115 days using automatic afterloading techniques (Anaes.) |
315.50 |
||||||
|
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.) |
598.10 |
||||||
|
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.) |
598.10 |
||||||
|
15311 |
Intravaginal treatment alone using radioactive sealed sources having a half‑life greater than 115 days using manual afterloading techniques (Anaes.) |
294.45 |
||||||
|
15312 |
Intravaginal treatment alone using radioactive sealed sources having a half‑life greater than 115 days using automatic afterloading techniques (Anaes.) |
292.30 |
||||||
|
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.) |
578.10 |
||||||
|
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.) |
578.10 |
||||||
|
15319 |
Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half‑life greater than 115 days using manual afterloading techniques (Anaes.) |
358.80 |
||||||
|
15320 |
Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half‑life greater than 115 days using automatic afterloading techniques (Anaes.) |
358.80 |
||||||
|
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.) |
637.95 |
||||||
|
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.) |
637.95 |
||||||
|
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.) |
694.10 |
||||||
|
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.) |
694.10 |
||||||
|
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.) |
659.00 |
||||||
|
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.) |
659.00 |
||||||
|
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.) |
598.10 |
||||||
|
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.) |
598.10 |
||||||
|
15338 |
Prostate, radioactive seed implantation of, radiation oncology component, using transrectal ultrasound guidance, for localised prostatic malignancy at clinical stage T1 (clinically inapparent tumour that is not palpable or visible by imaging) or clinical stage T2 (tumour confined within prostate), 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 an oncologist at an approved site in association with a urologist |
826.70 |
||||||
|
15339 |
Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block (Anaes.) |
67.35 |
||||||
|
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 |
168.15 |
||||||
|
15345 |
Construction and application of a radioactive mould using a sealed source having a half‑life of less than 115 days including iodine, gold, iridium or tantalum to treat intracavity, intraoral or intranasal sites |
448.75 |
||||||
|
15348 |
Subsequent applications of radioactive mould referred to in item 15342 or 15345 -- each attendance |
51.60 |
||||||
|
15351 |
Construction with or without initial application of a radioactive mould not exceeding 5 cm in diameter to an external surface |
103.05 |
||||||
|
15354 |
Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface |
125.05 |
||||||
|
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 |
35.35 |
||||||
|
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, where the procedure is performed by a radiation oncologist in association with a cardiologist and the procedure is associated with a service to which item 38321, 38324, 38327 or 38330 applies |
319.00 |
||||||
|
15363 |
Catheter based intravascular brachytherapy for the treatment of in‑stent restenoses of 1 coronary artery, administration of radioactive sealed sources having a half life of greater than 115 days using automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration, where the procedure is performed by a radiation oncologist in association with a cardiologist and the procedure is associated with a service to which item 38321, 38324, 38327 or 38330 applies |
319.00 |
||||||
|
Subgroup 5 -- Computerised planning |
||||||||
|
15500 |
Radiation field setting using a simulator or isocentric x‑ray or megavoltage machine or CT of a single area for treatment by a single field or parallel opposed fields (not being a service associated with a service to which item 15509 applies) |
214.45 |
||||||
|
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) |
275.35 |
||||||
|
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) |
411.15 |
||||||
|
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) |
185.85 |
||||||
|
15512 |
Radiation field setting using a diagnostic x‑ray unit of a single area, where views in more than 1 plane are required for treatment by multiple fields, or of 2 areas (not being a service associated with a service to which item 15503 applies) |
239.60 |
||||||
|
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 |
270.95 |
||||||
|
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) |
346.80 |
||||||
|
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 |
68.00 |
||||||
|
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 |
300.35 |
||||||
|
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 |
563.15 |
||||||
|
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 |
69.75 |
||||||
|
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 |
311.15 |
||||||
|
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 |
590.00 |
||||||
|
15536 |
Brachytherapy planning, computerised Radiation Dosimetry |
235.80 |
||||||
|
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 |
554.30 |
||||||
|
15541 |
Catheter based intravascular brachytherapy planning, computerised radiation dosimetry where the procedure is performed by a radiation oncologist in association with a cardiologist and the procedure is associated with a service to which item 38321, 38324, 38327 or 38330 applies |
235.80 |
||||||
|
15550 |
Simulation for 3 dimensional conformal radiotherapy without intravenous contrast medium if: (a) treatment set up and technique specifications are in preparation for 3 dimensional conformal radiotherapy dose planning; and (b) patient set up and immobilisation techniques are suitable for reliable CT image volume data acquisition and 3 dimensional conformal radiotherapy treatment; and |
581.95 |
||||||
|
|
(c) a high‑quality CT image volume dataset is required for the relevant region of interest to be planned and treated; and (d) the image set up is required to be suitable for the generation of quality digitally reconstructed radiographic images |
|
||||||
|
15553 |
Simulation for 3 dimensional conformal radiotherapy, including pre and post intravenous contrast medium if: (a) treatment set up and technique specifications are in preparation for 3 dimensional conformal radiotherapy dose planning; and (b) patient set up and immobilisation techniques are suitable for reliable CT image volume data acquisition and 3 dimensional conformal radiotherapy treatment; and (c) a high‑quality CT image volume dataset is required for the relevant region of interest to be planned and treated; and (d) the image set up is required to be suitable for the generation of quality digitally reconstructed radiographic images |
627.90 |
||||||
|
15556 |
Dosimetry for 3 dimensional conformal radiotherapy of level 1 complexity if the dosimetry is for a single phase 3 dimensional conformal treatment plan using a CT image volume dataset, with 1 gross tumour volume or clinical target volume, 1 planning target volume and 1 organ at risk specified in the prescription (Item is subject to rule 94) |
587.10 |
||||||
|
15559 |
Dosimetry for 3 dimensional conformal radiotherapy of level 2 complexity if: (a) the dosimetry is for a 2 phase 3 dimensional conformal treatment plan using 1 or more CT image volume datasets, with at least 1 gross tumour volume, 2 planning target volumes and 1 organ at risk specified in the prescription; or |
765.75 |
||||||
|
|
(b) the dosimetry is for a single phase 3 dimensional conformal treatment plan using 1 or more CT image volume datasets, with at least 1 gross tumour volume, 1 planning target volume and 2 organ at risk dose goals or constraints specified in the prescription; or (c) image fusion with a secondary CT, MRI or PET image volume dataset is used to define target volumes and organs at risk as specified in item 15556 (Item is subject to rule 94) |
|
||||||
|
15562 |
Dosimetry for 3 dimensional conformal radiotherapy of level 3 complexity if: (a) the dosimetry is for a 3 phase 3 dimensional conformal treatment plan using 1 or more CT image volume datasets, with at least 1 gross tumour volume, 3 planning target volumes and 1 organ at risk specified in the prescription; or (b) the dosimetry is for a 2 phase 3 dimensional conformal treatment plan using 1 or more CT image volume datasets, with: (i) at least 1 gross tumour volume specified in the prescription; and (ii) 2 planning target volumes or 2 organ at risk dose goals or constraints specified in the prescription; or |
990.35 |
||||||
|
|
(c) the dosimetry is for a single phase 3 dimensional conformal treatment plan using 1 or more CT image volume datasets, with at least 1 gross tumour volume, 1 planning target volume and 3 organ at risk dose goals or constraints specified in the prescription; or |
|
||||||
|
|
(d) image fusion with a secondary CT, MRI or PET image volume dataset is used to define target volume and organs at risk as specified in item 15559 (Item is subject to rule 94) |
|
||||||
|
Subgroup 6 -- Stereotactic radiosurgery |
||||||||
|
15600 |
Stereotactic radiosurgery, including all radiation oncology consultations, planning, simulation, dosimetry and treatment |
1 504.25 |
||||||
|
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 to which item 35404, 35406 or 35408 applies or a service associated with selective internal radiation therapy) (Anaes.) |
574.85 |
||||||
|
16006 |
Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique |
441.75 |
||||||
|
16009 |
Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique |
301.45 |
||||||
|
16012 |
Intravenous administration of a therapeutic dose of Phosphorous 32 |
260.80 |
||||||
|
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 |
3 610.30 |
||||||
|
|
(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 |
2 158.20 |
||||||
|
|
(b) carcinoma of the breast, where both hormonal therapy and chemotherapy have failed and: (i) the disease is poorly controlled by conventional radiotherapy; or (ii) conventional radiotherapy is inappropriate, due to the wide distribution of sites of bone pain |
|
||||||
|
Group T4 -- Obstetrics |
||||||||
|
16400 |
Antenatal service provided by a midwife, nurse or a registered Aboriginal Health Worker if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is provided at, or from, a practice location in a regional, rural or remote area[; and (c) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner; and (d) the service is not provided for an admitted patient of a hospital or approved day facility; to a maximum of 10 services per pregnancy |
21.90 |
||||||
|
16500 |
Antenatal attendance |
37.80 |
||||||
|
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 |
124.20 |
||||||
|
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 |
37.80 |
||||||
|
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 |
37.80 |
||||||
|
16505 |
Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of -- each attendance that is not a routine antenatal attendance |
37.80 |
||||||
|
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 |
37.80 |
||||||
|
16509 |
Pre‑eclampsia, eclampsia or antepartum haemorrhage, treatment of -- each attendance that is not a routine antenatal attendance |
37.80 |
||||||
|
16511 |
Cervix, purse string ligation of (Anaes.) |
194.35 |
||||||
|
16512 |
Cervix, removal of purse string ligature of (Anaes.) |
56.10 |
||||||
|
16514 |
Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement) |
32.40 |
||||||
|
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.) |
306.30 |
||||||
|
16518 |
Management of labour, incomplete, where the patient's care has been transferred to another medical practitioner for completion of the delivery (Anaes.) |
306.30 |
||||||
|
16519 |
Management of labour and delivery by any means (including Caesarean section) including post‑partum care for 5 days (Anaes.) |
471.65 |
||||||
|
16520 |
Caesarean section and post‑operative care for 7 days where the patient's care has been transferred by another medical practitioner for management of the confinement and the attending medical practitioner has not provided any of the antenatal care (Anaes.) |
551.25 |
||||||
|
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; |
1 107.50 |
||||||
|
|
(b) recurrent antepartum haemorrhage from 20 weeks gestation; (c) grade 2, 3 or 4 placenta praevia; (d) baby with a birth weight less than or equal to 2 500 gm; (e) pre‑existing diabetes mellitus dependent on medication, or gestational diabetes requiring at least daily blood glucose monitoring; (f) trial of vaginal delivery in a patient with uterine scar, or trial of vaginal breech delivery; (g) pre‑existing hypertension requiring antihypertensive medication, or pregnancy induced hypertension of at least 140/90mmHg associated with at least 1+ proteinuria on urinalysis; |
|
||||||
|
|
(h) prolonged labour greater than 12 hours with partogram evidence of abnormal cervimetric progress; (i) fetal distress defined by significant cardiotocograph or scalp pH abnormalities requiring immediate delivery; (j) conditions that pose a significant risk of maternal death (Anaes.) |
|
||||||
|
16525 |
Management of second trimester labour, with or without induction, for intrauterine fetal death, gross fetal abnormality or life threatening maternal disease, not being a service to which item 35643 applies (Anaes.) |
261.25 |
||||||
|
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.) |
192.60 |
||||||
|
16567 |
Management of postpartum haemorrhage by special measures such as packing of uterus, as an independent procedure (Anaes.) |
281.75 |
||||||
|
16570 |
Acute inversion of the uterus, vaginal correction of, as an independent procedure (Anaes.) |
367.60 |
||||||
|
16571 |
Cervix, repair of extensive laceration or lacerations (Anaes.) |
281.75 |
||||||
|
16573 |
Third degree tear, involving anal sphincter muscles and rectal mucosa, repair of, as an independent procedure (Anaes.) |
229.60 |
||||||
|
16590 |
Planning and management of a pregnancy that has progressed beyond 20 weeks, excluding management of the labour and delivery (Item is subject to rule 92) |
114.55 |
||||||
|
16600 |
Amniocentesis, diagnostic |
56.10 |
||||||
|
16603 |
Chorionic villus sampling, by any route |
107.70 |
||||||
|
16606 |
Fetal blood sampling, using interventional techniques from umbilical cord or foetus, including fetal neuromuscular blockade and amniocentesis (Anaes.) |
214.90 |
||||||
|
16609 |
Fetal intravascular blood transfusion, using blood already collected, including neuromuscular blockade, amniocentesis and fetal blood sampling (Anaes.) |
438.25 |
||||||
|
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.) |
344.80 |
||||||
|
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.) |
183.65 |
||||||
|
16618 |
Amniocentesis, therapeutic, when indicated because of polyhydramnios with at least 500 ml being aspirated |
183.65 |
||||||
|
16621 |
Amnioinfusion, for diagnostic or therapeutic purposes in the presence of severe oligohydramnios |
183.65 |
||||||
|
16624 |
Fetal fluid filled cavity, drainage of |
264.30 |
||||||
|
16627 |
Feto‑amniotic shunt, insertion of, into fetal fluid filled cavity, including neuromuscular blockade and amniocentesis |
538.10 |
||||||
|
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 |
|
|||||||
|
17610 |
Professional attendance by a medical practitioner in the practice of anaesthesia for a brief consultation involving a targeted history and limited examination, including the cardio‑respiratory system, of not more than 15 minutes duration (n ot being a service associated with a service to which any of items 2801 to 3000 apply) |
37.95 |
||||||
|
17615 |
Professional attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and an extensive examination of multiple systems and the formulation of a written patient management plan documented in the patient notes , and of more than 15 minutes duration and not more than 30 minutes duration (not being a service associated with a service to which any of items 2801 to 3000 apply) |
75.60 |
||||||
|
17620 |
Professional attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems involving a detailed history and comprehensive examination of multiple systems, and the formulation of a written patient management plan documented in the patient notes, and of more than 30 minutes duration and not more than 45 minutes duration (not being a service associated with a service to which any of items 2801 to 3000 apply) |
104.75 |
||||||
|
17625 |
Professional attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems involving an exhaustive history and comprehensive examination of multiple systems, the formulation of a written patient management plan following discussion with relevant health care professionals and/or the patient, involving medical planning of high complexity documented in the patient notes , and of more than 45 minutes duration (not being a service associated with a service to which any of items 2801 to 3000 apply) |
133.35 |
||||||
|
17640 |
Professional attendance by a specialist anaesthetist in the practice of anaesthesia where the patient is referred to him or her -- a brief consultation involving a short history, a limited examination, and of not more than 15 minutes duration (n ot being a service associated with a service to which any of items 2801 to 3000 apply) |
37.95 |
||||||
|
17645 |
Professional attendance by a specialist anaesthetist in the practice of anaesthesia where the patient is referred to him or her --‑ a consultation involving a selective history and examination of multiple systems, the formulation of a written patient management plan, and of more than 15 minutes duration and not more than 30 minutes duration (not being a service associated with a service to which any of items 2801 to 3000 apply) |
75.60 |
||||||
|
17650 |
Professional attendance by a specialist anaesthetist in the practice of anaesthesia where the patient is referred to him or her -- a consultation involving a detailed history and comprehensive examination of multiple systems, and the formulation of a written patient management plan, and of more than 30 minutes duration and not more than 45 minutes duration (not being a service associated with a service to which any of items 2801 to 3000 apply) |
104.75 |
||||||
|
17655 |
Professional attendance by a specialist anaesthetist in the practice of anaesthesia where the patient is referred to him or her -- a consultation involving an exhaustive history and comprehensive examination of multiple systems, and the formulation of a written patient management plan following discussion with relevant health care professionals and/or the patient, involving medical planning of high complexity, and of more than 45 minutes duration (not being a service associated with a service to which any of items 2801 to 3000 apply) |
133.35 |
||||||
|
17680 |
Professional attendance by a medical practitioner in the practice of anaesthesia -- a consultation immediately prior to the institution of a major regional blockade in a patient in labour, where no previous anaesthesia consultation has occurred (not being a service associated with a service to which any of items 2801 to 3000 apply) |
75.60 |
||||||
|
17690 |
A medical service in association with an item in the range 17615 to 17625 if: (a) the service is provided to a patient prior to an admitted patient episode of care involving anaesthesia; and (b) the service is not provided to an admitted patient of a hospital or day‑hospital facility; and (c) the service is not provided on the day of admission to hospital for the subsequent episode of care involving anaesthesia services; and (d) the service is of more than 15 minutes duration (not being a service associated with a service to which any of items 2801 to 3000 apply) |
35.00 |
||||||
|
Group T7 -- Regional or field nerve blocks |
||||||||
|
18213 |
Intravenous regional anaesthesia of limb by retrograde perfusion |
78.35 |
||||||
|
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.) |
167.75 |
||||||
|
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 |
33.25 |
||||||
|
18225 |
Infusion of a therapeutic substance to maintain regional anaesthesia or analgesia, subsequent injection or revision of, where the period of continuous medical practitioner attendance is more than 15 minutes |
44.25 |
||||||
|
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 |
251.65 |
||||||
|
18227 |
Intrathecal or epidural infusion of a therapeutic substance, initial injection or commencement of, where continuous attendance by a medical practitioner extends beyond the first hour -- for a patient in labour, where the service is provided between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday |
Amount under rule 34 |
||||||
|
18228 |
Interpleural block, initial injection or commencement of infusion of a therapeutic substance |
55.25 |
||||||
|
18230 |
Intrathecal or epidural injection of neurolytic substance (Anaes.) |
210.70 |
||||||
|
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.) |
167.75 |
||||||
|
18233 |
Epidural injection of blood for blood patch (Anaes.) |
167.75 |
||||||
|
18234 |
Trigeminal nerve, primary division of, injection of an anaesthetic agent (Anaes.) |
110.30 |
||||||
|
18236 |
Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent (Anaes.) |
55.25 |
||||||
|
18238 |
Facial nerve, injection of an anaesthetic agent, not being a service associated with a service to which item 18240 applies |
33.25 |
||||||
|
18240 |
Retrobulbar or peribulbar injection of an anaesthetic agent |
82.70 |
||||||
|
18242 |
Greater occipital nerve, injection of an anaesthetic agent (Anaes.) |
33.25 |
||||||
|
18244 |
Vagus nerve, injection of an anaesthetic agent |
89.05 |
||||||
|
18246 |
Glossopharyngeal nerve, injection of an anaesthetic agent |
89.05 |
||||||
|
18248 |
Phrenic nerve, injection of an anaesthetic agent |
78.35 |
||||||
|
18250 |
Spinal accessory nerve, injection of an anaesthetic agent |
55.25 |
||||||
|
18252 |
Cervical plexus, injection of an anaesthetic agent |
89.05 |
||||||
|
18254 |
Brachial plexus, injection of an anaesthetic agent |
89.05 |
||||||
|
18256 |
Suprascapular nerve, injection of an anaesthetic agent |
55.25 |
||||||
|
18258 |
Intercostal nerve (single) , injection of an anaesthetic agent |
55.25 |
||||||
|
18260 |
Intercostal nerves (multiple) , injection of an anaesthetic agent |
78.35 |
||||||
|
18262 |
Ilio‑inguinal, iliohypogastric or genitofemoral nerves, 1 or more of, injection of an anaesthetic agent (Anaes.) |
55.25 |
||||||
|
18264 |
Pudendal nerve, injection of an anaesthetic agent |
89.05 |
||||||
|
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 |
55.25 |
||||||
|
18268 |
Obturator nerve, injection of an anaesthetic agent |
78.35 |
||||||
|
18270 |
Femoral nerve, injection of an anaesthetic agent |
78.35 |
||||||
|
18272 |
Saphenous, sural, popliteal or posterior tibial nerve, main trunk of, 1 or more of, injection of an anaesthetic agent |
55.25 |
||||||
|
18274 |
Paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, injection of an anaesthetic agent, (single vertebral level) |
78.35 |
||||||
|
18276 |
Paravertebral nerves, injection of an anaesthetic agent, (multiple levels) |
110.30 |
||||||
|
18278 |
Sciatic nerve, injection of an anaesthetic agent |
78.35 |
||||||
|
18280 |
Sphenopalatine ganglion, injection of an anaesthetic agent (Anaes.) |
110.30 |
||||||
|
18282 |
Carotid sinus, injection of an anaesthetic agent, as an independent percutaneous procedure |
89.05 |
||||||
|
18284 |
Stellate ganglion, injection of an anaesthetic agent (cervical sympathetic block) (Anaes.) |
130.50 |
||||||
|
18286 |
Lumbar or thoracic nerves, injection of an anaesthetic agent (paravertebral sympathetic block) (Anaes.) |
130.50 |
||||||
|
18288 |
Coeliac plexus or splanchnic nerves, injection of an anaesthetic agent (Anaes.) |
130.50 |
||||||
|
18290 |
Cranial nerve other than trigeminal, destruction by a neurolytic agent, not being a service associated with the injection of botulinum toxin (Anaes.) |
220.70 |
||||||
|
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.) |
110.30 |
||||||
|
18294 |
Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent (Anaes.) |
155.50 |
||||||
|
18296 |
Lumbar sympathetic chain, destruction by a neurolytic agent (Anaes.) |
133.00 |
||||||
|
18298 |
Cervical or thoracic sympathetic chain, destruction by a neurolytic agent (Anaes.) |
155.50 |
||||||
|
18350 |
Botulinum toxin (Botox), injection of, for hemifacial spasm in a patient who is at least 12 years, including all such injections on any 1 day (Item is subject to rule 81) |
110.30 |
||||||
|
18351 |
Botulinum toxin (Dysport), injection of, for hemifacial spasm in a patient who is at least 18 years, including all such injections on any 1 day (Item is subject to rule 81) |
110.30 |
||||||
|
18352 |
Botulinum toxin (Botox or Dysport), injection of, for cervical dystonia (spasmodic torticollis), including all such injections on any 1 day (Item is subject to rule 81) |
220.70 |
||||||
|
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.) (Item is subject to rule 81) |
110.30 |
||||||
|
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.) (Item is subject to rule 81) |
110.30 |
||||||
|
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.) (Item is subject to rule 81) |
110.30 |
||||||
|
18360 |
Botulinum toxin (Botox), injection of, for focal spasticity in adults, including all such injections for all or any of the muscles subserving 1 functional activity and supplied by 1 motor nerve (Item is subject to rules 81 and 92) |
110.30 |
||||||
|
18362 |
Botulinum toxin (Botox), injection of, for severe primary hyperhidrosis of the axillae, including all such injections on any 1 day (Anaes.) (Item is subject to rule 81) |
218.00 |
||||||
|
18364 |
Botulinum toxin (Dysport), injection of, for spasticity of the arm in adults after a stroke, including all injections for all or any of the muscles subserving 1 functional activity and supplied by 1 motor nerve (Item is subject to rules 81 and 92) |
110.30 |
||||||
|
18366 |
Botulinum toxin (Botox), injection of, for strabismus in children and adults, including all such injections on any 1 day and associated electromyography (Anaes.) (Item is subject to rule 81) |
138.25 |
||||||
|
18368 |
Botulinum toxin (Botox), injection of, for spasmodic dysphonia, including all such injections on any 1 day (Item is subject to rule 81) |
235.95 |
||||||
|
18370 |
Botulinum toxin (Botox), injection of, for blepharospasm in a patient who is at least 12 years, including all such injections on any 1 day (Anaes.) (Item is subject to rule 81) |
39.80 |
||||||
|
18371 |
Botulinum toxin (Dysport), injection of, for blepharospasm in a patient who is at least 18 years, including all such injections on any 1 day (Anaes.) (Item is subject to rule 81) |
39.80 |
||||||
|
18372 |
Botulinum toxin (Botox), injection of, for the treatment of essential bilateral blepharospasm, in a patient who is at least 12 years of age, including all such injections on any 1 day (Anaes.) |
110.30 |
||||||
|
18373 |
Botulinum toxin (Dysport), injection of, for the treatment of essential bilateral blepharospasm in a patient who is at least 18 years of age, including all such injections on any 1 day (Anaes.) |
110.30 |
||||||
|
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 |
87.50 |
||||||
|
20102 |
Initiation of management of anaesthesia for plastic repair of cleft lip |
105.00 |
||||||
|
20104 |
Initiation of management of anaesthesia for electroconvulsive therapy |
70.00 |
||||||
|
20120 |
Initiation of management of anaesthesia for procedures on external, middle or inner ear, including biopsy, not being a service to which another item in this subgroup applies |
87.50 |
||||||
|
20124 |
Initiation of management of anaesthesia for otoscopy |
70.00 |
||||||
|
20140 |
Initiation of management of anaesthesia for procedures on eye, not being a service to which another item in this subgroup applies |
87.50 |
||||||
|
20142 |
Initiation of management of anaesthesia for lens surgery |
105.00 |
||||||
|
20143 |
Initiation of management of anaesthesia for retinal surgery |
105.00 |
||||||
|
20144 |
Initiation of administration of anaesthesia for corneal transplant |
140.00 |
||||||
|
20145 |
Initiation of management of anaesthesia for vitrectomy |
140.00 |
||||||
|
20146 |
Initiation of management of anaesthesia for biopsy of conjunctiva |
87.50 |
||||||
|
20148 |
Initiation of management of anaesthesia for ophthalmoscopy |
70.00 |
||||||
|
20160 |
Initiation of management of anaesthesia for procedures on nose or accessory sinuses, not being a service to which another item in this subgroup applies |
105.00 |
||||||
|
20162 |
Initiation of management of anaesthesia for radical surgery on the nose and accessory sinuses |
122.50 |
||||||
|
20164 |
Initiation of management of anaesthesia for biopsy of soft tissue of the nose and accessory sinuses |
70.00 |
||||||
|
20170 |
Initiation of management of anaesthesia for intraoral procedures, including biopsy, not being a service to which another item in this subgroup applies |
105.00 |
||||||
|
20172 |
Initiation of management of anaesthesia for repair of cleft palate |
122.50 |
||||||
|
20174 |
Initiation of management of anaesthesia for excision of retropharyngeal tumour |
157.50 |
||||||
|
20176 |
Initiation of management of anaesthesia for radical intraoral surgery |
175.00 |
||||||
|
20190 |
Initiation of management of anaesthesia for procedures on facial bones, not being a service to which another item in this subgroup applies |
87.50 |
||||||
|
20192 |
Initiation of management of anaesthesia for extensive surgery on facial bones (including prognathism and extensive facial bone reconstruction) |
175.00 |
||||||
|
20210 |
Initiation of management of anaesthesia for intracranial procedures, not being a service to which another item in this subgroup applies |
262.50 |
||||||
|
20212 |
Initiation of management of anaesthesia for subdural taps |
87.50 |
||||||
|
20214 |
Initiation of management of anaesthesia for burr holes of the cranium |
157.50 |
||||||
|
20216 |
Initiation of management of anaesthesia for intracranial vascular procedures, including those for aneurysms or arterio‑venous abnormalities |
350.00 |
||||||
|
20220 |
Initiation of management of anaesthesia for spinal fluid shunt procedures |
175.00 |
||||||
|
20222 |
Initiation of management of anaesthesia for ablation of an intracranial nerve |
105.00 |
||||||
|
20225 |
Initiation of management of anaesthesia for all cranial bone procedures |
210.00 |
||||||
|
Subgroup 2 -- Neck |
||||||||
|
20300 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the neck , not being a service to which another item in this subgroup applies |
87.50 |
||||||
|
20305 |
Initiation of management of anaesthesia for incision and drainage of large haematoma, large abscess, cellulitis or similar lesion or epiglottitis, causing life threatening airway obstruction |
262.50 |
||||||
|
20320 |
Initiation of management of anaesthesia for procedures on oesophagus, thyroid, larynx, trachea, lymphatic system, muscles, nerves or other deep tissues of the neck, not being a service to which another item in this subgroup applies |
105.00 |
||||||
|
20321 |
Initiation of management of anaesthesia for laryngectomy, hemi laryngectomy, laryngopharyngectomy or pharyngectomy |
175.00 |
||||||
|
20330 |
Initiation of management of anaesthesia for laser surgery to the airway (excluding nose and mouth) |
140.00 |
||||||
|
20350 |
Initiation of management of anaesthesia for procedures on major vessels of neck, not being a service to which another item in this subgroup applies |
175.00 |
||||||
|
20352 |
Initiation of management of anaesthesia for simple ligation of major vessels of neck |
87.50 |
||||||
|
Subgroup 3 -- Thorax |
||||||||
|
20400 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the anterior part of the chest, not being a service to which another item in this subgroup applies |
52.50 |
||||||
|
20401 |
Initiation of management of anaesthesia for procedures on the breast, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
20402 |
Initiation of management of anaesthesia for reconstructive procedures on breast |
87.50 |
||||||
|
20403 |
Initiation of management of anaesthesia for removal of breast lump or for breast segmentectomy , where axillary node dissection is performed |
87.50 |
||||||
|
20404 |
Initiation of management of anaesthesia for mastectomy |
105.00 |
||||||
|
20405 |
Initiation of management of anaesthesia for reconstructive procedures on the breast using myocutaneous flaps |
140.00 |
||||||
|
20406 |
Initiation of management of anaesthesia for radical or modified radical procedures on breast with internal mammary node dissection |
227.50 |
||||||
|
20410 |
Initiation of management of anaesthesia for electrical conversion of arrhythmias |
87.50 |
||||||
|
20420 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the posterior part of the chest, not being a service to which another item in this subgroup applies |
87.50 |
||||||
|
20440 |
Initiation of management of anaesthesia for percutaneous bone marrow biopsy of the sternum |
70.00 |
||||||
|
20450 |
Initiation of management of anaesthesia for procedures on clavicle, scapula or sternum, not being a service to which another item in this subgroup applies |
87.50 |
||||||
|
20452 |
Initiation of management of anaesthesia for radical surgery on clavicle, scapula or sternum |
105.00 |
||||||
|
20470 |
Initiation of management of anaesthesia for partial rib resection, not being a service to which another item in this subgroup applies |
105.00 |
||||||
|
20472 |
Initiation of management of anaesthesia for thoracoplasty |
175.00 |
||||||
|
20474 |
Initiation of management of anaesthesia for radical procedures on chest wall |
227.50 |
||||||
|
Subgroup 4 -- Intrathoracic |
||||||||
|
20500 |
Initiation of management of anaesthesia for open procedures on the oesophagus |
262.50 |
||||||
|
20520 |
Initiation of management of anaesthesia for all closed chest procedures (including rigid oesophagoscopy or bronchoscopy), not being a service to which another item in this subgroup applies |
105.00 |
||||||
|
20522 |
Initiation of management of anaesthesia for needle biopsy of pleura |
70.00 |
||||||
|
20524 |
Initiation of management of anaesthesia for pneumocentesis |
70.00 |
||||||
|
20526 |
Initiation of management of anaesthesia for thoracoscopy |
175.00 |
||||||
|
20528 |
Initiation of management of anaesthesia for mediastinoscopy |
140.00 |
||||||
|
20540 |
Initiation of management of anaesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, or mediastinum, not being a service to which another item in this subgroup applies |
227.50 |
||||||
|
20542 |
Initiation of management of anaesthesia for pulmonary decortication |
262.50 |
||||||
|
20546 |
Initiation of management of anaesthesia for pulmonary resection with thoracoplasty |
262.50 |
||||||
|
20548 |
Initiation of management of anaesthesia for intrathoracic repair of trauma to trachea and bronchi |
262.50 |
||||||
|
20560 |
Initiation of management of anaesthesia for open procedures on the heart, pericardium or great vessels of chest |
350.00 |
||||||
|
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 |
175.00 |
||||||
|
20604 |
Initiation of management of anaesthesia for posterior cervical laminectomy with the patient in the sitting position |
227.50 |
||||||
|
20620 |
Initiation of management of anaesthesia for procedures on thoracic spine or spinal cord, or both, not being a service to which another item in this subgroup applies |
175.00 |
||||||
|
20622 |
Initiation of management of anaesthesia for thoracolumbar sympathectomy |
227.50 |
||||||
|
20630 |
Initiation of management of anaesthesia for procedures in lumbar region, not being a service to which another item in this subgroup applies |
140.00 |
||||||
|
20632 |
Initiation of management of anaesthesia for lumbar sympathectomy |
122.50 |
||||||
|
20634 |
Initiation of management of anaesthesia for chemonucleolysis |
175.00 |
||||||
|
20670 |
Initiation of management of anaesthesia for extensive spine or spinal cord procedures, or both |
227.50 |
||||||
|
20680 |
Initiation of management of anaesthesia for manipulation of spine when performed in the operating theatre of a hospital or approved day hospital facility |
52.50 |
||||||
|
20690 |
Initiation of management of anaesthesia for percutaneous spinal procedures, not being a service to which another item in this subgroup applies |
87.50 |
||||||
|
Subgroup 6 -- Upper abdomen |
||||||||
|
20700 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the upper anterior abdominal wall, not being a service to which another item in this subgroup applies |
52.50 |
||||||
|
20702 |
Initiation of management of anaesthesia for percutaneous liver biopsy |
70.00 |
||||||
|
20703 |
Initiation of management of anaesthesia for procedures on the nerves, muscles, tendons and fascia of the upper abdominal wall, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
20705 |
Initiation of management of anaesthesia for diagnostic laparoscopy procedures |
105.00 |
||||||
|
20706 |
Initiation of management of anaesthesia for laparoscopic procedures in the upper abdomen, not being a service to which another item in this subgroup applies |
122.50 |
||||||
|
20730 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the upper posterior abdominal wall, not being a service to which another item in this subgroup applies |
87.50 |
||||||
|
20740 |
Initiation of management of anaesthesia for upper gastrointestinal endoscopic procedures |
87.50 |
||||||
|
20745 |
Initiation of management of anaesthesia for upper gastrointestinal endoscopic procedures in association with acute gastrointestinal haemorrhage |
105.00 |
||||||
|
20750 |
Initiation of management of anaesthesia for hernia repairs in upper abdomen, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
20752 |
Initiation of management of anaesthesia for repair of incisional hernia or wound dehiscence, or both |
105.00 |
||||||
|
20754 |
Initiation of management of anaesthesia for procedures on an omphalocele |
122.50 |
||||||
|
20756 |
Initiation of management of anaesthesia for transabdominal repair of diaphragmatic hernia |
157.50 |
||||||
|
20770 |
Initiation of management of anaesthesia for procedures on major upper abdominal blood vessels |
262.50 |
||||||
|
20790 |
Initiation of management of anaesthesia for procedures within the peritoneal cavity in upper abdomen including cholecystectomy, gastrectomy, laparoscopic nephrectomy or bowel shunts |
140.00 |
||||||
|
20791 |
Initiation of management of anaesthesia for gastric reduction or gastroplasty for the treatment of morbid obesity |
175.00 |
||||||
|
20792 |
Initiation of management of anaesthesia for partial hepatectomy (excluding liver biopsy) |
227.50 |
||||||
|
20793 |
Initiation of management of anaesthesia for extended or trisegmental hepatectomy |
262.50 |
||||||
|
20794 |
Initiation of management of anaesthesia for pancreatectomy, partial or total |
210.00 |
||||||
|
20798 |
Initiation of management of anaesthesia for neuro endocrine tumour removal in the upper abdomen |
175.00 |
||||||
|
20799 |
Initiation of management of anaesthesia for percutaneous procedures on an intra‑abdominal organ in the upper abdomen |
105.00 |
||||||
|
Subgroup 7 -- Lower abdomen |
||||||||
|
20800 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the lower anterior abdominal walls, not being a service to which another item in this subgroup applies |
52.50 |
||||||
|
20802 |
Initiation of management of anaesthesia for lipectomy of the lower abdomen |
87.50 |
||||||
|
20803 |
Initiation of management of anaesthesia for procedures on the nerves, muscles, tendons and fascia of the lower abdominal wall, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
20805 |
Initiation of management of anaesthesia for diagnostic laparoscopic procedures |
105.00 |
||||||
|
20806 |
Initiation of management of anaesthesia for laparoscopic procedures in the lower abdomen |
122.50 |
||||||
|
20810 |
Initiation of management of anaesthesia for lower intestinal endoscopic procedures |
70.00 |
||||||
|
20815 |
Initiation of management of anaesthesia for extracorporeal shock wave lithotripsy to urinary tract |
105.00 |
||||||
|
20820 |
Initiation of management of anaesthesia for procedures on the skin, its derivatives or subcutaneous tissue of the lower posterior abdominal wall |
87.50 |
||||||
|
20830 |
Initiation of management of anaesthesia for hernia repairs in lower abdomen, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
20832 |
Initiation of management of anaesthesia for repair of incisional herniae or wound dehiscence, or both, of the lower abdomen |
105.00 |
||||||
|
20840 |
Initiation of management of anaesthesia for all procedures within the peritoneal cavity in lower abdomen, including appendicectomy, not being a service to which another item in this subgroup applies |
105.00 |
||||||
|
20841 |
Initiation of management of anaesthesia for bowel resection, including laparoscopic bowel resection, not being a service to which another item in this subgroup applies |
140.00 |
||||||
|
20842 |
Initiation of management of anaesthesia for amniocentesis |
70.00 |
||||||
|
20844 |
Initiation of management of anaesthesia for abdominoperineal resection, including pull through procedures, ultra low anterior resection and formation of bowel reservoir |
175.00 |
||||||
|
20845 |
Initiation of management of anaesthesia for radical prostatectomy |
175.00 |
||||||
|
20846 |
Initiation of management of anaesthesia for radical hysterectomy |
175.00 |
||||||
|
20847 |
Initiation of management of anaesthesia for ovarian malignancy |
175.00 |
||||||
|
20848 |
Initiation of management of anaesthesia for pelvic exenteration |
175.00 |
||||||
|
20850 |
Initiation of management of anaesthesia for caesarean section |
210.00 |
||||||
|
20855 |
Initiation of management of anaesthesia for caesarean hysterectomy or hysterectomy within 24 hours of delivery |
262.50 |
||||||
|
20860 |
Initiation of management of anaesthesia for extraperitoneal procedures in lower abdomen, including those on the urinary tract, not being a service to which another item in this subgroup applies |
105.00 |
||||||
|
20862 |
Initiation of management of anaesthesia for renal procedures, including upper one‑third of ureter |
122.50 |
||||||
|
20864 |
Initiation of management of anaesthesia for total cystectomy |
175.00 |
||||||
|
20866 |
Initiation of management of anaesthesia for adrenalectomy |
175.00 |
||||||
|
20867 |
Initiation of management of anaesthesia for neuro endocrine tumour removal in the lower abdomen |
175.00 |
||||||
|
20868 |
Initiation of management of anaesthesia for renal transplantation (donor or recipient) |
175.00 |
||||||
|
20880 |
Initiation of management of anaesthesia for procedures on major lower abdominal vessels, not being a service to which another item in this subgroup applies |
262.50 |
||||||
|
20882 |
Initiation of management of anaesthesia for inferior vena cava ligation |
175.00 |
||||||
|
20884 |
Initiation of management of anaesthesia for percutaneous umbrella insertion |
87.50 |
||||||
|
20886 |
Initiation of management of anaesthesia for percutaneous procedures on an intra‑abdominal organ in the lower abdomen |
105.00 |
||||||
|
Subgroup 8 -- Perineum |
||||||||
|
20900 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the perineum (including biopsy of male genital system), not being a service to which another item in this subgroup applies |
52.50 |
||||||
|
20902 |
Initiation of management of anaesthesia for anorectal procedures (including endoscopy or biopsy, or both) |
70.00 |
||||||
|
20904 |
Initiation of management of anaesthesia for radical perineal procedures, including radical perineal prostatectomy or radical vulvectomy |
122.50 |
||||||
|
20906 |
Initiation of management of anaesthesia for vulvectomy |
70.00 |
||||||
|
20910 |
Initiation of management of anaesthesia for transurethral procedures (including urethrocyctoscopy), not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
20912 |
Initiation of management of anaesthesia for transurethral resection of bladder tumour or tumours |
87.50 |
||||||
|
20914 |
Initiation of management of anaesthesia for transurethral resection of prostate |
122.50 |
||||||
|
20916 |
Initiation of management of anaesthesia for bleeding post‑transurethral resection |
122.50 |
||||||
|
20920 |
Initiation of management of anaesthesia for procedures on male external genitalia, not being a service to which another item in this subgroup applies |
52.50 |
||||||
|
20924 |
Initiation of management of anaesthesia for procedures on undescended testis, unilateral or bilateral |
70.00 |
||||||
|
20926 |
Initiation of management of anaesthesia for radical orchidectomy, inguinal approach |
70.00 |
||||||
|
20928 |
Initiation of management of anaesthesia for radical orchidectomy, abdominal approach |
105.00 |
||||||
|
20930 |
Initiation of management of anaesthesia for orchiopexy, unilateral or bilateral |
70.00 |
||||||
|
20932 |
Initiation of management of anaesthesia for complete amputation of penis |
70.00 |
||||||
|
20934 |
Initiation of management of anaesthesia for complete amputation of penis with bilateral inguinal lymphadenectomy |
105.00 |
||||||
|
20936 |
Initiation of management of anaesthesia for complete amputation of penis with bilateral inguinal and iliac lymphadenectomy |
140.00 |
||||||
|
20938 |
Initiation of management of anaesthesia for insertion of penile prosthesis |
70.00 |
||||||
|
20940 |
Initiation of management of anaesthesia for per vagina and vaginal procedures (including biopsy of labia, vagina, cervix or endometrium), not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
20942 |
Initiation of management of anaesthesia for colpotomy, colpectomy or colporrhaphy |
87.50 |
||||||
|
20943 |
Initiation of management of anaesthesia for transvaginal assisted reproductive services |
70.00 |
||||||
|
20944 |
Initiation of management of anaesthesia for vaginal hysterectomy |
105.00 |
||||||
|
20946 |
Initiation of management of anaesthesia for vaginal delivery |
140.00 |
||||||
|
20948 |
Initiation of management of anaesthesia for purse string ligation of cervix, or removal of purse string ligature, or removal of purse string ligature |
70.00 |
||||||
|
20950 |
Initiation of management of anaesthesia for culdoscopy |
87.50 |
||||||
|
20952 |
Initiation of management of anaesthesia for hysteroscopy |
70.00 |
||||||
|
20953 |
Initiation of management of anaesthesia for endometrial ablation or resection in association with hysteroscopy |
87.50 |
||||||
|
20954 |
Initiation of management of anaesthesia for correction of inverted uterus |
175.00 |
||||||
|
20956 |
Initiation of management of anaesthesia for evacuation of retained products of conception, as a complication of confinement |
70.00 |
||||||
|
20958 |
Initiation of management of anaesthesia for manual removal of retained placenta or for repair of vaginal or perineal tear following delivery |
87.50 |
||||||
|
20960 |
Initiation of management of anaesthesia for vaginal procedures in the management of post partum haemorrhage, where the blood loss is greater than 500 mls |
122.50 |
||||||
|
Subgroup 9 -- Pelvis (except hip) |
||||||||
|
21100 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the anterior pelvic region (anterior to iliac crest), except external genitalia |
52.50 |
||||||
|
21110 |
Initiation of management of anaesthesia for procedures on the skin, its derivatives or subcutaneous tissue of the pelvic region (posterior to iliac crest), except perineum |
87.50 |
||||||
|
21112 |
Initiation of management of anaesthesia for percutaneous bone marrow biopsy of the anterior iliac crest |
70.00 |
||||||
|
21114 |
Initiation of management of anaesthesia for percutaneous bone marrow biopsy of the posterior iliac crest |
87.50 |
||||||
|
21116 |
Initiation of management of anaesthesia for percutaneous bone marrow harvesting from the pelvis |
105.00 |
||||||
|
21120 |
Initiation of management of anaesthesia for procedures on the bony pelvis |
105.00 |
||||||
|
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 |
52.50 |
||||||
|
21140 |
Initiation of management of anaesthesia for interpelviabdominal (hindquarter) amputation |
262.50 |
||||||
|
21150 |
Initiation of management of anaesthesia for radical procedures for tumour of the pelvis, except hindquarter amputation |
175.00 |
||||||
|
21160 |
Initiation of management of anaesthesia for closed procedures involving symphysis pubis or sacroiliac joint, when performed in the operating theatre of a hospital or approved day hospital facility |
70.00 |
||||||
|
21170 |
Initiation of management of anaesthesia for open procedures involving symphysis pubis or sacroiliac joint |
140.00 |
||||||
|
Subgroup 10 -- Upper leg (except knee) |
||||||||
|
21195 |
Initiation of management of anaesthesia for procedures on the skins or subcutaneous tissue of the upper leg |
52.50 |
||||||
|
21199 |
Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of the upper leg |
70.00 |
||||||
|
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 |
70.00 |
||||||
|
21202 |
Initiation of management of anaesthesia for arthroscopic procedures of the hip joint |
70.00 |
||||||
|
21210 |
Initiation of management of anaesthesia for open procedures involving hip joint, not being a service to which another item in this subgroup applies |
105.00 |
||||||
|
21212 |
Initiation of management of anaesthesia for hip disarticulation |
175.00 |
||||||
|
21214 |
Initiation of management of anaesthesia for total hip replacement or revision |
175.00 |
||||||
|
21216 |
Initiation of management of anaesthesia for bilateral total hip replacement |
245.00 |
||||||
|
21220 |
Initiation of management of anaesthesia for closed procedures involving upper two‑thirds of femur, when performed in the operating theatre of a hospital or approved day hospital facility |
70.00 |
||||||
|
21230 |
Initiation of management of anaesthesia for open procedures involving upper two‑thirds of femur, not being a service to which another item in this subgroup applies |
105.00 |
||||||
|
21232 |
Initiation of management of anaesthesia for above knee amputation |
87.50 |
||||||
|
21234 |
Initiation of management of anaesthesia for radical resection of the upper two‑thirds of femur |
140.00 |
||||||
|
21260 |
Initiation of management of anaesthesia for procedures involving veins of upper leg, including exploration |
70.00 |
||||||
|
21270 |
Initiation of management of anaesthesia for procedures involving arteries of upper leg, including bypass graft, not being a service to which another item in this subgroup applies |
140.00 |
||||||
|
21272 |
Initiation of management of anaesthesia for femoral artery ligation |
70.00 |
||||||
|
21274 |
Initiation of management of anaesthesia for femoral artery embolectomy |
105.00 |
||||||
|
21280 |
Initiation of management of anaesthesia for microsurgical reimplantation of upper leg |
262.50 |
||||||
|
Subgroup 11 -- Knee and popliteal area |
||||||||
|
21300 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the knee or popliteal area, or both |
52.50 |
||||||
|
21321 |
Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of knee or popliteal area, or both |
70.00 |
||||||
|
21340 |
Initiation of management of anaesthesia for closed procedures on lower one‑third of femur, when performed in the operating theatre of a hospital or approved day hospital facility |
70.00 |
||||||
|
21360 |
Initiation of management of anaesthesia for open procedures on lower one‑third of femur |
87.50 |
||||||
|
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 |
52.50 |
||||||
|
21382 |
Initiation of management of anaesthesia for arthroscopic procedures of knee joint |
70.00 |
||||||
|
21390 |
Initiation of management of anaesthesia for closed procedures on upper ends of tibia, fibula or patella, or any of them, when performed in the operating theatre of a hospital or approved day hospital facility |
52.50 |
||||||
|
21392 |
Initiation of management of anaesthesia for open procedures on upper ends of tibia, fibula or patella, or any of them |
70.00 |
||||||
|
21400 |
Initiation of management of anaesthesia for open procedures on knee joint, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
21402 |
Initiation of management of anaesthesia for knee replacement |
122.50 |
||||||
|
21403 |
Initiation of management of anaesthesia for bilateral knee replacement |
175.00 |
||||||
|
21404 |
Initiation of management of anaesthesia for disarticulation of knee |
87.50 |
||||||
|
21420 |
Initiation of management of anaesthesia for cast application, removal or repair, involving knee joint, undertaken in a hospital or approved day hospital facility |
52.50 |
||||||
|
21430 |
Initiation of management of anaesthesia for procedures on veins of knee or popliteal area, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
21432 |
Initiation of management of anaesthesia for repair of arteriovenous fistula of knee or popliteal area |
87.50 |
||||||
|
21440 |
Initiation of management of anaesthesia for procedures on arteries of knee or popliteal area, not being a service to which another item in this subgroup applies |
140.00 |
||||||
|
Subgroup 12 -- Lower leg (below knee) |
||||||||
|
21460 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of lower leg, ankle or foot |
52.50 |
||||||
|
21461 |
Initiation of management of anaesthesia for procedures on nerves, muscles, tendons or fascia of lower leg, ankle or foot, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
21462 |
Initiation of management of anaesthesia for all closed procedures on lower leg, ankle or foot |
52.50 |
||||||
|
21464 |
Initiation of management of anaesthesia for arthroscopic procedure of ankle joint |
70.00 |
||||||
|
21472 |
Initiation of management of anaesthesia for repair of achilles tendon |
87.50 |
||||||
|
21474 |
Initiation of management of anaesthesia for gastrocnemius recession |
87.50 |
||||||
|
21480 |
Initiation of management of anaesthesia for open procedures on bones of lower leg, ankle or foot, including amputation, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
21482 |
Initiation of management of anaesthesia for radical resection of bone involving lower leg, ankle or foot |
87.50 |
||||||
|
21484 |
Initiation of management of anaesthesia for osteotomy or osteoplasty of tibia or fibula |
87.50 |
||||||
|
21486 |
Initiation of management of anaesthesia for total ankle replacement |
122.50 |
||||||
|
21490 |
Initiation of management of anaesthesia for lower leg cast application, removal or repair, undertaken in a hospital or approved day hospital facility |
52.50 |
||||||
|
21500 |
Initiation of management of anaesthesia for procedures on arteries of lower leg, including bypass graft, not being a service to which another item in this subgroup applies |
140.00 |
||||||
|
21502 |
Initiation of management of anaesthesia for embolectomy of the lower leg |
105.00 |
||||||
|
21520 |
Initiation of management of anaesthesia for procedures on veins of lower leg, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
21522 |
Initiation of management of anaesthesia for venous thrombectomy of the lower leg |
87.50 |
||||||
|
21530 |
Initiation of management of anaesthesia for microsurgical reimplantation of lower leg, ankle or foot |
262.50 |
||||||
|
21532 |
Initiation of management of anaesthesia for microsurgical reimplantation of toe |
140.00 |
||||||
|
Subgroup 13 -- Shoulder and axilla |
||||||||
|
21600 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the shoulder or axilla |
52.50 |
||||||
|
21610 |
Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of shoulder or axilla, including axillary dissection |
87.50 |
||||||
|
21620 |
Initiation of management of anaesthesia for closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint, when performed in the operating theatre of a hospital or approved day hospital facility |
70.00 |
||||||
|
21622 |
Initiation of management of anaesthesia for arthroscopic procedures of shoulder joint |
87.50 |
||||||
|
21630 |
Initiation of management of anaesthesia for open procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint, not being a service to which another item in this subgroup applies |
87.50 |
||||||
|
21632 |
Initiation of management of anaesthesia for radical resection involving humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint |
105.00 |
||||||
|
21634 |
Initiation of management of anaesthesia for shoulder disarticulation |
157.50 |
||||||
|
21636 |
Initiation of management of anaesthesia for interthoracoscapular (forequarter) amputation |
262.50 |
||||||
|
21638 |
Initiation of management of anaesthesia for total shoulder replacement |
175.00 |
||||||
|
21650 |
Initiation of management of anaesthesia for procedures on arteries of shoulder or axilla, not being a service to which another item in this subgroup applies |
140.00 |
||||||
|
21652 |
Initiation of management of anaesthesia for procedures for axillary‑brachial aneurysm |
175.00 |
||||||
|
21654 |
Initiation of management of anaesthesia for bypass graft of arteries of shoulder or axilla |
140.00 |
||||||
|
21656 |
Initiation of management of anaesthesia for axillary‑femoral bypass graft |
175.00 |
||||||
|
21670 |
Initiation of management of anaesthesia for procedures on veins of shoulder or axilla |
70.00 |
||||||
|
21680 |
Initiation of management of anaesthesia for shoulder cast application, removal or repair, not being a service to which another item in this subgroup applies, when undertaken in a hospital or approved day hospital facility |
52.50 |
||||||
|
21682 |
Initiation of management of anaesthesia for shoulder spica application, when undertaken in a hospital or approved day hospital facility |
70.00 |
||||||
|
Subgroup 14 -- Upper arm and elbow |
||||||||
|
21700 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the upper arm or elbow |
52.50 |
||||||
|
21710 |
Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of upper arm or elbow, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
21712 |
Initiation of management of anaesthesia for open tenotomy of the upper arm or elbow |
87.50 |
||||||
|
21714 |
Initiation of management of anaesthesia for tenoplasty of the upper arm or elbow |
87.50 |
||||||
|
21716 |
Initiation of management of anaesthesia for tenodesis for rupture of long tendon of biceps |
87.50 |
||||||
|
21730 |
Initiation of management of anaesthesia for closed procedures on the upper arm or elbow, when performed in the operating theatre of a hospital or approved day hospital facility |
52.50 |
||||||
|
21732 |
Initiation of management of anaesthesia for arthroscopic procedures of elbow joint |
70.00 |
||||||
|
21740 |
Initiation of management of anaesthesia for open procedures on the upper arm or elbow, not being a service to which another item in this subgroup applies |
87.50 |
||||||
|
21756 |
Initiation of management of anaesthesia for radical procedures on the upper arm or elbow |
105.00 |
||||||
|
21760 |
Initiation of management of anaesthesia for total elbow replacement |
122.50 |
||||||
|
21770 |
Initiation of management of anaesthesia for procedures on arteries of upper arm, not being a service to which another item in this subgroup applies |
140.00 |
||||||
|
21772 |
Initiation of management of anaesthesia for embolectomy of arteries of the upper arm |
105.00 |
||||||
|
21780 |
Initiation of management of anaesthesia for procedures on veins of upper arm, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
21790 |
Initiation of management of anaesthesia for microsurgical reimplantation of upper arm |
262.50 |
||||||
|
Subgroup 15 -- Forearm wrist and hand |
||||||||
|
21800 |
Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the forearm, wrist or hand |
52.50 |
||||||
|
21810 |
Initiation of management of anaesthesia for procedures on the nerves, muscles, tendons, fascia, or bursae of the forearm, wrist or hand |
70.00 |
||||||
|
21820 |
Initiation of management of anaesthesia for closed procedures on the radius, ulna, wrist, or hand bones, when performed in the operating theatre of a hospital or approved day hospital facility |
52.50 |
||||||
|
21830 |
Initiation of management of anaesthesia for open procedures on the radius, ulna, wrist, or hand bones, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
21832 |
Initiation of management of anaesthesia for total wrist replacement |
122.50 |
||||||
|
21834 |
Initiation of management of anaesthesia for arthroscopic procedures of the wrist joint |
70.00 |
||||||
|
21840 |
Initiation of management of anaesthesia for procedures on the arteries of forearm, wrist or hand, not being a service to which another item in this subgroup applies |
140.00 |
||||||
|
21842 |
Initiation of management of anaesthesia for embolectomy of artery of forearm, wrist or hand |
105.00 |
||||||
|
21850 |
Initiation of management of anaesthesia for procedures on the veins of forearm, wrist or hand, not being a service to which another item in this subgroup applies |
70.00 |
||||||
|
21860 |
Initiation of management of anaesthesia for forearm, wrist, or hand cast application, removal or repair, when undertaken in a hospital or approved day hospital facility |
52.50 |
||||||
|
21870 |
Initiation of management of anaesthesia for microsurgical reimplantation of forearm, wrist or hand |
262.50 |
||||||
|
21872 |
Initiation of management of anaesthesia for microsurgical reimplantation of a finger |
140.00 |
||||||
|
Subgroup 16 -- Anaesthesia for burns |
||||||||
|
21878 |
Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves not more than 3% of total body surface |
52.50 |
||||||
|
21879 |
Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves more than 3% but less than 10% of total body surface |
87.50 |
||||||
|
21880 |
Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 10% or more but less than 20% of total body surface |
122.50 |
||||||
|
21881 |
Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 20% or more but less than 30% of total body surface |
157.50 |
||||||
|
21882 |
Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 30% or more but less than 40% of total body surface |
192.50 |
||||||
|
21883 |
Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 40% or more but less than 50% of total body surface |
227.50 |
||||||
|
21884 |
Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 50% or more but less than 60% of total body surface |
262.50 |
||||||
|
21885 |
Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 60% or more but less than 70% of total body surface |
297.50 |
||||||
|
21886 |
Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 70% or more but less than 80% of total body surface |
332.50 |
||||||
|
21887 |
Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 80% or more of total body surface |
367.50 |
||||||
|
Subgroup 17 -- Anaesthesia for radiological or other diagnostic or therapeutic procedures |
||||||||
|
21900 |
Initiation of management of anaesthesia for injection procedure for hysterosalpingography |
52.50 |
||||||
|
21906 |
Initiation of management of anaesthesia for injection procedure for myelography -- lumbar or thoracic |
87.50 |
||||||
|
21908 |
Initiation of management of anaesthesia for injection procedure for myelography -- cervical |
105.00 |
||||||
|
21910 |
Initiation of management of anaesthesia for injection procedure for myelography -- posterior fossa |
157.50 |
||||||
|
21912 |
Initiation of management of anaesthesia for injection procedure for discography -- lumbar or thoracic |
87.50 |
||||||
|
21914 |
Initiation of management of anaesthesia for injection procedure for discography -- cervical |
105.00 |
||||||
|
21915 |
Initiation of management of anaesthesia for peripheral arteriogram |
87.50 |
||||||
|
21916 |
Initiation of management of anaesthesia for arteriograms -- cerebral, carotid or vertebral |
87.50 |
||||||
|
21918 |
Initiation of management of anaesthesia for retrograde arteriogram -- brachial or femoral |
87.50 |
||||||
|
21922 |
Initiation of management of anaesthesia for computerised axial tomography scanning, magnetic resonance scanning or digital subtraction angiography scanning |
122.50 |
||||||
|
21925 |
Initiation of management of anaesthesia for retrograde cystography, retrograde urethrography or retrograde cystourethrography |
70.00 |
||||||
|
21926 |
Initiation of management of anaesthesia for fluoroscopy |
87.50 |
||||||
|
21927 |
Initiation of management of anaesthesia for barium enema or other opaque study of the small bowel |
87.50 |
||||||
|
21930 |
Initiation of management of anaesthesia for bronchography |
105.00 |
||||||
|
21935 |
Initiation of management of anaesthesia for phlebography |
87.50 |
||||||
|
21936 |
Initiation of management of anaesthesia for heart -- 2 dimensional real time transoesophageal examination |
105.00 |
||||||
|
21939 |
Initiation of management of anaesthesia for peripheral venous cannulation |
52.50 |
||||||
|
21941 |
Initiation of management of anaesthesia for cardiac catheterisation (including coronary arteriography, ventriculography , cardiac mapping or insertion of automatic defibrillator or transvenous pacemaker) |
122.50 |
||||||
|
21942 |
Initiation of management of anaesthesia for cardiac electrophysiological procedures including radio frequency ablation |
175.00 |
||||||
|
21943 |
Initiation of management of anaesthesia for central vein catheterisation or insertion of right heart balloon catheter (via jugular, subclavian or femoral vein) by percutaneous or open exposure |
87.50 |
||||||
|
21945 |
Initiation of management of anaesthesia for lumbar puncture, cisternal puncture or epidural injection |
87.50 |
||||||
|
21949 |
Initiation of management of anaesthesia for harvesting of bone marrow for the purpose of transplantation |
87.50 |
||||||
|
21952 |
Initiation of management of anaesthesia for muscle biopsy for malignant hyperpyrexia |
175.00 |
||||||
|
21955 |
Initiation of management of anaesthesia for electroencephalography |
87.50 |
||||||
|
21959 |
Initiation of management of anaesthesia for brain stem evoked response audiometry |
87.50 |
||||||
|
21962 |
Initiation of management of anaesthesia for electrocochleography by extratympanic method or transtympanic membrane insertion method |
87.50 |
||||||
|
21965 |
Initiation of management of anaesthesia as a therapeutic procedure if it can be shown that there is a clinical need for anaesthesia, not for headache of any etiology |
87.50 |
||||||
|
21969 |
Initiation of management of anaesthesia during hyperbaric therapy, where the medical practitioner is not confined in the chamber (including the administration of oxygen) |
140.00 |
||||||
|
21970 |
Initiation of management of anaesthesia during hyperbaric therapy, where the medical practitioner is confined in the chamber (including the administration of oxygen) |
262.50 |
||||||
|
21973 |
Initiation of management of anaesthesia for brachytherapy using radioactive sealed sources |
87.50 |
||||||
|
21976 |
Initiation of management of anaesthesia for therapeutic nuclear medicine |
87.50 |
||||||
|
21980 |
Initiation of management of anaesthesia for radiotherapy |
87.50 |
||||||
|
Subgroup 18 -- Miscellaneous |
||||||||
|
21990 |
Initiation of management of anaesthesia, being a service to which another item in this subgroup or in Subgroups 1 to 17 or 20 would have applied if the procedure in connection with which the service is provided had not been discontinued |
52.50 |
||||||
|
21992 |
Initiation of management of anaesthesia performed on a person under the age of 10 years in connection with a procedure covered by an item that does not include the word '(Anaes.)' |
70.00 |
||||||
|
21997 |
Initiation of management of anaesthesia in connection with a procedure covered by an item that does not include the word '(Anaes.)', not being a service to which item 21965 or 21992 applies, where it can be demonstrated that there is a clinical need for anaesthesia |
70.00 |
||||||
|
Subgroup 19 -- Therapeutic and diagnostic services performed in connection with administration of anaesthesia |
||||||||
|
22001 |
Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in an emergency situation, when performed in association with the administration of anaesthesia |
52.50 |
||||||
|
22002 |
Administration of blood or bone marrow already collected, when performed in association with the administration of anaesthesia |
70.00 |
||||||
|
22007 |
Awake endotracheal intubation with flexible fibreoptic scope associated with difficult airway, when performed in association with the administration of anaesthesia |
70.00 |
||||||
|
22008 |
Double lumen endobronchial tube or bronchial blocker, insertion of, when performed in association with the administration of anaesthesia |
70.00 |
||||||
|
22012 |
Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity) by indwelling catheter -- for each type of pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies), when performed in association with the administration of anaesthesia |
52.50 |
||||||
|
22014 |
Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity) by indwelling catheter -- for each type of pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies), when performed in association with the administration of anaesthesia relating to another discrete operation on the same day |
52.50 |
||||||
|
22015 |
Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement, when performed in association with the administration of anaesthesia |
105.00 |
||||||
|
Measurement of the mechanical or gas exchange function of the respiratory system, using measurements of parameters that incorporate serial arterial blood gas analysis and include at least 2 of the following parameters: (a) pressure; (b) volume; (c) flow; (d) gas concentration in inspired or expired air; (e) alveolar gas or blood; performed in association with the administration of anaesthesia, and for which a written record of the results is prepared, not being a service associated with a service to which item 11503 applies |
122.50 |
|||||||
|
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 |
70.00 |
||||||
|
22025 |
Intraarterial cannulation when performed in association with the administration of anaesthesia |
70.00 |
||||||
|
22031 |
Intrathecal or epidural injection (initial) of a therapeutic substance, with or without insertion of a catheter, in association with anaesthesia and surgery, for post operative pain management, not being a service associated with a service to which item 22036 applies |
87.50 |
||||||
|
22036 |
Intrathecal or epidural injection (subsequent) of a therapeutic substance, using an in‑situ catether, in association with anaethesia and surgery, for post operative pain, not being a service associated with a service to which item 22031 applies |
52.50 |
||||||
|
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 |
35.00 |
||||||
|
22045 |
Introduction of a regional or field nerve block peri‑operatively performed in the induction room, theatre or recovery room, for the control of post operative pain, via the femoral and sciatic nerves, in conjunction with hip, knee, ankle or foot surgery |
52.50 |
||||||
|
22050 |
Introduction of a regional of field nerve block peri‑operatively performed in the induction room, theatre or recovery room, for the control of post operative pain, via the brachial plexus in conjunction with shoulder surgery |
35.00 |
||||||
|
22055 |
Perfusion of limb or organ using heart‑lung machine or equivalent, not being a service associated with a service to which an item in Subgroup 21 applies |
210.00 |
||||||
|
22060 |
Whole body perfusion, cardiac bypass, using heart‑lung machine or equivalent, not being a service associated with anaesthesia to which an item in Subgroup 21 applies |
350.00 |
||||||
|
22065 |
Induced controlled hypothermia -- total body, not being a service associated with a service to which an item in Subgroup 21 applies |
87.50 |
||||||
|
22070 |
Cardioplegia, blood or crystalloid, administration by any route, not being a service associated with a service to which an item in Subgroup 21 applies |
175.00 |
||||||
|
22075 |
Deep hypothermic circulatory arrest, with core temperature less than 22°c, including management of retrograde cerebral perfusion (if performed), not being a service associated with a service to which an item in Subgroup 21 applies |
262.50 |
||||||
|
Subgroup 20 -- Administration of anaesthesia in connection with a dental service |
||||||||
|
22900 |
Initiation of management by a medical practitioner of anaesthesia for extraction of tooth or teeth, with or without incision of soft tissue or removal of bone |
105.00 |
||||||
|
22905 |
Initiation of management of anaesthesia for restorative dental work |
105.00 |
||||||
|
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 |
17.50 |
||||||
|
23021 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 15 minutes but not more than 20 minutes |
35.00 |
||||||
|
23022 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 20 minutes but not more than 25 minutes |
35.00 |
||||||
|
23023 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 25 minutes but not more than 30 minutes |
35.00 |
||||||
|
23031 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 30 minutes but not more than 35 minutes |
52.50 |
||||||
|
23032 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 35 minutes but not more than 40 minutes |
52.50 |
||||||
|
23033 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 40 minutes but not more than 45 minutes |
52.50 |
||||||
|
23041 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 45 minutes but not more than 50 minutes |
70.00 |
||||||
|
23042 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 50 minutes but not more than 55 minutes |
70.00 |
||||||
|
23043 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 55 minutes but not more than 1 hour |
70.00 |
||||||
|
23051 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:01 hours but not more than 1:05 hours |
87.50 |
||||||
|
23052 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:05 hours but not more than 1:10 hours |
87.50 |
||||||
|
23053 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:10 hours but not more than 1:15 hours |
87.50 |
||||||
|
23061 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:15 hours but not more than 1:20 hours |
105.00 |
||||||
|
23062 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:20 hours but not more than 1:25 hours |
105.00 |
||||||
|
23063 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:25 hours but not more than 1:30 hours |
105.00 |
||||||
|
23071 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:30 hours but not more than 1:35 hours |
122.50 |
||||||
|
23072 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:35 hours but not more than 1:40 hours |
122.50 |
||||||
|
23073 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:40 hours but not more than 1:45 hours |
122.50 |
||||||
|
23081 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:45 hours but not more than 1:50 hours |
140.00 |
||||||
|
23082 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:50 hours but not more than 1:55 hours |
140.00 |
||||||
|
23083 |
Anaesthesia, perfusion or assistance, where the service time is mo re than 1:55 hours but not more than 2:00 hours |
140.00 |
||||||
|
23091 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 2:00 hours but not more than 2:10 hours |
157.50 |
||||||
|
23101 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 2:10 hours but not more than 2:20 hours |
175.00 |
||||||
|
23111 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 2:20 hours but not more than 2:30 hours |
192.50 |
||||||
|
23112 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 2:30 hours but not more than 2:40 hours |
210.00 |
||||||
|
23113 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 2:40 hours but not more than 2:50 hours |
227.50 |
||||||
|
23114 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 2:50 hours but not more than 3:00 hours |
245.00 |
||||||
|
23115 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 3:00 hours but not more than 3:10 hours |
262.50 |
||||||
|
23116 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 3:10 hours but not more than 3:20 hours |
280.00 |
||||||
|
23117 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 3:20 hours but not more than 3:30 hours |
297.50 |
||||||
|
23118 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 3:30 hours but not more than 3:40 hours |
315.00 |
||||||
|
23119 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 3:40 hours but not more than 3:50 hours |
332.50 |
||||||
|
23121 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 3:50 hours but not more than 4:00 hours |
350.00 |
||||||
|
23170 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 4:00 hours but not more than 4:10 hours |
367.50 |
||||||
|
23180 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 4:10 hours but not more than 4:20 hours |
385.00 |
||||||
|
23190 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 4:20 hours but not more than 4:30 hours |
402.50 |
||||||
|
23200 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 4:30 hours but not more than 4:40 hours |
420.00 |
||||||
|
23210 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 4:40 hours but not more than 4:50 hours |
437.50 |
||||||
|
23220 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 4:50 hours but not more than 5:00 hours |
455.00 |
||||||
|
23230 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 5:00 hours but not more than 5:10 hours |
472.50 |
||||||
|
23240 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 5:10 hours but not more than 5:20 hours |
490.00 |
||||||
|
23250 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 5:20 hours but not more than 5:30 hours |
507.50 |
||||||
|
23260 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 5:30 hours but not more than 5:40 hours |
525.00 |
||||||
|
23270 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 5:40 hours but not more than 5:50 hours |
542.50 |
||||||
|
23280 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 5:50 hours but not more than 6:00 hours |
560.00 |
||||||
|
23290 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 6:00 hours but not more than 6:10 hours |
577.50 |
||||||
|
23300 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 6:10 hours but not more than 6:20 hours |
595.00 |
||||||
|
23310 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 6:20 hours but not more than 6:30 hours |
612.50 |
||||||
|
23320 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 6:30 hours but not more than 6:40 hours |
630.00 |
||||||
|
23330 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 6:40 hours but not more than 6:50 hours |
647.50 |
||||||
|
23340 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 6:50 hours but not more than 7:00 hours |
665.00 |
||||||
|
23350 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 7:00 hours but not more than 7:10 hours |
682.50 |
||||||
|
23360 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 7:10 hours but not more than 7:20 hours |
700.00 |
||||||
|
23370 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 7:20 hours but not more than 7:30 hours |
717.50 |
||||||
|
23380 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 7:30 hours but not more than 7:40 hours |
735.00 |
||||||
|
23390 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 7:40 hours but not more than 7:50 hours |
752.50 |
||||||
|
23400 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 7:50 hours but not more than 8:00 hours |
770.00 |
||||||
|
23410 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 8:00 hours but not more than 8:10 hours |
787.50 |
||||||
|
23420 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 8:10 hours but not more than 8:20 hours |
805.00 |
||||||
|
23430 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 8:20 hours but not more than 8:30 hours |
822.50 |
||||||
|
23440 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 8:30 hours but not more than 8:40 hours |
840.00 |
||||||
|
23450 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 8:40 hours but not more than 8:50 hours |
857.50 |
||||||
|
23460 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 8:50 hours but not more than 9:00 hours |
875.00 |
||||||
|
23470 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 9:00 hours but not more than 9:10 hours |
892.50 |
||||||
|
23480 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 9:10 hours but not more than 9:20 hours |
910.00 |
||||||
|
23490 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 9:20 hours but not more than 9:30 hours |
927.50 |
||||||
|
23500 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 9:30 hours but not more than 9:40 hours |
945.00 |
||||||
|
23510 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 9:40 hours but not more than 9:50 hours |
962.50 |
||||||
|
23520 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 9:50 hours but not more than 10:00 hours |
980.00 |
||||||
|
23530 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 10:00 hours but not more than 10:10 hours |
997.50 |
||||||
|
23540 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 10:10 hours but not more than 10:20 hours |
1 015.00 |
||||||
|
23550 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 10:20 hours but not more than 10:30 hours |
1 032.50 |
||||||
|
23560 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 10:30 hours but not more than 10:40 hours |
1 050.00 |
||||||
|
23570 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 10:40 hours but not more than 10:50 hours |
1 067.50 |
||||||
|
23580 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 10:50 hours but not more than 11:00 hours |
1 085.00 |
||||||
|
23590 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 11:00 hours but not more than 11:10 hours |
1 102.50 |
||||||
|
23600 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 11:10 hours but not more than 11:20 hours |
1 120.00 |
||||||
|
23610 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 11:20 hours but not more than 11:30 hours |
1 137.50 |
||||||
|
23620 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 11:30 hours but not more than 11:40 hours |
1 155.00 |
||||||
|
23630 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 11:40 hours but not more than 11:50 hours |
1 172.50 |
||||||
|
23640 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 11:50 hours but not more than 12:00 hours |
1 190.00 |
||||||
|
23650 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 12:00 hours but not more than 12:10 hours |
1 207.50 |
||||||
|
23660 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 12:10 hours but not more than 12:20 hours |
1 225.00 |
||||||
|
23670 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 12:20 hours but not more than 12:30 hours |
1 242.50 |
||||||
|
23680 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 12:30 hours but not more than 12:40 hours |
1 260.00 |
||||||
|
23690 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 12:40 hours but not more than 12:50 hours |
1 277.50 |
||||||
|
23700 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 12:50 hours but not more than 13:00 hours |
1 295.00 |
||||||
|
23710 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 13:00 hours but not more than 13:10 hours |
1 312.50 |
||||||
|
23720 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 13:10 hours but not more than 13:20 hours |
1 330.00 |
||||||
|
23730 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 13:20 hours but not more than 13:30 hours |
1 347.50 |
||||||
|
23740 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 13:30 hours but not more than 13:40 hours |
1 365.00 |
||||||
|
23750 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 13:40 hours but not more than 13:50 hours |
1 382.50 |
||||||
|
23760 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 13:50 hours but not more than 14:00 hours |
1 400.00 |
||||||
|
23770 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 14:00 hours but not more than 14:10 hours |
1 417.50 |
||||||
|
23780 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 14:10 hours but not more than 14:20 hours |
1 435.00 |
||||||
|
23790 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 14:20 hours but not more than 14:30 hours |
1 452.50 |
||||||
|
23800 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 14:30 hours but not more than 14:40 hours |
1 470.00 |
||||||
|
23810 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 14:40 hours but not more than 14:50 hours |
1 487.50 |
||||||
|
23820 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 14:50 hours but not more than 15:00 hours |
1 505.00 |
||||||
|
23830 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 15:00 hours but not more than 15:10 hours |
1 522.50 |
||||||
|
23840 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 15:10 hours but not more than 15:20 hours |
1 540.00 |
||||||
|
23850 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 15:20 hours but not more than 15:30 hours |
1 557.50 |
||||||
|
23860 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 15:30 hours but not more than 15:40 hours |
1 575.00 |
||||||
|
23870 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 15:40 hours but not more than 15:50 hours |
1 592.50 |
||||||
|
23880 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 15:50 hours but not more than 16:00 hours |
1 610.00 |
||||||
|
23890 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 16:00 hours but not more than 16:10 hours |
1 627.50 |
||||||
|
23900 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 16:10 hours but not more than 16:20 hours |
1 645.00 |
||||||
|
23910 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 16:20 hours but not more than 16:30 hours |
1 662.50 |
||||||
|
23920 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 16:30 hours but not more than 16:40 hours |
1 680.00 |
||||||
|
23930 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 16:40 hours but not more than 16:50 hours |
1 697.50 |
||||||
|
23940 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 16:50 hours but not more than 17:00 hours |
1 715.00 |
||||||
|
23950 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 17:00 hours but not more than 17:10 hours |
1 732.50 |
||||||
|
23960 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 17:10 hours but not more than 17:20 hours |
1 750.00 |
||||||
|
23970 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 17:20 hours but not more than 17:30 hours |
1 767.50 |
||||||
|
23980 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 17:30 hours but not more than 17:40 hours |
1 785.00 |
||||||
|
23990 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 17:40 hours but not more than 17:50 hours |
1 802.50 |
||||||
|
24100 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 17:50 hours but not more than 18:00 hours |
1 820.00 |
||||||
|
24101 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 18:00 hours but not more than 18:10 hours |
1 837.50 |
||||||
|
24102 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 18:10 hours but not more than 18:20 hours |
1 855.00 |
||||||
|
24103 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 18:20 hours but not more than 18:30 hours |
1 872.50 |
||||||
|
24104 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 18:30 hours but not more than 18:40 hours |
1 890.00 |
||||||
|
24105 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 18:40 hours but not more than 18:50 hours |
1 907.50 |
||||||
|
24106 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 18:50 hours but not more than 19:00 hours |
1 925.00 |
||||||
|
24107 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 19:00 hours but not more than 19:10 hours |
1 942.50 |
||||||
|
24108 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 19:10 hours but not more than 19:20 hours |
1 960.00 |
||||||
|
24109 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 19:20 hours but not more than 19:30 hours |
1 977.50 |
||||||
|
24110 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 19:30 hours but not more than 19:40 hours |
1 995.00 |
||||||
|
24111 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 19:40 hours but not more than 19:50 hours |
2 012.50 |
||||||
|
24112 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 19:50 hours but not more than 20:00 hours |
2 030.00 |
||||||
|
24113 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 20:00 hours but not more than 20:10 hours |
2 047.50 |
||||||
|
24114 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 20:10 hours but not more than 20:20 hours |
2 065.00 |
||||||
|
24115 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 20:20 hours but not more than 20:30 hours |
2 082.50 |
||||||
|
24116 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 20:30 hours but not more than 20:40 hours |
2 100.00 |
||||||
|
24117 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 20:40 hours but not more than 20:50 hours |
2 117.50 |
||||||
|
24118 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 20:50 hours but not more than 21:00 hours |
2 135.00 |
||||||
|
24119 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 21:00 hours but not more than 21:10 hours |
2 152.50 |
||||||
|
24120 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 21:10 hours but not more than 21:20 hours |
2 170.00 |
||||||
|
24121 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 21:20 hours but not more than 21:30 hours |
2 187.50 |
||||||
|
24122 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 21:30 hours but not more than 21:40 hours |
2 205.00 |
||||||
|
24123 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 21:40 hours but not more than 21:50 hours |
2 222.50 |
||||||
|
24124 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 21:50 hours but not more than 22:00 hours |
2 240.00 |
||||||
|
24125 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 22:00 hours but not more than 22:10 hours |
2 257.50 |
||||||
|
24126 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 22:10 hours but not more than 22:20 hours |
2 275.00 |
||||||
|
24127 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 22:20 hours but not more than 22:30 hours |
2 292.50 |
||||||
|
24128 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 22:30 hours but not more than 22:40 hours |
2 310.00 |
||||||
|
24129 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 22:40 hours but not more than 22:50 hours |
2 327.50 |
||||||
|
24130 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 22:50 hours but not more than 23:00 hours |
2 345.00 |
||||||
|
24131 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 23:00 hours but not more than 23:10 hours |
2 362.50 |
||||||
|
24132 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 23:10 hours but not more than 23:20 hours |
2 380.00 |
||||||
|
24133 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 23:20 hours but not more than 23:30 hours |
2 397.50 |
||||||
|
24134 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 23:30 hours but not more than 23:40 hours |
2 415.00 |
||||||
|
24135 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 23:40 hours but not more than 23:50 hours |
2 432.50 |
||||||
|
24136 |
Anaesthesia, perfusion or assistance, if the service time is mo re than 23:50 hours but not more than 24:00 hours |
2 450.00 |
||||||
|
Subgroup 22 -- Anaesthesia, perfusion and assistance at anaesthesia (modifying components -- physical status) |
||||||||
|
25000 |
Anaesthesia, perfusion or assistance, where the patient has severe systemic disease (equivalent to ASA physical status indicator 3) |
17.50 |
||||||
|
25005 |
Anaesthesia, perfusion or assistance, where the patient has severe systemic disease which is a constant threat to life (equivalent to ASA physical status indicator 4) |
35.00 |
||||||
|
25010 |
Anaesthesia, perfusion or assistance, where the patient is not expected to survive for 24 hours, with or without the associated operation (equivalent to ASA physical status indicator 5) |
52.50 |
||||||
|
Subgroup 23 -- Anaesthesia, perfusion and assistance at anaesthesia (modifying components -- other) |
||||||||
|
25015 |
Anaesthesia, perfusion or assistance, where the patient's age is less than 12 months or is 70 years or more |
17.50 |
||||||
|
25020 |
Anaesthesia, perfusion or assistance, where the patient requires immediate treatment without which there would be significant threat to life or body part -- not being a service associated with a service to which item 25025, 25030 or 25050 applies |
35.00 |
||||||
|
Subgroup 24 -- Anaesthesia and assistance at anaesthesia (after hours emergency modifier) |
||||||||
|
25025 |
Anaesthesia , where the patient requires immediate treatment without which there would be significant threat to life or body part and where more than 50% of the service time occurs between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday |
Amount under rule 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 (b) the patient is a neonate or a complex paediatric case; or (c) there is anticipated to be massive blood loss (greater than 50% of blood volume) during the procedure; or (d) the patient is critically ill, with multiple organ failure; or (e) the service time of the administration of anaesthesia exceeds 6 hours and the assistance is provided to the exclusion of attendance on all other patients |
Amount under rule 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 |
32.10 |
||||||
|
30006 |
Extensive burns, dressing of, without anaesthesia (not involving grafting) -- each attendance at which the procedure is performed, including any associated consultation |
41.10 |
||||||
|
30009 |
Localised burns, dressing of, under general anaesthesia (not involving grafting) (G) (H) (Anaes.) |
53.65 |
||||||
|
30010 |
Localised burns, dressing of, under general anaesthesia (not involving grafting) (S) (H) (Anaes.) |
65.30 |
||||||
|
30013 |
Extensive burns, dressing of, under general anaesthesia (not involving grafting) (G) (H) (Anaes.) |
115.65 |
||||||
|
30014 |
Extensive burns, dressing of, under general anaesthesia (not involving grafting) (S) (H) (Anaes.) |
137.30 |
||||||
|
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.) |
288.10 |
||||||
|
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.) |
561.10 |
||||||
|
30023 |
Wound of soft tissue, traumatic, deep or extensively contaminated, debridement of, under general anaesthesia, or regional or field nerve block, including suturing of the wound if carried out (Anaes.) (Assist.) |
288.10 |
||||||
|
30024 |
Wound of soft tissue, debridement of an extensively infected post‑surgical incision or Fournier's gangrene, under general anaesthesia, or regional or field nerve block, including suturing of the wound if carried out (Anaes.) (Assist.) |
288.10 |
||||||
|
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.) |
46.15 |
||||||
|
30029 |
Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, not on face or neck, small (not more than 7 cm in length), involving deeper tissue, not being a service to which another item in Group T4 applies (Anaes.) |
79.50 |
||||||
|
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.) |
72.90 |
||||||
|
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.) |
103.85 |
||||||
|
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.) |
79.50 |
||||||
|
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.) |
127.25 |
||||||
|
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.) |
164.05 |
||||||
|
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.) |
103.85 |
||||||
|
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.) |
132.30 |
||||||
|
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.) |
164.05 |
||||||
|
30052 |
Full thickness laceration of ear, eyelid, nose or lip, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.) |
224.40 |
||||||
|
30055 |
Wounds, dressing of, under general anaesthesia, with or without removal of sutures, not being a service associated with a service to which another item in this group applies (Anaes.) |
65.30 |
||||||
|
30058 |
Post‑operative haemorrhage, control of, under general anaesthesia, as an independent procedure (Anaes.) |
127.25 |
||||||
|
30061 |
Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (Anaes.) |
20.75 |
||||||
|
30064 |
Subcutaneous foreign body, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure (Anaes.) |
97.10 |
||||||
|
30067 |
Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G) (Anaes.) (Assist.) |
197.60 |
||||||
|
30068 |
Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S) (Anaes.) (Assist.) |
244.55 |
||||||
|
30071 |
Diagnostic biopsy of skin or mucous membrane, as an independent procedure, where the biopsy specimen is sent for pathological examination (Anaes.) |
46.15 |
||||||
|
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.) |
103.85 |
||||||
|
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.) |
132.30 |
||||||
|
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.) |
42.80 |
||||||
|
30081 |
Diagnostic biopsy of bone marrow by trephine using an open approach, where the biopsy specimen is sent for pathological examination (Anaes.) |
97.10 |
||||||
|
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.) |
51.95 |
||||||
|
30087 |
Diagnostic biopsy of bone marrow by aspiration or punch biopsy of synovial membrane, where the biopsy specimen is sent for pathological examination (Anaes.) |
26.05 |
||||||
|
30090 |
Diagnostic biopsy of pleura, percutaneous, where the biopsy specimen is sent for pathological examination -- 1 or more biopsies on any 1 occasion (Anaes.) |
113.60 |
||||||
|
30093 |
Diagnostic needle biopsy of vertebra, where the biopsy specimen is sent for pathological examination (Anaes.) |
151.60 |
||||||
|
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.) |
167.35 |
||||||
|
30096 |
Diagnostic scalene node biopsy, by open procedure, if the specimen excised is sent for pathological examination (Anaes.) |
162.50 |
||||||
|
30097 |
Personal performance of a Synacthen Stimulation Test, including associated consultation, by a medical practitioner with resuscitation training and access to facilities where life support procedures can be implemented |
85.90 |
||||||
|
30099 |
Sinus, excision of, involving superficial tissue only (Anaes.) |
79.50 |
||||||
|
30102 |
Sinus, excision of, involving muscle and deep tissue (G) (Anaes.) |
132.30 |
||||||
|
30103 |
Sinus, excision of, involving muscle and deep tissue (S) (Anaes.) |
162.50 |
||||||
|
30104 |
Pre‑auricular sinus, excision of (Anaes.) |
112.15 |
||||||
|
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.) |
137.30 |
||||||
|
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.) |
194.35 |
||||||
|
30110 |
Bursa (large), including olecranon, calcaneum or patella, excision of (G) (Anaes.) (Assist.) |
251.25 |
||||||
|
30111 |
Bursa (large), including olecranon, calcaneum or patella, excision of (S) (Anaes.) (Assist.) |
328.30 |
||||||
|
30114 |
Bursa, semimembranosus (Baker's cyst), excision of (H) (Anaes.) (Assist.) |
328.30 |
||||||
|
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.) |
401.90 |
||||||
|
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.) |
401.90 |
||||||
|
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.) |
611.30 |
||||||
|
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.) |
611.30 |
||||||
|
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.) |
871.05 |
||||||
|
30180 |
Axillary hyperhidrosis, partial excision for (Anaes.) |
120.60 |
||||||
|
30183 |
Axillary hyperhidrosis, total excision of sweat gland bearing area (Anaes.) |
217.80 |
||||||
|
30185 |
Palmar or plantar warts (10 or more), definitive removal of, excluding ablative methods alone, not being a service to which item 30186 or 30187 applies |
161.25 |
||||||
|
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.) Note Section 15 of the Health Insurance Act 1973 provides for the reduction of the fees payable for 2 or more removals performed on the same patient on the same occasion. |
41.95 |
||||||
|
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.) |
227.05 |
||||||
|
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.) |
130.15 |
||||||
|
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.) |
351.50 |
||||||
|
30192 |
Premalignant skin lesions (including solar keratoses), treatment of, by ablative technique (10 or more lesions) (Anaes.) |
35.00 |
||||||
|
30195 |
Benign neoplasm of skin, other than viral verrucae (common warts), seborrheic keratoses, cysts and 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.) |
56.10 |
||||||
|
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.) |
111.60 |
||||||
|
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.) |
388.85 |
||||||
|
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 |
42.70 |
|
|||||
|
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) |
150.45 |
|
|||||
|
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.) |
111.60 |
||||||
|
30207 |
Skin lesions, multiple injections with hydrocortisone or similar preparations (Anaes.) |
39.40 |
||||||
|
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.) |
144.00 |
||||||
|
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.) |
97.00 |
||||||
|
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 |
97.00 |
||||||
|
30216 |
Haematoma, aspiration of (Anaes.) |
24.15 |
||||||
|
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 |
24.15 |
||||||
|
30223 |
Large haematoma, large abscess, carbuncle, cellulitis or similar lesion, incision with drainage of, excluding after‑care (H) (Anaes.) |
144.00 |
||||||
|
30224 |
Percutaneous drainage of deep abscess using interventional techniques -- but not including imaging (Anaes.) |
209.95 |
||||||
|
30225 |
Abscess drainage tube, exchange of using interventional techniques -- but not including imaging (Anaes.) |
236.50 |
||||||
|
30226 |
Muscle, excision of (limited) or fasciotomy (Anaes.) |
132.30 |
||||||
|
30229 |
Muscle, excision of (extensive) (Anaes.) (Assist.) |
241.20 |
||||||
|
30232 |
Muscle, ruptured, repair of (limited), not associated with external wound (Anaes.) |
197.60 |
||||||
|
30235 |
Muscle, ruptured, repair of (extensive), not associated with external wound (Anaes.) (Assist.) |
261.25 |
||||||
|
30238 |
Fascia, deep, repair of, for herniated muscle (Anaes.) |
132.30 |
||||||
|
30241 |
Bone tumour, innocent, excision of, not being a service to which another item in this group applies (Anaes.) (Assist.) |
314.90 |
||||||
|
30244 |
Styloid process of temporal bone, removal of (H) (Anaes.) (Assist.) |
314.90 |
||||||
|
30246 |
Parotid duct, repair of, using micro‑surgical techniques (H) (Anaes.) (Assist.) |
609.55 |
||||||
|
30247 |
Parotid gland, total extirpation of (H) (Anaes.) (Assist.) |
653.30 |
||||||
|
30250 |
Parotid gland, total extirpation of with preservation of facial nerve (H) (Anaes.) (Assist.) |
1 105.50 |
||||||
|
30251 |
Recurrent parotid tumour, excision of, with preservation of facial nerve (Anaes.) (Assist.) |
1 698.10 |
||||||
|
30253 |
Parotid gland, superficial lobectomy of, with exposure of facial nerve (H) (Anaes.) (Assist.) |
737.05 |
||||||
|
30255 |
Submandibular ducts, relocation of, for surgical control of drooling (H) (Anaes.) (Assist.) |
981.45 |
||||||
|
30256 |
Submandibular gland, extirpation of (H) (Anaes.) (Assist.) |
393.60 |
||||||
|
30259 |
Sublingual gland, extirpation of (Anaes.) |
174.20 |
||||||
|
30262 |
Salivary gland, dilatation or diathermy of duct (Anaes.) |
51.95 |
||||||
|
30265 |
Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (G) (Anaes.) |
103.85 |
||||||
|
30266 |
Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (S) (Anaes.) |
132.30 |
||||||
|
30269 |
Salivary gland, repair of cutaneous fistula of (Anaes.) |
132.30 |
||||||
|
30272 |
Tongue, partial excision of (Anaes.) (Assist.) |
261.25 |
||||||
|
30275 |
Radical excision of intra‑oral tumour involving resection of mandible and lymph glands of neck (commando‑type operation) (H) (Anaes.) (Assist.) |
1 557.70 |
||||||
|
30278 |
Tongue tie, repair of, not being a service to which another item in this group applies (Anaes.) |
41.10 |
||||||
|
30281 |
Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged 2 years and over, under general anaesthesia (Anaes.) |
105.55 |
||||||
|
30282 |
Ranula or mucous cyst of mouth, removal of (G) (Anaes.) |
137.30 |
||||||
|
30283 |
Ranula or mucous cyst of mouth, removal of (S) (Anaes.) |
180.85 |
||||||
|
30286 |
Branchial cyst, removal of (Anaes.) (Assist.) |
351.60 |
||||||
|
30289 |
Branchial fistula, removal of (H) (Anaes.) (Assist.) |
443.85 |
||||||
|
30293 |
Cervical oesophagostomy, or closure of cervical oesophagostomy with or without plastic repair (Anaes.) (Assist.) |
393.60 |
||||||
|
30294 |
Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction, or laryngopharyngectomy with tracheostomy and plastic reconstruction (H) (Anaes.) (Assist.) |
1 557.70 |
||||||
|
30296 |
Thyroidectomy, total (H) (Anaes.) (Assist.) |
904.60 |
||||||
|
30297 |
Thyroidectomy following previous thyroid surgery (H) (Anaes.) (Assist.) |
904.60 |
||||||
|
30299 |
Sentinel lymph node biopsy, or biopsies, for breast cancer: (a) involving dissection in a level 1 axilla; and (b) using preoperative lymphoscintigraphy and lymphotropic dye injection; not being a service to which item 30300, 30302 or 30303 applies (H) (Anaes.) (Assist.) (Item is subject to rule 93) |
563.25 |
||||||
|
30300 |
Sentinel lymph node biopsy, or biopsies, for breast cancer: (a) involving dissection in a level 2 or 3 axilla; and (b) using preoperative lymphoscintigraphy and lymphotropic dye injection; not being a service to which item 30299, 30302 or 30303 applies (H) (Anaes.) (Assist.) (Item is subject to rule 93) |
675.95 |
||||||
|
30302 |
Sentinel lymph node biopsy, or biopsies, for breast cancer: (a) involving dissection in a level 1 axilla; and (b) using lymphotropic dye injection; not being a service to which item 303299, 30300 or 30303 applies (H) (Anaes.) (Assist.) |
450.60 |
||||||
|
30303 |
Sentinel lymph node biopsy, or biopsies, for breast cancer: (a) involving dissection in a level 2 or 3 axilla; and (b) using lymphotropic dye injection; not being a service to which item 30299, 30300 or 30302 applies (H) (Anaes.) (Assist.) |
540.70 |
||||||
|
30306 |
Total hemithyroidectomy (H) (Anaes.) (Assist.) |
705.70 |
||||||
|
30308 |
Bilateral sub‑total thyroidectomy (H) (Anaes.) (Assist.) |
705.70 |
||||||
|
30309 |
Thyroidectomy, sub‑total for thyrotoxicosis (H) (Anaes.) (Assist.) |
904.60 |
||||||
|
30310 |
Thyroid, unilateral sub‑total thyroidectomy or equivalent partial thyroidectomy (H) (Anaes.) (Assist.) |
404.15 |
||||||
|
30313 |
Thyroglossal cyst, removal of (Anaes.) (Assist.) |
241.20 |
||||||
|
30314 |
Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone (H) (Anaes.) (Assist.) |
404.15 |
||||||
|
30315 |
Parathyroid operation for hyperparathyroidism (H) (Anaes.) (Assist.) |
1 007.25 |
||||||
|
30317 |
Cervical re‑exploration for recurrent or persistent hyperparathyroidism (H) (Anaes.) (Assist.) |
1 206.10 |
||||||
|
30318 |
Mediastinum, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy) (H) (Anaes.) (Assist.) |
802.00 |
||||||
|
30320 |
Mediastinum, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy) (H) (Anaes.) (Assist.) |
1 206.10 |
||||||
|
30321 |
Retroperitoneal neuroendocrine tumour, removal of (H) (Anaes.) (Assist.) |
802.00 |
||||||
|
30323 |
Retroperitoneal neuroendocrine tumour, removal of, requiring complex and extensive dissection (H) (Anaes.) (Assist.) |
1 206.10 |
||||||
|
30324 |
Adrenal gland tumour, excision of (H) (Anaes.) (Assist.) |
1 206.10 |
||||||
|
30329 |
Lymph glands of groin, limited excision of (Anaes.) |
218.20 |
||||||
|
30330 |
Lymph glands of groin, radical excision of (H) (Anaes.) (Assist.) |
635.10 |
||||||
|
30332 |
Lymph nodes of axilla, limited excision of (sampling) (H) (Anaes.) (Assist.) |
306.45 |
||||||
|
30335 |
Lymph nodes of axilla, complete excision of, to level I (H) (Anaes.) (Assist.) |
766.00 |
||||||
|
30336 |
Lymph nodes of axilla,
complete excision of, to |
919.25 |
||||||
|
30373 |
Laparotomy (exploratory) , including associated biopsies, where no other intra‑abdominal procedure is performed (H) (Anaes.) (Assist.) |
427.05 |
||||||
|
30375 |
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.) |
460.55 |
||||||
|
30376 |
Laparotomy involving division of peritoneal adhesions (where no other intra‑abdominal procedure is performed) (H) (Anaes.) (Assist.) |
460.55 |
||||||
|
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.) |
462.70 |
||||||
|
30379 |
Laparotomy with division of extensive adhesions (duration greater than 2 hours) with or without insertion of long intestinal tube (H) (Anaes.) (Assist.) |
820.15 |
||||||
|
30382 |
Enterocutaneous fistula, radical repair of, involving extensive dissection and resection of bowel (H) (Anaes.) (Assist.) |
1 154.85 |
||||||
|
30384 |
Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (H) (Anaes.) (Assist.) |
971.50 |
||||||
|
30385 |
Laparotomy for control of post‑operative haemorrhage, where no other procedure is performed (H) (Anaes.) (Assist.) |
497.75 |
||||||
|
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.) |
561.10 |
||||||
|
30388 |
Laparotomy for trauma involving 3 or more organs (H) (Anaes.) (Assist.) |
1 411.60 |
||||||
|
30390 |
Laparoscopy, diagnostic (H) (Anaes.) |
194.35 |
||||||
|
30391 |
Laparoscopy, with biopsy (H) (Anaes.) (Assist.) |
251.25 |
||||||
|
30392 |
Radical or debulking operation for advanced intra‑abdominal malignancy, with or without omentectomy, as an independent procedure (H) (Anaes.) (Assist.) |
596.00 |
||||||
|
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.) |
462.70 |
||||||
|
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.) |
435.45 |
||||||
|
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.) |
898.30 |
||||||
|
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.) |
205.30 |
||||||
|
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.) |
282.40 |
||||||
|
30400 |
Laparotomy with insertion of portacath for administration of cytotoxic therapy including placement of reservoir (H) (Anaes.) (Assist.) |
558.90 |
||||||
|
30402 |
Retroperitoneal abscess, drainage of, not involving laparotomy (H) (Anaes.) (Assist.) |
410.55 |
||||||
|
30403 |
Ventral, incisional, or recurrent hernia or burst abdomen, repair of, with or without mesh (H) (Anaes.) (Assist.) |
460.55 |
||||||
|
30405 |
Ventral or incisional hernia (other than recurrent inguinal or femoral hernia), repair of, requiring muscle transposition, mesh hernioplasty or resection of strangulated bowel (H) (Anaes.) (Assist.) |
808.50 |
||||||
|
30406 |
Paracentesis abdominis (Anaes.) |
46.15 |
||||||
|
30408 |
Peritoneo venous (Leveen) shunt, insertion of (H) (Anaes.) (Assist.) |
346.50 |
||||||
|
30409 |
Liver biopsy, percutaneous (Anaes.) |
154.20 |
||||||
|
30411 |
Liver biopsy by wedge excision when performed in association with another intra‑abdominal procedure (H) (Anaes.) |
78.45 |
||||||
|
30412 |
Liver biopsy by core needle, when performed in conjunction with another intra‑abdominal procedure (Anaes.) |
46.25 |
||||||
|
30414 |
Liver, subsegmental resection of, (local excision), other than for trauma (H) (Anaes.) (Assist.) |
609.55 |
||||||
|
30415 |
Liver, segmental resection of, other than for trauma (H) (Anaes.) (Assist.) |
1 219.05 |
||||||
|
30416 |
Liver cyst, laparoscopic marsupialisation of, where the size of the cyst is greater than 5 cm in diameter (H) (Anaes.) (Assist.) |
661.85 |
||||||
|
30417 |
Liver cysts, laparoscopic marsupialisation of 5 or more, including any cyst greater than 5 cm in diameter (H) (Anaes.) (Assist.) |
992.70 |
||||||
|
30418 |
Liver, lobectomy of, other than for trauma (H) (Anaes.) (Assist.) |
1 411.60 |
||||||
|
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.) |
722.05 |
||||||
|
30421 |
Liver, tri‑segmental resection (extended lobectomy) of, other than for trauma (H) (Anaes.) (Assist.) |
1 764.30 |
||||||
|
30422 |
Liver, repair of superficial laceration of, for trauma (H) (Anaes.) (Assist.) |
596.70 |
||||||
|
30425 |
Liver, repair of deep multiple lacerations of, or debridement of, for trauma (H) (Anaes.) (Assist.) |
1 154.85 |
||||||
|
30427 |
Liver, segmental resection of, for trauma (H) (Anaes.) (Assist.) |
1 379.35 |
||||||
|
30428 |
Liver, lobectomy of, for trauma (Anaes.) (Assist.) |
1 475.65 |
||||||
|
30430 |
Liver, extended lobectomy (tri‑segmental resection) of, for trauma (Anaes.) (Assist.) |
2 053.05 |
||||||
|
30431 |
Liver abscess, open abdominal drainage of (Anaes.) (Assist.) |
460.55 |
||||||
|
30433 |
Liver abscess (multiple) , open abdominal drainage of (H) (Anaes.) (Assist.) |
641.55 |
||||||
|
30434 |
Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles (H) (Anaes.) (Assist.) |
519.75 |
||||||
|
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.) |
577.45 |
||||||
|
30437 |
Hydatid cyst of liver, total excision of, by cysto‑pericystectomy (membrane plus fibrous wall) (H) (Anaes.) (Assist.) |
718.65 |
||||||
|
30438 |
Hydatid cyst of liver, excision of, with drainage and excision of liver tissue (Anaes.) (Assist.) |
1 016.95 |
||||||
|
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.) |
164.05 |
||||||
|
30440 |
Cholangiogram, percutaneous transhepatic, and insertion of biliary drainage tube, using interventional imaging techniques, not being a service associated with a service to which item 30451 applies (Anaes.) (Assist.) (Item is subject to rule 89) |
465.10 |
||||||
|
30441 |
Intra operative ultrasound for staging of intra abdominal tumours (H) (Anaes.) |
120.40 |
||||||
|
30442 |
Choledochoscopy in conjunction with another procedure (H) (Anaes.) |
164.05 |
||||||
|
30443 |
Cholecystectomy (H) (Anaes.) (Assist.) |
653.30 |
||||||
|
30445 |
Laparoscopic cholecystectomy (H) (Anaes.) (Assist.) |
653.30 |
||||||
|
30446 |
Laparoscopic cholecystectomy when procedure is completed by laparotomy (H) (Anaes.) (Assist.) |
653.30 |
||||||
|
30448 |
Laparoscopic cholecystectomy, involving removal of common duct calculi via the cystic duct (H) (Anaes.) (Assist.) |
859.75 |
||||||
|
30449 |
Laparoscopic cholecystectomy with removal of common duct calculi via laparoscopic choledochotomy (H) (Anaes.) (Assist.) |
956.00 |
||||||
|
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.) |
463.35 |
||||||
|
30451 |
Biliary drainage tube, exchange of, using interventional imaging techniques, not being a service associated with a service to which item 30440 applies (Anaes.) (Assist.) (Item is subject to rule 89) |
236.50 |
||||||
|
30452 |
Choledochoscopy with balloon dilatation of a stricture or passage of stent or extraction of calculi (H) (Anaes.) (Assist.) |
333.60 |
||||||
|
30454 |
Choledochotomy (with or without cholecystectomy), with or without removal of calculi (H) (Anaes.) (Assist.) |
762.15 |
||||||
|
30455 |
Choledochotomy (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis (H) (Anaes.) (Assist.) |
896.10 |
||||||
|
30457 |
Choledochotomy, intrahepatic, involving removal of intrahepatic bile duct calculi (Anaes.) (Assist.) |
1 219.05 |
||||||
|
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.) |
896.10 |
||||||
|
30460 |
Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux‑en‑Y as a bypass procedure when no prior biliary surgery performed (H) (Anaes.) (Assist.) |
762.15 |
||||||
|
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.) |
1 306.40 |
||||||
|
30463 |
Radical resection of common hepatic duct and right and left hepatic ducts, with 2 duct anastomoses (H) (Anaes.) (Assist.) |
1 603.95 |
||||||
|
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.) |
1 924.80 |
||||||
|
30466 |
Intrahepatic biliary bypass of left hepatic ductal system by Roux‑en‑Y loop to peripheral ductal system (H) (Anaes.) (Assist.) |
1 109.95 |
||||||
|
30467 |
Intrahepatic bypass of right hepatic ductal system by Roux‑en‑Y loop to peripheral ductal system (H) (Anaes.) (Assist.) |
1 372.95 |
||||||
|
30469 |
Biliary stricture, repair of, after 1 or more operations on the biliary tree (Anaes.) (Assist.) |
1 520.65 |
||||||
|
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.) |
821.20 |
||||||
|
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.) |
156.50 |
||||||
|
30475 |
Endoscopy with balloon dilatation of gastric or gastroduodenal stricture (Anaes.) |
283.00 |
||||||
|
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.) |
217.00 |
||||||
|
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.) |
217.00 |
||||||
|
30479 |
Endoscopic laser therapy for neoplasia and benign vascular lesions or strictures of the gastrointestinal tract (Anaes.) |
420.70 |
||||||
|
30481 |
Percutaneous gastrostomy (initial procedure), including any associated imaging services (Anaes.) |
315.50 |
||||||
|
30482 |
Percutaneous gastrostomy (repeat procedure), including any associated imaging services (Anaes.) |
224.30 |
||||||
|
30483 |
Gastrostomy button, non‑endoscopic insertion of, or non‑endoscopic replacement of (Anaes.) |
156.45 |
||||||
|
30484 |
Endoscopic retrograde cholangio‑pancreatography (Anaes.) |
322.45 |
||||||
|
30485 |
Endoscopic sphincterotomy with or without extraction of stones from common bile duct (Anaes.) |
497.75 |
||||||
|
30487 |
Small bowel intubation with biopsy (Anaes.) |
159.85 |
||||||
|
30488 |
Small bowel intubation -- as an independent procedure (Anaes.) |
79.50 |
||||||
|
30490 |
Oesophageal prosthesis, insertion of, including endoscopy and dilatation (Anaes.) |
465.10 |
||||||
|
30491 |
Bile duct, endoscopic stenting of (including endoscopy and dilatation) (Anaes.) |
490.70 |
||||||
|
30492 |
Bile duct, percutaneous stenting of (including dilatation when performed), using interventional imaging techniques (H) (Anaes.) (Item is subject to rule 89) |
695.65 |
||||||
|
30493 |
Biliary manometry (Anaes.) |
294.45 |
||||||
|
30494 |
Endoscopic biliary dilatation (H) (Anaes.) |
371.55 |
||||||
|
30495 |
Percutaneous biliary dilatation for biliary stricture using interventional imaging techniques (H) (Anaes.) (Item is subject to rule 89) |
695.65 |
||||||
|
30496 |
Vagotomy, truncal or selective, with or without pyloroplasty or gastroenterostomy (Anaes.) (Assist.) |
519.75 |
||||||
|
30497 |
Vagotomy and antrectomy (H) (Anaes.) (Assist.) |
619.65 |
||||||
|
30499 |
Vagotomy, highly selective (H) (Anaes.) (Assist.) |
737.05 |
||||||
|
30500 |
Vagotomy, highly selective with duodenoplasty for peptic stricture (Anaes.) (Assist.) |
789.15 |
||||||
|
30502 |
Vagotomy, highly selective, with dilatation of pylorus (H) (Anaes.) (Assist.) |
871.05 |
||||||
|
30503 |
Vagotomy or antrectomy, or both, for peptic ulcer following previous operation for peptic ulcer (Anaes.) (Assist.) |
975.30 |
||||||
|
30505 |
Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision (H) (Anaes.) (Assist.) |
487.60 |
||||||
|
30506 |
Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy (H) (Anaes.) (Assist.) |
853.40 |
||||||
|
30508 |
Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy (H) (Anaes.) (Assist.) |
898.30 |
||||||
|
30509 |
Bleeding peptic ulcer, control of, involving gastric resection (other than wedge resection) (Anaes.) (Assist.) |
898.30 |
||||||
|
30511 |
Morbid obesity, gastric reduction or gastroplasty for, by any method (H) (Anaes.) (Assist.) |
750.70 |
||||||
|
30512 |
Morbid obesity, gastric bypass for, by any method including anastomosis (H) (Anaes.) (Assist.) |
923.80 |
||||||
|
30514 |
Morbid obesity, surgical reversal, by any method, of procedure to which item 30511 or 30512 applies (H) (Anaes.) (Assist.) |
1 360.05 |
||||||
|
30515 |
Gastroenterostomy (including gastroduodenostomy) or enterocolostomy or enteroenterostomy (H) (Anaes.) (Assist.) |
622.35 |
||||||
|
30517 |
Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction of (H) (Anaes.) (Assist.) |
814.85 |
||||||
|
30518 |
Partial gastrectomy (H) (Anaes.) (Assist.) |
872.60 |
||||||
|
30520 |
Gastric tumour, removal of, by local excision, not being a service to which item 30518 applies (H) (Anaes.) (Assist.) |
596.70 |
||||||
|
30521 |
Gastrectomy, total, for benign disease (H) (Anaes.) (Assist.) |
1 276.75 |
||||||
|
30523 |
Gastrectomy, sub‑total radical, for carcinoma (including splenectomy when performed) (H) (Anaes.) (Assist.) |
1 334.40 |
||||||
|
30524 |
Gastrectomy, total radical, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) (H) (Anaes.) (Assist.) |
1 469.15 |
||||||
|
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.) |
1 905.45 |
||||||
|
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.) |
769.95 |
||||||
|
30529 |
Antireflux operation by fundoplasty, with oesophagoplasty for stricture or short oesophagus (H) (Anaes.) (Assist.) |
1 154.85 |
||||||
|
30530 |
Antireflux operation by cardiopexy, with or without fundoplasty (H) (Anaes.) (Assist.) |
692.95 |
||||||
|
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.) |
795.65 |
||||||
|
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.) |
946.45 |
||||||
|
30535 |
Oesophagectomy with gastric reconstruction by abdominal mobilisation and thoracotomy (H) (Anaes.) (Assist.) |
1 499.20 |
||||||
|
30536 |
Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest -- 1 surgeon (H) (Anaes.) (Assist.) |
1 520.65 |
||||||
|
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.) |
1 052.25 |
||||||
|
30539 |
Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest -- conjoint surgery, co‑surgeon (H) (Assist.) |
769.95 |
||||||
|
30541 |
Oesophagectomy, by trans‑hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement -- 1 surgeon (H) (Anaes.) (Assist.) |
1 340.95 |
||||||
|
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.) |
911.05 |
||||||
|
30544 |
Oesophagectomy, by trans‑hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement -- conjoint surgery, co‑surgeon (H) (Assist.) |
667.25 |
||||||
|
30545 |
Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) -- 1 surgeon (H) (Anaes.) (Assist.) |
1 623.35 |
||||||
|
30547 |
Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) -- conjoint surgery, principal surgeon (including after‑care) (Anaes.) (Assist.) |
1 116.35 |
||||||
|
30548 |
Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) -- conjoint surgery, co‑surgeon (Assist.) |
834.00 |
||||||
|
30550 |
Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) -- 1 surgeon (H) (Anaes.) (Assist.) |
1 822.20 |
||||||
|
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.) |
1 257.55 |
||||||
|
30553 |
Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) -- conjoint surgery, co‑surgeon (Assist.) |
930.20 |
||||||
|
30554 |
Oesophagectomy with reconstruction by free jejunal graft -- 1 surgeon (H) (Anaes.) (Assist.) |
2 027.45 |
||||||
|
30556 |
Oesophagectomy with reconstruction by free jejunal graft -- conjoint surgery, principal surgeon (including after‑care) (H) (Anaes.) (Assist.) |
1 398.60 |
||||||
|
30557 |
Oesophagectomy with reconstruction by free jejunal graft -- conjoint surgery, co‑surgeon (H) (Assist.) |
1 032.95 |
||||||
|
30559 |
Oesophagus, local excision for tumour of (Anaes.) (Assist.) |
750.70 |
||||||
|
30560 |
Oesophageal perforation, repair of, by thoracotomy (H) (Anaes.) (Assist.) |
834.00 |
||||||
|
30562 |
Enterosomy or colostomy, closure of -- not involving resection of bowel (H) (Anaes.) (Assist.) |
525.80 |
||||||
|
30563 |
Colostomy or ileostomy, refashioning of (Anaes.) (Assist.) |
525.80 |
||||||
|
30564 |
Small bowel strictureplasty for chronic inflammatory bowel disease (H) (Anaes.) (Assist.) |
682.45 |
||||||
|
30565 |
Small intestine, resection of, without anastomosis (including formation of stoma) (H) (Anaes.) (Assist.) |
769.95 |
||||||
|
30566 |
Small intestine, resection of, with anastomosis (H) (Anaes.) (Assist.) |
855.30 |
||||||
|
30568 |
Intraoperative enterotomy for visualisation of the small intestine by endoscopy (H) (Anaes.) (Assist.) |
641.55 |
||||||
|
30569 |
Endoscopic examination of small bowel with flexible endoscope passed at laparotomy, with or without biopsies (H) (Anaes.) (Assist.) |
327.15 |
||||||
|
30571 |
Appendicectomy, not being a service to which item 30574 applies (H) (Anaes.) (Assist.) |
393.60 |
||||||
|
30572 |
Laparoscopic appendicectomy (H) (Anaes.) (Assist.) |
393.60 |
||||||
|
30574 |
Appendicectomy, when performed in conjunction with any other intra‑abdominal procedure through the same incision (H) (Anaes.) |
108.95 |
||||||
|
30575 |
Pancreatic abscess, laparotomy and external drainage of, not requiring retro‑pancreatic dissection (H) (Anaes.) (Assist.) |
453.10 |
||||||
|
30577 |
Pancreatic necrosectomy for pancreatic necrosis or abscess formation requiring major pancreatic or retro‑pancreatic dissection, excluding after‑care (H) (Anaes.) (Assist.) |
962.45 |
||||||
|
30578 |
Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour (H) (Anaes.) (Assist.) |
1 013.70 |
||||||
|
30580 |
Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of duodenal tumour (H) (Anaes.) (Assist.) |
923.80 |
||||||
|
30581 |
Endocrine tumour, exploration of pancreas or duodenum for, but no tumour found (H) (Anaes.) (Assist.) |
673.70 |
||||||
|
30583 |
Distal pancreatectomy (H) (Anaes.) (Assist.) |
1 055.30 |
||||||
|
30584 |
Pancreatico‑duodenectomy, Whipple's operation, with or without preservation of pylorus (H) (Anaes.) (Assist.) |
1 557.70 |
||||||
|
30586 |
Pancreatic cyst‑anastomosis to stomach or duodenum -- by open or endoscopic means (H) (Anaes.) (Assist.) |
619.65 |
||||||
|
30587 |
Pancreatic cyst, anastomosis to Roux loop of jejunum (H) (Anaes.) (Assist.) |
641.55 |
||||||
|
30589 |
Pancreatico‑jejunostomy for pancreatitis or trauma (H) (Anaes.) (Assist.) |
1 105.50 |
||||||
|
30590 |
Pancreatico‑jejunostomy following previous pancreatic surgery (H) (Anaes.) (Assist.) |
1 219.05 |
||||||
|
30593 |
Pancreatectomy, near total or total (including duodenum), with or without splenectomy (Anaes.) (Assist.) |
1 668.15 |
||||||
|
30594 |
Pancreatectomy for pancreatitis following previously attempted drainage procedure or partial resection (H) (Anaes.) (Assist.) |
1 924.80 |
||||||
|
30596 |
Splenorrhaphy or partial splenectomy (H) (Anaes.) (Assist.) |
792.90 |
||||||
|
30597 |
Splenectomy (H) (Anaes.) (Assist.) |
636.40 |
||||||
|
30599 |
Splenectomy, for massive spleen (weighing more than 1 500 gms) or involving thoraco‑abdominal incision (H) (Anaes.) (Assist.) |
1 154.85 |
||||||
|
30600 |
Diaphragmatic hernia, traumatic, repair of (H) (Anaes.) (Assist.) |
686.70 |
||||||
|
30601 |
Diaphragmatic hernia, congenital, repair of, by thoracic or abdominal approach (H) (Anaes.) (Assist.) |
845.90 |
||||||
|
30602 |
Portal hypertension, porto‑caval shunt for (H) (Anaes.) (Assist.) |
1 372.95 |
||||||
|
30603 |
Portal hypertension, meso‑caval shunt for (Anaes.) (Assist.) |
1 450.00 |
||||||
|
30605 |
Portal hypertension, selective spleno‑renal shunt for (H) (Anaes.) (Assist.) |
1 648.85 |
||||||
|
30606 |
Portal hypertension, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (H) (Anaes.) (Assist.) |
981.60 |
||||||
|
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.) |
410.45 |
||||||
|
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.) |
314.90 |
||||||
|
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.) |
410.45 |
||||||
|
30615 |
Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection (H) (Anaes.) (Assist.) |
460.55 |
||||||
|
30616 |
Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age (G) (H) (Anaes.) |
234.45 |
||||||
|
30617 |
Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age (S) (H) (Anaes.) |
314.90 |
||||||
|
30620 |
Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over (G) (H) (Anaes.) (Assist.) |
264.65 |
||||||
|
30621 |
Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over (S) (H) (Anaes.) (Assist.) |
360.10 |
||||||
|
30628 |
Hydrocele, tapping of |
31.45 |
||||||
|
30631 |
Hydrocele, removal of, not being a service associated with a service to which items 30638, 30641 and 30644 apply (Anaes.) |
209.10 |
||||||
|
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.) |
207.70 |
||||||
|
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.) |
257.90 |
||||||
|
30638 |
Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (G) (H) (Anaes.) (Assist.) |
264.65 |
||||||
|
30641 |
Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (S) (H) (Anaes.) (Assist.) |
360.10 |
||||||
|
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.) |
460.55 |
||||||
|
30653 |
Circumcision of a male under 6 months of age (Anaes.) |
41.10 |
||||||
|
30656 |
Circumcision of a male under 10 years of age but not less than 6 months of age (Anaes.) |
95.55 |
||||||
|
30659 |
Circumcision of a male 10 years of age or over (G) (Anaes.) |
132.30 |
||||||
|
30660 |
Circumcision of a male 10 years of age or over (S) (Anaes.) |
164.05 |
||||||
|
30663 |
Haemorrhage, arrest of, following circumcision requiring general anaesthesia (Anaes.) |
127.55 |
||||||
|
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.) |
41.95 |
||||||
|
30672 |
Coccyx, excision of (H) (Anaes.) (Assist.) |
393.60 |
||||||
|
30675 |
Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (G) (Anaes.) |
264.65 |
||||||
|
30676 |
Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (S) (Anaes.) |
335.00 |
||||||
|
30679 |
Pilonidal sinus, injection of sclerosant fluid under anaesthesia (Anaes.) |
85.10 |
||||||
|
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.) |
513.25 |
||||||
|
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.) |
641.55 |
||||||
|
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.) |
769.95 |
||||||
|
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: (a) associated with a service to which item 45200, 45203 or 45206 applies; or |
30.05 |
||||||
|
|
(b) to which another item in this group applies |
|
||||||
|
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), removal of and suture, if: (a) the lesion size is not more than 10 mm in diameter; and (b) the removal is from cutaneous tissue, subcutaneous tissue or mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination; including the excision of a specimen to confirm a malignant tumour covered by any of items 31300 to 31335 ( not being a service to which item 30195 applies) (Anaes.) |
84.30 |
||||||
|
31210 |
Tumour (other than viral verrucae (common warts) and seborrheic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of and suture, if: (a) the lesion size is more than 10 mm but not more than 20 mm in diameter; and (b) the removal is from cutaneous tissue, subcutaneous tissue or mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination; including the excision of a specimen to confirm a malignant tumour covered by any of items 31300 to 31335 ( not being a service to which item 30195 applies) (Anaes.) |
108.80 |
||||||
|
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), removal of and suture, if: (a) the lesion size is more than 20 mm in diameter; and (b) the removal is from cutaneous tissue, subcutaneous tissue or mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination; including the excision of a specimen to confirm a malignant tumour covered by any of items 31300 to 31335 ( not being a service to which item 30195 applies) (Anaes.) |
126.80 |
||||||
|
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), removal of 4 up to 10 lesions and suture, if: (a) the size of each lesion is not more 10 mm in diameter; and (b) each removal is from cutaneous tissue, subcutaneous tissue or mucous membrane by surgical excision (other than by shave excision); and (c) all of the specimens excised are sent for histological examination; including excisions to confirm a malignant tumour covered by any of items 31300 to 31335 ( not being a service to which item 30195 applies) (Anaes.) |
189.60 |
||||||
|
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), removal of more than 10 lesions and suture, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from cutaneous tissue, subcutaneous tissue or mucous membrane by surgical excision (other than by shave excision); and (c) a ll of the specimens excised are sent for histological examination; including excisions to confirm a malignant tumour covered by any of items 31300 to 31335 ( not being a service to which item 30195 applies) (Anaes.) |
336.95 |
||||||
|
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.) |
148.50 |
||||||
|
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 of and suture, if: (a) the lesion size is not more than 10 mm in diameter; and (b) the removal is from the face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle) by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination; including the excision of a specimen to confirm a malignant tumour covered by any of items 31300 to 31335 ( not being a service to which item 30195 applies) (Anaes.) |
126.80 |
||||||
|
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.) |
148.50 |
||||||
|
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.) |
326.05 |
||||||
|
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.) |
326.05 |
||||||
|
31255 |
Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal of, from nose, eyelid, lip, ear, digit or genitalia, if: (a) the carcinoma is not more than 10 mm in diameter; and (b) the removal is by therapeutic surgical excision (other than shave excision) and suture; and (c) the initial specimen removed is sent for histological examination and malignancy is confirmed (Anaes.) |
195.60 |
||||||
|
31256 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from nose, eyelid, lip, ear, digit or genitalia, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was not more than 10 mm in diameter; and (b) the removal is performed by the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
195.60 |
||||||
|
31257 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from nose, eyelid, lip, ear, digit or genitalia, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was not more than 10 mm in diameter; and (b) the removal is performed by a practitioner other than the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
195.60 |
||||||
|
31258 |
Basal cell carcinoma or squamous cell carcinoma, recurrent, removal of, from nose, eyelid, lip, ear, digit or genitalia, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the carcinoma is not more than 10 mm in diameter; and (b) the removal is by surgical excision (other than shave excision) and suture; and (c) the specimen excised is sent for histological examination and malignancy is confirmed; not being a service to which item 31295 applies (Anaes.) |
195.60 |
||||||
|
31260 |
Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal of, from nose, eyelid, lip, ear, digit or genitalia, if: (a) the carcinoma is more than 10 mm in diameter; and (b) the removal is by therapeutic surgical excision (other than shave excision) and suture; and (c) the initial specimen removed is sent for histological examination and malignancy is confirmed (Anaes.) |
278.95 |
||||||
|
31261 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from nose, eyelid, lip, ear, digit or genitalia, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was more than 10 mm in diameter; and (b) the removal is performed by the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
278.95 |
||||||
|
31262 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from nose, eyelid, lip, ear, digit or genitalia, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was more than 10 mm in diameter; and (b) the removal is performed by a practitioner other than the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
278.95 |
||||||
|
31263 |
Basal cell carcinoma or squamous cell carcinoma, recurrent, removal of, from nose, eyelid, lip, ear, digit or genitalia, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the carcinoma is more than 10 mm in diameter; and (b) the removal is by surgical excision (other than shave excision) and suture; and (c) the specimen excised is sent for histological examination and malignancy is confirmed; not being a service to which item 31295 applies (Anaes.) |
278.95 |
||||||
|
31265 |
Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal of, from the face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), if: (a) the carcinoma is not more than 10 mm in diameter; and (b) the removal is by therapeutic surgical excision (other than shave excision) and suture; and (c) the initial specimen removed is sent for histological examination and malignancy is confirmed (Anaes.) |
163.00 |
||||||
|
31266 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was not more than 10 mm in diameter; and (b) the removal is performed by the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
163.00 |
||||||
|
31267 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was not more than 10 mm in diameter; and (b) the removal is performed by a practitioner other than the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
163.00 |
||||||
|
31268 |
Basal cell carcinoma or squamous cell carcinoma, recurrent, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the carcinoma is not more than 10 mm in diameter; and (b) the removal is by surgical excision (other than shave excision) and suture; and (c) the specimen excised is sent for histological examination and malignancy is confirmed; not being a service to which item 31295 applies (Anaes.) |
163.00 |
||||||
|
31270 |
Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), if: (a) the carcinoma is more than 10 mm and not more than 20 mm in diameter; and (b) the removal is by therapeutic surgical excision (other than shave excision) and suture; and (c) the initial specimen removed is sent for histological examination and malignancy is confirmed (Anaes.) |
228.25 |
||||||
|
31271 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was more than 10 mm and not more than 20 mm in diameter; and (b) the removal is performed by the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
228.25 |
||||||
|
31272 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was more than 10 mm and not more than 20 mm in diameter; and (b) the removal is performed by a practitioner other than the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
228.25 |
||||||
|
31273 |
Basal cell carcinoma or squamous cell carcinoma, recurrent, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the carcinoma is more than 10 mm and not more than 20 mm in diameter; and (b) the removal is by surgical excision (other than shave excision) and suture; and (c) the specimen excised is sent for histological examination and malignancy is confirmed; not being a service to which item 31295 applies (Anaes.) |
228.25 |
||||||
|
31275 |
Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), if: (a) the carcinoma is more than 20 mm in diameter; and (b) the removal is by therapeutic surgical excision (other than shave excision) and suture; and (c) the initial specimen removed is sent for histological examination and malignancy is confirmed (Anaes.) |
264.45 |
||||||
|
31276 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was more than 20 mm in diameter; and (b) the removal is performed by the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
264.45 |
||||||
|
31277 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was more than 20 mm in diameter; and (b) the removal is performed by a practitioner other than the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
264.45 |
||||||
|
31278 |
Basal cell carcinoma or squamous cell carcinoma, recurrent, removal of, from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the carcinoma is more than 20 mm in diameter; and (b) the removal is by surgical excision (other than shave excision) and suture; and (c) the specimen excised is sent for histological examination and malignancy is confirmed; not being a service to which item 31295 applies (Anaes.) |
264.45 |
||||||
|
31280 |
Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal of, from an area of the body not covered by item 31255 or 31265, if: (a) the carcinoma is not more than 10 mm in diameter; and (b) the removal is by therapeutic surgical excision (other than shave excision) and suture; and (c) the initial specimen removed is sent for histological examination and malignancy is confirmed (Anaes.) |
137.70 |
||||||
|
31281 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from an area of the body not covered by item 31255 or 31265, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was not more than 10 mm in diameter; and (b) the removal is performed by the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
138.25 |
||||||
|
31282 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from an area of the body not covered by item 31255 or 31265, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was not more than 10 mm in diameter; and (b) the removal is performed by a practitioner other than the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
138.25 |
||||||
|
31283 |
Basal cell carcinoma or squamous cell carcinoma, recurrent, removal of, from an area of the body not covered by item 31255 or 31265, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the carcinoma is not more than 10 mm in diameter; and (b) the removal is by surgical excision (other than shave excision) and suture; and (c) the specimen excised is sent for histological examination and malignancy is confirmed (Anaes.) |
138.25 |
||||||
|
31285 |
Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal of, from an area of the body not covered by item 31260 or 31270, if: (a) the carcinoma is more than 10 mm and not more than 20 mm in diameter; and (b) the removal is by therapeutic surgical excision (other than by shave excision) and suture; and (c) the initial specimen removed is sent for histological examination and malignancy is confirmed (Anaes.) |
188.20 |
||||||
|
31286 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from an area of the body not covered by item 31260 or 31270, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was more than 10 mm and not more than 20 mm in diameter; and (b) the removal is performed by the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
188.20 |
||||||
|
31287 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from an area of the body not covered by item 31260 or 31270, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was more than 10 mm and not more than 20 mm in diameter; and (b) the removal is performed by a practitioner other than the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
188.20 |
||||||
|
31288 |
Basal cell carcinoma or squamous cell carcinoma, recurrent, removal of, from an area of the body not covered by item 31260 or 31270, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the carcinoma is more than 10 mm and not more than 20 mm in diameter; and (b) the removal is by surgical excision (other than shave excision) and suture; and (c) the specimen excised is sent for histological examination and malignancy is confirmed (Anaes.) |
188.20 |
||||||
|
31290 |
Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal of, from an area of the body not covered by item 31260 or 31275, if: (a) the carcinoma is more than 20 mm in diameter; and (b) the removal is by therapeutic surgical excision (other than shave excision) and suture; and (c) the initial specimen removed is sent for histological examination and malignancy is confirmed (Anaes.) |
217.25 |
||||||
|
31291 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from an area of the body not covered by item 31260 or 31275, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was more than 20 mm in diameter; and (b) the removal is performed by the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
217.25 |
||||||
|
31292 |
Basal cell carcinoma or squamous cell carcinoma, residual, removal of, from an area of the body not covered by item 31260 or 31275, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was more than 20 mm in diameter; and (b) the removal is performed by a practitioner other than the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision (other than shave excision) and suture; and (d) the specimen excised is sent for histological examination (Anaes.) |
217.25 |
||||||
|
31293 |
Basal cell carcinoma or squamous cell carcinoma, recurrent, removal of, from an area of the body not covered by item 31260 or 31275, following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the carcinoma is more than 20 mm in diameter; and (b) the removal is by surgical excision (other than shave excision) and suture; and (c) the specimen excised is sent for histological examination and malignancy is confirmed (Anaes.) |
217.25 |
||||||
|
31295 |
Basal cell carcinoma or squamous cell carcinoma, recurrent, removal of, from the head or neck (anterior to the sternomastoid muscles), following the removal of a previous basal cell carcinoma or squamous cell carcinoma at that site, if: (a) the previous carcinoma was treated by previous surgery, serial cautery and curettage, radiotherapy or 2 prolonged freeze and thaw cycles of liquid nitrogen therapy; and (b) the removal is performed by: (i) a specialist in the practice of his or her specialty; or (ii) a practitioner other than the practitioner who removed the previous carcinoma; and (c) the removal is by surgical excision and suture; and (d) the specimen excised is sent for histological examination and malignancy is confirmed (Anaes.) |
258.75 |
||||||
|
31300 |
Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal of, from nose, eyelid, lip, ear, digit or genitalia, if: (a) the tumour size is not more than 10 mm in diameter; and (b) the 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 (c) the specimen excised is sent for histological examination and malignancy is confirmed; and suture (Anaes.) |
282.70 |
||||||
|
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.) |
347.75 |
||||||
|
31310 |
Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal of, from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), if: (a) the tumour size is not more than 10 mm in diameter; and (b) the 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 (c) the specimen excised is sent for histological examination and malignancy is confirmed; and suture (Anaes.) |
246.25 |
||||||
|
31315 |
Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal of, from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), if: (a) the tumour size is more than 10 mm but not more than 20 mm in diameter; and (b) the 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 (c) the specimen excised is sent for histological examination and malignancy is confirmed; and suture (Anaes.) |
311.50 |
||||||
|
31320 |
Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal of, from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), if: (a) the tumour size is more than 20 mm in diameter; and (b) the 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 (c) the specimen excised is sent for histological examination and malignancy is confirmed; and suture (Anaes.) |
347.75 |
||||||
|
31325 |
Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal of, from an area of the body not covered by items 31300 and 31310, if: (a) the tumour size is not more than 10 mm in diameter; and (b) the 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 (c) the specimen excised is sent for histological examination and malignancy is confirmed; and suture (Anaes.) |
239.10 |
||||||
|
31330 |
Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal of, from an area of the body not covered by items 31305 and 31310, if: (a) the tumour size is more than 10 mm but not more than 20 mm in diameter; and (b) the 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 (c) the specimen excised is sent for histological examination and malignancy is confirmed; and suture (Anaes.) |
282.70 |
||||||
|
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.) |
326.05 |
||||||
|
31340 |
Muscle, bone or cartilage, excision of 1 or more of, where clinically indicated, and if: (a) the specimen excised is sent for histological confirmation; and (b) a malignant tumour of skin covered by any of items 31255 to 31335 is excised (Anaes.) |
Amount under rule 38 |
||||||
|
31345 |
Lipoma, removal of, by surgical excision or liposuction, if: (a) the lesion is: (i) subcutaneous and 50 mm or more in diameter; or (ii) sub‑fascial; and (b) the specimen excised is sent for histological confirmation of diagnosis (Anaes.) |
186.35 |
||||||
|
31346 |
Liposuction (suction assisted lipolysis) to 1 regional area for contour problems of abdominal, upper arm or thigh fat because of repeated insulin injections, if: (a) the lesion is subcutaneous; and (b) the lesion is 50 mm or more in diameter (Anaes.) |
186.35 |
||||||
|
31350 |
Benign tumour of soft tissue (other than tumours of skin, cartilage and bone, simple lipomas covered by item 31345 and lipomata), removal of, by surgical excision, if the specimen excised is sent for histological confirmation of diagnosis, not being a service to which another item in this group applies (Anaes.) (Assist.) |
382.95 |
||||||
|
31355 |
Malignant tumour of soft tissue (other than tumours of skin or cartilage and bone), removal of, by surgical excision, if histological proof of malignancy is obtained, not being a service to which another item in this group applies (Anaes.) (Assist.) |
631.30 |
||||||
|
31400 |
Malignant upper aerodigestive tract tumour (other than tumour of the lip), excision of, if: (a) the tumour is not more than 20 mm in diameter; and (b) histological confirmation of malignancy is obtained (Anaes.) (Assist.) |
230.70 |
||||||
|
31403 |
Malignant upper aerodigestive tract tumour (other than tumour of the lip), excision of, if: (a) the tumour is more than 20 mm but not more than 40 mm in diameter; and (b) histological confirmation of malignancy is obtained (H) (Anaes.) (Assist.) |
266.25 |
||||||
|
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.) |
443.75 |
||||||
|
31409 |
Parapharyngeal tumour, excision of, by cervical approach (H) (Anaes.) (Assist.) |
1 378.60 |
||||||
|
31412 |
Recurrent or persistent parapharyngeal tumour, excision of, by cervical approach (H) (Anaes.) (Assist.) |
1 698.10 |
||||||
|
31420 |
Lymph node of neck, biopsy of (Anaes.) |
162.50 |
||||||
|
31423 |
Lymph nodes of neck, selective dissection of 1 or 2 lymph node levels involving removal of soft tissue and lymph nodes from 1 side of the neck (Anaes.) (Assist.) |
354.95 |
||||||
|
31426 |
Lymph nodes of neck, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from 1 side of the neck (H) (Anaes.) (Assist.) |
710.00 |
||||||
|
31429 |
Lymph nodes of neck, selective dissection of 4 lymph node levels on 1 side of the neck with preservation of 1 or more of internal jugular vein, sternocleido‑mastoid muscle or spinal accessory nerve (H) (Anaes.) (Assist.) |
1 106.40 |
||||||
|
31432 |
Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections) (H) (Anaes.) (Assist.) |
1 183.35 |
||||||
|
31435 |
Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on 1 side of the neck (H) (Anaes.) (Assist.) |
869.75 |
||||||
|
31438 |
Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on 1 side of the neck with preservation of 1 or more of internal jugular vein, sternocleido‑mastoid muscle, or spinal accessory nerve (H) (Anaes.) (Assist.) |
1 378.60 |
||||||
|
31441 |
Long‑term implanted reservoir associated with the adjustable gastric band, repair, revision or replacement of (Anaes.) |
222.35 |
||||||
|
31450 |
Laparoscopic division of adhesions, as an independent procedure, where the time taken is 1 hour or less (H) (Anaes.) (Assist.) |
359.35 |
||||||
|
31452 |
Laparoscopic division of adhesions, as an independent procedure, where the time taken is more than 1 hour (H) (Anaes.) (Assist.) |
628.70 |
||||||
|
31454 |
Laparoscopy with drainage of pus, bile or blood, as an independent procedure (H) (Anaes.) (Assist.) |
497.75 |
||||||
|
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.) |
217.00 |
||||||
|
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.) |
260.40 |
||||||
|
31460 |
Percutaneous gastrostomy tube, jejunal extension to, including any associated imaging services (H) (Anaes.) (Assist.) |
315.50 |
||||||
|
31462 |
Operative feeding jejunostomy performed in conjunction with major upper gastro‑intestinal resection (H) (Anaes.) (Assist.) |
460.55 |
||||||
|
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.) |
769.95 |
||||||
|
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.) |
1 154.90 |
||||||
|
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.) |
1 268.80 |
||||||
|
31470 |
Laparoscopic splenectomy (H) (Anaes.) (Assist.) |
636.40 |
||||||
|
31472 |
Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux‑en‑y as a bypass procedure where prior biliary surgery has been performed (H) (Anaes.) (Assist.) |
1 033.70 |
||||||
|
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.) |
229.80 |
||||||
|
31503 |
Breast, benign lesion more than 50 mm in diameter, excision of (Anaes.) (Assist.) |
306.45 |
||||||
|
31506 |
Breast, abnormality detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (H) (Anaes.) (Assist.) |
344.70 |
||||||
|
31509 |
Breast, malignant tumour, open surgical biopsy of, with or without frozen section histology (Anaes.) |
306.45 |
||||||
|
31512 |
Breast, malignant tumour, complete local excision of, with or without frozen section histology (H) (Anaes.) (Assist.) |
574.55 |
||||||
|
31515 |
Breast, tumour site, re‑excision of, following open biopsy or incomplete excision of malignant tumour (H) (Anaes.) (Assist.) |
385.40 |
||||||
|
31518 |
Breast (female), total mastectomy (H) (Anaes.) (Assist.) |
650.60 |
||||||
|
31521 |
Breast (male), total mastectomy, not being a service associated with a service to which item 45585 applies (Anaes.) (Assist.) |
383.05 |
||||||
|
31524 |
Breast (female), subcutaneous mastectomy (H) (Anaes.) (Assist.) |
919.25 |
||||||
|
31527 |
Breast (male), subcutaneous mastectomy, not being a service associated with a service to which item 45585 applies (Anaes.) (Assist.) |
459.70 |
||||||
|
31530 |
Breast, biopsy of solid tumour or tissue of, using a vacuum‑assisted breast biopsy device under imaging guidance, for histological examination, where imaging has demonstrated: (a) microcalcification of lesion; or (b) impalpable lesion less than 1 cm in diameter; including pre‑operative localisation of lesion where performed, not being a service associated with a service to which item 31539, 31545 or 31548 applies |
526.35 |
||||||
|
31533 |
Fine needle aspiration of an impalpable breast lesion detected by mammography or ultrasound, imaging guided -- but not including imaging (Anaes.) |
121.85 |
||||||
|
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.) |
167.35 |
||||||
|
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.) |
352.40 |
||||||
|
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.) |
174.00 |
||||||
|
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.) |
526.35 |
||||||
|
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.) |
121.85 |
||||||
|
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.) |
191.55 |
||||||
|
31554 |
Breast, microdochotomy of, for benign or malignant condition (H) (Anaes.) (Assist.) |
383.05 |
||||||
|
31557 |
Breast central ducts, excision of, for benign condition (Anaes.) (Assist.) |
306.45 |
||||||
|
31560 |
Accessory breast tissue, excision of (Anaes.) (Assist.) |
306.45 |
||||||
|
31563 |
Inverted nipple, surgical eversion of (Anaes.) |
229.55 |
||||||
|
31566 |
Accessory nipple, excision of (Anaes.) |
114.85 |
||||||
|
Subgroup 2 -- Colorectal |
||||||||
|
32000 |
Large intestine, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (H) (Anaes.) (Assist.) |
911.35 |
||||||
|
32003 |
Large intestine, resection of, with anastomosis, including right hemicolectomy (H) (Anaes.) (Assist.) |
953.35 |
||||||
|
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.) |
1 016.50 |
||||||
|
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.) |
1 148.35 |
||||||
|
32006 |
Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma) (H) (Anaes.) (Assist.) |
1 016.50 |
||||||
|
32009 |
Total colectomy and ileostomy (H) (Anaes.) (Assist.) |
1 205.80 |
||||||
|
32012 |
Total colectomy and ileo‑rectal anastomosis (H) (Anaes.) (Assist.) |
1 332.00 |
||||||
|
32015 |
Total colectomy with excision of rectum and ileostomy -- 1 surgeon (H) (Anaes.) (Assist.) |
1 636.95 |
||||||
|
32018 |
Total colectomy with excision of rectum and ileostomy, combined synchronous operation -- abdominal resection (including after‑care) (H) (Anaes.) (Assist.) |
1 388.00 |
||||||
|
32021 |
Total colectomy with excision of rectum and ileostomy, combined synchronous operation -- perineal resection (H) (Assist.) |
497.75 |
||||||
|
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.) |
1 205.80 |
||||||
|
32025 |
Rectum, low restorative anterior resection with extraperitoneal anastomosis (of the rectum) less than 10 cm from the anal verge, with or without covering stoma, not being a service associated with a service to which item 32103, 32104 or 32106 applies (H) (Anaes.) (Assist.) |
1 612.90 |
||||||
|
32026 |
Rectum, ultra low restorative resection, with or without covering stoma, where the anastomosis is sited in the anorectal region and is 6 cm or less from the anal verge (H) (Anaes.) (Assist.) |
1 736.95 |
||||||
|
32028 |
Rectum, low or ultra low restorative resection, with peranal sutured coloanal anastomosis, with or without covering stoma (H) (Anaes.) (Assist.) |
1 861.10 |
||||||
|
32029 |
Colonic reservoir, construction of, being a service associated with a service to which any other item in this subgroup applies (H) (Anaes.) (Assist.) |
372.20 |
||||||
|
32030 |
Rectosigmoidectomy -- (Hartmann's operation) (H) (Anaes.) (Assist.) |
911.35 |
||||||
|
32033 |
Restoration of bowel following Hartmann's or similar operation, including dismantling of the stoma (H) (Anaes.) (Assist.) |
1 332.00 |
||||||
|
32036 |
Sacrococcygeal and presacral tumour -- excision of (H) (Anaes.) (Assist.) |
1 689.40 |
||||||
|
32039 |
Rectum and anus, abdomino‑perineal resection of -- 1 surgeon (H) (Anaes.) (Assist.) |
1 356.45 |
||||||
|
32042 |
Rectum and anus, abdomino‑perineal resection of, combined synchronous operation, abdominal resection (H) (Anaes.) (Assist.) |
1 142.65 |
||||||
|
32045 |
Rectum and anus, abdomino‑perineal resection of, combined synchronous operation -- perineal resection (H) (Assist.) |
427.65 |
||||||
|
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.) |
660.85 |
||||||
|
32047 |
Perineal proctectomy (H) (Anaes.) (Assist.) |
769.95 |
||||||
|
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.) |
2 047.05 |
||||||
|
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.) |
1 878.80 |
||||||
|
32057 |
Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir -- conjoint surgery, perineal surgeon (H) (Assist.) |
497.75 |
||||||
|
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.) |
2 047.05 |
||||||
|
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.) |
1 878.80 |
||||||
|
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.) |
497.75 |
||||||
|
32069 |
Ileostomy reservoir, continent type, creation of, including conversion of existing ileostomy where appropriate (H) (Anaes.) |
1 514.30 |
||||||
|
32072 |
Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy |
42.30 |
||||||
|
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.) |
66.30 |
||||||
|
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.) |
148.90 |
||||||
|
32081 |
Sigmoidoscopic examination with diathermy or resection of 1 or more polyps where the time taken is greater than 45 minutes (Anaes.) |
204.55 |
||||||
|
32084 |
Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure, with or without biopsy (Anaes.) |
98.40 |
||||||
|
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.) |
180.85 |
||||||
|
32090 |
Fibreoptic colonoscopy -- examination of colon beyond the hepatic flexure with or without biopsy (Anaes.) |
295.40 |
||||||
|
32093 |
Fibreoptic colonoscopy -- examination of colon beyond the hepatic flexure with removal of 1 or more polyps (Anaes.) |
414.60 |
||||||
|
32094 |
Endoscopic dilatation of colorectal strictures including colonoscopy (H) (Anaes.) |
487.60 |
||||||
|
32095 |
Endoscopic examination of small bowel with flexible endoscope passed by stoma, with or without biopsies (Anaes.) |
112.95 |
||||||
|
32096 |
Rectal biopsy, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block (H) (Anaes.) (Assist.) |
227.05 |
||||||
|
32099 |
Rectal tumour of 5 cm or less in diameter, per anal submucosal excision of (H) (Anaes.) (Assist.) |
294.45 |
||||||
|
32102 |
Rectal tumour of greater than 5 cm in diameter, indicated by pathological examination, per anal submucosal excision of (H) (Anaes.) (Assist.) |
560.80 |
||||||
|
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 (H) (Anaes.) (Assist.) |
682.45 |
||||||
|
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 (H) (Anaes.) (Assist.) |
883.30 |
||||||
|
32105 |
Anorectal carcinoma -- per anal full thickness excision of (Anaes.) (Assist.) |
427.65 |
||||||
|
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.) |
1 205.80 |
||||||
|
32108 |
Rectal tumour, trans‑sphincteric excision of (Kraske or similar operation) (H) (Anaes.) (Assist.) |
883.30 |
||||||
|
32111 |
Rectal prolapse, Delorme procedure for (H) (Anaes.) (Assist.) |
560.80 |
||||||
|
32112 |
Rectal prolapse, perineal recto‑sigmoidectomy for (H) (Anaes.) (Assist.) |
682.45 |
||||||
|
32114 |
Rectal stricture, per anal release of (Anaes.) |
154.20 |
||||||
|
32115 |
Rectal stricture, dilatation of (H) (Anaes.) |
112.10 |
||||||
|
32117 |
Rectal prolapse, abdominal rectopexy of (H) (Anaes.) (Assist.) |
883.30 |
||||||
|
32120 |
Rectal prolapse, perineal repair of (H) (Anaes.) (Assist.) |
227.05 |
||||||
|
32123 |
Anal stricture, anoplasty for (Anaes.) (Assist.) |
294.45 |
||||||
|
32126 |
Anal incontinence, Parks' intersphincteric procedure for (H) (Anaes.) (Assist.) |
427.65 |
||||||
|
32129 |
Anal sphincter, direct repair of (H) (Anaes.) (Assist.) |
560.80 |
||||||
|
32131 |
Rectocele, transanal repair of rectocele (H) (Anaes.) (Assist.) |
471.50 |
||||||
|
32132 |
Haemorrhoids or rectal prolapse -- sclerotherapy for (Anaes.) |
39.85 |
||||||
|
32135 |
Haemorrhoids or rectal prolapse -- rubber band ligation of, with or without sclerotherapy, cryotherapy or infrared therapy for (Anaes.) |
59.65 |
||||||
|
32138 |
Haemorrhoidectomy including excision of anal skin tags when performed (Anaes.) |
324.95 |
||||||
|
32139 |
Haemorrhoidectomy involving third or fourth degree haemorrhoids, including excision of anal skin tags when performed (H) (Anaes.) (Assist.) |
324.95 |
||||||
|
32142 |
Anal skin tags or anal polyps, excision of 1 or more of (Anaes.) |
59.65 |
||||||
|
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.) |
119.35 |
||||||
|
32147 |
Perianal thrombosis, incision of (Anaes.) |
39.85 |
||||||
|
32150 |
Operation for fissure‑in‑ano, including excision or sphincterotomy but excluding dilatation only (Anaes.) (Assist.) |
227.05 |
||||||
|
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 (H) (Anaes.) |
61.95 |
||||||
|
32156 |
Fistula‑in‑ano, subcutaneous, excision of (Anaes.) |
116.40 |
||||||
|
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.) |
294.45 |
||||||
|
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.) |
427.65 |
||||||
|
32165 |
Anal fistula, repair of by mucosal flap advancement (Anaes.) (Assist.) |
560.80 |
||||||
|
32166 |
Anal fistula -- readjustment of Seton (Anaes.) |
182.20 |
||||||
|
32168 |
Fistula wound, review of, under general or regional anaesthetic, as an independent procedure (H) (Anaes.) |
116.40 |
||||||
|
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.) |
78.45 |
||||||
|
32174 |
Intra‑anal, perianal or ischio‑rectal abscess, drainage of (excluding after‑care) (Anaes.) |
78.45 |
||||||
|
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.) |
143.70 |
||||||
|
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.) |
154.00 |
||||||
|
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.) |
227.05 |
||||||
|
32183 |
Intestinal sling procedure prior to radiotherapy (H) (Anaes.) (Assist.) |
496.35 |
||||||
|
32186 |
Colonic lavage, total, intra‑operative (H) (Anaes.) (Assist.) |
496.35 |
||||||
|
32200 |
Distal muscle, devascularisation of (Anaes.) (Assist.) |
261.25 |
||||||
|
32203 |
Anal or perineal graciloplasty (H) (Anaes.) (Assist.) |
561.10 |
||||||
|
32206 |
Stimulator and electrodes, insertion of, following previous graciloplasty (H) (Anaes.) (Assist.) |
506.95 |
||||||
|
32209 |
Anal or perineal graciloplasty with insertion of stimulator and electrodes (H) (Anaes.) (Assist.) |
814.65 |
||||||
|
32210 |
Gracilis neosphincter pacemaker, replacement of (Anaes.) |
225.75 |
||||||
|
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.) |
120.40 |
||||||
|
Sacral nerve lead or leads, percutaneous placement using fluoroscopic guidance (or open placement) and intraoperative test stimulation, to manage faecal incontinence in a patient who: (a) has an anatomically intact but functionally deficient anal sphincter; and (b) has faecal incontinence that has been refractory to conservative non‑surgical treatment for at least 12 months |
584.05 |
|||||||
|
32214 |
Neurostimulator or receiver, subcutaneous placement of, involving placement and connection of an extension wire to a sacral nerve electrode using fluoroscopic guidance, to manage faecal incontinence in a patient who: (a) has an anatomically intact but functionally deficient anal sphincter; and (b) has faecal incontinence that has been refractory to conservative non‑surgical treatment for at least 12 months |
295.05 |
||||||
|
32215 |
Sacral nerve electrode or electrodes, management, adjustment and electronic programming of the neurostimulator by a medical practitioner, to manage faecal incontinence -- each day |
110.80 |
||||||
|
32216 |
Sacral nerve lead or leads, percutaneous surgical repositioning of, using fluoroscopic guidance (or open surgical repositioning of) and interoperative test stimulation, to correct displacement or unsatisfactory positioning, if the lead was inserted to manage faecal incontinence in a patient who: (a) has an anatomically intact but functionally deficient anal sphincter; and (b) has faecal incontinence that has been refractory to conservative non‑surgical treatment for at least 12 months; not being a service to which item 32213 applies (H) (Anaes.) |
524.50 |
||||||
|
32217 |
Neurostimulator or receiver, removal of, if the neurostimulator or receiver was inserted to manage faecal incontinence in a patient who: (a) has an anatomically intact but functionally deficient anal sphincter; and (b) has faecal incontinence that has been refractory to conservative non‑surgical treatment for at least 12 months (H) (Anaes.) |
138.15 |
||||||
|
32218 |
Sacral nerve lead or leads, removal of, if the lead was inserted to manage faecal incontinence in a patient who: (a) has an anatomically intact but functionally deficient anal sphincter; and (b) has faecal incontinence that has been refractory to conservative non‑surgical treatment for at least 12 months (H) (Anaes.) |
138.15 |
||||||
|
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.) |
97.00 |
||||||
|
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 |
97.00 |
||||||
|
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.) |
236.50 |
||||||
|
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.) |
471.50 |
||||||
|
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.) |
471.50 |
||||||
|
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.) |
701.00 |
||||||
|
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.) |
818.95 |
||||||
|
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.) |
1 054.55 |
||||||
|
32700 |
Artery of neck, bypass using vein or synthetic material (H) (Anaes.) (Assist.) |
1 269.15 |
||||||
|
32703 |
Internal carotid artery, transection and reanastomosis of, or resection of small length and reanastomosis of -- with or without endarterectomy (H) (Assist.) |
1 049.95 |
||||||
|
32708 |
Aortic bypass for occlusive disease using a straight non‑bifurcated graft (H) (Anaes.) (Assist.) |
1 255.95 |
||||||
|
32710 |
Aortic bypass for occlusive disease using a bifurcated graft with 1 or both anastomoses to the iliac arteries (H) (Anaes.) (Assist.) |
1 395.55 |
||||||
|
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.) |
1 535.10 |
||||||
|
32712 |
Ilio‑femoral bypass grafting (H) (Anaes.) (Assist.) |
1 109.70 |
||||||
|
32715 |
Axillary or subclavian to femoral bypass grafting to 1 or both femoral arteries (H) (Anaes.) (Assist.) |
1 109.70 |
||||||
|
32718 |
Femoro‑femoral or ilio‑femoral cross‑over bypass grafting (H) (Anaes.) (Assist.) |
1 049.95 |
||||||
|
32721 |
Renal artery, bypass grafting to (H) (Anaes.) (Assist.) |
1 667.75 |
||||||
|
32724 |
Renal arteries (both), bypass grafting to (H) (Anaes.) (Assist.) |
1 893.75 |
||||||
|
32730 |
Mesenteric vessel (single) , bypass grafting to (H) (Anaes.) (Assist.) |
1 435.25 |
||||||
|
32733 |
Mesenteric vessels (multiple) , bypass grafting to (H) (Anaes.) (Assist.) |
1 667.75 |
||||||
|
32736 |
Inferior mesenteric artery, operation on, when performed in conjunction with another intra‑abdominal vascular operation (H) (Anaes.) (Assist.) |
365.40 |
||||||
|
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.) |
1 142.90 |
||||||
|
32742 |
Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to below knee popliteal artery (H) (Anaes.) (Assist.) |
1 309.15 |
||||||
|
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.) |
1 495.05 |
||||||
|
32748 |
Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis within 5 cm of the ankle joint (H) (Anaes.) (Assist.) |
1 621.35 |
||||||
|
32751 |
Femoral artery bypass grafting using synthetic graft, with lower anastomosis above or below the knee (H) (Anaes.) (Assist.) |
1 049.95 |
||||||
|
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.) |
1 309.15 |
||||||
|
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.) |
365.40 |
||||||
|
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.) |
358.80 |
||||||
|
32763 |
Arterial bypass grafting, using vein or synthetic material, not being a service to which another item in this subgroup applies (H) (Anaes.) (Assist.) |
1 049.95 |
||||||
|
32766 |
Arterial or venous anastomosis, not being a service to which another item in this subgroup applies, as an independent procedure (H) (Anaes.) (Assist.) |
697.75 |
||||||
|
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.) |
241.85 |
||||||
|
33050 |
Bypass grafting to replace a popliteal aneurysm using vein, including harvesting vein (when it is the ipsilateral long saphenous vein) (H) (Anaes.) (Assist.) |
1 285.95 |
||||||
|
33055 |
Bypass grafting to replace a popliteal aneurysm using a synthetic graft (H) (Anaes.) (Assist.) |
1 031.25 |
||||||
|
33070 |
Aneurysm in the extremities, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.) |
744.05 |
||||||
|
33075 |
Aneurysm in the neck, ligation, suture closure or excision of, without bypass grafting (H) (Anaes.) (Assist.) |
946.50 |
||||||
|
33080 |
Intra‑abdominal or pelvic aneurysm, ligation, suture closure or excision of, without bypass grafting (H) (Anaes.) (Assist.) |
1 155.30 |
||||||
|
33100 |
Aneurysm of common or internal carotid artery, or both, replacement by graft of vein or synthetic material (Anaes.) (Assist.) |
1 269.15 |
||||||
|
33103 |
Thoracic aneurysm, replacement by graft (H) (Anaes.) (Assist.) |
1 780.75 |
||||||
|
33109 |
Thoraco‑abdominal aneurysm, replacement by graft including re‑implantation of arteries (Anaes.) (Assist.) |
2 153.00 |
||||||
|
33112 |
Suprarenal abdominal aortic aneurysm, replacement by graft including re‑implantation of arteries (H) (Anaes.) (Assist.) |
1 867.20 |
||||||
|
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.) |
1 255.95 |
||||||
|
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.) |
1 395.55 |
||||||
|
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.) |
1 535.10 |
||||||
|
33124 |
Aneurysm of iliac artery (common, external or internal), replacement by graft -- unilateral (H) (Anaes.) (Assist.) |
1 069.85 |
||||||
|
33127 |
Aneurysms of iliac arteries (common, external or internal), replacement by graft -- bilateral (Anaes.) (Assist.) |
1 402.10 |
||||||
|
33130 |
Aneurysm of visceral artery, excision and repair by direct anastomosis or replacement by graft (H) (Anaes.) (Assist.) |
1 222.65 |
||||||
|
33133 |
Aneurysm of visceral artery, dissection and ligation of arteries without restoration of continuity (H) (Anaes.) (Assist.) |
916.95 |
||||||
|
33136 |
False aneurysm, repair of, at aortic anastomosis following previous aortic surgery (H) (Anaes.) (Assist.) |
2 312.30 |
||||||
|
33139 |
False aneurysm, repair of, in iliac artery and restoration of arterial continuity (H) (Anaes.) (Assist.) |
1 402.10 |
||||||
|
33142 |
False aneurysm, repair of, in femoral artery and restoration of arterial continuity (Anaes.) (Assist.) |
1 309.15 |
||||||
|
33145 |
Ruptured thoracic aortic aneurysm, replacement by graft (H) (Anaes.) (Assist.) |
2 252.60 |
||||||
|
33148 |
Ruptured thoraco‑abdominal aortic aneurysm, replacement by graft (H) (Anaes.) (Assist.) |
2 797.45 |
||||||
|
33151 |
Ruptured suprarenal abdominal aortic aneurysm, replacement by graft (H) (Anaes.) (Assist.) |
2 657.90 |
||||||
|
33154 |
Ruptured infrarenal abdominal aortic aneurysm, replacement by tube graft (H) (Anaes.) (Assist.) |
1 966.90 |
||||||
|
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.) |
2 192.75 |
||||||
|
33160 |
Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to 1 or both femoral arteries (H) (Anaes.) (Assist.) |
2 192.75 |
||||||
|
33163 |
Ruptured iliac artery aneurysm, replacement by graft (H) (Anaes.) (Assist.) |
1 860.70 |
||||||
|
33166 |
Ruptured aneurysm of visceral artery, replacement by anastomosis or graft (Anaes.) (Assist.) |
1 860.70 |
||||||
|
33169 |
Ruptured aneurysm of visceral artery, simple ligation of (H) (Anaes.) (Assist.) |
1 448.60 |
||||||
|
33172 |
Aneurysm of major artery, replacement by graft, not being a service to which another item in this subgroup applies (H) (Anaes.) (Assist.) |
1 129.60 |
||||||
|
33175 |
Ruptured aneurysm in the extremities, ligation, suture closure or excision of, without bypass grafting (H) (Anaes.) (Assist.) |
1 041.05 |
||||||
|
33178 |
Ruptured aneurysm in the neck, ligation, suture closure or excision of, without bypass grafting (H) (Anaes.) (Assist.) |
1 323.85 |
||||||
|
33181 |
Ruptured intra‑abdominal or pelvic aneurysm, ligation, suture closure or excision of, without bypass grafting (H) (Anaes.) (Assist.) |
1 618.60 |
||||||
|
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.) |
1 003.30 |
||||||
|
33506 |
Innominate or subclavian artery, endarterectomy of, including closure by suture (H) (Anaes.) (Assist.) |
1 123.05 |
||||||
|
33509 |
Aortic endarterectomy, including closure by suture, not being a service associated with another procedure on the aorta (H) (Anaes.) (Assist.) |
1 255.95 |
||||||
|
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.) |
1 395.55 |
||||||
|
33515 |
Aorto‑femoral endarterectomy (1 or both femoral arteries) or bilateral ilio‑femoral endarterectomy, including closure by suture, not being a service associated with a service to which item 33512 applies (H) (Anaes.) (Assist.) |
1 535.10 |
||||||
|
33518 |
Iliac endarterectomy, including closure by suture, not being a service associated with another procedure on the iliac artery (Anaes.) (Assist.) |
1 123.05 |
||||||
|
33521 |
Ilio‑femoral endarterectomy (1 side), including closure by suture (H) (Anaes.) (Assist.) |
1 215.95 |
||||||
|
33524 |
Renal artery, endarterectomy of (H) (Anaes.) (Assist.) |
1 435.25 |
||||||
|
33527 |
Renal arteries (both), endarterectomy of (H) (Anaes.) (Assist.) |
1 667.75 |
||||||
|
33530 |
Coeliac or superior mesenteric artery, endarterectomy of (H) (Anaes.) (Assist.) |
1 435.25 |
||||||
|
33533 |
Coeliac and superior mesenteric artery, endarterectomy of (H) (Anaes.) (Assist.) |
1 667.75 |
||||||
|
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.) |
1 189.50 |
||||||
|
33539 |
Artery of extremities, endarterectomy of, including closure by suture (H) (Anaes.) (Assist.) |
857.20 |
||||||
|
33542 |
Extended deep femoral endarterectomy where the endarterectomy is at least 7 cm long (H) (Anaes.) (Assist.) |
1 222.65 |
||||||
|
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.) |
241.85 |
||||||
|
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.) |
491.85 |
||||||
|
33551 |
Vein, harvesting of from leg or arm for patch when not performed through same incision as operation (H) (Anaes.) (Assist.) |
241.85 |
||||||
|
33554 |
Endarterectomy, in conjunction with an arterial bypass operation to prepare the site for anastomosis -- each site (H) (Anaes.) (Assist.) |
240.65 |
||||||
|
33800 |
Embolus, removal of, from artery of neck (Anaes.) (Assist.) |
1 043.25 |
||||||
|
33803 |
Embolectomy or thrombectomy, by abdominal approach, of an artery or bypass graft of trunk (H) (Anaes.) (Assist.) |
996.75 |
||||||
|
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.) |
717.65 |
||||||
|
33810 |
Inferior vena cava or iliac vein, closed thrombectomy by catheter via the femoral vein (Anaes.) (Assist.) |
523.50 |
||||||
|
33811 |
Inferior vena cava or iliac vein, open removal of thrombus or tumour (H) (Anaes.) (Assist.) |
1 558.50 |
||||||
|
33812 |
Thrombus, removal of, from femoral or other similar large vein (Anaes.) (Assist.) |
823.95 |
||||||
|
33815 |
Major artery or vein of extremity, repair of wound of, with restoration of continuity, by lateral suture (H) (Anaes.) (Assist.) |
757.55 |
||||||
|
33818 |
Major artery or vein of extremity, repair of wound of, with restoration of continuity, by direct anastomosis (H) (Anaes.) (Assist.) |
883.80 |
||||||
|
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.) |
1 010.00 |
||||||
|
33824 |
Major artery or vein of neck, repair of wound of, with restoration of continuity, by lateral suture (H) (Anaes.) (Assist.) |
963.45 |
||||||
|
33827 |
Major artery or vein of neck, repair of wound of, with restoration of continuity, by direct anastomosis (H) (Anaes.) (Assist.) |
1 129.60 |
||||||
|
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.) |
1 295.70 |
||||||
|
33833 |
Major artery or vein of abdomen, repair of wound of, with restoration of continuity by lateral suture (H) (Anaes.) (Assist.) |
1 176.25 |
||||||
|
33836 |
Major artery or vein of abdomen, repair of wound of, with restoration of continuity by direct anastomosis (H) (Anaes.) (Assist.) |
1 402.10 |
||||||
|
33839 |
Major artery or vein of abdomen, repair of wound of, with restoration of continuity by means of interposition graft (H) (Anaes.) (Assist.) |
1 641.25 |
||||||
|
33842 |
Artery of neck, re‑operation for bleeding or thrombosis after carotid or vertebral artery surgery (H) (Anaes.) (Assist.) |
810.65 |
||||||
|
33845 |
Laparotomy for control of post operative bleeding or thrombosis after intra‑abdominal vascular procedure, where no other procedure is performed (H) (Anaes.) (Assist.) |
564.80 |
||||||
|
33848 |
Extremity, re‑operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed (H) (Anaes.) (Assist.) |
564.80 |
||||||
|
34100 |
Major artery of neck, elective ligation or exploration of, not being a service associated with any other vascular procedure (H) (Anaes.) (Assist.) |
624.70 |
||||||
|
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.) |
365.40 |
||||||
|
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.) |
257.80 |
||||||
|
34109 |
Temporal artery, biopsy of (Anaes.) (Assist.) |
298.95 |
||||||
|
34112 |
Arterio‑venous fistula of an extremity, dissection and ligation (H) (Anaes.) (Assist.) |
757.55 |
||||||
|
34115 |
Arterio‑venous fistula of the neck, dissection and ligation (H) (Anaes.) (Assist.) |
857.20 |
||||||
|
34118 |
Arterio‑venous fistula of the abdomen, dissection and ligation (Anaes.) (Assist.) |
1 222.65 |
||||||
|
34121 |
Arterio‑venous fistula of an extremity, dissection and repair of, with restoration of continuity (H) (Anaes.) (Assist.) |
976.75 |
||||||
|
34124 |
Arterio‑venous fistula of the neck, dissection and repair of, with restoration of continuity (H) (Anaes.) (Assist.) |
1 069.85 |
||||||
|
34127 |
Arterio‑venous fistula of the abdomen, dissection and repair of, with restoration of continuity (H) (Anaes.) (Assist.) |
1 402.10 |
||||||
|
34130 |
Surgically created arterio‑venous fistula of an extremity, closure of (Anaes.) (Assist.) |
438.55 |
||||||
|
34133 |
Scalenotomy (H) (Anaes.) (Assist.) |
491.85 |
||||||
|
34136 |
First rib, resection of portion of (H) (Anaes.) (Assist.) |
790.65 |
||||||
|
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.) |
790.65 |
||||||
|
34142 |
Coeliac artery, decompression of, for coeliac artery compression syndrome, as an independent procedure (H) (Anaes.) (Assist.) |
976.75 |
||||||
|
34145 |
Popliteal artery, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle (H) (Anaes.) (Assist.) |
711.00 |
||||||
|
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.) |
1 269.15 |
||||||
|
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.) |
1 734.30 |
||||||
|
34154 |
Recurrent carotid associated tumour, resection of, with or without repair or replacement of portion of internal or common carotid arteries (Anaes.) (Assist.) |
2 066.60 |
||||||
|
34157 |
Neck, excision of infected bypass graft, including closure of vessel or vessels (H) (Anaes.) (Assist.) |
1 049.95 |
||||||
|
34160 |
Aorto‑duodenal fistula, repair of, by suture of aorta and repair of duodenum (H) (Anaes.) (Assist.) |
1 966.90 |
||||||
|
34163 |
Aorto‑duodenal fistula, repair of, by insertion of aortic graft and repair of duodenum (H) (Anaes.) (Assist.) |
2 525.05 |
||||||
|
34166 |
Aorto‑duodenal fistula, repair of, by oversewing of abdominal aorta, repair of duodenum and axillo bifemoral grafting (H) (Anaes.) (Assist.) |
2 525.05 |
||||||
|
34169 |
Infected bypass graft from trunk, excision of, including closure of arteries (H) (Anaes.) (Assist.) |
1 402.10 |
||||||
|
34172 |
Infected axillo‑femoral or femoro‑femoral graft, excision of, including closure of arteries (H) (Anaes.) (Assist.) |
1 142.90 |
||||||
|
34175 |
Infected bypass graft from extremities, excision of including closure of arteries (H) (Anaes.) (Assist.) |
1 049.95 |
||||||
|
34500 |
Arteriovenous shunt, external, insertion of (Anaes.) (Assist.) |
272.50 |
||||||
|
34503 |
Arteriovenous anastomosis of upper or lower limb, in conjunction with another venous or arterial operation (H) (Anaes.) (Assist.) |
365.40 |
||||||
|
34506 |
Arteriovenous shunt, external, removal of (H) (Anaes.) (Assist.) |
186.00 |
||||||
|
34509 |
Arteriovenous anastomosis of upper or lower limb, not in conjunction with another venous or arterial operation (H) (Anaes.) (Assist.) |
863.80 |
||||||
|
34512 |
Arteriovenous access device, insertion of (H) (Anaes.) (Assist.) |
950.25 |
||||||
|
34515 |
Arteriovenous access device, thrombectomy of (H) (Anaes.) (Assist.) |
677.75 |
||||||
|
34518 |
Stenosis of arteriovenous fistula or prosthetic arteriovenous access device, correction of (H) (Anaes.) (Assist.) |
1 136.20 |
||||||
|
34521 |
Intra‑abdominal artery or vein, cannulation of, for infusion chemotherapy, by open operation (excluding after‑care) (H) (Anaes.) (Assist.) |
698.00 |
||||||
|
34524 |
Arterial cannulation for infusion chemotherapy by open operation, not being a service to which item 34521 applies (excluding after‑care) (H) (Anaes.) (Assist.) |
365.40 |
||||||
|
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.) |
487.45 |
||||||
|
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.) |
240.65 |
||||||
|
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.) |
180.50 |
||||||
|
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.) |
1 096.35 |
||||||
|
34538 |
Central vein catheterisation by percutaneous technique, using subcutaneous tunnelled cuffed catheter or similar device, for the administration of haemodialysis or parenteral nutrition (Anaes.) |
240.65 |
||||||
|
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.) |
180.50 |
||||||
|
34800 |
Inferior vena cava, plication, ligation, or application of caval clip (Anaes.) (Assist.) |
717.65 |
||||||
|
34803 |
Inferior vena cava, reconstruction of or bypass by vein or synthetic material (H) (Anaes.) (Assist.) |
1 581.55 |
||||||
|
34806 |
Cross leg bypass grafting, saphenous to iliac or femoral vein (H) (Anaes.) (Assist.) |
857.20 |
||||||
|
34809 |
Saphenous vein anastomosis to femoral or popliteal vein for femoral vein bypass (H) (Anaes.) (Assist.) |
857.20 |
||||||
|
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.) |
1 036.60 |
||||||
|
34815 |
Vein stenosis, patch angioplasty for, (excluding vein graft stenosis) -- using vein or synthetic material (H) (Anaes.) (Assist.) |
857.20 |
||||||
|
34818 |
Venous valve, plication or repair to restore valve competency (H) (Anaes.) (Assist.) |
943.55 |
||||||
|
34821 |
Vein transplant to restore valvular function (Anaes.) (Assist.) |
1 282.55 |
||||||
|
34824 |
External stent, application of, to restore venous valve competency to superficial vein -- 1 stent (H) (Anaes.) (Assist.) |
438.55 |
||||||
|
34827 |
External stents, application of, to restore venous valve competency to superficial vein or veins -- more than 1 stent (H) (Anaes.) (Assist.) |
531.60 |
||||||
|
34830 |
External stent, application of, to restore venous valve competency to deep vein -- 1 stent (Anaes.) (Assist.) |
624.70 |
||||||
|
34833 |
External stents, application of, to restore venous valve competency to deep vein or veins -- more than 1 stent (H) (Anaes.) (Assist.) |
810.65 |
||||||
|
35000 |
Lumbar sympathectomy (Anaes.) (Assist.) |
624.70 |
||||||
|
35003 |
Cervical or upper thoracic sympathectomy by any surgical approach (H) (Anaes.) (Assist.) |
810.65 |
||||||
|
35006 |
Cervical or upper thoracic sympathectomy, where operation is a re‑operation for previous incomplete sympathectomy by any surgical approach (H) (Anaes.) (Assist.) |
1 016.70 |
||||||
|
35009 |
Lumbar sympathectomy, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (H) (Anaes.) (Assist.) |
790.65 |
||||||
|
35012 |
Sacral or pre‑sacral sympathectomy (H) (Anaes.) (Assist.) |
624.70 |
||||||
|
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.) |
325.70 |
||||||
|
35103 |
Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only (Anaes.) |
207.30 |
||||||
|
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.) |
151.55 |
||||||
|
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.) |
722.05 |
||||||
|
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.) |
455.45 |
||||||
|
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.) |
583.90 |
||||||
|
35306 |
Transluminal stent insertion including associated balloon dilatation for 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding after‑care (Anaes.) (Assist.) |
538.95 |
||||||
|
35307 |
Transluminal stent insertion, 1 or more stents (not drug‑eluting), with or without associated balloon dilatation, for 1 carotid artery, percutaneous (not direct), with or without an embolic protection device, for a patient who: (a) meets the requirements for carotid endarterectomy; and (b) has medical or surgical comorbidities that cause the patient to be at high risk of perioperative complications from carotid endarterectomy; excluding associated radiological services, radiological preparation and after‑care (H) (Anaes.) (Assist.) |
990.75 |
||||||
|
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.) |
673.70 |
||||||
|
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.) |
763.50 |
||||||
|
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.) |
763.50 |
||||||
|
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.) |
314.40 |
||||||
|
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.) |
563.60 |
||||||
|
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.) |
757.05 |
||||||
|
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.) |
718.65 |
||||||
|
35324 |
Angioscopy not combined with any other procedure, excluding associated radiological services or preparation, and excluding after‑care (H) (Anaes.) (Assist.) |
269.40 |
||||||
|
35327 |
Angioscopy combined with any other procedure, excluding associated radiological services or preparation, and excluding after‑care (H) (Anaes.) (Assist.) |
361.15 |
||||||
|
35330 |
Insertion of inferior vena caval filter, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding after‑care (Anaes.) (Assist.) |
455.45 |
||||||
|
35331 |
Retrieval of inferior vena caval filter, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare (H) (Anaes.) |
523.50 |
||||||
|
35360 |
Retrieval of foreign body in pulmonary artery, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare (H) (Anaes.) (Assist.) |
731.80 |
||||||
|
35361 |
Retrieval of foreign body in right atrium, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare (H) (Anaes.) (Assist.) |
627.65 |
||||||
|
35362 |
Retrieval of foreign body in inferior vena cava or aorta, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare (H) (Anaes.) (Assist.) |
523.50 |
||||||
|
35363 |
Retrieval of foreign body in peripheral vein or peripheral artery, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare (H) (Anaes.) (Assist.) |
419.40 |
||||||
|
35400 |
Vertebroplasty for the treatment of a painful osteoporotic vertebral compression fracture in a patient if: (a) conservative medical therapy has not controlled the pain; and (b) diagnostic imaging has confirmed that vertebroplasty is appropriate; when performed in association with a service to which item 57341, 57345 or 61109 applies (Anaes.) |
583.90 |
|
|||||
|
35402 |
Vertebroplasty for the treatment of a painful metastatic deposit or multiple myeloma in a vertebral body, when performed in association with a service to which item 57341, 57345 or 61109 applies (Anaes.) |
583.90 |
|
|||||
|
35404 |
Dosimetry, handling and injection of sir‑spheres for selective internal radiation therapy of hepatic metastases that are secondary to colorectal cancer and not suitable for resection or ablation (not being a service to which item 35317, 35319, 35320 or 35321 applies) -- for any particular patient, payable once only (H) (Anaes.) (Assist.) (Item is subject to rule 87A) |
306.30 |
|
|||||
|
35406 |
Trans‑femoral catheterisation of the hepatic artery to administer sir‑spheres, for selective internal radiation therapy, to embolise the microvasculature of hepatic metastases, that are secondary to colorectal cancer and not suitable for resection or ablation (not being a service to which item 35317, 35319, 35320 or 35321 applies) (H) (Anaes.) (Assist.) (Item is subject to rule 87A) |
718.65 |
|
|||||
|
35408 |
Catheterisation of the hepatic artery via a permanently implanted hepatic artery port to administer sir‑spheres, for selective internal radiation therapy, to embolise the microvasculature of hepatic metastases, that are secondary to colorectal cancer and not suitable for resection or ablation (not being a service to which item 35317, 35319, 35320 or 35321 applies) (H) (Anaes.) (Assist.) (Item is subject to rule 87A) |
539.10 |
|
|||||
|
35410 |
Uterine artery catheterisation with percutaneous administration of occlusive agents, for the treatment of symptomatic uterine fibroids in a patient who has been referred for uterine artery embolisation by a specialist gynaecologist, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.) |
718.65 |
|
|||||
|
35412 |
Intracranial aneurysm, ruptured or unruptured, endovascular occlusion with detachable coils, and assisted coiling (if performed), with parent artery preservation, not for use with liquid embolics only, including intra‑operative imaging, but in association with pre‑operative diagnostic imaging under any of items 60009, 60072, 60075 or 60078, including aftercare (Anaes.) (Assist.) |
2 525.05 |
|
|||||
|
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.) |
71.80 |
||||||
|
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.) |
70.85 |
||||||
|
35503 |
Intra‑uterine contraceptive device, introduction of, not being a service associated with a service to which another item in this group applies (Anaes.) |
47.30 |
||||||
|
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.) |
47.45 |
||||||
|
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.) |
154.20 |
||||||
|
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.) |
227.05 |
||||||
|
35509 |
Hymenectomy (Anaes.) |
79.10 |
||||||
|
35512 |
Bartholin's cyst, excision of (G) (Anaes.) |
158.50 |
||||||
|
35513 |
Bartholin's cyst, excision of (S) (Anaes.) |
195.95 |
||||||
|
35516 |
Bartholin's cyst or gland, marsupialisation of (G) (Anaes.) |
102.85 |
||||||
|
35517 |
Bartholin's cyst or gland, marsupialisation of (S) (Anaes.) |
129.00 |
||||||
|
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.) |
183.65 |
||||||
|
35520 |
Bartholin's abscess, incision of (Anaes.) |
51.50 |
||||||
|
35523 |
Urethra or urethral caruncle, cauterisation of (Anaes.) |
51.50 |
||||||
|
35526 |
Urethral caruncle, excision of (G) (Anaes.) |
102.85 |
||||||
|
35527 |
Urethral caruncle, excision of (S) (Anaes.) |
129.00 |
||||||
|
35530 |
Clitoris, amputation of, where medically indicated (H) (Anaes.) (Assist.) |
238.40 |
||||||
|
35533 |
Vulvoplasty or labioplasty, where medically indicated, not being a service associated with a service to which item 35536 applies (Anaes.) |
309.15 |
||||||
|
35536 |
Vulva, wide local excision of suspected malignancy or hemivulvectomy, 1 or both procedures (Anaes.) (Assist.) |
307.90 |
||||||
|
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.) |
241.20 |
||||||
|
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.) |
282.40 |
||||||
|
35545 |
Colposcopically directed CO 2 laser therapy for condylomata, unsuccessfully treated by other methods (Anaes.) |
162.30 |
||||||
|
35548 |
Vulvectomy, radical, for malignancy (H) (Anaes.) (Assist.) |
737.05 |
||||||
|
35551 |
Pelvic lymph glands, excision of (radical) (H) (Anaes.) (Assist.) |
604.30 |
||||||
|
35554 |
Vagina, dilatation of, as an independent procedure including any associated consultation (Anaes.) |
38.45 |
||||||
|
35557 |
Vagina, removal of simple tumour -- (including Gartner duct cyst) (Anaes.) |
189.55 |
||||||
|
35560 |
Vagina, partial or complete removal of (H) (Anaes.) (Assist.) |
604.30 |
||||||
|
35561 |
Vaginectomy, radical, for proven invasive malignancy -- 1 surgeon (H) (Anaes.) (Assist.) |
1 219.05 |
||||||
|
35562 |
Vaginectomy, radical, for proven invasive malignancy, conjoint surgery -- abdominal surgeon (including after‑care) (H) (Anaes.) (Assist.) |
1 000.85 |
||||||
|
35564 |
Vaginectomy, radical, for proven invasive malignancy, conjoint surgery -- perineal surgeon (H) (Assist.) |
462.05 |
||||||
|
35565 |
Vaginal reconstruction for congenital absence, gynatresia or urogenital sinus (H) (Anaes.) (Assist.) |
604.30 |
||||||
|
35566 |
Vaginal septum, excision of, for correction of double vagina (H) (Anaes.) (Assist.) |
351.05 |
||||||
|
35568 |
Sacrospinous colpopexy for the management of upper vaginal prolapse (H) (Anaes.) (Assist.) |
551.95 |
||||||
|
35569 |
Plastic repair to enlarge vaginal orifice (H) (Anaes.) |
142.10 |
||||||
|
35570 |
Anterior vaginal compartment repair by vaginal approach (involving repair of urethrocele and cystocele), with or without mesh, not being a service associated with a service to which item 35573, 35577 or 35578 applies (H) (Anaes.) (Assist.) |
489.45 |
||||||
|
35571 |
Posterior vaginal compartment repair by vaginal approach involving repair of 1 or more of the following: (a) perineum; (b) rectocoele; (c) enterocoele; with or without mesh, not being a service associated with a service to which item 35573, 35577 or 35578 applies (H) (Anaes.) (Assist.) |
489.45 |
||||||
|
35572 |
Colpotomy, not being a service to which another item in this group applies (H) (Anaes.) |
109.40 |
||||||
|
35573 |
Anterior and posterior vaginal compartment repair by vaginal approach (involving anterior and posterior compartment defects), with or without mesh, not being a service associated with a service to which item 35577 or 35578 applies (H) (Anaes.) (Assist.) |
734.20 |
||||||
|
35577 |
Manchester (Donald Fothergill) operation for genital prolapse, with or without mesh (H) (Anaes.) (Assist.) |
596.00 |
||||||
|
35578 |
Le Fort operation for genital prolapse, not being a service associated with a service to which another item in this subgroup applies (H) (Anaes.) (Assist.) |
596.00 |
||||||
|
35595 |
Laparoscopic or abdominal pelvic floor repair involving the fixation of the uterosacral and cardinal ligaments to rectovaginal and pubocervical fascia for symptomatic upper vaginal vault prolapse (H) (Anaes.) (Assist.) |
1 020.60 |
||||||
|
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.) |
604.30 |
||||||
|
35597 |
Sacral colpopexy, laparoscopic or open procedure, if graft or mesh is secured to the vault, the anterior and posterior compartments and to the sacrum for correction of symptomatic upper vaginal vault prolapse (H) (Anaes.) (Assist.) |
1 301.80 |
||||||
|
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.) |
596.00 |
||||||
|
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.) |
596.00 |
||||||
|
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.) |
323.35 |
||||||
|
35608 |
Cervix, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix (Anaes.) |
56.50 |
||||||
|
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.) |
56.50 |
||||||
|
35612 |
Cervix, residual stump, removal of, by abdominal approach (Anaes.) (Assist.) |
447.10 |
||||||
|
35613 |
Cervix, residual stump, removal of, by vaginal approach (H) (Anaes.) (Assist.) |
357.70 |
||||||
|
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.) |
56.40 |
||||||
|
35615 |
Vulva, biopsy of, when performed in conjunction with a service to which item 35614 applies |
47.45 |
||||||
|
35616 |
Endometrium, endoscopic examination of and ablation of, by microwave, thermal balloon or radiofrequency electrosurgery, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage (H) (Anaes.) |
397.25 |
||||||
|
35617 |
Cervix, cone biopsy, amputation or repair of, not being a service to which item 35577 or 35578 applies (G) (Anaes.) |
153.45 |
||||||
|
35618 |
Cervix, cone biopsy, amputation or repair of, not being a service to which item 35577 or 35578 applies (S) (Anaes.) |
192.60 |
||||||
|
35620 |
Endometrial biopsy where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding (Anaes.) |
47.10 |
||||||
|
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.) |
532.35 |
||||||
|
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.) |
723.90 |
||||||
|
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 |
73.20 |
||||||
|
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.) |
94.65 |
||||||
|
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.) |
161.75 |
||||||
|
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.) |
192.60 |
||||||
|
35634 |
Hysteroscopic resection of uterine septum followed by endometrial ablation by laser or diathermy (Anaes.) |
605.90 |
||||||
|
35635 |
Hysteroscopy involving resection of the uterine septum (H) (Anaes.) |
264.65 |
||||||
|
35636 |
Hysteroscopy, involving resection of myoma, or resection of myoma and uterine septum (where both are performed) (H) (Anaes.) |
382.65 |
||||||
|
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.) |
359.35 |
||||||
|
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.) |
628.70 |
||||||
|
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.) |
119.25 |
||||||
|
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.) |
161.75 |
||||||
|
35641 |
Endometriosis level 4 or 5, laparoscopic resection of, involving any 2 of the following procedures: (a) resection of the pelvic side wall including dissection of endometriosis or scar tissue from the ureter; (b) resection of the Pouch of Douglas; (c) resection of an ovarian endometrioma greater than 2 cm in diameter; |
1 098.10 |
||||||
|
|
(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.) |
192.60 |
||||||
|
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.) |
179.95 |
||||||
|
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.) |
281.65 |
||||||
|
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.) |
179.95 |
||||||
|
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.) |
179.95 |
||||||
|
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.) |
281.65 |
||||||
|
35649 |
Hysterotomy or uterine myomectomy, abdominal (H) (Anaes.) (Assist.) |
473.65 |
||||||
|
35653 |
Hysterectomy, abdominal, sub‑total or total, with or without removal of uterine adnexae (H) (Anaes.) (Assist.) |
596.15 |
||||||
|
35657 |
Hysterectomy, vaginal, with or without uterine curettage, not being a service to which item 35673 applies (H) (Anaes.) (Assist.) |
596.15 |
||||||
|
35658 |
Uterus (at least equivalent in size to a 10 week gravid uterus), debulking of, prior to vaginal removal at hysterectomy (H) (Anaes.) (Assist.) |
367.60 |
||||||
|
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.) |
769.95 |
||||||
|
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.) |
1 283.20 |
||||||
|
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.) |
1 090.60 |
||||||
|
35670 |
Hysterectomy, abdominal, with radical excision of pelvic lymph glands, with or without removal of uterine adnexae (H) (Anaes.) (Assist.) |
898.05 |
||||||
|
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.) |
669.55 |
||||||
|
35674 |
Ultrasound guided needling and injection of ectopic pregnancy |
183.65 |
||||||
|
35676 |
Ectopic pregnancy, removal of (G) (H) (Anaes.) (Assist.) |
375.50 |
||||||
|
35677 |
Ectopic pregnancy, removal of (S) (H) (Anaes.) (Assist.) |
473.65 |
||||||
|
35678 |
Ectopic pregnancy, laparoscopic removal of (H) (Anaes.) (Assist.) |
571.05 |
||||||
|
35680 |
Bicornuate uterus, plastic reconstruction for (Anaes.) (Assist.) |
514.35 |
||||||
|
35683 |
Uterus, suspension or fixation of, as an independent procedure (G) (H) (Anaes.) (Assist.) |
310.40 |
||||||
|
35684 |
Uterus, suspension or fixation of, as an independent procedure (S) (H) (Anaes.) (Assist.) |
416.35 |
||||||
|
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.) |
287.40 |
||||||
|
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.) |
351.05 |
||||||
|
35691 |
Sterilisation by interruption of fallopian tubes when performed in conjunction with Caesarean section (H) (Anaes.) (Assist.) |
140.25 |
||||||
|
35694 |
Tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, 1 or more procedures (H) (Anaes.) (Assist.) |
563.50 |
||||||
|
35697 |
Microsurgical tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, 1 or more procedures (H) (Anaes.) (Assist.) |
836.10 |
||||||
|
35700 |
Fallopian tubes, unilateral microsurgical anastomosis of, using operating microscope, for other than reversal of previous sterilisation (H) (Anaes.) (Assist.) |
645.15 |
||||||
|
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.) |
59.65 |
||||||
|
35706 |
Rubin test for patency of fallopian tubes (Anaes.) |
59.65 |
||||||
|
35709 |
Fallopian tubes, hydrotubation of, as a repetitive post‑operative procedure (Anaes.) |
38.45 |
||||||
|
35710 |
Falloposcopy, unilateral or bilateral, including hysteroscopy and tubal catheterisation (H) (Anaes.) (Assist.) |
409.40 |
||||||
|
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.) |
320.05 |
||||||
|
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.) |
400.20 |
||||||
|
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.) |
383.80 |
||||||
|
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.) |
481.80 |
||||||
|
35720 |
Radical or debulking operation for advanced gynaecological malignancy, with or without omentectomy (H) (Anaes.) (Assist.) |
596.00 |
||||||
|
35723 |
Retro‑peritoneal lymph node biopsies from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy (H) (Anaes.) (Assist.) |
426.90 |
||||||
|
35726 |
Infra‑colic omentectomy with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy (H) (Anaes.) (Assist.) |
426.90 |
||||||
|
35729 |
Ovarian transposition out of the pelvis, in conjunction with radical hysterectomy for invasive malignancy (H) (Anaes.) |
192.45 |
||||||
|
35750 |
Laparoscopically assisted hysterectomy, including any associated laparoscopy (H) (Anaes.) (Assist.) |
693.30 |
||||||
|
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.) |
766.65 |
||||||
|
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.) |
964.80 |
||||||
|
35756 |
Laparoscopically assisted hysterectomy, when procedure is completed by open hysterectomy, including any associated laparoscopy (H) (Anaes.) (Assist.) |
693.30 |
||||||
|
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.) |
497.75 |
||||||
|
Subgroup 5 -- Urological |
||||||||
|
36500 |
Adrenal gland, excision of -- partial or total (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
36502 |
Pelvic lymphadenectomy, open or laparoscopic, or both, unilateral or bilateral (H) (Anaes.) (Assist.) |
604.30 |
||||||
|
36503 |
Renal transplant, not being a service to which item 36506 or 36509 applies (H) (Anaes.) (Assist.) |
1 229.30 |
||||||
|
36506 |
Renal transplant, performed by vascular surgeon and urologist operating together -- vascular anastomosis, including after‑care (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
36509 |
Renal transplant, performed by vascular surgeon and urologist operating together -- ureterovesical anastomosis, including after‑care (H) (Assist.) |
691.90 |
||||||
|
36516 |
Nephrectomy, complete (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
36519 |
Nephrectomy, complete, complicated by previous surgery on the same kidney (H) (Anaes.) (Assist.) |
1 140.90 |
||||||
|
36522 |
Nephrectomy, partial (H) (Anaes.) (Assist.) |
979.05 |
||||||
|
36525 |
Nephrectomy, partial, complicated by previous surgery on the same kidney (H) (Anaes.) (Assist.) |
1 391.25 |
||||||
|
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.) |
1 140.90 |
||||||
|
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.) |
1 408.00 |
||||||
|
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.) |
1 140.90 |
||||||
|
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.) |
1 408.00 |
||||||
|
36531 |
Nephro‑ureterectomy, complete, including associated bladder repair and any associated endoscopic procedure (H) (Anaes.) (Assist.) |
1 023.10 |
||||||
|
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.) |
1 468.50 |
||||||
|
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.) |
1 735.60 |
||||||
|
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.) |
610.95 |
||||||
|
36540 |
Nephrolithotomy or pyelolithotomy, or both, through the same skin incision, for 1 or 2 stones (Anaes.) (Assist.) |
979.05 |
||||||
|
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.) |
1 140.90 |
||||||
|
36546 |
Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post‑treatment care for 3 days, including pre‑treatment consultations, unilateral (Anaes.) |
610.95 |
||||||
|
36549 |
Ureterolithotomy (H) (Anaes.) (Assist.) |
736.15 |
||||||
|
36552 |
Nephrostomy or pyelostomy, open, as an independent procedure (H) (Anaes.) (Assist.) |
655.25 |
||||||
|
36558 |
Renal cyst or cysts, excision or unroofing of (Anaes.) (Assist.) |
574.20 |
||||||
|
36561 |
Renal biopsy (closed) (Anaes.) |
152.45 |
||||||
|
36564 |
Pyeloplasty (plastic reconstruction of the pelvi‑ureteric junction), by open exposure, laparoscopy or laparoscopic assisted techniques (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
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.) |
898.05 |
||||||
|
36570 |
Pyeloplasty, complicated by previous surgery on the same kidney, by open exposure (H) (Anaes.) (Assist.) |
1 140.90 |
||||||
|
36573 |
Divided ureter, repair of (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
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.) |
1 023.10 |
||||||
|
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.) |
655.25 |
||||||
|
36585 |
Ureter, transplantation of, into skin (H) (Anaes.) (Assist.) |
655.25 |
||||||
|
36588 |
Ureter, reimplantation into bladder (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
36591 |
Ureter, reimplantation into bladder with psoas hitch or Boari flap or both (H) (Anaes.) (Assist.) |
979.05 |
||||||
|
36594 |
Ureter, transplantation of, into intestine (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
36597 |
Ureter, transplantation of, into another ureter (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
36600 |
Ureter, transplantation of, into isolated intestinal segment, unilateral (Anaes.) (Assist.) |
979.05 |
||||||
|
36603 |
Ureters, transplantation of, into isolated intestinal segment, bilateral (H) (Anaes.) (Assist.) |
1 140.90 |
||||||
|
36604 |
Ureteric stent, passage of through percutaneous nephrostomy tube, using interventional imaging techniques (Anaes.) |
236.50 |
||||||
|
36605 |
Ureteric stent, insertion of, with removal of calculus from: (a) the pelvicalyceal system; or (b) ureter; or (c) the pelvicalyceal system and ureter; through a nephrostomy tube using interventional imaging techniques (H) (Anaes.) |
610.25 |
||||||
|
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.) |
2 046.35 |
||||||
|
36607 |
Ureteric stent, insertion of, with balloon dilatation of: (a) the pelvicalyceal system; or (b) ureter; or (c) the pelvicalyceal system and ureter; through a nephrostomy tube using interventional imaging techniques (H) (Anaes.) |
610.25 |
||||||
|
36608 |
Ureteric stent, exchange of, percutaneously through the ileal conduit or bladder using interventional imaging techniques, not being a service associated with a service to which any of items 36811 to 36854 apply (H) (Anaes.) |
236.50 |
||||||
|
36609 |
Intestinal urinary conduit or ureterostomy, revision of (H) (Anaes.) (Assist.) |
655.25 |
||||||
|
36612 |
Ureter, exploration of, with or without drainage of, as an independent procedure (H) (Anaes.) (Assist.) |
574.20 |
||||||
|
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.) |
655.25 |
||||||
|
36618 |
Reduction ureteroplasty (H) (Anaes.) (Assist.) |
574.20 |
||||||
|
36621 |
Closure of cutaneous ureterostomy (H) (Anaes.) (Assist.) |
410.45 |
||||||
|
36624 |
Nephrostomy, percutaneous, using interventional imaging techniques (Anaes.) (Assist.) |
493.15 |
||||||
|
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.) |
610.95 |
||||||
|
36630 |
Nephroscopy, being a service to which item 36627 applies, where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation due to bleeding (H) (Anaes.) (Assist.) |
301.80 |
||||||
|
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.) |
655.25 |
||||||
|
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.) |
353.40 |
||||||
|
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.) |
736.15 |
||||||
|
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.) |
368.00 |
||||||
|
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.) |
942.20 |
||||||
|
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.) |
839.15 |
||||||
|
36649 |
Nephrostomy drainage tube, exchange of -- but not including imaging (Anaes.) (Assist.) |
236.50 |
||||||
|
36650 |
Nephrostomy tube, removal of, using interventional imaging techniques, if the ureter has been stented with a double J ureteric stent and that stent is left in place (H) (Anaes.) |
132.25 |
||||||
|
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.) |
574.20 |
||||||
|
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.) |
736.15 |
||||||
|
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.) |
942.20 |
||||||
|
36800 |
Bladder, catheterisation of, where no other procedure is performed (Anaes.) |
24.40 |
||||||
|
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.) |
412.10 |
||||||
|
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.) |
574.20 |
||||||
|
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.) |
736.15 |
||||||
|
36811 |
Cystoscopy with insertion of urethral prosthesis (Anaes.) |
285.80 |
||||||
|
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.) |
147.30 |
||||||
|
36815 |
Cystoscopy, with or without urethroscopy, for the treatment of penile warts or urethral warts, not being a service associated with a service to which item 30189 applies (Anaes.) |
210.20 |
||||||
|
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.) |
244.40 |
||||||
|
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.) |
285.60 |
||||||
|
36824 |
Cystoscopy with ureteric catheterisation, unilateral or bilateral, not being a service associated with a service to which item 36818 or 36821 applies (Anaes.) |
188.30 |
||||||
|
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.) |
513.65 |
||||||
|
36827 |
Cystoscopy, with controlled hydro‑dilatation of the bladder (Anaes.) |
203.15 |
||||||
|
36830 |
Cystoscopy, with ureteric meatotomy (H) (Anaes.) |
179.65 |
||||||
|
36833 |
Cystoscopy with removal of ureteric stent or other foreign body (Anaes.) (Assist.) |
244.40 |
||||||
|
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, 37215, 37230 or 37233 applies (Anaes.) |
203.15 |
||||||
|
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.) |
285.60 |
||||||
|
36842 |
Cystoscopy with lavage of blood clots from bladder including any associated diathermy of prostate or bladder and not being a service associated with a service to which item 36812, 36827 to 36863, 37203, 37206, 37230 or 37233 applies (H) (Anaes.) (Assist.) |
287.40 |
||||||
|
36845 |
Cystoscopy, with diathermy, resection or visual laser destruction of multiple tumours in more than 2 quadrants of the bladder or solitary tumour greater than 2 cm in diameter (Anaes.) |
610.95 |
||||||
|
36848 |
Cystoscopy with resection of ureterocele (H) (Anaes.) |
203.15 |
||||||
|
36851 |
Cystoscopy with injection into bladder wall (H) (Anaes.) |
203.15 |
||||||
|
36854 |
Cystoscopy with endoscopic incision or resection of external sphincter, bladder neck or both (H) (Anaes.) |
412.10 |
||||||
|
36857 |
Endoscopic manipulation or extraction of ureteric calculus (H) (Anaes.) |
323.80 |
||||||
|
36860 |
Endoscopic examination of intestinal conduit or reservoir (Anaes.) |
147.30 |
||||||
|
36863 |
Litholapaxy, with or without cystoscopy (H) (Anaes.) (Assist.) |
412.10 |
||||||
|
37000 |
Bladder, partial excision of (H) (Anaes.) (Assist.) |
655.25 |
||||||
|
37004 |
Bladder, repair of rupture (H) (Anaes.) (Assist.) |
574.20 |
||||||
|
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.) |
368.00 |
||||||
|
37011 |
Suprapubic stab cystotomy, not being a service associated with a service to which items 37200 to 37221 apply (Anaes.) |
82.45 |
||||||
|
37014 |
Bladder, total excision of (H) (Anaes.) (Assist.) |
942.20 |
||||||
|
37020 |
Bladder diverticulum, excision or obliteration of (H) (Anaes.) (Assist.) |
655.25 |
||||||
|
37023 |
Vesical fistula, cutaneous, operation for (H) (Anaes.) |
368.00 |
||||||
|
37026 |
Cutaneous vesicostomy, establishment of (H) (Anaes.) (Assist.) |
368.00 |
||||||
|
37029 |
Vesico‑vaginal fistula, closure of, by abdominal approach (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
37038 |
Vesico‑intestinal fistula, closure of, excluding bowel resection (H) (Anaes.) (Assist.) |
611.30 |
||||||
|
37041 |
Bladder aspiration, by needle |
41.20 |
||||||
|
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.) |
805.25 |
||||||
|
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.) |
596.00 |
||||||
|
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.) |
611.30 |
||||||
|
37045 |
Mitrofanoff continent valve, formation of (H) (Anaes.) (Assist.) |
1 262.50 |
||||||
|
37047 |
Bladder enlargement using intestine (H) (Anaes.) (Assist.) |
1 472.20 |
||||||
|
37050 |
Bladder exstrophy closure, not involving sphincter reconstruction (H) (Anaes.) (Assist.) |
655.25 |
||||||
|
37053 |
Bladder transection and re‑anastomosis to trigone (H) (Anaes.) (Assist.) |
757.05 |
||||||
|
37200 |
Prostatectomy, open (H) (Anaes.) (Assist.) |
898.05 |
||||||
|
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.) |
732.45 |
||||||
|
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.) |
367.60 |
||||||
|
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.) |
920.85 |
||||||
|
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.) |
493.15 |
||||||
|
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.) |
765.65 |
||||||
|
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.) |
367.60 |
||||||
|
37209 |
Total excision (not being a service associated with a service to which item 37210 or 37211 applies) of any, or all of: (a) prostate; or (b) seminal vesicle, unilateral or bilateral; or (c) ampulla of vas, unilateral or bilateral (H) (Anaes.) (Assist.) |
1 140.90 |
||||||
|
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.) |
1 408.00 |
||||||
|
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.) |
1 710.05 |
||||||
|
37212 |
Prostate, open perineal biopsy or open drainage of abscess (H) (Anaes.) (Assist.) |
244.40 |
||||||
|
37215 |
Prostate, biopsy of, endoscopic, with or without cystoscopy (Anaes.) (Assist.) |
368.00 |
||||||
|
37218 |
Prostate, needle biopsy of, or injection into (Anaes.) |
122.20 |
||||||
|
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.) |
248.15 |
||||||
|
37220 |
Prostate, radioactive seed implantation of, urological component, using transrectal ultrasound guidance, for localised prostatic malignancy at clinical stage T1 (clinically inapparent tumour that is not palpable or visible by imaging) or clinical stage T2 (tumour confined within prostate), 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) |
922.70 |
||||||
|
37221 |
Prostatic abscess, endoscopic drainage of (H) (Anaes.) (Assist.) |
412.10 |
||||||
|
37223 |
Prostatic coil, insertion of, under ultrasound control (H) (Anaes.) |
182.25 |
||||||
|
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, 37215, 37230 or 37233 applies (Anaes.) |
285.60 |
||||||
|
37227 |
Prostate, transperineal insertion of catheters for high dose rate brachytherapy using ultrasound guidance including any associated cystoscopy, where performed at an approved site, and being a service associated with a service to which item 15327 or 15328 applies |
500.00 |
||||||
|
37230 |
Prostate, high‑energy transurethral microwave thermotherapy of, with or without cystoscopy, and with or without urethroscopy, and including services to which item 36854, 37203, 37206, 37207, 37208, 37303, 37321 or 37324 applies (Anaes.) |
920.85 |
||||||
|
37233 |
Prostate, high‑energy transurethral microwave thermotherapy of, 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, 37207 or 37230 which had to be discontinued for medical reasons (Anaes.) |
493.15 |
||||||
|
37300 |
Urethral sounds, passage of, as an independent procedure (Anaes.) |
41.20 |
||||||
|
37303 |
Urethral stricture, dilatation of (Anaes.) |
65.45 |
||||||
|
37306 |
Urethra, repair of rupture of distal section (H) (Anaes.) (Assist.) |
574.20 |
||||||
|
37309 |
Urethra, repair of rupture of prostatic or membranous segment (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
37315 |
Urethroscopy, as an independent procedure (Anaes.) |
122.20 |
||||||
|
37318 |
Urethroscopy, with any 1 or more of biopsy, diathermy, visual laser destruction of stone or removal of foreign body or stone (Anaes.) (Assist.) |
244.40 |
||||||
|
37321 |
Urethral meatotomy, external (Anaes.) |
82.45 |
||||||
|
37324 |
Urethrotomy or urethrostomy, internal or external (H) (Anaes.) |
203.15 |
||||||
|
37327 |
Urethrotomy, optical, for urethral stricture (H) (Anaes.) (Assist.) |
285.60 |
||||||
|
37330 |
Urethrectomy, partial or complete, for removal of tumour (H) (Anaes.) (Assist.) |
574.20 |
||||||
|
37333 |
Urethro‑vaginal fistula, closure of (H) (Anaes.) (Assist.) |
493.15 |
||||||
|
37336 |
Urethro‑rectal fistula, closure of (H) (Anaes.) (Assist.) |
655.25 |
||||||
|
37339 |
Periurethral or transurethral injection of materials for the treatment of urinary incontinence, including cystoscopy and urethroscopy (Anaes.) |
211.95 |
||||||
|
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.) |
375.50 |
||||||
|
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.) |
805.25 |
||||||
|
37342 |
Urethroplasty -- single stage operation (H) (Anaes.) (Assist.) |
736.15 |
||||||
|
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.) |
1 229.30 |
||||||
|
37345 |
Urethroplasty -- 2 stage operation -- first stage (H) (Anaes.) (Assist.) |
610.95 |
||||||
|
37348 |
Urethroplasty -- 2 stage operation -- second stage (H) (Anaes.) (Assist.) |
610.95 |
||||||
|
37351 |
Urethroplasty, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
244.40 |
||||||
|
37354 |
Hypospadias, meatotomy and hemi‑circumcision (H) (Anaes.) (Assist.) |
285.60 |
||||||
|
37369 |
Urethra, excision of prolapse of (H) (Anaes.) |
164.85 |
||||||
|
37372 |
Urethral diverticulum, excision of (H) (Anaes.) (Assist.) |
412.10 |
||||||
|
37375 |
Urethral sphincter, reconstruction by bladder tubularisation technique or similar procedure (H) (Anaes.) (Assist.) |
1 023.10 |
||||||
|
37381 |
Artificial urinary sphincter, insertion of cuff, perineal approach (H) (Anaes.) (Assist.) |
655.25 |
||||||
|
37384 |
Artificial urinary sphincter, insertion of cuff, abdominal approach (H) (Anaes.) (Assist.) |
1 023.10 |
||||||
|
37387 |
Artificial urinary sphincter, insertion of pressure regulating balloon and pump (H) (Anaes.) (Assist.) |
285.60 |
||||||
|
37390 |
Artificial urinary sphincter, revision or removal of, with or without replacement (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
37393 |
Priapism, decompression by glanular stab caverno‑sospongiosum shunt or penile aspiration with or without lavage (Anaes.) |
203.15 |
||||||
|
37396 |
Priapism, shunt operation for, not being a service to which item 37393 applies (H) (Anaes.) (Assist.) |
655.25 |
||||||
|
37402 |
Penis, partial amputation of (H) (Anaes.) (Assist.) |
412.10 |
||||||
|
37405 |
Penis, complete or radical amputation of (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
37408 |
Penis, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (H) (Anaes.) (Assist.) |
412.10 |
||||||
|
37411 |
Penis, repair of avulsion (Anaes.) (Assist.) |
817.05 |
||||||
|
37415 |
Penis, injection of, for the investigation and treatment of impotence -- 2 services only in a period of 36 consecutive months |
41.20 |
||||||
|
37417 |
Penis, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting (H) (Anaes.) (Assist.) |
493.15 |
||||||
|
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.) |
655.25 |
||||||
|
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.) |
323.80 |
||||||
|
37423 |
Penis, lengthening by translocation of corpora (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
37426 |
Penis, artificial erection device, insertion of, into 1 or both corpora (H) (Anaes.) (Assist.) |
861.15 |
||||||
|
37429 |
Penis, artificial erection device, insertion of pump and pressure regulating reservoir (H) (Anaes.) (Assist.) |
285.60 |
||||||
|
37432 |
Penis, artificial erection device, complete or partial revision or removal of components, with or without replacement (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
37435 |
Penis, frenuloplasty as an independent procedure (Anaes.) |
82.45 |
||||||
|
37438 |
Scrotum, partial excision of (Anaes.) (Assist.) |
244.40 |
||||||
|
37444 |
Ureterolithotomy complicated by previous surgery at the same site of the same ureter (Anaes.) (Assist.) |
883.30 |
||||||
|
37601 |
Spermatocele or epididymal cyst, excision of, 1 or more of, on 1 side (Anaes.) |
244.40 |
||||||
|
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.) |
244.40 |
||||||
|
37607 |
Retroperitoneal lymph node dissection, unilateral, not being a service associated with a service to which item 36528 applies (H) (Anaes.) (Assist.) |
817.05 |
||||||
|
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.) |
1 229.30 |
||||||
|
37613 |
Epididymectomy (Anaes.) |
244.40 |
||||||
|
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.) |
610.95 |
||||||
|
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.) |
244.40 |
||||||
|
37622 |
Vasotomy or vasectomy, unilateral or bilateral (G) (Anaes.) |
170.75 |
||||||
|
37623 |
Vasotomy or vasectomy, unilateral or bilateral (S) (Anaes.) |
203.15 |
||||||
|
37800 |
Patent urachus, excision of (H) (Anaes.) (Assist.) |
460.55 |
||||||
|
37803 |
Undescended testis, orchidopexy for, not being a service to which item 37806 applies (H) (Anaes.) (Assist.) |
460.55 |
||||||
|
37806 |
Undescended testis in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for (Anaes.) (Assist.) |
532.15 |
||||||
|
37809 |
Undescended testis, revision orchidopexy for (H) (Anaes.) (Assist.) |
532.15 |
||||||
|
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.) |
491.35 |
||||||
|
37815 |
Hypospadias, examination under anaesthesia with erection test (H) (Anaes.) |
81.90 |
||||||
|
37818 |
Hypospadias, glanuloplasty incorporating meatal advancement (Anaes.) (Assist.) |
434.30 |
||||||
|
37821 |
Hypospadias, distal, 1 stage repair (H) (Anaes.) (Assist.) |
736.15 |
||||||
|
37824 |
Hypospadias, proximal, 1 stage repair (H) (Anaes.) (Assist.) |
1 023.55 |
||||||
|
37827 |
Hypospadias, staged repair, first stage (H) (Anaes.) (Assist.) |
471.50 |
||||||
|
37830 |
Hypospadias, staged repair, second stage (Anaes.) (Assist.) |
610.95 |
||||||
|
37833 |
Hypospadias, repair of post operative urethral fistula (H) (Anaes.) (Assist.) |
291.60 |
||||||
|
37836 |
Epispadias, staged repair, first stage (H) (Anaes.) (Assist.) |
614.20 |
||||||
|
37839 |
Epispadias, staged repair, second stage (H) (Anaes.) (Assist.) |
695.95 |
||||||
|
37842 |
Exstrophy of bladder or epispadias, secondary repair with bladder neck tightening, with or without ureteric reimplantation (H) (Anaes.) (Assist.) |
1 351.20 |
||||||
|
37845 |
Ambiguous genitalia with urogenital sinus, reduction clitoroplasty, with or without endoscopy (H) (Anaes.) (Assist.) |
614.20 |
||||||
|
37848 |
Ambiguous genitalia with urogenital sinus, reduction clitoroplasty, with endoscopy and vaginoplasty (H) (Anaes.) (Assist.) |
1 105.45 |
||||||
|
37851 |
Congenital adrenal hyperplasia, mixed gonadal dysgenesis or similar condition, vaginoplasty for, with or without endoscopy (H) (Anaes.) (Assist.) |
818.95 |
||||||
|
37854 |
Urethral valve, destruction of, including cystoscopy and urethroscopy (H) (Anaes.) (Assist.) |
323.80 |
||||||
|
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.) |
393.60 |
||||||
|
38203 |
Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture, including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (Anaes.) |
469.65 |
||||||
|
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.) |
567.85 |
||||||
|
38209 |
Cardiac electrophysiological study -- up to and including 3 catheter investigation of any 1 or more of -- syncope, atrio‑ventricular conduction, sinus node function or simple ventricular tachycardia studies, not being a service associated with a service to which item 38212 or 38213 applies (Anaes.) |
729.05 |
||||||
|
38212 |
Cardiac electrophysiological study: (a) 4 or more catheter supraventricular tachycardia investigation; or (b) complex tachycardia inductions; or (c) multiple catheter mapping; or (d) acute intravenous anti‑arrhythmic drug testing with pre and post drug inductions; or |
1 212.75 |
||||||
|
|
(e) catheter ablation to intentionally induce complete AV block; or (f) intra‑operative mapping; or (g) electrophysiological services during defibrillator implantation or testing; not being a service associated with a service to which item 38209 or 38213 applies (Anaes.) |
|
||||||
|
38213 |
Cardiac electrophysiological study, for follow‑up testing of implanted defibrillator -- not being a service associated with a service to which item 38209 or 38212 applies (Anaes.) |
361.15 |
||||||
|
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.) |
392.00 |
||||||
|
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.) |
587.95 |
||||||
|
38220 |
Selective coronary graft angiography -- placement of 1 or more catheters and injection of opaque material into free coronary graft attached to the aorta (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38222, 38225, 38228, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.) |
196.00 |
||||||
|
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.) |
392.00 |
||||||
|
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.) |
588.00 |
||||||
|
38228 |
Selective coronary angiography -- placement of catheters and injection of opaque material into the native coronary arteries and placement of 1 or more catheters and injection of opaque material into direct internal mammary artery graft to 1 or more coronary arteries (irrespective of the number of grafts), not being a service associated with a service to which item 38215, 38218, 38220, 38222, 38225, 38231, 38234, 38237, 38240 or 38246 applies (Anaes.) |
784.05 |
||||||
|
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.) |
980.00 |
||||||
|
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.) |
783.95 |
||||||
|
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.) |
979.95 |
||||||
|
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.) |
1 175.90 |
||||||
|
38241 |
Use of a coronary pressure wire during selective coronary angiog r aphy to measure fractional flow reserve (FFR) and coronary flow reserve (CFR) in 1 or more intermediate coronary artery or graft lesions (stenosis of 30‑70%), to determine whether revascularisation should be performed where previous stress testing has either not been performed or the results are inconclusive (Anaes.) |
415.00 |
||||||
|
38243 |
Placement of 1 or more catheters and injection of opaque material into any 1 or more coronary vessels or grafts prior to any coronary interventional procedure, not being a service associated with a service to which item 38246 applies (Anaes.) |
392.00 |
||||||
|
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.) |
979.95 |
||||||
|
38256 |
Temporary transvenous pacemaking electrode, insertion of (Anaes.) |
236.10 |
||||||
|
38270 |
Balloon valvuloplasty or isolated atrial septostomy, including cardiac catheterisations before and after balloon dilatation (Anaes.) (Assist.) |
806.15 |
||||||
|
38272 |
Atrial septal defect, closure using a septal occluder or similar device by transcatheter approach (Anaes.) (Assist.) |
806.15 |
||||||
|
38275 |
Myocardial biopsy, by cardiac catheterisation (Anaes.) |
263.50 |
||||||
|
38285 |
Implantable ECG loop recorder, insertion of, for diagnosis of primary disorder, if: (a) the patient to whom the service is provided: (i) has recurrent unexplained syncope; and (ii) does not have a structural heart defect associated with a high risk of sudden cardiac death; and (b) a diagnosis has not been achieved through all other available cardiac investigations; and (c) a neurogenic cause is not suspected; including initial programming and testing (H) (Anaes.) |
170.45 |
||||||
|
38286 |
Implantable ECG loop recorder, removal of (H) (Anaes.) |
153.50 |
||||||
|
38287 |
Ablation of arrhythmia circuit or focus or isolation procedure involving 1 atrial chamber (Anaes.) (Assist.) |
1 854.20 |
||||||
|
38290 |
Ablation of arrhythmia circuits or foci, or isolation procedure involving both atrial chambers and including curative procedures for atrial fibrillation (H) (Anaes.) (Assist.) |
2 361.05 |
||||||
|
38293 |
Ventricular arrhythmia with mapping and ablation, including all associated electrophysiological studies performed on the same day (Anaes.) (Assist.) |
2 534.30 |
||||||
|
38300 |
Transluminal balloon angioplasty of 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services, radiological preparation and after‑care (Anaes.) (Assist.) |
455.45 |
||||||
|
38303 |
Transluminal balloon angioplasty of more than 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services, radiological preparation and after‑care (Anaes.) (Assist.) |
583.90 |
||||||
|
38306 |
Transluminal insertion of stent or stents into 1 occlusional site, including associated balloon dilatation of coronary artery, percutaneous or by open exposure, excluding associated radiological services, radiological preparation and after‑care (Anaes.) (Assist.) |
673.70 |
||||||
|
38309 |
Percutaneous transluminal rotational atherectomy of 1 coronary artery, including balloon angioplasty without stent insertion, if: (a) no lesion of the coronary artery has been stented; and (b) each lesion of the coronary artery is complex and heavily calcified; and (c) balloon angioplasty, with or without stenting, is not suitable; excluding associated radiological services, radiological preparation and after‑care (Anaes.) (Assist.) |
782.45 |
||||||
|
38312 |
Percutaneous transluminal rotational atherectomy of 1 coronary artery, including balloon angioplasty with the insertion of 1 or more stents, if: (a) no lesion of the coronary artery has been stented; and (b) each lesion of the coronary artery is complex and heavily calcified; and (c) balloon angioplasty, with or without stenting, is not suitable; excluding associated radiological services, radiological preparation and after‑care (H) (Anaes.) (Assist.) |
1 000.65 |
||||||
|
38315 |
Percutaneous transluminal rotational atherectomy of more than 1 coronary artery, including balloon angioplasty without stent insertion, if: (a) no lesion of the coronary artery has been stented; and (b) each lesion of the coronary arteries is complex and heavily calcified; and (c) balloon angioplasty, with or without stenting, is not suitable; excluding associated radiological services, radiological preparation and after‑care (H) (Anaes.) (Assist.) |
1 074.35 |
||||||
|
38318 |
Percutaneous transluminal rotational atherectomy of more than 1 coronary artery, including balloon angioplasty, with the insertion of 1 or more stents, if: (a) no lesion of the coronary artery has been stented; and (b) each lesion of the coronary arteries is complex and heavily calcified; and (c) balloon angioplasty with or without stenting is not suitable; excluding associated radiological services, radiological preparation and after‑care (H) (Anaes.) (Assist.) |
1 401.75 |
||||||
|
38321 |
Catheter based intravascular brachytherapy treatment of in‑stent restenoses in 1 coronary artery, catheterisation of, that: (a) uses automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration; and (b) includes balloon angioplasty in the same artery; and (c) is carried out by a cardiologist and a radiation oncologist; and (d) is carried out in association with: (i) items 15360 and 15541; or (ii) items 15363 and 15541; excluding associated radiological services, radiological preparation and after‑care (Anaes.) (Assist.) |
683.15 |
||||||
|
38324 |
Catheter based intravascular brachytherapy treatment of in‑stent restenoses in 1 coronary artery, catheterisation of, that: (a) uses automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration; and (b) includes balloon angioplasty and intravascular ultrasound in the same artery; (c) is carried out by a cardiologist and a radiation oncologist; and (d) is carried out in association with: (i) items 15360 and 15541; or (ii) items 15363 and 15541; excluding associated radiological services, radiological preparation and after‑care (Anaes.) (Assist.) |
910.20 |
||||||
|
38327 |
Catheter based intravascular brachytherapy treatment of in‑stent restenoses in 1 coronary artery, catheterisation of, that: (a) uses automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration; and (b) includes balloon angioplasty and percutaneous transluminal rotational atherectomy in the same artery; and (c) is carried out by a cardiologist and a radiation oncologist; and (d) is carried out in association with: (i) items 15360 and 15541; or (ii) items 15363 and 15541; excluding associated radiological services, radiological preparation and after‑care (Anaes.) (Assist.) |
1 010.15 |
||||||
|
38330 |
Catheter based intravascular brachytherapy treatment of in‑stent restenoses in 1 coronary artery, catheterisation of, that: (a) uses automated intravascular brachytherapy systems approved by the Therapeutic Goods Administration; and (b) includes balloon angioplasty, percutaneous transluminal rotational atherectomy and intravascular ultrasound in the same artery; and (c) is carried out by a cardiologist and a radiation oncologist; and (d) is carried out in association with: (i) items 15360 and 15541; or (ii) items 15363 and 15541; excluding associated radiological services, radiological preparation and after‑care (Anaes.) (Assist.) |
1 237.85 |
||||||
|
38350 |
Single chamber permanent transvenous electrode, insertion, removal or replacement of (Anaes.) |
564.40 |
||||||
|
38353 |
Permanent cardiac pacemaker, insertion, removal or replacement of -- not being a service for the purpose of cardiac resynchronisation therapy (H) (Anaes.) |
225.75 |
||||||
|
38356 |
Dual chamber permanent transvenous electrodes, insertion, removal or replacement of (H) (Anaes.) |
739.90 |
||||||
|
38358 |
Extraction, by percutaneous method, of a chronically implanted transvenous pacing or defibrillator lead, if the lead has been in place for more than 6 months, and requires removal: (a) with locking stylets, snares or extraction sheaths; and (b) in a facility where cardiac surgery is available; being a service associated with item 61109 or 60509 (H) (Anaes.) (Assist.) |
2 534.30 |
||||||
|
38359 |
Pericardium, paracentesis of (excluding after‑care) (Anaes.) |
118.05 |
||||||
|
38362 |
Intra‑aortic balloon pump, percutaneous insertion of (H) (Anaes.) |
340.10 |
||||||
|
38365 |
Permanent cardiac synchronisation device (including a cardiac synchronisation device that is capable of defibrillation), insertion, removal or replacement of (H) (Anaes.) (Item is subject to rule 95) |
225.75 |
||||||
|
38368 |
Permanent transvenous left ventricular electrode, insertion, removal or replacement of through the coronary sinus, for the purpose of cardiac resynchronisation therapy, including right heart catheterisation and any associated venogram of left ventricular veins -- not being a service associated with a service to which item 35200 or 38200 applies (H) (Anaes.) (Item is subject to rule 95) |
1 082.10 |
||||||
|
38371 |
Permanent cardiac syncronisation device capable of defibrillation, insertion, removal or replacement of, for a patient who has moderate to severe chronic heart failure (NYHA class III or IV) despite optimised medical therapy and who meets all of the following criteria: (a) sinus rhythm; (b) a left ventricular ejection fraction of less than or equal to 35%; (c) a QRS duration greater than or equal to 120 ms (H) (Anaes.) |
254.35 |
||||||
|
38384 |
Automatic defibrillator, insertion of patches for, or insertion of transvenous endocardial defibrillation electrodes for, primary prevention of sudden cardiac death in: (a) a patient with a left ventricular ejection fraction of less than or equal to 30% at least 1 month after a myocardial infarct despite optimised medical therapy; or (b) a patient with chronic heart failure associated with mild to moderate symptoms (NYHA II and III) and a left ventricular ejection fraction less than or equal to 35% despite optimised medical therapy; not being a service associated with a service to which item 38213 applies (H) (Anaes.) (Assist.) |
930.20 |
||||||
|
38387 |
Automatic defibrillation generator (other than a defibrillator capable of cardiac resynchronisation therapy), insertion or replacement of, for primary prevention of sudden cardiac death in: (a) a patient with a left ventricular ejection fraction of less than or equal to 30% at least 1 month after a myocardial infarct despite optimised medical therapy; or (b) a patient with chronic heart failure associated with mild to moderate symptoms (NYHA II and III) and a left ventricular ejection fraction less than or equal to 35% despite optimised medical therapy; not being a service associated with a service to which item 38213 applies (H) (Anaes.) (Assist.) |
254.35 |
||||||
|
38390 |
Automatic defibrillator, insertion of patches or transvenous endocardial defibrillation electrodes for, not being for primary prevention for tachycardia arrhythmias and not being a service associated with a service to which item 38213 applies (H) (Anaes.) (Assist.) |
930.20 |
||||||
|
38393 |
Automatic defibrillator generator (other than a defibrillator capable of cardiac resynchronisation therapy), insertion or replacement of ,not being for primary prevention for tachycardia arrhythmias and not being a service associated with a service to which item 38213 applies (H) (Anaes.) (Assist.) |
254.35 |
||||||
|
38415 |
Empyema, radical operation for, involving resection of rib (Anaes.) (Assist.) |
352.85 |
||||||
|
38418 |
Thoracotomy, exploratory, with or without biopsy (H) (Anaes.) (Assist.) |
846.90 |
||||||
|
38421 |
Thoracotomy, with pulmonary decortication (H) (Anaes.) (Assist.) |
1 353.75 |
||||||
|
38424 |
Thoracotomy, with pleurectomy or pleurodesis, or enucleation of hydatid cysts (H) (Anaes.) (Assist.) |
846.90 |
||||||
|
38427 |
Thoracoplasty (complete) -- 3 or more ribs (H) (Anaes.) (Assist.) |
1 045.70 |
||||||
|
38430 |
Thoracoplasty (in stages) -- each stage (H) (Anaes.) (Assist.) |
538.95 |
||||||
|
38436 |
Thoracoscopy, with or without division of pleural adhesions, including insertion of intercostal catheter, where necessary, with or without biopsy (H) (Anaes.) |
220.70 |
||||||
|
38438 |
Pneumonectomy or lobectomy or segmentectomy not being a service associated with a service to which item 38418 applies (H) (Anaes.) (Assist.) |
1 353.75 |
||||||
|
38440 |
Lung, wedge resection of (H) (Anaes.) (Assist.) |
1 013.70 |
||||||
|
38441 |
Radical lobectomy or pneumonectomy including resection of chest wall, diaphragm, pericardium, or formal mediastinal node dissection (H) (Anaes.) (Assist.) |
1 603.95 |
||||||
|
38446 |
Thoracotomy or sternotomy, for removal of thymus or mediastinal tumour (H) (Anaes.) (Assist.) |
1 045.70 |
||||||
|
38447 |
Pericardiectomy via sternotomy or anterolateral thoracotomy without cardiopulmonary bypass (H) (Anaes.) (Assist.) |
1 353.75 |
||||||
|
38448 |
Mediastinum, cervical exploration of, with or without biopsy (H) (Anaes.) (Assist.) |
320.80 |
||||||
|
38449 |
Pericardiectomy via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass (H) (Anaes.) (Assist.) |
1 893.85 |
||||||
|
38450 |
Pericardium, transthoracic open surgical drainage of (H) (Anaes.) (Assist.) |
757.00 |
||||||
|
38452 |
Pericardium, sub‑xyphoid open surgical drainage of (H) (Anaes.) (Assist.) |
506.95 |
||||||
|
38453 |
Tracheal excision and repair without cardiopulmonary bypass (H) (Anaes.) (Assist.) |
1 520.65 |
||||||
|
38455 |
Tracheal excision and repair of, with cardiopulmonary bypass (H) (Anaes.) (Assist.) |
2 056.85 |
||||||
|
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.) |
1 353.75 |
||||||
|
38457 |
Pectus excavatum or pectus carinatum, repair or radical correction of (H) (Anaes.) (Assist.) |
1 263.85 |
||||||
|
38458 |
Pectus excavatum, repair of, with implantation of subcutaneous prosthesis (H) (Anaes.) (Assist.) |
673.70 |
||||||
|
38460 |
Sternal wires or wires, removal of (H) (Anaes.) |
243.35 |
||||||
|
38462 |
Sternotomy wound, debridement of, not involving reopening of the mediastinum (H) (Anaes.) |
288.40 |
||||||
|
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.) |
313.50 |
||||||
|
38466 |
Sternum, re‑operation on, for dehiscence or infection involving reopening of the mediastinum, with or without rewiring (H) (Anaes.) (Assist.) |
846.55 |
||||||
|
38468 |
Sternum and mediastinum, re‑operation for infection of, involving muscle advancement flaps or greater omentum (H) (Anaes.) (Assist.) |
1 304.45 |
||||||
|
38469 |
Sternum and mediastinum, re‑operation for infection of, involving muscle advancement flaps and greater omentum (H) (Anaes.) (Assist.) |
1 520.65 |
||||||
|
38470 |
Permanent myocardial electrode, insertion of, by thoracotomy or sternotomy (H) (Anaes.) (Assist.) |
846.90 |
||||||
|
38473 |
Permanent pacemaker electrode, insertion by open surgical approach (H) (Anaes.) (Assist.) |
506.95 |
||||||
|
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.) |
735.00 |
||||||
|
38477 |
Valve annuloplasty with insertion of ring not being a service to which item 38478 applies (H) (Anaes.) (Assist.) |
1 770.25 |
||||||
|
38478 |
Valve annuloplasty with insertion of ring performed in conjunction with item 38480 or 38481 (H) (Anaes.) (Assist.) |
857.55 |
||||||
|
38480 |
Valve repair, 1 leaflet (H) (Anaes.) (Assist.) |
1 770.25 |
||||||
|
38481 |
Valve repair, 2 or more leaflets (H) (Anaes.) (Assist.) |
2 015.30 |
||||||
|
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.) |
1 520.65 |
||||||
|
38485 |
Mitral annulus, reconstruction of, after decalcification, when performed in association with valve surgery (H) (Anaes.) (Assist.) |
722.05 |
||||||
|
38487 |
Mitral valve, open valvotomy of (H) (Anaes.) (Assist.) |
1 520.65 |
||||||
|
38488 |
Valve replacement with bioprosthesis or mechanical prosthesis (H) (Anaes.) (Assist.) |
1 687.40 |
||||||
|
38489 |
Valve replacement with allograft (subcoronary or cylindrical implant), or unstented xenograft (H) (Anaes.) (Assist.) |
2 006.80 |
||||||
|
38490 |
Sub‑valvular structures, reconstruction and re‑implantation of, associated with mitral and tricuspid valve replacement (H) (Anaes.) (Assist.) |
490.00 |
||||||
|
38493 |
Operative management of acute infective endocarditis, in association with heart valve surgery (H) (Anaes.) (Assist.) |
1 729.85 |
||||||
|
38496 |
Artery harvesting (other than internal mammary), for coronary artery bypass (H) (Anaes.) (Assist.) |
551.35 |
||||||
|
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.) |
1 809.30 |
||||||
|
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.) |
1 809.30 |
||||||
|
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.) |
1 944.00 |
||||||
|
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.) |
1 944.00 |
||||||
|
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.) |
2 110.75 |
||||||
|
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.) |
2 110.75 |
||||||
|
38505 |
Coronary endarterectomy, by open operation, including repair with 1 or more patch grafts, each vessel (H) (Anaes.) (Assist.) |
245.00 |
||||||
|
38506 |
Left ventricular aneurysm, plication of (H) (Anaes.) (Assist.) |
1 437.05 |
||||||
|
38507 |
Left ventricular aneurysm resection with primary repair (H) (Anaes.) (Assist.) |
1 687.05 |
||||||
|
38508 |
Left ventricular aneurysm resection with patch reconstruction of the left ventricle (H) (Anaes.) (Assist.) |
2 110.75 |
||||||
|
38509 |
Ischaemic ventricular septal rupture, repair of (H) (Anaes.) (Assist.) |
2 110.75 |
||||||
|
38512 |
Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving 1 atrial chamber only (H) (Anaes.) (Assist.) |
1 854.20 |
||||||
|
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.) |
2 361.05 |
||||||
|
38518 |
Ventricular arrhythmia with mapping and muscle ablation, with or without aneurysmeotomy (H) (Anaes.) (Assist.) |
2 534.30 |
||||||
|
38550 |
Ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (H) (Anaes.) (Assist.) |
1 896.45 |
||||||
|
38553 |
Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (H) (Anaes.) (Assist.) |
2 403.30 |
||||||
|
38556 |
Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (H) (Anaes.) (Assist.) |
2 743.45 |
||||||
|
38559 |
Aortic arch and ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (H) (Anaes.) (Assist.) |
2 236.50 |
||||||
|
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.) |
2 743.45 |
||||||
|
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.) |
3 077.00 |
||||||
|
38568 |
Descending thoracic aorta, repair or replacement of, without shunt or cardiopulmonary bypass, by open exposure, percutaneous or endovascular means (H) (Anaes.) (Assist.) |
1 646.15 |
||||||
|
38571 |
Descending thoracic aorta, repair or replacement of, using shunt or cardiopulmonary bypass (H) (Anaes.) (Assist.) |
1 813.00 |
||||||
|
38572 |
Operative management of acute rupture or dissection, in conjunction with procedures on the thoracic aorta (H) (Anaes.) (Assist.) |
1 755.85 |
||||||
|
38577 |
Cannulation for, and supervision and monitoring of, the administration of retrograde cerebral perfusion during deep hypothermic arrest (H) (Assist.) |
490.00 |
||||||
|
38588 |
Cannulation of the coronary sinus for, and supervision of, the retrograde administration of blood or crystalloid for cardioplegia, including pressure monitoring (H) (Assist.) |
367.60 |
||||||
|
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.) |
1 353.75 |
||||||
|
38603 |
Peripheral cannulation for cardiopulmonary bypass excluding post‑operative management (H) (Anaes.) (Assist.) |
846.90 |
||||||
|
38609 |
Intra‑aortic balloon pump, insertion of, by arteriotomy (H) (Anaes.) (Assist.) |
423.40 |
||||||
|
38612 |
Intra‑aortic balloon pump, removal of, with closure of artery by direct suture (Anaes.) (Assist.) |
474.60 |
||||||
|
38613 |
Intra‑aortic balloon pump, removal of, with closure of artery by patch graft (H) (Anaes.) (Assist.) |
595.70 |
||||||
|
38615 |
Left or right ventricular assist device, insertion of (H) (Anaes.) (Assist.) |
1 353.75 |
||||||
|
38618 |
Left and right ventricular assist device, insertion of (H) (Anaes.) (Assist.) |
1 687.40 |
||||||
|
38621 |
Left or right ventricular assist device, removal of, as an independent procedure (H) (Anaes.) (Assist.) |
673.70 |
||||||
|
38624 |
Left and right ventricular assist device, removal of, as an independent procedure (H) (Anaes.) (Assist.) |
757.00 |
||||||
|
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.) |
591.65 |
||||||
|
38637 |
Patent diseased coronary artery bypass vein graft or grafts, dissection, disconnection and oversewing of (H) (Anaes.) (Assist.) |
490.00 |
||||||
|
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.) |
846.90 |
||||||
|
38643 |
Thoracotomy or sternotomy involving division of adhesions where the time taken to divide the adhesions exceeds 45 minutes (H) (Anaes.) (Assist.) |
943.15 |
||||||
|
38647 |
Thoracotomy or sternotomy involving division of extensive adhesions where the time taken to divide the adhesions exceeds 2 hours (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
38650 |
Myomectomy or myotomy for hypertrophic obstructive cardiomyopathy (H) (Anaes.) (Assist.) |
1 687.40 |
||||||
|
38653 |
Open heart surgery, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
1 687.40 |
||||||
|
38654 |
Permanent left ventricular electrode, insertion, removal or replacement of via open thoracotomy, for the purpose of cardiac resynchronisation therapy (H) (Anaes.) (Assist.) (Item is subject to rule 95) |
1 082.10 |
||||||
|
38656 |
Thoracotomy or median sternotomy for post‑operative bleeding (H) (Anaes.) (Assist.) |
846.90 |
||||||
|
38670 |
Cardiac tumour, excision of, involving the wall of the atrium or inter‑atrial septum, without patch or conduit reconstruction (H) (Anaes.) (Assist.) |
1 687.05 |
||||||
|
38673 |
Cardiac tumour, excision of, involving the wall of the atrium or inter‑atrial septum, requiring reconstruction with patch or conduit (H) (Anaes.) (Assist.) |
1 898.85 |
||||||
|
38677 |
Cardiac tumour arising from ventricular myocardium, partial thickness excision of (H) (Anaes.) (Assist.) |
1 776.40 |
||||||
|
38680 |
Cardiac tumour arising from ventricular myocardium, full thickness excision of including repair or reconstruction (Anaes.) (Assist.) |
2 107.10 |
||||||
|
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.) |
943.15 |
||||||
|
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.) |
1 700.20 |
||||||
|
38706 |
Aorta, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 610.35 |
||||||
|
38709 |
Aorta, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
38712 |
Aortic interruption, repair of, for congenital heart disease (H) (Anaes.) (Assist.) |
2 264.90 |
||||||
|
38715 |
Main pulmonary artery, banding, debanding or repair of, without cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 507.75 |
||||||
|
38718 |
Main pulmonary artery, banding, debanding or repair of, with cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
38721 |
Vena cava, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 321.70 |
||||||
|
38724 |
Vena cava, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
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.) |
1 321.70 |
||||||
|
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.) |
1 886.15 |
||||||
|
38733 |
Systemic pulmonary or cavo‑pulmonary shunt, creation of, without cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 321.70 |
||||||
|
38736 |
Systemic pulmonary or cavo‑pulmonary shunt, creation of, with cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
38739 |
Atrial septectomy, with or without cardiopulmonary bypass, for congenital heart disease (H) (Anaes.) (Assist.) |
1 700.20 |
||||||
|
38742 |
Atrial septal defect, closure by open exposure and direct suture or patch, for congenital heart disease (H) (Anaes.) (Assist.) |
1 700.20 |
||||||
|
38745 |
Intra‑atrial baffle, insertion of, for congenital heart disease (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
38748 |
Ventricular septectomy, for congenital heart disease (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
38751 |
Ventricular septal defect, closure by direct suture or patch, for congenital heart disease (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
38754 |
Intraventricular baffle or conduit, insertion of, for congenital heart disease (H) (Anaes.) (Assist.) |
2 361.05 |
||||||
|
38757 |
Extracardiac conduit, insertion of, for congenital heart disease (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
38760 |
Extracardiac conduit, replacement of, for congenital heart disease (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
38763 |
Ventricular myectomy, for relief of ventricular obstruction, right or left, for congenital heart disease (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
38766 |
Ventricular augmentation, right or left, for congenital heart disease (H) (Anaes.) (Assist.) |
1 886.15 |
||||||
|
38800 |
Thoracic cavity, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38803 applies |
34.05 |
||||||
|
38803 |
Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample |
67.90 |
||||||
|
38806 |
Intercostal drain, insertion of, not involving resection of rib (excluding after‑care) (Anaes.) |
118.05 |
||||||
|
38809 |
Intercostal drain, insertion of, with pleurodesis and not involving resection of rib (excluding after‑care) (Anaes.) |
145.45 |
||||||
|
38812 |
Percutaneous needle biopsy of lung (Anaes.) |
184.85 |
||||||
|
Subgroup 7 -- Neurosurgical |
||||||||
|
39000 |
Lumbar puncture (Anaes.) |
66.55 |
||||||
|
39003 |
Cisternal puncture (Anaes.) |
75.70 |
||||||
|
39006 |
Ventricular puncture (not including burr‑hole) (Anaes.) |
140.90 |
||||||
|
39009 |
Subdural haemorrhage, tap for, each tap (H) (Anaes.) |
52.45 |
||||||
|
39012 |
Burr‑hole, single, preparatory to ventricular puncture or for inspection purpose -- not being a service to which another item applies (H) (Anaes.) |
209.95 |
||||||
|
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.) |
96.50 |
||||||
|
39015 |
Ventricular reservoir, external ventricular drain or intracranial pressure monitoring device, insertion of -- including burr‑hole (excluding after‑care) (H) (Anaes.) (Assist.) |
332.25 |
||||||
|
39018 |
Cerebrospinal fluid reservoir, insertion of (H) (Anaes.) (Assist.) |
332.25 |
||||||
|
39100 |
Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (Anaes.) |
209.95 |
||||||
|
39106 |
Neurectomy, intracranial, for trigeminal neuralgia (H) (Anaes.) (Assist.) |
1 049.95 |
||||||
|
39109 |
Trigeminal gangliotomy by radiofrequency, balloon or glycerol (Anaes.) |
392.05 |
||||||
|
39112 |
Cranial nerve, intracranial decompression of, using microsurgical techniques (H) (Anaes.) (Assist.) |
1 362.20 |
||||||
|
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.) |
66.55 |
||||||
|
39118 |
Percutaneous neurotomy for facet joint denervation by radio‑frequency probe or cryoprobe using radiological imaging control (Anaes.) (Assist.) |
263.15 |
||||||
|
39121 |
Percutaneous cordotomy (Anaes.) (Assist.) |
558.25 |
||||||
|
39124 |
Cordotomy or myelotomy, partial or total laminectomy for, or operation for dorsal root entry zone (Drez) lesion (H) (Anaes.) (Assist.) |
1 428.65 |
||||||
|
39125 |
Intrathecal or epidural spinal catheter, insertion or replacement of, and connection to a subcutaneous implanted infusion pump, for the management of chronic intractable pain (H) (Anaes.) (Assist.) |
263.35 |
||||||
|
39126 |
All of the following: (a) infusion pump, subcutaneous implantation or replacement of; (b) connection of the pump to an intrathecal or epidural spinal catheter; (c) filling of reservoir with a therapeutic agent or agents; with or without programming the pump, for the management of chronic intractable pain (H) (Anaes.) (Assist.) |
319.80 |
||||||
|
39127 |
Subcutaneous reservoir and spinal catheter, insertion of, for the management of chronic intractable pain (H) (Anaes.) |
418.55 |
||||||
|
39128 |
All of the following: (a) infusion pump, subcutaneous implantation of; (b) intrathecal or epidural spinal catheter, insertion of; (c) connection of pump to catheter; (d) filling of reservoir with a therapeutic agent or agents; with or without programming the pump, for the management of chronic intractable pain (H) (Anaes.) (Assist.) |
583.15 |
||||||
|
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.) |
595.75 |
||||||
|
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 |
112.95 |
||||||
|
39133 |
Either: (a) subcutaneously implanted infusion pump, removal of; or (b) intrathecal or epidural spinal catheter, removal or repositioning of; for the management of chronic intractable pain (H) (Anaes.) |
140.90 |
||||||
|
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.) |
301.00 |
||||||
|
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.) |
140.90 |
|||||||
|
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.) |
140.90 |
||||||
|
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.) |
534.95 |
||||||
|
39138 |
Peripheral nerve lead, surgical placement of, including intraoperative test stimulation, for chronic intractable neuropathic pain or pain from refractory angina pectoris --not exceeding 4 leads (Anaes.) (Assist.) |
595.75 |
||||||
|
39139 |
Epidural lead, surgical placement of 1 or more of by partial or total 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.) |
799.75 |
||||||
|
39140 |
Epidural catheter, insertion of, under imaging control, with epidurogram and epidural therapeutic injection for lysis of adhesions (Anaes.) |
258.75 |
||||||
|
39300 |
Cutaneous nerve (including digital nerve), primary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) |
312.25 |
||||||
|
39303 |
Cutaneous nerve (including digital nerve), secondary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) |
411.85 |
||||||
|
39306 |
Nerve trunk, primary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) |
598.10 |
||||||
|
39309 |
Nerve trunk, secondary repair of, using microsurgical techniques (H) (Anaes.) (Assist.) |
631.20 |
||||||
|
39312 |
Nerve trunk, internal (interfascicular) , neurolysis of, using microsurgical techniques (H) (Anaes.) (Assist.) |
352.15 |
||||||
|
39315 |
Nerve trunk, nerve graft to, (cable graft) including harvesting of nerve graft using microsurgical techniques (H) (Anaes.) (Assist.) |
910.30 |
||||||
|
39318 |
Cutaneous nerve (including digital nerve), nerve graft to, using microsurgical techniques (H) (Anaes.) (Assist.) |
564.80 |
||||||
|
39321 |
Nerve, transposition of (H) (Anaes.) (Assist.) |
418.55 |
||||||
|
39323 |
Percutaneous neurotomy by cryotherapy or radiofrequency lesion generator, not being a service to which another item applies (Anaes.) (Assist.) |
244.55 |
||||||
|
39324 |
Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve, by open operation (Anaes.) (Assist.) |
244.55 |
||||||
|
39327 |
Neurectomy, neurotomy or removal of tumour from deep peripheral or cranial nerve, by open operation, not being a service to which item 41575, 41576, 41578 or 41579 applies (H) (Anaes.) (Assist.) |
418.55 |
||||||
|
39330 |
Neurolysis by open operation without transposition, not being a service associated with a service to which item 39312 applies (H) (Anaes.) (Assist.) |
244.55 |
||||||
|
39331 |
Carpal tunnel release (division of transverse carpal ligament), by any method (Anaes.) |
244.55 |
||||||
|
39333 |
Brachial plexus, exploration of, not being a service to which another item in this group applies (Anaes.) (Assist.) |
352.15 |
||||||
|
39500 |
Vestibular nerve, section of, via posterior fossa (H) (Anaes.) (Assist.) |
1 123.05 |
||||||
|
39503 |
Facio‑hypoglossal nerve or facio‑accessory nerve, anastomosis of (H) (Anaes.) (Assist.) |
843.85 |
||||||
|
39600 |
Intracranial haemorrhage, burr‑hole craniotomy for -- including burr‑holes (H) (Anaes.) (Assist.) |
418.55 |
||||||
|
39603 |
Intracranial haemorrhage, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (H) (Anaes.) (Assist.) |
1 056.55 |
||||||
|
39606 |
Fractured skull, depressed or comminuted, operation for (H) (Anaes.) (Assist.) |
704.35 |
||||||
|
39609 |
Fractured skull, compound, without dural penetration, operation for (H) (Anaes.) (Assist.) |
843.85 |
||||||
|
39612 |
Fractured skull, compound, depressed or complicated, with dural penetration and brain laceration, operation for (H) (Anaes.) (Assist.) |
990.10 |
||||||
|
39615 |
Fractured skull with rhinorrhoea or otorrhoea, cranioplasty and repair of (H) (Anaes.) (Assist.) |
1 056.55 |
||||||
|
39640 |
Tumour involving anterior cranial fossa, removal of, involving craniotomy, radical excision of the skull base, and dural repair (H) (Anaes.) (Assist.) |
2 678.90 |
||||||
|
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.) |
2 816.40 |
||||||
|
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.) |
3 228.45 |
||||||
|
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.) |
2 335.40 |
||||||
|
39653 |
Petro‑clival and clival tumour, removal of, by supra and infratentorial approaches for radical or sub‑total radical excision (intracranial procedure), not being a service to which item 39654 or 39656 applies (H) (Anaes.) (Assist.) |
4 155.85 |
||||||
|
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.) |
3 022.45 |
||||||
|
39656 |
Petro‑clival and clival tumour, removal of, by supra and infratentorial approaches for radical or sub‑total radical excision (intracranial procedure), conjoint surgery, co‑surgeon (H) (Assist.) |
2 266.80 |
||||||
|
39658 |
Tumour involving the clivus, radical or sub‑total radical excision of, involving transoral or transmaxillary approach (H) (Anaes.) (Assist.) |
2 678.90 |
||||||
|
39660 |
Tumour or vascular lesion of cavernous sinus, radical excision of, involving craniotomy with or without intracranial carotid artery exposure (H) (Anaes.) (Assist.) |
2 678.90 |
||||||
|
39662 |
Tumour or vascular lesion of foramen magnum, radical excision of, via transcondylar or far lateral suboccipital approach (H) (Anaes.) (Assist.) |
2 678.90 |
||||||
|
39700 |
Skull tumour, benign or malignant, excision of, excluding cranioplasty (H) (Anaes.) (Assist.) |
491.85 |
||||||
|
39703 |
Intracranial tumour, cyst or other brain tissue, burr‑hole and biopsy of, or drainage of, or both (H) (Anaes.) (Assist.) |
458.50 |
||||||
|
39706 |
Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (H) (Anaes.) (Assist.) |
983.35 |
||||||
|
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.) |
1 402.10 |
||||||
|
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.) |
2 531.60 |
||||||
|
39715 |
Pituitary tumour, removal of, by transcranial or transphenoidal approach (H) (Anaes.) (Assist.) |
1 754.30 |
||||||
|
39718 |
Arachnoidal cyst, craniotomy for (H) (Anaes.) (Assist.) |
770.80 |
||||||
|
39721 |
Craniotomy, involving osteoplastic flap, for re‑opening post‑operatively for haemorrhage, swelling, etc (H) (Anaes.) (Assist.) |
704.35 |
||||||
|
39800 |
Aneurysm, clipping or reinforcement of sac (H) (Anaes.) (Assist.) |
2 525.05 |
||||||
|
39803 |
Intracranial arteriovenous malformation, excision of (H) (Anaes.) (Assist.) |
2 525.05 |
||||||
|
39806 |
Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping of (H) (Anaes.) (Assist.) |
1 136.20 |
||||||
|
39812 |
Intracranial aneurysm or arteriovenous fistula, ligation of cervical vessel or vessels (H) (Anaes.) (Assist.) |
558.25 |
||||||
|
39815 |
Carotid‑cavernous fistula, obliteration of -- combined cervical and intracranial procedure (Anaes.) (Assist.) |
1 614.65 |
||||||
|
39818 |
Extracranial to intracranial bypass using superficial temporal artery (H) (Anaes.) (Assist.) |
1 614.65 |
||||||
|
39821 |
Extracranial to intracranial bypass using saphenous vein graft (H) (Anaes.) (Assist.) |
1 917.30 |
||||||
|
39900 |
Intracranial infection, drainage of, via burr‑hole -- including burr‑hole (H) (Anaes.) (Assist.) |
458.50 |
||||||
|
39903 |
Intracranial abscess, excision of (H) (Anaes.) (Assist.) |
1 402.10 |
||||||
|
39906 |
Osteomyelitis of skull or removal of infected bone flap, craniectomy for (H) (Anaes.) (Assist.) |
704.35 |
||||||
|
40000 |
Ventriculo‑cisternostomy (Torkildsen's operation) (H) (Anaes.) (Assist.) |
810.65 |
||||||
|
40003 |
Cranial or cisternal shunt diversion, insertion of (H) (Anaes.) (Assist.) |
810.65 |
||||||
|
40006 |
Lumbar shunt diversion, insertion of (H) (Anaes.) (Assist.) |
637.90 |
||||||
|
40009 |
Cranial, cisternal or lumbar shunt, revision or removal of (H) (Anaes.) (Assist.) |
465.10 |
||||||
|
40012 |
Third ventriculostomy (open or endoscopic) with or without endoscopic septum pellucidotomy (H) (Anaes.) (Assist.) |
910.30 |
||||||
|
40015 |
Subtemporal decompression (H) (Anaes.) (Assist.) |
564.40 |
||||||
|
40018 |
Lumbar cerebrospinal fluid drain, insertion of (Anaes.) |
140.90 |
||||||
|
40100 |
Meningocele, excision and closure of (H) (Anaes.) (Assist.) |
611.30 |
||||||
|
40103 |
Myelomeningocele, excision and closure of, including skin flaps or Z plasty where performed (H) (Anaes.) (Assist.) |
897.10 |
||||||
|
40106 |
Arnold‑Chiari malformation, decompression of (H) (Anaes.) (Assist.) |
910.30 |
||||||
|
40109 |
Encephalocoele, excision and closure of (H) (Anaes.) (Assist.) |
983.35 |
||||||
|
40112 |
Tethered cord, release of, including lipomeningocele or diastematomyelia (H) (Anaes.) (Assist.) |
1 262.50 |
||||||
|
40115 |
Craniostenosis, operation for -- single suture (H) (Anaes.) (Assist.) |
637.90 |
||||||
|
40118 |
Craniostenosis, operation for -- more than 1 suture (H) (Anaes.) (Assist.) |
843.85 |
||||||
|
40300 |
Intervertebral disc or discs, partial or total laminectomy for removal of (H) (Anaes.) (Assist.) |
843.85 |
||||||
|
40301 |
Intervertebral disc or discs, microsurgical partial or total discectomy of (H) (Anaes.) (Assist.) |
846.55 |
||||||
|
40303 |
Recurrent disc lesion or spinal stenosis, or both, partial or total laminectomy for -- 1 level (H) (Anaes.) (Assist.) |
963.45 |
||||||
|
40306 |
Spinal stenosis, partial or total laminectomy for, involving more than 1 vertebral interspace (disc level) (H) (Anaes.) (Assist.) |
1 269.15 |
||||||
|
40309 |
Extradural tumour or abscess, partial or total laminectomy for (H) (Anaes.) (Assist.) |
963.45 |
||||||
|
40312 |
Intradural lesion, partial or total laminectomy for, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
1 295.70 |
||||||
|
40315 |
Craniocervical junction lesion, transoral approach for (H) (Anaes.) (Assist.) |
1 402.10 |
||||||
|
40316 |
Odontoid screw fixation (H) (Anaes.) (Assist.) |
1 837.70 |
||||||
|
40318 |
Intramedullary tumour or arteriovenous malformation, partial or total laminectomy and radical excision of (H) (Anaes.) (Assist.) |
1 754.30 |
||||||
|
40321 |
Posterior spinal fusion, not being a service to which items 40324 and 40327 apply (H) (Anaes.) (Assist.) |
963.45 |
||||||
|
40324 |
Partial or total laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together -- laminectomy, including after‑care (H) (Anaes.) (Assist.) |
564.80 |
||||||
|
40327 |
Partial or total laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together -- posterior fusion, including after‑care (H) (Assist.) |
564.80 |
||||||
|
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 partial or total laminectomy (H) (Anaes.) (Assist.) |
843.85 |
||||||
|
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.) |
843.85 |
||||||
|
40332 |
Cervical decompression of spinal cord with or without involvement of nerve roots, including anterior fusion, 1 level, not being a service to which item 40330 applies (H) (Anaes.) (Assist.) |
1 377.00 |
||||||
|
40333 |
Cervical partial or total discectomy (anterior), without fusion (H) (Anaes.) (Assist.) |
704.35 |
||||||
|
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.) |
931.20 |
||||||
|
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.) |
1 710.30 |
||||||
|
40336 |
Intradiscal injection of chymopapain (discase) -- 1 disc (H) (Anaes.) (Assist.) |
279.15 |
||||||
|
40339 |
Hydromyelia, plugging of obex for, with or without duroplasty (H) (Anaes.) (Assist.) |
1 402.10 |
||||||
|
40342 |
Hydromyelia, craniotomy and partial or total laminectomy for, with cavity packing and CSF shunt (H) (Anaes.) (Assist.) |
1 295.70 |
||||||
|
40345 |
Thoracic decompression of spinal cord with or without involvement of nerve roots, via pedicle or costotransversectomy (H) (Anaes.) (Assist.) |
1 206.20 |
||||||
|
40348 |
Thoracic decompression of spinal cord via thoracotomy with vertebrectomy, not including stabilisation procedure (H) (Anaes.) (Assist.) |
1 531.40 |
||||||
|
40351 |
Thoraco‑lumbar or high lumbar anterior decompression of spinal cord, not including stabilisation procedure (H) (Anaes.) (Assist.) |
1 531.40 |
||||||
|
40600 |
Cranioplasty, reconstructive (H) (Anaes.) (Assist.) |
843.85 |
||||||
|
40700 |
Corpus callosum, anterior section of, for epilepsy (H) (Anaes.) (Assist.) |
1 541.65 |
||||||
|
40703 |
Corticectomy, topectomy or partial lobectomy for epilepsy (H) (Anaes.) (Assist.) |
1 295.70 |
||||||
|
40706 |
Hemispherectomy for intractable epilepsy (Anaes.) (Assist.) |
1 893.75 |
||||||
|
40709 |
Burr‑hole placement of intracranial depth or surface electrodes (H) (Anaes.) (Assist.) |
458.50 |
||||||
|
40712 |
Intracranial electrode placement via craniotomy (H) (Anaes.) (Assist.) |
923.60 |
||||||
|
40800 |
Stereotactic anatomical localisation, as an independent procedure (Anaes.) (Assist.) |
564.40 |
||||||
|
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.) |
1 542.65 |
||||||
|
40803 |
Intracranial stereotactic procedure by any method, not being a service to which item 40800 or 40801 applies (Anaes.) (Assist.) |
1 056.55 |
||||||
|
40850 |
Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations -- functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes (H) (Anaes.) (Assist.) |
2 001.05 |
||||||
|
40851 |
Deep brain stimulation (bilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations -- functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation including twist drill, burr hole craniotomy or craniectomy and insertion of electrodes (H) (Anaes.) (Assist.) |
3 501.90 |
||||||
|
40852 |
Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations -- subcutaneous placement of neurostimulator receiver or pulse generator. (H) (Anaes.) (Assist.) |
301.00 |
||||||
|
40854 |
Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations -- revision or removal of brain electrode (H) (Anaes.) |
465.10 |
||||||
|
40856 |
Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations -- removal or replacement of neurostimulator receiver or pulse generator (H) (Anaes.) |
225.75 |
||||||
|
40858 |
Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations -- placement, removal or replacement of extension lead (H) (Anaes.) |
465.10 |
||||||
|
40860 |
Deep brain stimulation (unilateral) for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations -- target localisation incorporating anatomical and physiological techniques, including intra‑operative clinical evaluation, for the insertion of a single neurostimulation wire (H) (Anaes.) |
1 787.40 |
||||||
|
40862 |
Deep brain stimulation for Parkinson's disease where the patient's response to medical therapy is not sustained and is accompanied by unacceptable motor fluctuations -- electronic analysis and programming of neurostimulator pulse generator (Anaes.) |
167.55 |
||||||
|
40903 |
Neuroendoscopy, for inspection of an intraventricular lesion, with or without biopsy including burr‑hole (H) (Anaes.) (Assist.) |
490.00 |
||||||
|
40905 |
Craniotomy, performed in association with items 45767, 45776, 45782 and 45785 for the correction of craniofacial abnormalities (Anaes.) |
531.65 |
||||||
|
Subgroup 8 -- e ar, nose and throat |
||||||||
|
41500 |
Ear, foreign body (other than ventilating tube) in, removal of, other than by simple syringing (Anaes.) |
72.90 |
||||||
|
41503 |
Ear, removal of foreign body in, involving incision of external auditory canal (Anaes.) |
211.05 |
||||||
|
41506 |
Aural polyp, removal of (Anaes.) |
127.25 |
||||||
|
41509 |
External auditory meatus, surgical removal of keratosis obturans from, not being a service to which another item in this group applies (Anaes.) |
144.00 |
||||||
|
41512 |
Meatoplasty involving removal of cartilage or bone or both cartilage and bone, not being a service to which item 41515 applies (H) (Anaes.) (Assist.) |
517.80 |
||||||
|
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.) |
339.80 |
||||||
|
41518 |
External auditory meatus, removal of exostoses in (H) (Anaes.) (Assist.) |
820.70 |
||||||
|
41521 |
Correction of auditory canal stenosis, including meatoplasty, with or without grafting (H) (Anaes.) (Assist.) |
873.80 |
||||||
|
41524 |
Reconstruction of external auditory canal, being a service associated with a service to which items 41557, 41560 and 41563 apply (H) (Anaes.) (Assist.) |
252.45 |
||||||
|
41527 |
Myringoplasty, trans‑canal approach (Rosen incision) (H) (Anaes.) (Assist.) |
519.25 |
||||||
|
41530 |
Myringoplasty, post‑aural or endaural approach with or without mastoid inspection (H) (Anaes.) |
845.90 |
||||||
|
41533 |
Atticotomy without reconstruction of the bony defect, with or without myringoplasty (H) (Anaes.) (Assist.) |
1 011.20 |
||||||
|
41536 |
Atticotomy with reconstruction of the bony defect with or without myringoplasty (H) (Anaes.) (Assist.) |
1 132.60 |
||||||
|
41539 |
Ossicular chain reconstruction (H) (Anaes.) (Assist.) |
963.10 |
||||||
|
41542 |
Ossicular chain reconstruction and myringoplasty (H) (Anaes.) (Assist.) |
1 055.30 |
||||||
|
41545 |
Mastoidectomy (cortical) (H) (Anaes.) (Assist.) |
460.55 |
||||||
|
41548 |
Obliteration of the mastoid cavity (H) (Anaes.) (Assist.) |
611.30 |
||||||
|
41551 |
Mastoidectomy, intact wall technique, with myringoplasty (H) (Anaes.) (Assist.) |
1 407.70 |
||||||
|
41554 |
Mastoidectomy, intact wall technique, with myringoplasty and ossicular chain reconstruction (H) (Anaes.) (Assist.) |
1 658.50 |
||||||
|
41557 |
Mastoidectomy (radical or modified radical) (H) (Anaes.) (Assist.) |
963.10 |
||||||
|
41560 |
Mastoidectomy (radical or modified radical) and myringoplasty (H) (Anaes.) |
1 055.30 |
||||||
|
41563 |
Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruction (H) (Anaes.) (Assist.) |
1 306.40 |
||||||
|
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.) |
1 689.40 |
||||||
|
41566 |
Revision of mastoidectomy (radical, modified radical or intact wall), including myringoplasty (H) (Anaes.) (Assist.) |
963.10 |
||||||
|
41569 |
Decompression of facial nerve in its mastoid portion (H) (Anaes.) (Assist.) |
1 055.30 |
||||||
|
41572 |
Labyrinthotomy or destruction of labyrinth (H) (Anaes.) (Assist.) |
912.95 |
||||||
|
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.) |
2 152.30 |
||||||
|
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.) |
3 228.45 |
||||||
|
41578 |
Cerebello‑pontine angle tumour, removal of, by transmastoid, translabyrinthine or retromastoid approach (intracranial procedure) -- conjoint surgery, principal surgeon (H) (Anaes.) (Assist.) |
2 152.30 |
||||||
|
41579 |
Cerebello‑pontine angle tumour, removal of, by transmastoid, translabyrinthine or retromastoid approach (intracranial procedure) -- conjoint surgery, co‑surgeon (H) (Assist.) |
1 614.20 |
||||||
|
41581 |
Tumour involving infra‑emporal fossa, removal of, involving craniotomy and radical excision of (H) (Anaes.) (Assist.) |
2 475.55 |
||||||
|
41584 |
Partial temporal bone resection for removal of tumour involving mastoidectomy with or without decompression of facial nerve (H) (Anaes.) (Assist.) |
1 698.90 |
||||||
|
41587 |
Total temporal bone resection for removal of tumour (H) (Anaes.) (Assist.) |
2 313.85 |
||||||
|
41590 |
Endolymphatic sac, transmastoid decompression with or without drainage of (H) (Anaes.) (Assist.) |
1 055.30 |
||||||
|
41593 |
Translabyrinthine vestibular nerve section (H) (Anaes.) (Assist.) |
1 375.40 |
||||||
|
41596 |
Retrolabyrinthine vestibular nerve section or cochlear nerve section, or both (H) (Anaes.) (Assist.) |
1 537.10 |
||||||
|
41599 |
Internal auditory meatus, exploration by middle cranial fossa approach with cranial nerve decompression (H) (Anaes.) (Assist.) |
1 537.10 |
||||||
|
41603 |
Osseo‑integration procedure -- implantation of titanium fixture for use with implantable bone conduction hearing system device, in a patient: (a) with a permanent or long term hearing loss; and (b) unable to utilise conventional air or bone conduction hearing aid for medical or audiological reasons; and (c) with bone conduction thresholds that accord with recognised surgical criteria for the implantable bone conduction hearing system devices; not being a service associated with a service to which items 41554, 45794 or 45797 apply |
445.25 |
||||||
|
41604 |
Osseo‑integration procedure -- fixation of transcutaneous abutment implantation of titanium fixture for use with implantable bone conduction hearing system device, in a patient: (a) with a permanent or long term hearing loss; and (b) unable to utilise conventional air or bone conduction hearing aid for medical or audiological reasons; and (c) with bone conduction thresholds that accord with recognised surgical criteria for the implantable bone conduction hearing system devices; not being a service associated with a service to which items 41554, 45794 or 45797 apply |
164.80 |
||||||
|
41608 |
Stapedectomy (H) (Anaes.) (Assist.) |
963.10 |
||||||
|
41611 |
Stapes mobilisation (H) (Anaes.) (Assist.) |
619.65 |
||||||
|
41614 |
Round window surgery including repair of cochleotomy (Anaes.) (Assist.) |
963.10 |
||||||
|
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.) |
963.10 |
||||||
|
41617 |
Cochlear implant, insertion of, including mastoidectomy (H) (Anaes.) (Assist.) |
1 674.70 |
||||||
|
41620 |
Glomus tumour, transtympanic removal of (H) (Anaes.) (Assist.) |
728.60 |
||||||
|
41623 |
Glomus tumour, transmastoid removal of, including mastoidectomy (H) (Anaes.) (Assist.) |
1055.30 |
||||||
|
41626 |
Abscess or inflammation of middle ear, operation for (excluding after‑care) (Anaes.) |
127.25 |
||||||
|
41629 |
Middle ear, exploration of (H) (Anaes.) (Assist.) |
460.55 |
||||||
|
41632 |
Middle ear, insertion of tube for drainage of (including myringotomy) (Anaes.) |
211.05 |
||||||
|
41635 |
Clearance of middle ear for granuloma, cholesteatoma and polyp, 1 or more, with or without myringoplasty (Anaes.) (Assist.) |
1 011.20 |
||||||
|
41638 |
Clearance of middle ear for granuloma, cholesteatoma and polyp, 1 or more, with or without myringoplasty with ossicular chain reconstruction (H) (Anaes.) (Assist.) |
1 262.15 |
||||||
|
41641 |
Perforation of tympanum, cauterisation or diathermy of (Anaes.) |
41.95 |
||||||
|
41644 |
Excision of rim of eardrum perforation, not being a service associated with myringoplasty (Anaes.) |
126.15 |
||||||
|
41647 |
Ear toilet requiring use of operating microscope and microinspection of tympanic membrane with or without general anaesthesia (Anaes.) |
97.10 |
||||||
|
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.) |
97.10 |
||||||
|
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.) |
63.55 |
||||||
|
41656 |
Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after‑care) (Anaes.) |
108.55 |
||||||
|
41659 |
Nose, removal of foreign body in, other than by simple probing (Anaes.) |
68.55 |
||||||
|
41662 |
Nasal polyp or polypi (simple) , removal of |
72.90 |
||||||
|
41665 |
Nasal polyp or polypi, removal of (G) (H) (Anaes.) |
152.45 |
||||||
|
41668 |
Nasal polyp or polypi, removal of (S) (H) (Anaes.) |
194.35 |
||||||
|
41671 |
Nasal septum, septoplasty, submucous resection or closure of septal perforation (H) (Anaes.) |
427.05 |
||||||
|
41672 |
Nasal septum, reconstruction of (H) (Anaes.) (Assist.) |
532.75 |
||||||
|
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.) |
88.80 |
||||||
|
41677 |
Nasal haemorrhage, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes.) |
79.50 |
||||||
|
41680 |
Cryotherapy to nose in the treatment of nasal haemorrhage (Anaes.) |
144.00 |
||||||
|
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.) |
103.50 |
||||||
|
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.) |
63.55 |
||||||
|
41689 |
Turbinectomy or turbinectomies, partial or total, unilateral (H) (Anaes.) |
120.60 |
||||||
|
41692 |
Turbinates, submucous resection of, unilateral (H) (Anaes.) |
157.30 |
||||||
|
41695 |
Nasal turbinates, cryotherapy to (Anaes.) |
88.35 |
||||||
|
41698 |
Maxillary antrum, proof puncture and lavage of (Anaes.) |
28.70 |
||||||
|
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.) |
81.25 |
||||||
|
41704 |
Maxillary antrum, lavage of -- each attendance at which the procedure is performed, including any associated consultation (Anaes.) |
32.10 |
||||||
|
41707 |
Maxillary artery, transantral ligation of (H) (Anaes.) (Assist.) |
396.35 |
||||||
|
41710 |
Antrostomy (radical) (H) (Anaes.) (Assist.) |
460.55 |
||||||
|
41713 |
Antrostomy (radical) with transantral ethmoidectomy or transantral vidian neurectomy (H) (Anaes.) (Assist.) |
535.95 |
||||||
|
41716 |
Antrum, intranasal operation on or removal of foreign body from (H) (Anaes.) (Assist.) |
261.25 |
||||||
|
41719 |
Antrum, drainage of, through tooth socket (Anaes.) |
103.85 |
||||||
|
41722 |
Oro‑antral fistula, plastic closure of (Anaes.) (Assist.) |
519.25 |
||||||
|
41725 |
Ethmoidal artery or arteries, transorbital ligation of (unilateral) (H) (Anaes.) (Assist.) |
396.35 |
||||||
|
41728 |
Lateral rhinotomy with removal of tumour (H) (Anaes.) (Assist.) |
792.90 |
||||||
|
41729 |
Dermoid of nose, excision of, with intranasal extension (H) (Anaes.) (Assist.) |
502.50 |
||||||
|
41731 |
Fronto‑nasal ethmoidectomy by external approach with or without sphenoidectomy (H) (Anaes.) (Assist.) |
686.70 |
||||||
|
41734 |
Radical fronto‑ethmoidectomy with osteoplastic flap (H) (Anaes.) (Assist.) |
896.10 |
||||||
|
41737 |
Frontal sinus, or ethmoidal sinuses on the 1 side, intranasal operation on (H) (Anaes.) (Assist.) |
427.05 |
||||||
|
41740 |
Frontal sinus, catheterisation of (H) (Anaes.) |
51.95 |
||||||
|
41743 |
Frontal sinus, trephine of (H) (Anaes.) (Assist.) |
298.20 |
||||||
|
41746 |
Frontal sinus, radical obliteration of (Anaes.) (Assist.) |
686.70 |
||||||
|
41749 |
Ethmoidal sinuses, external operation on (H) (Anaes.) (Assist.) |
535.95 |
||||||
|
41752 |
Sphenoidal sinus, intranasal operation on (H) (Anaes.) (Assist.) |
261.25 |
||||||
|
41755 |
Eustachian tube, catheterisation of (Anaes.) |
41.10 |
||||||
|
41758 |
Division of pharyngeal adhesions (Anaes.) |
103.85 |
||||||
|
41761 |
Post nasal space, direct examination of, with or without biopsy (Anaes.) |
108.55 |
||||||
|
41764 |
Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx and larynx, 1 or more of these procedures, unilateral or bilateral examination of (Anaes.) |
108.55 |
||||||
|
41767 |
Nasopharyngeal angiofibroma, transpalatal removal (Anaes.) (Assist.) |
651.20 |
||||||
|
41770 |
Pharyngeal pouch, removal of, with or without cricopharyngeal myotomy (H) (Anaes.) (Assist.) |
619.65 |
||||||
|
41773 |
Pharyngeal pouch, endoscopic resection of (Dohlman's operation) (H) (Anaes.) (Assist.) |
519.25 |
||||||
|
41776 |
Cricopharyngeal myotomy with or without inversion of pharyngeal pouch (H) (Anaes.) (Assist.) |
517.80 |
||||||
|
41779 |
Pharyngotomy (lateral) , with or without total excision of tongue (H) (Anaes.) (Assist.) |
619.65 |
||||||
|
41782 |
Partial pharyngectomy via pharyngotomy (Anaes.) (Assist.) |
841.30 |
||||||
|
41785 |
Partial pharyngectomy via pharyngotomy with partial or total glossectomy (H) (Anaes.) (Assist.) |
1 043.70 |
||||||
|
41786 |
Uvulopalatopharyngoplasty, with or without tonsillectomy, by any means (H) (Anaes.) (Assist.) |
651.20 |
||||||
|
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.) |
502.50 |
||||||
|
41788 |
Tonsils or tonsils and adenoids, removal of, in a person aged less than 12 years (G) (H) (Anaes.) |
194.35 |
||||||
|
41789 |
Tonsils or tonsils and adenoids, removal of, in a person aged less than 12 years (S) (H) (Anaes.) |
261.25 |
||||||
|
41792 |
Tonsils or tonsils and adenoids, removal of, in a person 12 years of age or over (G) (H) (Anaes.) |
244.55 |
||||||
|
41793 |
Tonsils or tonsils and adenoids, removal of, in a person 12 years of age or over (S) (H) (Anaes.) |
328.30 |
||||||
|
41796 |
Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (G) (H) (Anaes.) |
100.50 |
||||||
|
41797 |
Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (S) (H) (Anaes.) |
127.25 |
||||||
|
41800 |
Adenoids, removal of (G) (H) (Anaes.) |
103.85 |
||||||
|
41801 |
Adenoids, removal of (S) (H) (Anaes.) |
144.00 |
||||||
|
41804 |
Lingual tonsil or lateral pharyngeal bands, removal of (H) (Anaes.) |
79.50 |
||||||
|
41807 |
Peritonsillar abscess (quinsy) , incision of (Anaes.) |
61.95 |
||||||
|
41810 |
Uvulotomy or uvulectomy (Anaes.) |
31.45 |
||||||
|
41813 |
Vallecular or pharyngeal cysts, removal of (H) (Anaes.) (Assist.) |
314.90 |
||||||
|
41816 |
Oesophagoscopy (with rigid oesophagoscope) (Anaes.) |
164.05 |
||||||
|
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.) |
308.35 |
||||||
|
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.) |
370.05 |
||||||
|
41822 |
Oesophagoscopy (with rigid oesophagoscope) with biopsy (H) (Anaes.) |
211.05 |
||||||
|
41825 |
Oesophagoscopy (with rigid oesophagoscope) with removal of foreign body (H) (Anaes.) (Assist.) |
314.90 |
||||||
|
41828 |
Oesophageal stricture, dilatation of, without oesophagoscopy (Anaes.) |
46.15 |
||||||
|
41831 |
Oesophagus, endoscopic pneumatic dilatation of (Anaes.) (Assist.) |
315.50 |
||||||
|
41832 |
Oesophagus, balloon dilatation of, using interventional imaging techniques (Anaes.) |
201.90 |
||||||
|
41834 |
Laryngectomy (total) (H) (Anaes.) (Assist.) |
1 139.10 |
||||||
|
41837 |
Vertical hemi‑laryngectomy including tracheostomy (H) (Anaes.) (Assist.) |
1 092.20 |
||||||
|
41840 |
Supraglottic laryngectomy including tracheostomy (H) (Anaes.) (Assist.) |
1 342.95 |
||||||
|
41843 |
Laryngopharyngectomy or primary restoration of alimentary continuity after laryngopharyngectomy using stomach or bowel (H) (Anaes.) (Assist.) |
1 180.95 |
||||||
|
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.) |
164.05 |
||||||
|
41849 |
Larynx, direct examination of, with biopsy (H) (Anaes.) (Assist.) |
241.15 |
||||||
|
41852 |
Larynx, direct examination of, with removal of tumour (H) (Anaes.) (Assist.) |
261.25 |
||||||
|
41855 |
Microlaryngoscopy (H) (Anaes.) (Assist.) |
254.70 |
||||||
|
41858 |
Microlaryngoscopy with removal of juvenile papillomata (H) (Anaes.) (Assist.) |
436.70 |
||||||
|
41861 |
Microlaryngoscopy with removal of papillomata by laser surgery (H) (Anaes.) (Assist.) |
533.95 |
||||||
|
41864 |
Microlaryngoscopy with removal of tumour (H) (Anaes.) (Assist.) |
360.10 |
||||||
|
41867 |
Microlaryngoscopy with arytenoidectomy (H) (Anaes.) (Assist.) |
542.00 |
||||||
|
41868 |
Laryngeal web, division of, using microlarygoscopic techniques (H) (Anaes.) |
343.50 |
||||||
|
41870 |
Injection of vocal cord by teflon, fat, collagen or gelfoam (H) (Anaes.) (Assist.) |
401.90 |
||||||
|
41873 |
Larynx, fractured, operation for (Anaes.) (Assist.) |
519.25 |
||||||
|
41876 |
Larynx, external operation on, or laryngofissure, with or without cordectomy (Anaes.) (Assist.) |
519.25 |
||||||
|
41879 |
Laryngoplasty or tracheoplasty, including tracheostomy (H) (Anaes.) (Assist.) |
841.30 |
||||||
|
41880 |
Tracheostomy by a percutaneous technique using sequential dilatation or partial splitting method to allow insertion of a cuffed tracheostomy tube (H) (Anaes.) |
224.55 |
||||||
|
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.) |
354.95 |
||||||
|
41884 |
Cricothyrostomy by direct stab or Seldinger technique, using Minitrach or similar device (H) (Anaes.) |
80.45 |
||||||
|
41885 |
Trache‑oesophageal fistula, formation of, as a secondary procedure following laryngectomy, including associated endoscopic procedures (Anaes.) (Assist.) |
254.40 |
||||||
|
41886 |
Trachea, removal of foreign body in (Anaes.) |
157.30 |
||||||
|
41889 |
Bronchoscopy, as an independent procedure (Anaes.) |
157.30 |
||||||
|
41892 |
Bronchoscopy with 1 or more endobronchial biopsies or other diagnostic or therapeutic procedures (Anaes.) |
207.70 |
||||||
|
41895 |
Bronchus, removal of foreign body in (H) (Anaes.) (Assist.) |
324.95 |
||||||
|
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.) |
227.05 |
||||||
|
41901 |
Endoscopic laser resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures (H) (Anaes.) (Assist.) |
533.95 |
||||||
|
41904 |
Bronchoscopy with dilatation of tracheal stricture (Anaes.) |
217.80 |
||||||
|
41905 |
Trachea or bronchus, dilatation of stricture and endoscopic insertion of stent (H) (Anaes.) (Assist.) |
400.65 |
||||||
|
41907 |
Nasal septum button, insertion of (Anaes.) |
108.55 |
||||||
|
41910 |
Duct of major salivary gland, transposition of (H) (Anaes.) (Assist.) |
344.80 |
||||||
|
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 (H) (Anaes.) |
90.55 |
||||||
|
42506 |
Eye, enucleation of, with or without sphere implant (Anaes.) (Assist.) |
425.25 |
||||||
|
42509 |
Eye, enucleation of, with insertion of integrated implant (H) (Anaes.) (Assist.) |
538.20 |
||||||
|
42510 |
Eye, enucleation of, with insertion of hydroxy apatite implant or similar coralline implant (H) (Anaes.) (Assist.) |
620.35 |
||||||
|
42512 |
Globe, evisceration of (Anaes.) (Assist.) |
425.25 |
||||||
|
42515 |
Globe, evisceration of, and insertion of intrascleral ball or cartilage (H) (Anaes.) (Assist.) |
538.20 |
||||||
|
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 (H) (Anaes.) (Assist.) |
312.25 |
||||||
|
42521 |
Anophthalmic socket, treatment of, by insertion of a wired‑in conformer, integrated implant or dermofat graft, as a secondary procedure (H) (Anaes.) (Assist.) |
1 063.20 |
||||||
|
42524 |
Orbit, skin graft to, as a delayed procedure (Anaes.) |
180.75 |
||||||
|
42527 |
Contracted socket, reconstruction including mucous membrane grafting and stent mould (H) (Anaes.) (Assist.) |
358.80 |
||||||
|
42530 |
Orbit, exploration with or without biopsy, requiring removal of bone (H) (Anaes.) (Assist.) |
558.25 |
||||||
|
42533 |
Orbit, exploration of, with drainage or biopsy not requiring removal of bone (H) (Anaes.) (Assist.) |
358.80 |
||||||
|
42536 |
Orbit, exenteration of, with or without skin graft and with or without temporalis muscle transplant (H) (Anaes.) (Assist.) |
737.50 |
||||||
|
42539 |
Orbit, exploration of, with removal of tumour or foreign body, requiring removal of bone (H) (Anaes.) (Assist.) |
1 049.95 |
||||||
|
42542 |
Orbit, exploration of anterior aspect with removal of tumour or foreign body (H) (Anaes.) (Assist.) |
445.25 |
||||||
|
42543 |
Orbit, exploration of retrobulbar aspect with removal of tumour or foreign body (H) (Anaes.) (Assist.) |
780.95 |
||||||
|
42545 |
Orbit, decompression of, for dysthyroid eye disease, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, 1 eye (H) (Anaes.) (Assist.) |
1 129.60 |
||||||
|
42548 |
Optic nerve meninges, incision of (H) (Anaes.) (Assist.) |
671.10 |
||||||
|
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.) |
558.25 |
||||||
|
42554 |
Eyeball, perforating wound of, with incarceration or prolapse of uveal tissue -- repair (H) (Anaes.) (Assist.) |
651.20 |
||||||
|
42557 |
Eyeball, perforating wound of, with incarceration of lens or vitreous -- repair (H) (Anaes.) (Assist.) |
910.30 |
||||||
|
42560 |
Intraocular foreign body, magnetic removal from anterior segment (Anaes.) (Assist.) |
358.80 |
||||||
|
42563 |
Intraocular foreign body, nonmagnetic removal from anterior segment (Anaes.) (Assist.) |
458.50 |
||||||
|
42566 |
Intraocular foreign body, magnetic removal from posterior segment (H) (Anaes.) (Assist.) |
651.20 |
||||||
|
42569 |
Intraocular foreign body, nonmagnetic removal from posterior segment (H) (Anaes.) (Assist.) |
910.30 |
||||||
|
42572 |
Orbital abscess or cyst, drainage of (Anaes.) |
103.65 |
||||||
|
42573 |
Dermoid, periorbital, excision of (Anaes.) |
201.00 |
||||||
|
42574 |
Dermoid, orbital, excision of (Anaes.) (Assist.) |
427.05 |
||||||
|
42575 |
Tarsal cyst, extirpation of (Anaes.) |
73.15 |
||||||
|
42581 |
Ectropion or entropion, tarsal cauterisation of (Anaes.) |
103.65 |
||||||
|
42584 |
Tarsorrhaphy (Anaes.) (Assist.) |
244.55 |
||||||
|
42587 |
Trichiasis, treatment of by cryotherapy, laser or electrolysis -- each eyelid (Anaes.) |
45.90 |
||||||
|
42590 |
Canthoplasty, medial or lateral (Anaes.) (Assist.) |
298.95 |
||||||
|
42593 |
Lacrimal gland, excision of palpebral lobe (H) (Anaes.) |
180.75 |
||||||
|
42596 |
Lacrimal sac, excision of, or operation on (Anaes.) (Assist.) |
445.25 |
||||||
|
42599 |
Lacrimal canalicular system, establishment of patency by closed operation using silicone tubes or similar, 1 eye (Anaes.) (Assist.) |
558.25 |
||||||
|
42602 |
Lacrimal canalicular system, establishment of patency by open operation, 1 eye (Anaes.) (Assist.) |
558.25 |
||||||
|
42605 |
Lacrimal canaliculus, immediate repair of (Anaes.) (Assist.) |
411.85 |
||||||
|
42608 |
Lacrimal drainage by insertion of glass tube, as an independent procedure (Anaes.) (Assist.) |
265.75 |
||||||
|
42610 |
Nasolacrimal tube (unilateral) , removal or replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage -- under general anaesthesia (Anaes.) |
85.05 |
||||||
|
42611 |
Nasolacrimal tube (bilateral) , removal or replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage -- under general anaesthesia (Anaes.) |
127.55 |
||||||
|
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) |
42.65 |
||||||
|
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) |
63.80 |
||||||
|
42617 |
Punctum snip operation (Anaes.) |
121.00 |
||||||
|
42620 |
Punctum, occlusion of, by use of a plug (Anaes.) |
46.55 |
||||||
|
42621 |
Punctum, temporary occlusion of, by use of electrical cautery (Anaes.) |
46.55 |
||||||
|
42622 |
Punctum, permanent occlusion of, by use of electrical cautery (Anaes.) |
73.15 |
||||||
|
42623 |
Dacryocystorhinostomy (H) (Anaes.) (Assist.) |
618.05 |
||||||
|
42626 |
Dacryocystorhinostomy where a previous dacryocystorhinostomy has been performed (Anaes.) (Assist.) |
996.75 |
||||||
|
42629 |
Conjunctivorhinostomy including dacryocystorhinostomy and fashioning of conjunctival flaps (H) (Anaes.) (Assist.) |
750.85 |
||||||
|
42632 |
Conjunctival peritomy or repair of corneal laceration by conjunctival flap (Anaes.) |
103.65 |
||||||
|
42635 |
Corneal perforations, sealing of, with tissue adhesive (Anaes.) (Assist.) |
265.75 |
||||||
|
42638 |
Conjunctival graft over cornea (Anaes.) (Assist.) |
332.25 |
||||||
|
42641 |
Autoconjunctival transplant, or mucous membrane graft (Anaes.) (Assist.) |
431.90 |
||||||
|
42644 |
Cornea or sclera, removal of imbedded foreign body from (excluding after‑care) (Anaes.) |
63.70 |
||||||
|
42647 |
Corneal scars, removal of, by partial keratectomy, not being a service associated with a service to which item 42686 applies (Anaes.) |
180.75 |
||||||
|
42650 |
Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after‑care) (Anaes.) |
63.70 |
||||||
|
42651 |
Cornea, epithelial debridement for eliminating band keratopathy (Anaes.) |
142.05 |
||||||
|
42653 |
Cornea, transplantation of, full thickness (H) (Anaes.) (Assist.) |
1 182.75 |
||||||
|
42656 |
Cornea, transplantation of, second and subsequent procedures (H) (Anaes.) (Assist.) |
1 475.20 |
||||||
|
42659 |
Cornea, transplantation of, superficial or lamellar (Anaes.) (Assist.) |
797.35 |
||||||
|
42662 |
Sclera, transplantation of, full thickness, including collection of donor material (H) (Anaes.) (Assist.) |
797.35 |
||||||
|
42665 |
Sclera, transplantation of, superficial or lamellar, including collection of donor material (Anaes.) (Assist.) |
531.60 |
||||||
|
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 |
125.45 |
||||||
|
42668 |
Corneal sutures, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.) |
66.55 |
||||||
|
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.) |
797.35 |
||||||
|
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.) |
398.65 |
||||||
|
42676 |
Conjunctiva, biopsy of, as an independent procedure |
102.25 |
||||||
|
42677 |
Conjunctiva, cautery of, including treatment of pannus -- each attendance at which treatment is given including any associated consultation (Anaes.) |
53.85 |
||||||
|
42680 |
Conjunctiva, cryotherapy to, for melanotic lesions or similar using CO 2 or N 20 (Anaes.) |
265.75 |
||||||
|
42683 |
Conjunctival cysts, removal of (H) (Anaes.) |
106.35 |
||||||
|
42686 |
Pterygium, removal of (Anaes.) |
241.85 |
||||||
|
42689 |
Pinguecula, removal of, not being a service associated with the fitting of contact lenses (Anaes.) |
103.65 |
||||||
|
42692 |
Limbic tumour, removal of, excluding Pterygium (Anaes.) (Assist.) |
244.55 |
||||||
|
42695 |
Limbic tumour, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.) |
398.65 |
||||||
|
42698 |
Lens extraction, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (Anaes.) |
621.95 |
||||||
|
42701 |
Artificial lens, insertion of, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (Anaes.) |
346.80 |
||||||
|
42702 |
Lens extraction and insertion of artificial lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (Anaes.) |
795.40 |
||||||
|
42703 |
Artificial lens, insertion of, into the posterior chamber and suture to the iris and sclera (Anaes.) (Assist.) |
505.50 |
||||||
|
42704 |
Artificial lens, removal or repositioning of by open operation -- not being a service associated with a service to which item 42701 applies (Anaes.) |
411.85 |
||||||
|
Artificial lens, removal of and replacement with a different lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (Anaes.) |
704.35 |
|||||||
|
42710 |
Artificial lens, removal of, and replacement with a lens inserted into the posterior chamber and sutured to the iris or sclera (Anaes.) (Assist.) |
797.35 |
||||||
|
42713 |
Intraocular lenses, repositioning of, by the use of a McCannell suture or similar (Anaes.) (Assist.) |
332.25 |
||||||
|
42716 |
Cataract, juvenile, removal of, including subsequent needlings (Anaes.) (Assist.) |
1 056.55 |
||||||
|
42719 |
Either or both of the following, via the anterior chamber by any method: (a) capsulectomy; (b) removal of vitreous; not being a service associated with a service to which item 42698, 42702 or 42716 applies (Anaes.) (Assist.) |
458.50 |
||||||
|
42722 |
One or more of the following by posterior chamber sclerotomy, by cutting, suction and infusion: (a) capsulectomy; (b) removal of vitreous from the anterior chamber; (c) removal of vitreous bands from the anterior chamber; not being a service associated with a service to which item 42698, 42702 or 42716 applies (H) (Anaes.) (Assist.) |
501.60 |
||||||
|
42725 |
Vitrectomy by posterior chamber sclerotomy, by cutting, suction and infusion, including any 1 or more of the following: (a) removal of vitreous; (b) division of vitreous bands; (c) removal of pre‑retinal membranes; (H) (Anaes.) (Assist.) |
1 182.75 |
||||||
|
42728 |
Cryotherapy of retina or other intraocular structures with an internal probe, being a service associated with a service to which item 42725 applies (H) (Anaes.) |
199.40 |
||||||
|
42731 |
Either or both of the following by cutting, suction and infusion: (a) capsulectomy by posterior chamber sclerotomy; (b) lensectomy by posterior chamber sclerotomy; with the removal of vitreous, the division of vitreous bands or the removal of pre‑retinal membrane from the posterior chamber, not being a service associated with any other intraocular operation (H) (Anaes.) (Assist.) |
1 342.20 |
||||||
|
42734 |
Capsulotomy, other than by laser (Anaes.) (Assist.) |
265.75 |
||||||
|
42737 |
Needling of posterior capsule (Anaes.) (Assist.) |
265.75 |
||||||
|
42740 |
Paracentesis of anterior or posterior segment (including the vitreous) or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous for diagnostic purposes, 1 or more of (Anaes.) (Assist.) |
265.75 |
||||||
|
42743 |
Anterior chamber, irrigation of blood from, as an independent procedure (Anaes.) (Assist.) |
558.25 |
||||||
|
42744 |
Needling to drain an encysted bleb, following trabeculectomy (Anaes.) |
265.55 |
||||||
|
42746 |
Glaucoma, filtering operation for (H) (Anaes.) (Assist.) |
843.85 |
||||||
|
42749 |
Glaucoma, filtering operation for, where previous filtering operation has been performed (H) (Anaes.) (Assist.) |
1 056.55 |
||||||
|
42752 |
Glaucoma, insertion of Molteno valve for, 1 or more stages (H) (Anaes.) (Assist.) |
1 182.75 |
||||||
|
42755 |
Glaucoma, removal of Molteno valve (Anaes.) |
146.20 |
||||||
|
42758 |
Goniotomy (H) (Anaes.) (Assist.) |
618.05 |
||||||
|
42761 |
Division of anterior or posterior synechiae, as an independent procedure, other than by laser (Anaes.) (Assist.) |
458.50 |
||||||
|
42764 |
Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (Anaes.) (Assist.) |
458.50 |
||||||
|
42767 |
Tumour, involving ciliary body or ciliary body and iris, excision of (H) (Anaes.) (Assist.) |
963.45 |
||||||
|
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.) |
260.55 |
||||||
|
42771 |
Cyclodestructive procedures for the treatment of intractable glaucoma, treatment to 1 eye -- where it can be demonstrated that a third or subsequent treatment to that eye (including any treatments to which item 42770 applies) is indicated in a 2 year period (Anaes.) (Assist.) |
256.50 |
||||||
|
42773 |
Detached retina, diathermy or cryotherapy for, not being a service associated with a service to which item 42776 applies (Anaes.) (Assist.) |
797.35 |
||||||
|
42776 |
Detached retina, buckling or resection operation for (H) (Anaes.) (Assist.) |
1 182.75 |
||||||
|
42779 |
Detached retina, revision operation for (H) (Anaes.) (Assist.) |
1 475.20 |
||||||
|
42782 |
Laser trabeculoplasty -- each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.) (Assist.) |
398.65 |
||||||
|
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.) |
398.65 |
||||||
|
42785 |
Laser iridotomy -- each treatment episode to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.) |
312.25 |
||||||
|
42786 |
Laser iridotomy -- each treatment episode 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.) |
312.25 |
||||||
|
42788 |
Laser capsulotomy -- each treatment episode to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.) |
312.25 |
||||||
|
42789 |
Laser capsulotomy -- each treatment episode 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.) |
312.25 |
||||||
|
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.) |
312.25 |
||||||
|
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.) |
312.25 |
||||||
|
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.) |
59.80 |
||||||
|
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.) |
59.80 |
||||||
|
42801 |
Episcleral radioactive plaque (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of (H) (Anaes.) (Assist.) |
927.60 |
||||||
|
42802 |
Episcleral radioactive plaque (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, removal of (H) (Anaes.) (Assist.) |
463.60 |
||||||
|
42805 |
Tantalum markers, surgical insertion to the sclera to localise the tumour base and to assist in planning radiotherapy of choroidal melanomas -- 1 or more (Anaes.) |
518.20 |
||||||
|
42806 |
Iris tumour, laser photocoagulation of (Anaes.) (Assist.) |
312.25 |
||||||
|
42807 |
Photomydriasis, laser |
314.40 |
||||||
|
42808 |
Photoiridosyneresis, laser |
314.40 |
||||||
|
42809 |
Retina, photocoagulation of, not being a service associated with photodynamic therapy with verteporfin (Anaes.) (Assist.) |
398.65 |
||||||
|
42810 |
Phototherapeutic keratectomy, by laser, for corneal scarring or disease, excluding surgery for refractive error (Anaes.) |
501.65 |
||||||
|
42811 |
Transpupillary thermotherapy, for choroidal and retinal tumours or vascular malformations (Anaes.) |
398.65 |
||||||
|
42812 |
Detached retina, removal of encircling silicone band from (Anaes.) |
146.20 |
||||||
|
42815 |
Posterior chamber, removal of silicone oil from (H) (Anaes.) (Assist.) |
558.25 |
||||||
|
42818 |
Retina, cryotherapy to, as an independent procedure, with external probe (Anaes.) |
518.20 |
||||||
|
42821 |
Ocular transillumination, for the diagnosis and measurement of intraocular tumours (Anaes.) |
79.80 |
||||||
|
42824 |
Retrobulbar injection of alcohol or other drug, as an independent procedure |
61.75 |
||||||
|
42833 |
Squint, operation for, on 1 or both eyes, the operation involving a total of 1 or 2 muscles on a patient aged 15 years or over (H) (Anaes.) (Assist.) |
518.20 |
||||||
|
42836 |
Squint, operation for, on 1 or both eyes, the operation involving a total of 1 or 2 muscles: (a) on a patient aged 14 years or under; or (b) where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes; or (c) on a patient with concurrent thyroid eye disease (H) (Anaes.) (Assist.) |
644.55 |
||||||
|
42839 |
Squint, operation for, on 1 or both eyes, the operation involving a total of 3 or more muscles on a patient aged 15 years or over (H) (Anaes.) (Assist.) |
618.05 |
||||||
|
42842 |
Squint, operation for, on 1 or both eyes, the operation involving a total of 3 or more muscles: (a) on a patient aged 14 years or under; or (b) where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes; or (c) on a patient with concurrent thyroid eye disease (H) (Anaes.) (Assist.) |
770.80 |
||||||
|
42845 |
Readjustment of adjustable sutures, 1 or both eyes, as an independent procedure following an operation for correction of squint (Anaes.) |
167.35 |
||||||
|
42848 |
Squint, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 15 years or over (H) (Anaes.) (Assist.) |
618.05 |
||||||
|
Squint, muscle transplant for (Hummelsheim type, or similar operation) on a patient who: (a) is aged 14 years or under; or (b) has had previous squint, retinal or extra ocularoperations on his or her eye or eyes; or (c) has concurrent thyroid eye disease (H) (Anaes.) (Assist.) |
770.80 |
|||||||
|
42854 |
Ruptured medial palpebral ligament or ruptured extra‑ocular muscle, repair of (Anaes.) (Assist.) |
358.80 |
||||||
|
42857 |
Resuturing of wound following intraocular procedures with or without excision of prolapsed iris (Anaes.) (Assist.) |
358.80 |
||||||
|
42860 |
Eyelid (upper or lower), scleral or Goretex or other non‑autogenous graft to, with recession of the lid retractors (Anaes.) (Assist.) |
797.35 |
||||||
|
42863 |
Eyelid, recession of (Anaes.) (Assist.) |
684.40 |
||||||
|
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.) |
664.40 |
||||||
|
42869 |
Eyelid closure in facial nerve paralysis, insertion of foreign implant for (Anaes.) (Assist.) |
485.15 |
||||||
|
42872 |
Eyebrow, elevation of, for paretic states (Anaes.) |
212.65 |
||||||
|
Subgroup 10 -- Operations for osteomyelitis |
||||||||
|
43500 |
Operation on phalanx (for acute osteomyelitis) (H) (Anaes.) |
109.05 |
||||||
|
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.) |
180.85 |
||||||
|
43506 |
Operation on humerus or femur (for acute osteomyelitis) -- 1 bone (H) (Anaes.) (Assist.) |
314.90 |
||||||
|
43509 |
Operation on spine or pelvic bones (for acute osteomyelitis) -- 1 bone (H) (Anaes.) (Assist.) |
314.90 |
||||||
|
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.) |
314.90 |
||||||
|
43515 |
Operation on humerus or femur (for chronic osteomyelitis) -- 1 bone (Anaes.) (Assist.) |
314.90 |
||||||
|
43518 |
Operation on spine or pelvic bones (for chronic osteomyelitis) -- 1 bone (H) (Anaes.) (Assist.) |
519.25 |
||||||
|
43521 |
Operation on skull (for chronic osteomyelitis) (H) (Anaes.) (Assist.) |
410.45 |
||||||
|
43524 |
Operation on any combination of adjoining bones, being bones referred to in item 43515, 43518 or 43521 (for chronic osteomyelitis) (Anaes.) (Assist.) |
519.25 |
||||||
|
Subgroup 11 -- Paediatric |
||||||||
|
43801 |
Intestinal malrotation with or without volvulus, laparotomy for, not involving bowel resection (H) (Anaes.) (Assist.) |
845.90 |
||||||
|
43804 |
Intestinal malrotation with or without volvulus, laparotomy for, with bowel resection and anastomosis, with or without formation of stoma (H) (Anaes.) (Assist.) |
900.70 |
||||||
|
43807 |
Duodenal atresia or stenosis, duodenoduodenostomy or duodenojejunostomy for (H) (Anaes.) (Assist.) |
982.60 |
||||||
|
43810 |
Jejunal atresia, bowel resection and anastomosis for, with or without tapering (H) (Anaes.) (Assist.) |
1 146.45 |
||||||
|
43813 |
Meconium ileus, laparotomy for, complicated by 1 or more of associated volvulus, atresia, intestinal perforation with or without meconium peritonitis (H) (Anaes.) (Assist.) |
1 146.45 |
||||||
|
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.) |
1 064.45 |
||||||
|
43819 |
Hirschsprung's disease, laparotomy for, with or without frozen section biopsies and formation of stoma (H) (Anaes.) (Assist.) |
859.80 |
||||||
|
43822 |
Anorectal malformation, laparotomy and colostomy for (H) (Anaes.) (Assist.) |
859.80 |
||||||
|
43825 |
Neonatal alimentary obstruction, laparotomy for, not being a service to which any other item in this subgroup applies (H) (Anaes.) (Assist.) |
982.60 |
||||||
|
43828 |
Acute neonatal necrotising enterocolitis, laparotomy for, with resection, including any anastomoses or stoma formation (H) (Anaes.) (Assist.) |
1 085.60 |
||||||
|
43831 |
Acute neonatal necrotising enterocolitis where no definitive procedure is possible, laparotomy for (H) (Anaes.) (Assist.) |
845.90 |
||||||
|
43834 |
Bowel resection for necrotising enterocolitis stricture or strictures, including any anastomoses or stoma formation (H) (Anaes.) (Assist.) |
982.60 |
||||||
|
43837 |
Congenital diaphragmatic hernia, repair by thoracic or abdominal approach, with diagnosis confirmed in the first 24 hours of life (H) (Anaes.) (Assist.) |
1 228.20 |
||||||
|
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.) |
1 064.45 |
||||||
|
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.) |
1 637.65 |
||||||
|
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.) |
1 760.40 |
||||||
|
43849 |
Oesophageal atresia, gastrostomy for (H) (Anaes.) (Assist.) |
450.35 |
||||||
|
43852 |
Oesophageal atresia, thoracotomy for, and division of tracheo‑oesophageal fistula without anastomosis (Anaes.) (Assist.) |
1 432.85 |
||||||
|
43855 |
Oesophageal atresia, delayed primary anastomosis for (H) (Anaes.) (Assist.) |
1 514.85 |
||||||
|
43858 |
Oesophageal atresia, cervical oesophagostomy for (Anaes.) (Assist.) |
532.15 |
||||||
|
43861 |
Congenital cystadenomatoid malformation or congenital lobar emphysema, thoracotomy and lung resection for (H) (Anaes.) (Assist.) |
1 473.90 |
||||||
|
43864 |
Gastroschisis, operation for (H) (Anaes.) (Assist.) |
1 105.45 |
||||||
|
43867 |
Gastroschisis, secondary operation for, with removal of silo and closure of abdominal wall (H) (Anaes.) (Assist.) |
614.20 |
||||||
|
43870 |
Exomphalos containing small bowel only, operation for (H) (Anaes.) (Assist.) |
859.80 |
||||||
|
43873 |
Exomphalos containing small bowel and other viscera, operation for (H) (Anaes.) (Assist.) |
1 146.45 |
||||||
|
43876 |
Sacrococcygeal teratoma, excision of, by posterior approach (H) (Anaes.) (Assist.) |
982.60 |
||||||
|
43879 |
Sacrococcygeal teratoma, excision of, by combined posterior and abdominal approach (H) (Anaes.) (Assist.) |
1 146.45 |
||||||
|
43882 |
Cloacal exstrophy, operation for (Anaes.) (Assist.) |
1 473.90 |
||||||
|
43900 |
Tracheo‑oesophageal fistula without atresia, division and repair of (H) (Anaes.) (Assist.) |
982.60 |
||||||
|
43903 |
Oesophageal atresia or corrosive oesophageal stricture, oesophageal replacement for, utilising gastric tube, jejunum or colon (H) (Anaes.) (Assist.) |
1 637.65 |
||||||
|
43906 |
Oesophagus, resection of congenital, anastomic or corrosive stricture and anastomosis, not being a service to which item 43903 applies (H) (Anaes.) (Assist.) |
1 432.85 |
||||||
|
43909 |
Tracheomalacia, aortopexy for (H) (Anaes.) (Assist.) |
1 432.85 |
||||||
|
43912 |
Thoracotomy and excision of 1 or more of bronchogenic or enterogenous cyst or mediastinal teratoma (H) (Anaes.) (Assist.) |
1 353.75 |
||||||
|
43915 |
Eventration, plication of diaphragm for (Anaes.) (Assist.) |
1 023.55 |
||||||
|
43930 |
Hypertrophic pyloric stenosis, pyloromyotomy for (H) (Anaes.) (Assist.) |
393.60 |
||||||
|
43933 |
Idiopathic intussusception, laparotomy and manipulative reduction of (H) (Anaes.) (Assist.) |
460.70 |
||||||
|
43936 |
Intussusception, laparotomy and resection with anastomosis (H) (Anaes.) (Assist.) |
859.80 |
||||||
|
43939 |
Ventral hernia following neonatal closure of exomphalos or gastroschisis, repair of (H) (Anaes.) (Assist.) |
655.10 |
||||||
|
43942 |
Abdominal wall vitello intestinal remnant, excision of (Anaes.) |
204.80 |
||||||
|
43945 |
Patent vitello intestinal duct, excision of (H) (Anaes.) (Assist.) |
859.80 |
||||||
|
43948 |
Umbilical granuloma, excision of, under general anaesthesia (Anaes.) |
122.90 |
||||||
|
43951 |
Gastro‑oesophageal reflux with or without hiatus hernia, laparotomy and fundoplication for, without gastrostomy (H) (Anaes.) (Assist.) |
769.95 |
||||||
|
43954 |
Gastro‑oesophageal reflux with or without hiatus hernia, laparotomy and fundoplication for, with gastrostomy (H) (Anaes.) (Assist.) |
941.75 |
||||||
|
43957 |
Gastro‑oesophageal reflux, laparotomy and fundoplication for, with or without hiatus hernia, in child with neurological disease, with gastrostomy (H) (Anaes.) (Assist.) |
1 023.55 |
||||||
|
43960 |
Anorectal malformation, perineal anoplasty of (H) (Anaes.) (Assist.) |
360.10 |
||||||
|
43963 |
Anorectal malformation, posterior sagittal anorectoplasty of (H) (Anaes.) (Assist.) |
1 432.85 |
||||||
|
43966 |
Anorectal malformation, posterior sagittal anorectoplasty of, with laparotomy (H) (Anaes.) (Assist.) |
1 637.65 |
||||||
|
43969 |
Persistent cloaca, total correction of, with genital repair using posterior sagittal approach, with or without laparotomy (H) (Anaes.) (Assist.) |
2 251.80 |
||||||
|
43972 |
Choledochal cyst, resection of, with 1 duct anastomosis (H) (Anaes.) (Assist.) |
1 637.65 |
||||||
|
43975 |
Choledochal cyst, resection of, with 2 duct anastomoses (H) (Anaes.) (Assist.) |
1 924.30 |
||||||
|
43978 |
Biliary atresia, portoenterostomy for (H) (Anaes.) (Assist.) |
1 637.65 |
||||||
|
43981 |
Nephroblastoma, neuroblastoma or other malignant tumour, laparotomy (exploratory), including associated biopsies, where no other intra‑abdominal procedure is performed (H) (Anaes.) (Assist.) |
450.35 |
||||||
|
43984 |
Nephroblastoma, radical nephrectomy for (H) (Anaes.) (Assist.) |
1 146.45 |
||||||
|
43987 |
Neuroblastoma, radical excision of (H) (Anaes.) (Assist.) |
1 269.25 |
||||||
|
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.) |
1 555.85 |
||||||
|
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.) |
1 678.65 |
||||||
|
43996 |
Hirschsprung's disease, total colectomy for total colonic aganglionosis with ileoanal pull‑through, with or without side to side ileocolonic anastomosis (Anaes.) (Assist.) |
1 883.35 |
||||||
|
43999 |
Hirschsprung's disease, anal sphincterotomy as an independent procedure for (H) (Anaes.) (Assist.) |
235.50 |
||||||
|
44102 |
Rectum, examination of, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (H) (Anaes.) (Assist.) |
227.05 |
||||||
|
44105 |
Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia (Anaes.) |
39.85 |
||||||
|
44108 |
Inguinal hernia repair at age less than 3 months (H) (Anaes.) (Assist.) |
434.30 |
||||||
|
44111 |
Obstructed or strangulated inguinal hernia, repair of, at age less than 3 months, including orchidopexy when performed (Anaes.) (Assist.) |
508.60 |
||||||
|
44114 |
Inguinal hernia repair at age less than 3 months when orchidopexy also required (H) (Anaes.) (Assist.) |
508.60 |
||||||
|
44130 |
Lymphadenectomy, for atypical mycobacterial infection or other granulomatous disease (Anaes.) (Assist.) |
409.40 |
||||||
|
44133 |
Torticollis, open division of sternomastoid muscle for (H) (Anaes.) (Assist.) |
324.95 |
||||||
|
44136 |
Ingrown toe nail, operation for, under general anaesthesia (Anaes.) |
149.80 |
||||||
|
Subgroup 12 -- Amputations |
||||||||
|
44325 |
Hand, midcarpal or transmetacarpal, amputation of (Anaes.) (Assist.) |
261.25 |
||||||
|
44328 |
Hand, forearm or through arm, amputation of (H) (Anaes.) (Assist.) |
314.90 |
||||||
|
44331 |
Amputation at shoulder (H) (Anaes.) (Assist.) |
519.25 |
||||||
|
44334 |
Interscapulothoracic amputation (Anaes.) (Assist.) |
1 055.30 |
||||||
|
44338 |
1 digit of foot, amputation of (Anaes.) |
127.25 |
||||||
|
44342 |
2 digits of 1 foot, amputation of (H) (Anaes.) |
194.35 |
||||||
|
44346 |
3 digits of 1 foot, amputation of (H) (Anaes.) (Assist.) |
224.40 |
||||||
|
44350 |
4 digits of 1 foot, amputation of (H) (Anaes.) (Assist.) |
254.70 |
||||||
|
44354 |
5 digits of 1 foot, amputation of (H) (Anaes.) (Assist.) |
291.45 |
||||||
|
44358 |
Toe, including metatarsal or part of metatarsal -- each toe, amputation of (H) (Anaes.) |
162.50 |
||||||
|
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.) |
233.20 |
||||||
|
44361 |
Foot at ankle (Syme, Pirogoff types), amputation of (H) (Anaes.) (Assist.) |
314.90 |
||||||
|
44364 |
Foot, midtarsal or transmetatarsal, amputation of (H) (Anaes.) (Assist.) |
261.25 |
||||||
|
44367 |
Amputation through thigh, at knee or below knee (H) (Anaes.) (Assist.) |
461.15 |
||||||
|
44370 |
Amputation at hip (H) (Anaes.) (Assist.) |
636.40 |
||||||
|
44373 |
Hindquarter, amputation of (Anaes.) (Assist.) |
1 306.40 |
||||||
|
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.) |
478.40 |
||||||
|
45003 |
Single stage local myocutaneous flap repair to 1 defect, simple and small (Anaes.) |
531.60 |
||||||
|
45006 |
Single stage large myocutaneous flap repair to 1 defect (pectoralis major, latissimus dorsi, or similar large muscle) (H) (Anaes.) (Assist.) |
916.95 |
||||||
|
45009 |
Single stage local muscle flap repair to 1 defect, simple and small (H) (Anaes.) (Assist.) |
335.00 |
||||||
|
45012 |
Single stage large muscle flap repair to 1 defect (pectoralis major, gastrocnemius, gracilis or similar large muscle) (H) (Anaes.) (Assist.) |
561.10 |
||||||
|
45015 |
Muscle or myocutaneous flap, delay of (H) (Anaes.) |
265.75 |
||||||
|
45018 |
Dermis, dermofat or fascia graft (excluding transfer of fat by injection) (Anaes.) (Assist.) |
418.55 |
||||||
|
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 (H) (Anaes.) (Item is subject to rule 88) |
350.50 |
||||||
|
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.) |
350.50 |
||||||
|
45021 |
Abrasive therapy for severely disfiguring scarring resulting from trauma, burns or acne -- limited to 1 aesthetic area (Anaes.) |
156.75 |
||||||
|
45024 |
Abrasive therapy for severely disfiguring scarring resulting from trauma, burns or acne -- more than 1 aesthetic area (Anaes.) |
352.15 |
||||||
|
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.) |
156.75 |
||||||
|
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.) |
352.15 |
||||||
|
45027 |
Angioma, cauterisation of or injection into, where undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes.) |
106.35 |
||||||
|
45030 |
Angioma (haemangioma or lymphangioma or both) of skin and subcutaneous tissue (excluding facial muscle or breast) or mucous surface, small, excision and suture of (Anaes.) |
114.20 |
||||||
|
45033 |
Angioma (haemangioma or lymphangioma or both), large or involving deeper tissue including facial muscle or breast, excision and suture of (Anaes.) |
212.65 |
||||||
|
45035 |
Angioma (haemangioma or lymphangioma or both) large and deep, involving muscles or nerves, excision of (H) (Anaes.) (Assist.) |
620.35 |
||||||
|
45036 |
Angioma (haemangioma or lymphangioma or both) of neck, deep, excision of (H) (Anaes.) (Assist.) |
996.75 |
||||||
|
45039 |
Arteriovenous malformation (3 cm or less) of superficial tissue, excision of (Anaes.) |
212.65 |
||||||
|
45042 |
Arteriovenous malformation, (greater than 3 cm), excision of (Anaes.) (Assist.) |
272.50 |
||||||
|
45045 |
Arteriovenous malformation on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of (Anaes.) |
272.50 |
||||||
|
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.) |
684.40 |
||||||
|
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.) |
418.65 |
||||||
|
45054 |
Limb or chest, decompression escharotomy of (including all incisions), for acute compartment syndrome secondary to burn (H) (Anaes.) (Assist.) |
217.40 |
||||||
|
45200 |
Single stage local flap, where indicated to repair 1 defect, simple and small, excluding flap for male pattern baldness and excluding H‑flap or double advancement flap (Anaes.) |
251.25 |
||||||
|
45203 |
Single stage local flap, where indicated to repair 1 defect, complicated or large, excluding flap for male pattern baldness and excluding H‑flap or double advancement flap (Anaes.) (Assist.) |
358.80 |
||||||
|
45206 |
Single stage local flap where indicated to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals and excluding H‑flap or double advancement flap (Anaes.) |
338.95 |
||||||
|
45207 |
H‑flap or double advancement flap where indicated to repair 1 defect, on eyelid, eyebrow or forehead (Anaes.) |
338.95 |
||||||
|
45209 |
Direct flap repair (cross arm, abdominal or similar), first stage (Anaes.) (Assist.) |
418.65 |
||||||
|
45212 |
Direct flap repair (cross arm, abdominal or similar), second stage (Anaes.) |
207.70 |
||||||
|
45215 |
Direct flap repair, cross leg, first stage (H) (Anaes.) (Assist.) |
896.10 |
||||||
|
45218 |
Direct flap repair, cross leg, second stage (H) (Anaes.) (Assist.) |
401.90 |
||||||
|
45221 |
Direct flap repair, small (cross finger or similar), first stage (Anaes.) |
231.05 |
||||||
|
45224 |
Direct flap repair, small (cross finger or similar), second stage (Anaes.) |
103.85 |
||||||
|
45227 |
Indirect flap or tubed pedicle, formation of (Anaes.) (Assist.) |
393.60 |
||||||
|
45230 |
Direct or indirect flap or tubed pedicle, delay of (Anaes.) |
196.75 |
||||||
|
45233 |
Indirect flap or tubed pedicle, preparation of intermediate or final site and attachment to the site (Anaes.) (Assist.) |
418.65 |
||||||
|
45236 |
Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure (H) (Anaes.) |
328.30 |
||||||
|
45239 |
Direct, indirect or local flap, revision of, by incision and suture, not being a service to which item 45240 applies (Anaes.) |
231.05 |
||||||
|
45240 |
Direct, indirect or local flap, revision of, by liposuction, not being a service to which item 45239, 45497, 45498 or 45499 applies (Anaes.) |
231.05 |
||||||
|
45400 |
Free grafting (split skin) of a granulating area, small (Anaes.) |
180.85 |
||||||
|
45403 |
Free grafting (split skin) of a granulating area, extensive (Anaes.) (Assist.) |
360.10 |
||||||
|
45406 |
Free grafting (split skin) to burns, including excision of burnt tissue -- involving not more than 3% of total body surface (Anaes.) (Assist.) |
398.65 |
||||||
|
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.) |
531.60 |
||||||
|
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.) |
731.00 |
||||||
|
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.) |
797.35 |
||||||
|
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.) |
863.80 |
||||||
|
45439 |
Free grafting (split skin) to 1 defect, including elective dissection, small (Anaes.) |
251.25 |
||||||
|
45442 |
Free grafting (split skin) to 1 defect, including elective dissection, extensive (Anaes.) (Assist.) |
518.20 |
||||||
|
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.) |
491.85 |
||||||
|
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.) |
332.25 |
||||||
|
45451 |
Free grafting (full thickness) to 1 defect, excluding grafts for male pattern baldness (Anaes.) (Assist.) |
418.65 |
||||||
|
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.) |
1 107.50 |
||||||
|
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.) |
789.30 |
||||||
|
45462 |
Free grafting (split skin) to burns, including excision of burnt tissue, involving 15% or more but less than 20% of total body surface -- conjoint surgery, co‑surgeon (H) (Assist.) |
595.70 |
||||||
|
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.) |
1 690.50 |
||||||
|
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.) |
1 204.40 |
||||||
|
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.) |
908.30 |
||||||
|
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.) |
1 619.40 |
||||||
|
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.) |
1 221.80 |
||||||
|
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.) |
2 035.55 |
||||||
|
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.) |
1 535.40 |
||||||
|
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.) |
2 450.60 |
||||||
|
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.) |
1 849.00 |
||||||
|
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.) |
2 865.70 |
||||||
|
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.) |
2 161.45 |
||||||
|
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.) |
3 280.65 |
||||||
|
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.) |
2 475.15 |
||||||
|
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.) |
3 737.75 |
||||||
|
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.) |
2 820.15 |
||||||
|
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.) |
466.30 |
||||||
|
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.) |
398.65 |
||||||
|
45487 |
Free grafting (split skin) to burns, including excision of burnt tissue -- whole of toe (Anaes.) (Assist.) |
358.80 |
||||||
|
45488 |
Free grafting (split skin) to burns, including excision of burnt tissue -- the whole of 1 digit of the hand (H) (Anaes.) (Assist.) |
398.65 |
||||||
|
45489 |
Free grafting (split skin) to burns, including excision of burnt tissue -- the whole of 2 digits of the hand (H) (Anaes.) (Assist.) |
598.10 |
||||||
|
45490 |
Free grafting (split skin) to burns, including excision of burnt tissue -- the whole of 3 digits of the hand (H) (Anaes.) (Assist.) |
797.45 |
||||||
|
45491 |
Free grafting (split skin) to burns, including excision of burnt tissue -- the whole of 4 digits of the hand (H) (Anaes.) (Assist.) |
996.75 |
||||||
|
45492 |
Free grafting (split skin) to burns, including excision of burnt tissue -- the whole of 5 digits of the hand (H) (Anaes.) (Assist.) |
1 196.10 |
||||||
|
45493 |
Free grafting (split skin) to burns, including excision of burnt tissue -- portion of digit of hand (H) (Anaes.) (Assist.) |
358.80 |
||||||
|
45494 |
Free grafting (split skin) to burns, including excision of burnt tissue -- whole of face (excluding ears) (H) (Anaes.) (Assist.) |
1 448.00 |
||||||
|
45496 |
Flap, free tissue transfer using microvascular techniques -- revision of, by open operation (H) (Anaes.) |
367.60 |
||||||
|
45497 |
Flap, free tissue transfer using microvascular techniques or any breast reconstruction -- complete revision of, by liposuction (H) (Anaes.) |
287.15 |
||||||
|
45498 |
Flap, free tissue transfer using microvascular techniques or any breast reconstruction -- staged revision of, by liposuction (first stage) (H) (Anaes.) |
231.05 |
||||||
|
45499 |
Flap, free tissue transfer using microvascular techniques or any breast reconstruction -- staged revision of, by liposuction (second stage) (H) (Anaes.) |
172.30 |
||||||
|
45500 |
Microvascular repair using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (H) (Anaes.) (Assist.) |
963.45 |
||||||
|
45501 |
Microvascular anastomosis of artery using microsurgical techniques, for re‑implantation of limb or digit (H) (Anaes.) (Assist.) |
1 568.20 |
||||||
|
45502 |
Microvascular anastomosis of vein using microsurgical techniques, for re‑implantation of limb or digit (H) (Anaes.) (Assist.) |
1 568.20 |
||||||
|
45503 |
Micro‑arterial or micro‑venous graft using microsurgical techniques (H) (Anaes.) (Assist.) |
1 794.15 |
||||||
|
45504 |
Microvascular anastomosis of artery using microsurgical techniques, for free transfer of tissue including setting in of free flap (H) (Anaes.) (Assist.) |
1 568.20 |
||||||
|
45505 |
Microvascular anastomosis of vein using microsurgical techniques, for free transfer of tissue including setting in of free flap (H) (Anaes.) (Assist.) |
1 568.20 |
||||||
|
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.) |
194.35 |
||||||
|
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.) |
261.25 |
||||||
|
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.) |
164.80 |
||||||
|
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.) |
199.40 |
||||||
|
45519 |
Extensive burn scars of skin (more than 1% of body surface area), excision of, for correction of scar contracture (H) (Anaes.) (Assist.) |
379.15 |
||||||
|
45520 |
Reduction mammaplasty (unilateral) with surgical repositioning of nipple (H) (Anaes.) (Assist.) |
795.65 |
||||||
|
45522 |
Reduction mammaplasty (unilateral) without surgical repositioning of nipple, excluding the treatment of gynaecomastia (Anaes.) (Assist.) |
558.25 |
||||||
|
45524 |
Mammaplasty, augmentation, for significant breast asymmetry where the augmentation is limited to 1 breast (H) (Anaes.) (Assist.) |
655.40 |
||||||
|
45527 |
Mammaplasty, augmentation, (unilateral), following mastectomy (H) (Anaes.) (Assist.) |
655.40 |
||||||
|
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.) |
982.95 |
||||||
|
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.) |
971.50 |
||||||
|
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 and other similar procedures (H) (Anaes.) (Assist.) |
1 100.25 |
||||||
|
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.) |
404.55 |
||||||
|
45539 |
Breast reconstruction (unilateral) , following mastectomy, using tissue expansion -- insertion of tissue expansion unit and all attendances for subsequent expansion injections (H) (Anaes.) (Assist.) |
946.60 |
||||||
|
Breast reconstruction (unilateral) , following mastectomy, using tissue expansion -- removal of tissue expansion unit and insertion of permanent prosthesis (H) (Anaes.) (Assist.) |
542.00 |
|||||||
|
45545 |
Nipple or areola or both, reconstruction of, by any surgical technique (Anaes.) (Assist.) |
550.05 |
||||||
|
45546 |
Nipple or areola or both, intradermal colouration of, following breast reconstruction after mastectomy or for congenital absence of nipple |
174.85 |
||||||
|
45548 |
Breast prosthesis, removal of, as an independent procedure (Anaes.) |
244.55 |
||||||
|
45551 |
Breast prosthesis, removal of, with excision of fibrous capsule (H) (Anaes.) (Assist.) |
392.05 |
||||||
|
45552 |
Breast prosthesis, removal of, with excision of fibrous capsule and replacement of prosthesis (Anaes.) (Assist.) |
564.40 |
||||||
|
45553 |
Breast prosthesis, removal of and replacement with another prosthesis, following medical complications (such as rupture, migration of prosthetic material, or capsule formation) (Anaes.) (Assist.) |
564.40 |
||||||
|
45554 |
Breast prosthesis, removal and replacement with another prosthesis, 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.) |
618.05 |
||||||
|
45555 |
Silicone breast prosthesis, removal of and replacement with prosthesis other than silicone gel prosthesis (H) (Anaes.) (Assist.) |
564.40 |
||||||
|
45556 |
Breast ptosis, correction of (unilateral), to match the position of the contralateral breast (Anaes.) (Assist.) |
676.85 |
||||||
|
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.) |
676.85 |
||||||
|
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.) |
1 015.30 |
||||||
|
45559 |
Tuberous, tubular or constricted breast, where it can be demonstrated, correction of by simultaneous mastopexy and augmentation of (unilateral) (Anaes.) (Assist.) |
1 004.55 |
||||||
|
45560 |
Hair transplantation for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not being a service to which another item in this group applies (Anaes.) |
418.55 |
||||||
|
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.) |
971.50 |
||||||
|
45563 |
Neurovascular island flap, including direct repair of secondary cutaneous defect if performed, excluding flap for male pattern baldness (Anaes.) (Assist.) |
971.50 |
||||||
|
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.) |
2 250.00 |
||||||
|
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.) |
1 687.55 |
||||||
|
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.) |
946.60 |
||||||
|
45568 |
Tissue expander, removal of, with complete excision of fibrous capsule (H) (Anaes.) (Assist.) |
392.05 |
||||||
|
45569 |
Closure of abdomen with reconstruction of umbilicus, with or without lipectomy, being a service associated with items 45562, 45530, 45564 or 45565 (H) (Anaes.) (Assist.) |
598.75 |
||||||
|
45570 |
Closure of abdomen, repair of musculoaponeurotic layer, being a service associated with item 45569 (Anaes.) (Assist.) |
808.50 |
||||||
|
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.) |
257.80 |
||||||
|
45575 |
Facial nerve paralysis, free fascia graft for (Anaes.) (Assist.) |
636.40 |
||||||
|
45578 |
Facial nerve paralysis, muscle transfer for (H) (Anaes.) (Assist.) |
737.05 |
||||||
|
45581 |
Facial nerve palsy, excision of tissue for (Anaes.) |
244.55 |
||||||
|
45584 |
Liposuction (suction assisted lipolysis) to 1 regional area (thigh, buttock, or similar), for treatment of post‑traumatic pseudolipoma (Anaes.) |
558.25 |
||||||
|
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, lymphoedema or macrodystrophia lipomatosa (Anaes.) |
558.25 |
||||||
|
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.) |
558.25 |
||||||
|
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.) |
787.20 |
||||||
|
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.) |
1 180.90 |
||||||
|
45590 |
Orbital cavity, reconstruction of a wall or floor, with or without foreign implant (H) (Anaes.) (Assist.) |
427.05 |
||||||
|
45593 |
Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (H) (Anaes.) (Assist.) |
501.60 |
||||||
|
45596 |
Maxilla, total resection of (H) (Anaes.) (Assist.) |
795.65 |
||||||
|
45597 |
Maxilla, total resection of both maxillae (H) (Anaes.) (Assist.) |
1 065.10 |
||||||
|
45599 |
Mandible, total resection of both sides, including condylectomies where performed (Anaes.) (Assist.) |
827.60 |
||||||
|
45602 |
Mandible, including lower border, or maxilla, sub‑total resection of (H) (Anaes.) (Assist.) |
618.05 |
||||||
|
45605 |
Mandible or maxilla, segmental resection of, for tumours or cysts (H) (Anaes.) (Assist.) |
519.25 |
||||||
|
45608 |
Mandible, hemi‑mandibular reconstruction with bone graft, not being a service associated with a service to which item 45599 applies (H) (Anaes.) (Assist.) |
731.00 |
||||||
|
45611 |
Mandible, condylectomy (H) (Anaes.) (Assist.) |
418.65 |
||||||
|
45614 |
Eyelid, whole thickness reconstruction of, other than by direct suture only (Anaes.) (Assist.) |
519.25 |
||||||
|
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.) |
207.70 |
||||||
|
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.) |
288.10 |
||||||
|
45623 |
Ptosis of eyelid (unilateral), correction of (Anaes.) (Assist.) |
638.95 |
||||||
|
45624 |
Ptosis of eyelid, correction of, where previous ptosis surgery has been performed on that side (Anaes.) (Assist.) |
828.35 |
||||||
|
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 (H) (Anaes.) |
165.70 |
||||||
|
45626 |
Ectropion or entropion, correction of (unilateral) (Anaes.) |
288.10 |
||||||
|
45629 |
Symblepharon, grafting for (Anaes.) (Assist.) |
418.65 |
||||||
|
45632 |
Rhinoplasty, correction of lateral or alar cartilages (Anaes.) |
452.35 |
||||||
|
45635 |
Rhinoplasty, correction of bony vault only (Anaes.) |
519.25 |
||||||
|
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.) |
896.10 |
||||||
|
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.) |
896.10 |
||||||
|
45641 |
Rhinoplasty involving nasal or septal cartilage graft, or nasal bone graft, or nasal bone and nasal cartilage graft (Anaes.) |
956.90 |
||||||
|
45644 |
Rhinoplasty involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft (Anaes.) (Assist.) |
1 130.60 |
||||||
|
45645 |
Choanal atresia, repair of by puncture and dilatation (H) (Anaes.) |
197.60 |
||||||
|
45646 |
Choanal atresia, correction by open operation with bone removal (Anaes.) (Assist.) |
795.65 |
||||||
|
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.) |
1 130.60 |
||||||
|
45650 |
Rhinoplasty, secondary revision of (Anaes.) |
130.65 |
||||||
|
45652 |
Rhinophyma, carbon dioxide laser or erbium laser excision -- ablation of (Anaes.) |
314.90 |
||||||
|
45653 |
Rhinophyma, shaving of (Anaes.) |
314.90 |
||||||
|
45656 |
Composite graft (chondro‑cutaneous or chondro‑mucosal) to nose, ear or eyelid (Anaes.) (Assist.) |
443.85 |
||||||
|
45659 |
Lop ear, bat ear or similar deformity, correction of (Anaes.) |
460.55 |
||||||
|
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.) |
2 543.80 |
||||||
|
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.) |
1 130.60 |
||||||
|
45662 |
Congenital atresia, reconstruction of external auditory canal (H) (Anaes.) (Assist.) |
619.65 |
||||||
|
45665 |
Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures (Anaes.) |
288.10 |
||||||
|
45668 |
Vermilionectomy, by surgical excision (Anaes.) |
288.10 |
||||||
|
45669 |
Vermilionectomy, using carbon dioxide laser or erbium laser excision -- ablation (Anaes.) |
288.10 |
||||||
|
45671 |
Lip or eyelid reconstruction using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.) |
737.05 |
||||||
|
45674 |
Lip or eyelid reconstruction using full thickness flap (Abbe or similar), second stage (Anaes.) |
214.35 |
||||||
|
45675 |
Macrocheilia or macroglossia, operation for (H) (Anaes.) (Assist.) |
427.05 |
||||||
|
45676 |
Macrostomia, operation for (H) (Anaes.) (Assist.) |
508.35 |
||||||
|
45677 |
Cleft lip, unilateral -- primary repair, 1 stage, without anterior palate repair (H) (Anaes.) (Assist.) |
478.40 |
||||||
|
45680 |
Cleft lip, unilateral -- primary repair, 1 stage, with anterior palate repair (H) (Anaes.) (Assist.) |
598.10 |
||||||
|
45683 |
Cleft lip, bilateral -- primary repair, 1 stage, without anterior palate repair (H) (Anaes.) (Assist.) |
664.40 |
||||||
|
45686 |
Cleft lip, bilateral -- primary repair, 1 stage, with anterior palate repair (H) (Anaes.) (Assist.) |
784.20 |
||||||
|
45689 |
Cleft lip, lip adhesion procedure, unilateral or bilateral (H) (Anaes.) (Assist.) |
231.25 |
||||||
|
45692 |
Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (Anaes.) |
265.75 |
||||||
|
45695 |
Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (H) (Anaes.) (Assist.) |
431.90 |
||||||
|
45698 |
Cleft lip, primary columella lengthening procedure, bilateral (H) (Anaes.) |
405.35 |
||||||
|
45701 |
Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage (H) (Anaes.) (Assist.) |
731.00 |
||||||
|
45704 |
Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (Anaes.) |
265.75 |
||||||
|
45707 |
Cleft palate, primary repair (H) (Anaes.) (Assist.) |
690.95 |
||||||
|
45710 |
Cleft palate, secondary repair, closure of fistula using local flaps (H) (Anaes.) |
431.90 |
||||||
|
45713 |
Cleft palate, secondary repair, lengthening procedure (H) (Anaes.) (Assist.) |
491.85 |
||||||
|
45714 |
Oro‑nasal fistula, plastic closure of, including services to which item 45200, 45203 or 45239 applies (H) (Anaes.) (Assist.) |
690.95 |
||||||
|
45716 |
Velo‑pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (H) (Anaes.) |
690.95 |
||||||
|
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.) |
854.25 |
||||||
|
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.) |
963.45 |
||||||
|
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.) |
1 088.70 |
||||||
|
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.) |
1 222.65 |
||||||
|
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.) |
1 239.50 |
||||||
|
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 (H) (Anaes.) (Assist.) |
1 395.45 |
||||||
|
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.) |
1 423.60 |
||||||
|
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.) |
1 601.50 |
||||||
|
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.) |
1 566.10 |
||||||
|
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.) |
1 760.80 |
||||||
|
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.) |
1 708.55 |
||||||
|
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 (H) (Anaes.) (Assist.) |
1 913.75 |
||||||
|
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.) |
1 925.15 |
||||||
|
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.) |
2 307.70 |
||||||
|
45755 |
Temporo‑mandibular partial or total meniscectomy (Anaes.) (Assist.) |
324.95 |
||||||
|
45758 |
Temporo‑mandibular joint, arthroplasty (H) (Anaes.) (Assist.) |
581.50 |
||||||
|
45761 |
Genioplasty, including transposition of nerves and vessels and bone grafts taken from the same site (H) (Anaes.) (Assist.) |
661.55 |
||||||
|
45767 |
Hypertelorism, correction of, intra‑cranial (Anaes.) (Assist.) |
2 219.35 |
||||||
|
45770 |
Hypertelorism, correction of, sub‑cranial (H) (Anaes.) (Assist.) |
1 700.05 |
||||||
|
45773 |
Treacher Collins Syndrome, periorbital correction of, with rib and iliac bone grafts (Anaes.) (Assist.) |
1 549.35 |
||||||
|
45776 |
Orbital dystopia (unilateral) , correction of, with total repositioning of 1 orbit, intra‑cranial (H) (Anaes.) (Assist.) |
1 549.35 |
||||||
|
45779 |
Orbital dystopia (unilateral) , correction of, with total repositioning of 1 orbit, extra‑cranial (H) (Anaes.) (Assist.) |
1 139.10 |
||||||
|
45782 |
Fronto‑orbital advancement, unilateral (Anaes.) (Assist.) |
871.05 |
||||||
|
45785 |
Cranial vault reconstruction for oxycephaly, brachycephaly, turricephaly or similar condition -- (bilateral fronto‑orbital advancement) (H) (Anaes.) (Assist.) |
1 473.95 |
||||||
|
45788 |
Glenoid fossa, zygomatic arch and temporal bone, reconstruction of, (Obwegeser technique) (H) (Anaes.) (Assist.) |
1 457.20 |
||||||
|
45791 |
Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (H) (Anaes.) (Assist.) |
787.20 |
||||||
|
45794 |
Osseo‑integration procedure -- extra‑oral, implantation of titanium fixture, not for implantable bone conduction hearing system device (Anaes.) |
445.25 |
||||||
|
45797 |
Osseo‑integration procedure, fixation of transcutaneous abutment, not for implantable bone conduction hearing system device (Anaes.) |
164.80 |
||||||
|
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.) |
26.05 |
||||||
|
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.) |
112.15 |
||||||
|
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.) |
288.10 |
||||||
|
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.) |
152.45 |
||||||
|
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.) |
217.80 |
||||||
|
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.) |
328.30 |
||||||
|
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.) |
443.85 |
||||||
|
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.) |
519.25 |
||||||
|
45815 |
Operation on mandible or maxilla (other than alveolar margins) for chronic osteomyelitis -- 1 bone or in combination with adjoining bones (Anaes.) (Assist.) |
314.90 |
||||||
|
45817 |
Operation on skull for osteomyelitis (Anaes.) (Assist.) |
410.45 |
||||||
|
45819 |
Operation on any combination of adjoining bones in the oral and maxillofacial region, being bones referred to in item 45817 (Anaes.) (Assist.) |
519.20 |
||||||
|
45821 |
Bone growth stimulator in the oral and maxillofacial region, insertion of (Anaes.) (Assist.) |
336.45 |
||||||
|
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.) |
96.25 |
||||||
|
45825 |
Mandibular or palatal exostosis, excision of (Anaes.) (Assist.) |
298.95 |
||||||
|
45827 |
Mylohyoid ridge, reduction of (Anaes.) (Assist.) |
285.80 |
||||||
|
45829 |
Maxillary tuberosity, reduction of (Anaes.) |
218.00 |
||||||
|
45831 |
Papillary hyperplasia of the palate, removal of -- less than 5 lesions (Anaes.) (Assist.) |
285.80 |
||||||
|
45833 |
Papillary hyperplasia of the palate, removal of -- 5 to 20 lesions (Anaes.) (Assist.) |
358.80 |
||||||
|
45835 |
Papillary hyperplasia of the palate, removal of -- more than 20 lesions (Anaes.) (Assist.) |
445.25 |
||||||
|
45837 |
Vestibuloplasty, submucosal or open, including excision of muscle and skin or mucosal graft when performed -- unilateral or bilateral (Anaes.) (Assist.) |
518.20 |
||||||
|
45839 |
Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed -- unilateral (Anaes.) (Assist.) |
518.20 |
||||||
|
45841 |
Alveolar ridge augmentation with bone or alloplast or both -- unilateral (Anaes.) (Assist.) |
418.55 |
||||||
|
45843 |
Alveolar ridge augmentation -- unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region (Anaes.) (Assist.) |
256.70 |
||||||
|
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.) |
445.25 |
||||||
|
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.) |
164.80 |
||||||
|
45849 |
Maxillary sinus, bone graft to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral (Anaes.) (Assist.) |
513.25 |
||||||
|
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.) |
126.30 |
||||||
|
45853 |
Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (Anaes.) (Assist.) |
787.20 |
||||||
|
45855 |
Temporomandibular joint, arthroscopy of, with or without biopsy, not being a service associated with any other arthroscopic procedure of that joint (Anaes.) (Assist.) |
361.15 |
||||||
|
45857 |
Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions -- 1 or more of such procedures (Anaes.) (Assist.) |
577.70 |
||||||
|
45859 |
Temporomandibular joint, arthrotomy of, not being a service to which another item in this subgroup applies (Anaes.) (Assist.) |
291.25 |
||||||
|
45861 |
Temporomandibular joint, open surgical exploration of, with or without microsurgical techniques (Anaes.) (Assist.) |
770.80 |
||||||
|
45863 |
Temporomandibular joint, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (Anaes.) (Assist.) |
854.45 |
||||||
|
45865 |
Arthrocentesis, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.) |
256.70 |
||||||
|
45867 |
Temporomandibular joint, synovectomy of, not being a service to which another item in this subgroup applies (Anaes.) (Assist.) |
276.00 |
||||||
|
45869 |
Temporomandibular joint, open surgical exploration of, with or without meniscus or capsular surgery, including partial or total meniscectomy when performed, with or without microsurgical techniques (Anaes.) (Assist.) |
1 049.95 |
||||||
|
45871 |
Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (Anaes.) (Assist.) |
1 182.75 |
||||||
|
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.) |
1 329.00 |
||||||
|
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.) |
415.90 |
||||||
|
45877 |
Temporomandibular joint, arthrodesis of, not being a service to which another item in this subgroup applies (Anaes.) (Assist.) |
415.90 |
||||||
|
45879 |
Temporomandibular joint or joints, application of external fixator to, other than for treatment of fractures (Anaes.) (Assist.) |
276.00 |
||||||
|
Subgroup 14 -- Hand surgery |
||||||||
|
46300 |
Interphalangeal joint or metacarpophalangeal joint, arthrodesis of (H) (Anaes.) (Assist.) |
299.00 |
||||||
|
46303 |
Carpometacarpal joint, arthrodesis of (H) (Anaes.) (Assist.) |
332.35 |
||||||
|
46306 |
Interphalangeal joint or metacarpophalangeal joint -- interposition arthroplasty of and including tendon transfers or realignment on the 1 ray (H) (Anaes.) (Assist.) |
465.20 |
||||||
|
46307 |
Interphalangeal joint or metacarpophalangeal joint -- volar plate arthroplasty for traumatic deformity including tendon transfers or realignment on the 1 ray (H) (Anaes.) (Assist.) |
465.20 |
||||||
|
46309 |
Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment -- 1 joint (H) (Anaes.) (Assist.) |
465.20 |
||||||
|
46312 |
Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment -- 2 joints (H) (Anaes.) (Assist.) |
598.20 |
||||||
|
46315 |
Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment -- 3 joints (H) (Anaes.) (Assist.) |
797.50 |
||||||
|
46318 |
Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment -- 4 joints (H) (Anaes.) (Assist.) |
996.95 |
||||||
|
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.) |
1 196.40 |
||||||
|
46324 |
Carpal bone replacement arthroplasty including associated tendon transfer or realignment when performed (H) (Anaes.) (Assist.) |
713.40 |
||||||
|
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.) |
744.45 |
||||||
|
46327 |
Interphalangeal joint or metacarpophalangeal joint, arthrotomy of (Anaes.) |
179.55 |
||||||
|
46330 |
Interphalangeal joint or metacarpophalangeal joint, ligamentous or capsular repair, with or without arthrotomy(H) (Anaes.) (Assist.) |
305.80 |
||||||
|
46333 |
Interphalangeal joint or metacarpophalangeal joint, ligamentous repair of, using free tissue graft or implant (H) (Anaes.) (Assist.) |
498.45 |
||||||
|
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.) |
232.70 |
||||||
|
46339 |
Extensor tendons or flexor tendons of hand or wrist, synovectomy of (Anaes.) (Assist.) |
411.95 |
||||||
|
46342 |
Distal radioulnar joint or carpometacarpal joint or joints, synovectomy of (H) (Anaes.) (Assist.) |
411.95 |
||||||
|
46345 |
Distal radioulnar joint, reconstruction or stabilisation of, including fusion, or ligamentous arthroplasty and excision of distal ulna, when performed (H) (Anaes.) (Assist.) |
498.45 |
||||||
|
46348 |
Digit, synovectomy of flexor tendon or tendons -- 1 digit (Anaes.) |
216.00 |
||||||
|
46351 |
Digit, synovectomy of flexor tendon or tendons -- 2 digits (H) (Anaes.) (Assist.) |
322.35 |
||||||
|
46354 |
Digit, synovectomy of flexor tendon or tendons -- 3 digits (H) (Anaes.) (Assist.) |
432.00 |
||||||
|
46357 |
Digit, synovectomy of flexor tendon or tendons -- 4 digits (H) (Anaes.) (Assist.) |
538.35 |
||||||
|
46360 |
Digit, synovectomy of flexor tendon or tendons -- 5 digits (H) (Anaes.) (Assist.) |
648.00 |
||||||
|
46363 |
Tendon sheath of hand or wrist, open operation on, for stenosing tenovaginitis (Anaes.) |
186.10 |
||||||
|
46366 |
Dupuytren's contracture, subcutaneous fasciotomy for -- each hand (Anaes.) |
113.00 |
||||||
|
46369 |
Dupuytren's contracture, palmar fasciectomy for -- 1 hand (Anaes.) |
186.10 |
||||||
|
46372 |
Dupuytren's contracture, fasciectomy for, from 1 ray, including dissection of nerves -- 1 hand (Anaes.) (Assist.) |
378.10 |
||||||
|
46375 |
Dupuytren's contracture, fasciectomy for, from 2 rays, including dissection of nerves -- 1 hand (Anaes.) (Assist.) |
448.65 |
||||||
|
46378 |
Dupuytren's contracture, fasciectomy for, from 3 or more rays, including dissection of nerves -- 1 hand (H) (Anaes.) (Assist.) |
598.20 |
||||||
|
46381 |
Interphalangeal joint, joint capsule release when performed in conjunction with operation for Dupuytren's contracture -- each procedure (H) (Anaes.) (Assist.) |
265.80 |
||||||
|
46384 |
Z plasty (or similar local flap procedure) when performed in conjunction with operation for Dupuytren's contracture -- 1 such procedure (H) (Anaes.) (Assist.) |
265.80 |
||||||
|
46387 |
Dupuytren's contracture, fasciectomy for, from 1 ray, including dissection of nerves -- operation for recurrence in that ray (Anaes.) (Assist.) |
548.40 |
||||||
|
46390 |
Dupuytren's contracture, fasciectomy for, from 2 rays, including dissection of nerves -- operation for recurrence in those rays (H) (Anaes.) (Assist.) |
731.15 |
||||||
|
46393 |
Dupuytren's contracture, fasciectomy for, from 3 or more rays, including dissection of nerves -- operation for recurrence in those rays (H) (Anaes.) (Assist.) |
847.40 |
||||||
|
46396 |
Phalanx or metacarpal of the hand, osteotomy or osteectomy of (Anaes.) (Assist.) |
291.25 |
||||||
|
46399 |
Phalanx or metacarpal of the hand, osteotomy of, with internal fixation (H) (Anaes.) (Assist.) |
457.60 |
||||||
|
46402 |
Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non‑union), including obtaining of graft material (H) (Anaes.) (Assist.) |
457.60 |
||||||
|
46405 |
Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non‑union), involving internal fixation and including obtaining of graft material (H) (Anaes.) (Assist.) |
558.35 |
||||||
|
46408 |
Tendon, reconstruction of, by tendon graft (H) (Anaes.) (Assist.) |
611.55 |
||||||
|
46411 |
Flexor tendon pulley, reconstruction of, by graft (H) (Anaes.) (Assist.) |
358.90 |
||||||
|
46414 |
Artificial tendon prosthesis, insertion of, in preparation for tendon grafting (Anaes.) (Assist.) |
465.10 |
||||||
|
46417 |
Tendon transfer for restoration of hand function, each transfer (H) (Anaes.) (Assist.) |
432.00 |
||||||
|
46420 |
Extensor tendon of hand or wrist, primary repair of, each tendon (Anaes.) |
180.75 |
||||||
|
46423 |
Extensor tendon of hand or wrist, secondary repair of, each tendon (Anaes.) (Assist.) |
289.10 |
||||||
|
46426 |
Flexor tendon of hand or wrist, primary repair of, proximal to A1 pulley, each tendon (H) (Anaes.) (Assist.) |
299.00 |
||||||
|
46429 |
Flexor tendon of hand or wrist, secondary repair of, proximal to A1 pulley, each tendon (Anaes.) (Assist.) |
365.50 |
||||||
|
46432 |
Flexor tendon of hand, primary repair of, distal to A1 pulley, each tendon (H) (Anaes.) (Assist.) |
398.85 |
||||||
|
46435 |
Flexor tendon of hand, secondary repair of, distal to A1 pulley, each tendon (H) (Anaes.) (Assist.) |
465.20 |
||||||
|
46438 |
Mallet finger, closed pin fixation of (Anaes.) |
119.65 |
||||||
|
46441 |
Mallet finger, open repair of, including pin fixation when performed (Anaes.) (Assist.) |
289.10 |
||||||
|
46442 |
Mallet finger with intra‑articular fracture involving more than one‑third of base of terminal phalanx -- open reduction (H) (Anaes.) (Assist.) |
248.15 |
||||||
|
46444 |
Boutonniere deformity without joint contracture, reconstruction of (H) (Anaes.) (Assist.) |
432.00 |
||||||
|
46447 |
Boutonniere deformity with joint contracture, reconstruction of (H) (Anaes.) (Assist.) |
538.35 |
||||||
|
46450 |
Extensor tendon, tenolysis of, following tendon injury, repair or graft (H) (Anaes.) |
199.40 |
||||||
|
46453 |
Flexor tendon, tenolysis of, following tendon injury, repair or graft (H) (Anaes.) (Assist.) |
332.35 |
||||||
|
46456 |
Finger, percutaneous tenotomy of (Anaes.) |
86.40 |
||||||
|
46459 |
Operation for osteomyelitis on distal phalanx (Anaes.) |
166.20 |
||||||
|
46462 |
Operation for osteomyelitis on middle or proximal phalanx, metacarpal or carpus (Anaes.) (Assist.) |
265.80 |
||||||
|
46464 |
Amputation of a supernumerary complete digit (Anaes.) |
199.40 |
||||||
|
46465 |
Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) |
199.40 |
||||||
|
46468 |
Amputation of 2 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (H) (Anaes.) (Assist.) |
348.95 |
||||||
|
46471 |
Amputation of 3 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes.) (Assist.) |
498.45 |
||||||
|
46474 |
Amputation of 4 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (H) (Anaes.) (Assist.) |
648.00 |
||||||
|
46477 |
Amputation of 5 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (H) (Anaes.) (Assist.) |
797.50 |
||||||
|
46480 |
Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover, including metacarpal (Anaes.) (Assist.) |
332.35 |
||||||
|
46483 |
Revision of amputation stump to provide adequate soft tissue cover (Anaes.) (Assist.) |
265.80 |
||||||
|
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.) |
199.40 |
||||||
|
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.) |
232.70 |
||||||
|
46492 |
Contracture of digits of hand, flexor or extensor, correction of, involving tissues deeper than skin and subcutaneous tissue (H) (Anaes.) (Assist.) |
319.05 |
||||||
|
46494 |
Ganglion of hand, excision of, not being a service associated with a service to which another item in this group applies (Anaes.) |
194.35 |
||||||
|
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.) |
179.55 |
||||||
|
46498 |
Ganglion of flexor tendon sheath, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes.) |
194.35 |
||||||
|
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.) |
232.70 |
||||||
|
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.) |
290.85 |
||||||
|
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.) |
267.65 |
||||||
|
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.) |
334.35 |
||||||
|
46504 |
Neurovascular island flap, for pulp innervation (Anaes.) (Assist.) |
976.95 |
||||||
|
46507 |
Digit or ray, transposition or transfer of, on vascular pedicle, complete procedure (H) (Anaes.) (Assist.) |
1136.50 |
||||||
|
46510 |
Macrodactyly, surgical reduction of enlarged elements -- each digit (H) (Anaes.) (Assist.) |
310.20 |
||||||
|
46513 |
Digital nail of finger or thumb, removal of, not being a service to which item 46516 applies (Anaes.) |
49.95 |
||||||
|
46516 |
Digital nail of finger or thumb, removal of, in the operating theatre of a hospital or approved day hospital facility (Anaes.) |
99.75 |
||||||
|
46519 |
Middle palmar, thenar or hypothenar spaces of hand, drainage of (excluding after‑care) (Anaes.) |
124.80 |
||||||
|
46522 |
Flexor tendon sheath of finger or thumb -- open operation and drainage for infection (H) (Anaes.) (Assist.) |
372.20 |
||||||
|
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.) |
49.95 |
||||||
|
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.) |
149.80 |
||||||
|
46531 |
Ingrowing nail of finger or thumb, partial resection of nail, including phenolisation but not including excision of nail bed (Anaes.) |
75.25 |
||||||
|
46534 |
Nail plate injury or deformity, radical excision of nail germinal matrix (Anaes.) |
208.05 |
||||||
|
Subgroup 15 -- Orthopaedic |
||||||||
|
47000 |
Mandible, treatment of dislocation of, by closed reduction (Anaes.) |
62.50 |
||||||
|
47003 |
Clavicle, treatment of dislocation of, by closed reduction (Anaes.) |
74.90 |
||||||
|
47006 |
Clavicle, treatment of dislocation of, by open reduction (Anaes.) |
150.45 |
||||||
|
47009 |
Shoulder, treatment of dislocation of, requiring general anaesthesia, not being a service to which item 47012 applies (Anaes.) |
149.80 |
||||||
|
47012 |
Shoulder, treatment of dislocation of, requiring general anaesthesia, open reduction (H) (Anaes.) (Assist.) |
299.45 |
||||||
|
47015 |
Shoulder, treatment of dislocation of, not requiring general anaesthesia |
74.90 |
||||||
|
47018 |
Elbow, treatment of dislocation of, by closed reduction (Anaes.) |
174.60 |
||||||
|
47021 |
Elbow, treatment of dislocation of, by open reduction (H) (Anaes.) (Assist.) |
232.95 |
||||||
|
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.) |
174.60 |
||||||
|
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.) |
232.95 |
||||||
|
47030 |
Carpus, or carpus on radius and ulna, or carpometacarpal joint, treatment of dislocation of, by closed reduction (Anaes.) |
174.60 |
||||||
|
47033 |
Carpus, or carpus on radius and ulna, or carpometacarpal joint, treatment of dislocation of, by open reduction (Anaes.) (Assist.) |
232.95 |
||||||
|
47036 |
Interphalangeal joint, treatment of dislocation of, by closed reduction (Anaes.) |
74.90 |
||||||
|
47039 |
Interphalangeal joint, treatment of dislocation of, by open reduction (Anaes.) |
99.75 |
||||||
|
47042 |
Metacarpophalangeal joint, treatment of dislocation of, by closed reduction (Anaes.) |
99.75 |
||||||
|
47045 |
Metacarpophalangeal joint, treatment of dislocation of, by open reduction (Anaes.) |
133.20 |
||||||
|
47048 |
Hip, treatment of dislocation of, by closed reduction (Anaes.) |
287.00 |
||||||
|
47051 |
Hip, treatment of dislocation of, by open reduction (H) (Anaes.) (Assist.) |
382.60 |
||||||
|
47054 |
Knee, treatment of dislocation of, by closed reduction (Anaes.) (Assist.) |
287.00 |
||||||
|
47057 |
Patella, treatment of dislocation of, by closed reduction (Anaes.) |
112.25 |
||||||
|
47060 |
Patella, treatment of dislocation of, by open reduction (Anaes.) |
149.80 |
||||||
|
47063 |
Ankle or tarsus, treatment of dislocation of, by closed reduction (Anaes.) |
224.60 |
||||||
|
47066 |
Ankle or tarsus, treatment of dislocation of, by open reduction (H) (Anaes.) (Assist.) |
299.45 |
||||||
|
47069 |
Toe, treatment of dislocation of, by closed reduction (Anaes.) |
62.50 |
||||||
|
47072 |
Toe, treatment of dislocation of, by open reduction (Anaes.) |
83.05 |
||||||
|
47300 |
Distal phalanx of finger or thumb, treatment of fracture of, by closed reduction, including percutaneous fixation where used (Anaes.) |
74.90 |
||||||
|
47303 |
Distal phalanx of finger or thumb, treatment of intra‑articular fracture of, by closed reduction (Anaes.) |
87.40 |
||||||
|
47306 |
Distal phalanx of finger or thumb, treatment of fracture of, by open reduction (Anaes.) |
99.75 |
||||||
|
47309 |
Distal phalanx of finger or thumb, treatment of intra‑articular fracture of, by open reduction (Anaes.) |
124.80 |
||||||
|
47312 |
Middle phalanx of finger, treatment of fracture of, by closed reduction (Anaes.) |
112.25 |
||||||
|
47315 |
Middle phalanx of finger, treatment of intra‑articular fracture of, by closed reduction (Anaes.) |
128.95 |
||||||
|
47318 |
Middle phalanx of finger, treatment of fracture of, by open reduction (Anaes.) |
149.80 |
||||||
|
47321 |
Middle phalanx of finger, treatment of intra‑articular fracture of, by open reduction (H) (Anaes.) |
187.15 |
||||||
|
47324 |
Proximal phalanx of finger or thumb, treatment of fracture of, by closed reduction (Anaes.) |
149.80 |
||||||
|
47327 |
Proximal phalanx of finger or thumb, treatment of intra‑articular fracture of, by closed reduction (Anaes.) |
174.60 |
||||||
|
47330 |
Proximal phalanx of finger or thumb, treatment of fracture of, by open reduction (Anaes.) |
199.70 |
||||||
|
47333 |
Proximal phalanx of finger or thumb, treatment of intra‑articular fracture of, by open reduction (H) (Anaes.) (Assist.) |
249.50 |
||||||
|
47336 |
Metacarpal, treatment of fracture of, by closed reduction (Anaes.) |
149.80 |
||||||
|
47339 |
Metacarpal, treatment of intra‑articular fracture of, by closed reduction (Anaes.) |
174.60 |
||||||
|
47342 |
Metacarpal, treatment of fracture of, by open reduction (Anaes.) |
199.70 |
||||||
|
47345 |
Metacarpal, treatment of intra‑articular fracture of, by open reduction (H) (Anaes.) (Assist.) |
249.50 |
||||||
|
47348 |
Carpus (excluding scaphoid), treatment of fracture of, not being a service to which item 47351 applies (Anaes.) |
83.05 |
||||||
|
47351 |
Carpus (excluding scaphoid), treatment of fracture of, by open reduction (Anaes.) |
208.05 |
||||||
|
47354 |
Carpal scaphoid, treatment of fracture of, not being a service to which item 47357 applies (Anaes.) |
149.80 |
||||||
|
47357 |
Carpal scaphoid, treatment of fracture of, by open reduction (Anaes.) (Assist.) |
332.80 |
||||||
|
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.) |
116.50 |
||||||
|
47363 |
Radius or ulna, distal end of, treatment of fracture of, by closed reduction (Anaes.) |
174.60 |
||||||
|
47366 |
Radius or ulna, distal end of, treatment of fracture of, by open reduction (Anaes.) (Assist.) |
232.95 |
||||||
|
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.) |
149.80 |
||||||
|
47372 |
Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by closed reduction (Anaes.) |
249.50 |
||||||
|
47375 |
Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by open reduction (H) (Anaes.) (Assist.) |
332.80 |
||||||
|
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.) |
149.80 |
||||||
|
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.) |
224.60 |
||||||
|
47384 |
Radius or ulna, shaft of, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) |
299.45 |
||||||
|
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.) |
257.85 |
||||||
|
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.) |
415.90 |
||||||
|
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.) |
241.20 |
||||||
|
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.) |
361.90 |
||||||
|
47393 |
Radius and ulna, shafts of, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) |
482.45 |
||||||
|
47396 |
Olecranon, treatment of fracture of, not being a service to which item 47399 applies (Anaes.) |
166.35 |
||||||
|
47399 |
Olecranon, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) |
332.80 |
||||||
|
47402 |
Olecranon, treatment of fracture of, involving excision of olecranon fragment and reimplantation of tendon (Anaes.) (Assist.) |
249.50 |
||||||
|
47405 |
Radius, treatment of fracture of head or neck of, closed reduction of (Anaes.) |
166.35 |
||||||
|
47408 |
Radius, treatment of fracture of head or neck of, open reduction of, including internal fixation and excision where performed (H) (Anaes.) (Assist.) |
332.80 |
||||||
|
47411 |
Humerus, treatment of fracture of tuberosity of, not being a service to which item 47417 applies (Anaes.) |
99.75 |
||||||
|
47414 |
Humerus, treatment of fracture of tuberosity of, by open reduction (Anaes.) |
199.70 |
||||||
|
47417 |
Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by closed reduction (Anaes.) (Assist.) |
232.95 |
||||||
|
47420 |
Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by open reduction (H) (Anaes.) (Assist.) |
457.60 |
||||||
|
47423 |
Humerus, proximal, treatment of fracture of, not being a service to which item 47426, 47429 or 47432 applies (Anaes.) |
191.30 |
||||||
|
47426 |
Humerus, proximal, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes.) |
287.00 |
||||||
|
47429 |
Humerus, proximal, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) |
382.60 |
||||||
|
47432 |
Humerus, proximal, treatment of intra‑articular fracture of, by open reduction (H) (Anaes.) (Assist.) |
478.35 |
||||||
|
47435 |
Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by closed reduction (Anaes.) (Assist.) |
366.10 |
||||||
|
47438 |
Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by open reduction (H) (Anaes.) (Assist.) |
582.45 |
||||||
|
47441 |
Humerus, proximal, treatment of intra‑articular fracture of, and associated dislocation of shoulder, by open reduction (H) (Anaes.) (Assist.) |
727.95 |
||||||
|
47444 |
Humerus, shaft of, treatment of fracture of, not being a service to which item 47447 or 47450 applies (Anaes.) |
199.70 |
||||||
|
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.) |
299.45 |
||||||
|
47450 |
Humerus, shaft of, treatment of fracture of, by internal or external (H) (Anaes.) (Assist.) |
399.30 |
||||||
|
47451 |
Humerus, shaft of, treatment of fracture of, by intramedullary fixation (H) (Anaes.) (Assist.) |
481.40 |
||||||
|
47453 |
Humerus, distal, (supracondylar or condylar), treatment of fracture of, not being a service to which item 47456 or 47459 applies (Anaes.) (Assist.) |
232.95 |
||||||
|
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.) |
349.50 |
||||||
|
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.) |
465.90 |
||||||
|
47462 |
Clavicle, treatment of fracture of, not being a service to which item 47465 applies (Anaes.) |
99.75 |
||||||
|
47465 |
Clavicle, treatment of fracture of, by open reduction (Anaes.) |
199.70 |
||||||
|
47466 |
Sternum, treatment of fracture of, not being a service to which item 47467 applies (Anaes.) |
99.75 |
||||||
|
47467 |
Sternum, treatment of fracture of, by open reduction (H) (Anaes.) |
199.70 |
||||||
|
47468 |
Scapula, neck or glenoid region of, treatment of fracture of, by open reduction (Anaes.) (Assist.) |
382.60 |
||||||
|
47471 |
Ribs (1 or more), treatment of fracture of -- each attendance |
37.95 |
||||||
|
47474 |
Pelvic ring, treatment of fracture of, not involving disruption of pelvic ring or acetabulum |
166.35 |
||||||
|
47477 |
Pelvic ring, treatment of fracture of, with disruption of pelvic ring or acetabulum |
208.05 |
||||||
|
47480 |
Pelvic ring, treatment of fracture of, requiring traction (H) (Anaes.) (Assist.) |
415.90 |
||||||
|
47483 |
Pelvic ring, treatment of fracture of, requiring control by external fixation (H) (Anaes.) (Assist.) |
499.10 |
||||||
|
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.) |
831.95 |
||||||
|
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.) |
1 247.90 |
||||||
|
47492 |
Acetabulum, treatment of fracture of, and associated dislocation of hip (Anaes.) |
208.05 |
||||||
|
47495 |
Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring traction (Anaes.) (Assist.) |
415.90 |
||||||
|
47498 |
Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring internal fixation, with or without traction (H) (Anaes.) (Assist.) |
623.90 |
||||||
|
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.) |
831.95 |
||||||
|
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.) |
1 247.90 |
||||||
|
47507 |
Acetabulum, treatment of transverse fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (H) (Anaes.) (Assist.) |
1 247.90 |
||||||
|
47510 |
Acetabulum, treatment of double column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (H) (Anaes.) (Assist.) |
1 247.90 |
||||||
|
47513 |
Sacro‑iliac joint disruption, treatment of, requiring internal fixation, being a service associated with a service to which items 47501 to 47510 apply (H) (Anaes.) (Assist.) |
332.80 |
||||||
|
47516 |
Femur, treatment of fracture of, by closed reduction or traction (Anaes.) (Assist.) |
382.60 |
||||||
|
47519 |
Femur, treatment of trochanteric or subcapital fracture of, by internal fixation (H) (Anaes.) (Assist.) |
765.40 |
||||||
|
47522 |
Femur, treatment of subcapital fracture of, by hemi‑arthroplasty (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
47525 |
Femur, treatment of fracture of, for slipped capital femoral epiphysis (H) (Anaes.) (Assist.) |
765.40 |
||||||
|
47528 |
Femur, treatment of fracture of, by internal fixation or external fixation (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
47531 |
Femur, treatment of fracture of shaft, by intramedullary fixation and cross fixation (H) (Anaes.) (Assist.) |
848.50 |
||||||
|
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.) |
956.70 |
||||||
|
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.) |
382.60 |
||||||
|
47540 |
Hip spica or shoulder spica, application of, as an independent procedure (Anaes.) |
191.30 |
||||||
|
47543 |
Tibia, plateau of, treatment of medial or lateral fracture of, not being a service to which item 47546 or 47549 applies (Anaes.) |
199.70 |
||||||
|
47546 |
Tibia, plateau of, treatment of medial or lateral fracture of, by closed reduction (Anaes.) |
299.45 |
||||||
|
47549 |
Tibia, plateau of, treatment of medial or lateral fracture of, by open reduction (H) (Anaes.) (Assist.) |
399.30 |
||||||
|
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.) |
332.80 |
||||||
|
47555 |
Tibia, plateau of, treatment of both medial and lateral fractures of, by closed reduction (H) (Anaes.) |
499.10 |
||||||
|
47558 |
Tibia, plateau of, treatment of both medial and lateral fractures of, by open reduction (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
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.) |
241.20 |
||||||
|
47564 |
Tibia, shaft of, treatment of fracture of, by closed reduction, with or without treatment of fibular fracture (Anaes.) |
361.90 |
||||||
|
47565 |
Tibia, shaft of, treatment of fracture of, by internal fixation or external fixation (H) (Anaes.) (Assist.) |
629.50 |
||||||
|
47566 |
Tibia, shaft of, treatment of fracture of, by intramedullary fixation and cross fixation (H) (Anaes.) (Assist.) |
802.40 |
||||||
|
47567 |
Tibia, shaft of, treatment of intra‑articular fracture of, by closed reduction, with or without treatment of fibular fracture (Anaes.) (Assist.) |
420.05 |
||||||
|
47570 |
Tibia, shaft of, treatment of fracture of, by open reduction, with or without treatment of fibular fracture (Anaes.) (Assist.) |
482.45 |
||||||
|
47573 |
Tibia, shaft of, treatment of intra‑articular fracture of, by open reduction, with or without treatment of fibular fracture (H) (Anaes.) (Assist.) |
603.10 |
||||||
|
47576 |
Fibula, treatment of fracture of (Anaes.) |
99.75 |
||||||
|
47579 |
Patella, treatment of fracture of, not being a service to which item 47582 or 47585 applies (Anaes.) |
141.45 |
||||||
|
47582 |
Patella, treatment of fracture of, by excision of patella or pole with reattachment of tendon (H) (Anaes.) (Assist.) |
291.25 |
||||||
|
47585 |
Patella, treatment of fracture of, by internal fixation (H) (Anaes.) (Assist.) |
374.45 |
||||||
|
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.) |
1 164.55 |
||||||
|
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.) |
1 414.40 |
||||||
|
47594 |
Ankle joint, treatment of fracture of, not being a service to which item 47597 applies (Anaes.) |
191.30 |
||||||
|
47597 |
Ankle joint, treatment of fracture of, by closed reduction (Anaes.) |
287.00 |
||||||
|
47600 |
Ankle joint, treatment of fracture of, by internal fixation of 1 of malleolus, fibula or diastasis (H) (Anaes.) (Assist.) |
382.60 |
||||||
|
47603 |
Ankle joint, treatment of fracture of, by internal fixation of more than 1 of malleolus, fibula or diastasis (H) (Anaes.) (Assist.) |
499.10 |
||||||
|
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.) |
208.05 |
||||||
|
47609 |
Calcaneum or talus, treatment of fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.) |
311.95 |
||||||
|
47612 |
Calcaneum or talus, treatment of intra‑articular fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.) |
361.90 |
||||||
|
47615 |
Calcaneum or talus, treatment of fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.) |
415.90 |
||||||
|
47618 |
Calcaneum or talus, treatment of intra‑articular fracture of, by open reduction, with or without dislocation (H) (Anaes.) (Assist.) |
520.05 |
||||||
|
47621 |
Tarso‑metatarsal, treatment of intra‑articular fracture of, by closed reduction, with or without dislocation (Anaes.) (Assist.) |
361.90 |
||||||
|
47624 |
Tarso‑metatarsal, treatment of fracture of, by open reduction, with or without dislocation (H) (Anaes.) (Assist.) |
499.10 |
||||||
|
47627 |
Tarsus (excluding calcaneum or talus), treatment of fracture of (Anaes.) |
141.45 |
||||||
|
47630 |
Tarsus (excluding calcaneum or talus), treatment of fracture of, by open reduction, with or without dislocation (Anaes.) (Assist.) |
299.45 |
||||||
|
47633 |
Metatarsal, 1 of, treatment of fracture of (Anaes.) |
99.75 |
||||||
|
47636 |
Metatarsal, 1 of, treatment of fracture of, by closed reduction (Anaes.) |
149.80 |
||||||
|
47639 |
Metatarsal, 1 of, treatment of fracture of, by open reduction (Anaes.) |
199.70 |
||||||
|
47642 |
Metatarsals, 2 of, treatment of fracture of (Anaes.) |
133.20 |
||||||
|
47645 |
Metatarsals, 2 of, treatment of fracture of, by closed reduction (Anaes.) |
199.70 |
||||||
|
47648 |
Metatarsals, 2 of, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) |
266.05 |
||||||
|
47651 |
Metatarsals, 3 or more of, treatment of fracture of (Anaes.) |
208.05 |
||||||
|
47654 |
Metatarsals, 3 or more of, treatment of fracture of, by closed reduction (Anaes.) (Assist.) |
311.95 |
||||||
|
47657 |
Metatarsals, 3 or more of, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) |
415.90 |
||||||
|
47663 |
Phalanx of great toe, treatment of fracture of, by closed reduction (Anaes.) |
124.80 |
||||||
|
47666 |
Phalanx of great toe, treatment of fracture of, by open reduction (Anaes.) |
208.05 |
||||||
|
47672 |
Phalanx of toe (other than great toe), 1 of, treatment of fracture of, by open reduction (Anaes.) |
99.75 |
||||||
|
47678 |
Phalanx of toe (other than great toe), more than 1 of, treatment of fracture of, by open reduction (Anaes.) |
149.80 |
||||||
|
47681 |
Spine (excluding sacrum), treatment of fracture of transverse process, vertebral body, or posterior elements -- each attendance |
37.95 |
||||||
|
47684 |
Spine, treatment of fracture, dislocation or fracture‑dislocation, without spinal cord involvement, by means of immobilisation by calipers or halo (Anaes.) (Assist.) |
665.60 |
||||||
|
47687 |
Spine, treatment of fracture, dislocation or fracture‑dislocation, with spinal cord involvement, by means of immobilisation by calipers or halo, requiring not more than 14 days post‑operative care (H) (Assist.) |
1 164.55 |
||||||
|
47690 |
Spine, treatment of fracture, dislocation or fracture‑dislocation, without cord involvement, by means of immobilisation by calipers or halo , requiring reduction by closed manipulation (H) (Anaes.) (Assist.) |
915.05 |
||||||
|
47693 |
Spine, treatment of fracture, dislocation or fracture‑dislocation, with cord involvement, by means of immobilisation by calipers or halo , requiring reduction by closed manipulation and not more than 14 days post‑operative care (H) (Assist.) |
1 164.55 |
||||||
|
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.) |
332.80 |
||||||
|
47699 |
Spine, treatment of fracture, dislocation or fracture‑dislocation without cord involvement requiring open reduction with or without internal fixation (H) (Anaes.) (Assist.) |
1 331.10 |
||||||
|
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.) |
1 663.85 |
||||||
|
47703 |
Skull, treatment of fracture of, each attendance |
37.95 |
||||||
|
47705 |
Skull calipers, insertion of, as an independent procedure (H) (Anaes.) (Assist.) |
249.50 |
||||||
|
47708 |
Plaster jacket, application of, as an independent procedure (Anaes.) |
191.30 |
||||||
|
47711 |
Halo, application of, as an independent procedure (H) (Anaes.) (Assist.) |
282.95 |
||||||
|
47714 |
Halo, application of, in addition to spinal fusion for scoliosis, or other conditions (H) (Anaes.) |
212.10 |
||||||
|
47717 |
Halo‑thoracic traction -- application of both halo and thoracic jacket (H) (Anaes.) (Assist.) |
374.45 |
||||||
|
47720 |
Halo‑femoral traction, as an independent procedure (Anaes.) (Assist.) |
374.45 |
||||||
|
47723 |
Halo‑femoral traction in conjunction with a major spine operation (Anaes.) (Assist.) |
374.45 |
||||||
|
47726 |
Bone graft, harvesting of, via separate incision, in conjunction with another service, autogenous, small quantity (H) (Anaes.) |
124.80 |
||||||
|
47729 |
Bone graft, harvesting of, via separate incision, in conjunction with another service, autogenous, large quantity (H) (Anaes.) |
208.05 |
||||||
|
47732 |
Vascularised pedicle bone graft, harvesting of, in conjunction with another service (H) (Anaes.) (Assist.) |
332.80 |
||||||
|
47735 |
Nasal bones, treatment of fracture of, not being a service to which item 47738 or 47741 applies -- each attendance |
37.95 |
||||||
|
47738 |
Nasal bones, treatment of fracture of, by reduction (Anaes.) |
208.05 |
||||||
|
47741 |
Nasal bones, treatment of fracture of, by open reduction involving osteotomies (H) (Anaes.) (Assist.) |
424.45 |
||||||
|
47753 |
Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) (Anaes.) (Assist.) |
359.35 |
||||||
|
47756 |
Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) (Anaes.) (Assist.) |
359.35 |
||||||
|
47762 |
Zygomatic bone, treatment of fracture of, requiring surgical reduction by a temporal, intra‑oral or other approach (Anaes.) |
211.05 |
||||||
|
47765 |
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (H) (Anaes.) (Assist.) |
346.50 |
||||||
|
47768 |
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (H) (Anaes.) (Assist.) |
424.45 |
||||||
|
47771 |
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (H) (Anaes.) (Assist.) |
487.60 |
||||||
|
47774 |
Maxilla, treatment of fracture of, requiring open operation (H) (Anaes.) (Assist.) |
385.00 |
||||||
|
47777 |
Mandible, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.) |
385.00 |
||||||
|
47780 |
Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (H) (Anaes.) (Assist.) |
500.45 |
||||||
|
47783 |
Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.) |
500.45 |
||||||
|
47786 |
Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (H) (Anaes.) (Assist.) |
635.10 |
||||||
|
47789 |
Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (H) (Anaes.) (Assist.) |
635.10 |
||||||
|
47900 |
Bone cyst, injection into or aspiration of (Anaes.) |
149.80 |
||||||
|
47903 |
Epicondylitis, open operation for (Anaes.) |
208.05 |
||||||
|
47904 |
Digital nail of toe, removal of, not being a service to which item 47906 applies (Anaes.) |
49.95 |
||||||
|
47906 |
Digital nail of toe, removal of, in the operating theatre of a hospital or approved day hospital facility (Anaes.) |
99.75 |
||||||
|
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.) |
49.95 |
||||||
|
47915 |
Ingrowing nail of toe, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed (Anaes.) |
149.80 |
||||||
|
47916 |
Ingrowing nail of toe, partial resection of nail, including phenolisation but not including excision of nail bed (Anaes.) |
75.25 |
||||||
|
47918 |
Ingrowing toenail, radical excision of nailbed (Anaes.) |
208.05 |
||||||
|
47920 |
Bone growth stimulator, insertion of (H) (Anaes.) (Assist.) |
336.45 |
||||||
|
47921 |
Orthopaedic pin or wire, insertion of, as an independent procedure (Anaes.) |
99.75 |
||||||
|
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.) |
33.25 |
||||||
|
47927 |
Buried wire, pin or screw, 1 or more of, which were inserted for internal fixation purposes, removal of, in the operating theatre of a hospital or approved day hospital facility -- per bone (Anaes.) |
124.80 |
||||||
|
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.) |
232.95 |
||||||
|
47933 |
Exostosis of small bone, excision of, including simple removal of bunion and any associated bursa (Anaes.) |
182.95 |
||||||
|
47936 |
Exostosis of large bone, excision of (H) (Anaes.) (Assist.) |
224.60 |
||||||
|
47948 |
External fixation, removal of, in the operating theatre of a hospital or approved day hospital facility (Anaes.) |
141.45 |
||||||
|
47951 |
External fixation, removal of, in conjunction with operations involving internal fixation or bone grafting or both (Anaes.) |
166.35 |
||||||
|
47954 |
Tendon, repair of, not being a service to which another item in this group applies (Anaes.) (Assist.) |
332.80 |
||||||
|
47957 |
Tendon, large, lengthening of, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
249.50 |
||||||
|
47960 |
Tenotomy, subcutaneous, not being a service to which another item in this group applies (Anaes.) |
116.50 |
||||||
|
47963 |
Tenotomy, open, with or without tenoplasty, not being a service to which another item in this group applies (Anaes.) |
191.30 |
||||||
|
47966 |
Tendon or ligament transfer, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
382.60 |
||||||
|
47969 |
Tenosynovectomy, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
232.95 |
||||||
|
47972 |
Tendon sheath, open operation for teno‑vaginitis, not being a service to which another item in this group applies (H) (Anaes.) |
186.10 |
||||||
|
47975 |
Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (H) (Anaes.) (Assist.) |
326.15 |
||||||
|
47978 |
Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue (H) (Anaes.) |
198.15 |
||||||
|
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.) |
133.00 |
||||||
|
47982 |
Forage (Drill decompression), of neck or head of femur, or both (H) (Anaes.) (Assist.) |
322.45 |
||||||
|
48200 |
Femur, bone graft to (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
48203 |
Femur, bone graft to, with internal fixation (H) (Anaes.) (Assist.) |
807.00 |
||||||
|
48206 |
Tibia, bone graft to (H) (Anaes.) (Assist.) |
499.65 |
||||||
|
48209 |
Tibia, bone graft to, with internal fixation (H) (Anaes.) (Assist.) |
640.60 |
||||||
|
48212 |
Humerus, bone graft to (H) (Anaes.) (Assist.) |
499.65 |
||||||
|
48215 |
Humerus, bone graft to, with internal fixation (H) (Anaes.) (Assist.) |
640.60 |
||||||
|
48218 |
Radius or ulna, bone graft to (H) (Anaes.) (Assist.) |
499.65 |
||||||
|
48221 |
Radius and ulna, bone graft to, with internal fixation of 1 or both bones (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
48224 |
Radius or ulna, bone graft to (H) (Anaes.) (Assist.) |
332.80 |
||||||
|
48227 |
Radius or ulna, bone graft to, with internal fixation of 1 or both bones (H) (Anaes.) (Assist.) |
432.60 |
||||||
|
48230 |
Scaphoid, bone graft to, for non‑union (H) (Anaes.) (Assist.) |
374.45 |
||||||
|
48233 |
Scaphoid, bone graft to, for non‑union, with internal fixation (H) (Anaes.) (Assist.) |
540.75 |
||||||
|
48236 |
Scaphoid, bone graft to, for mal‑union, including osteotomy, bone graft and internal fixation (H) (Anaes.) (Assist.) |
707.15 |
||||||
|
48239 |
Bone graft, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
390.95 |
||||||
|
48242 |
Bone graft, with internal fixation, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
540.75 |
||||||
|
48400 |
Phalanx, metatarsal, accessory bone or sesamoid bone, osteotomy or osteectomy of, excluding services to which item 49848 or 49851 applies (H) (Anaes.) (Assist.) |
291.25 |
||||||
|
48403 |
Phalanx or metatarsal, osteotomy or osteectomy of, with internal fixation (H) (Anaes.) (Assist.) |
457.60 |
||||||
|
48406 |
Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy of (H) (Anaes.) (Assist.) |
291.25 |
||||||
|
48409 |
Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy, with internal fixation (H) (Anaes.) (Assist.) |
457.60 |
||||||
|
48412 |
Humerus, osteotomy or osteectomy of (H) (Anaes.) (Assist.) |
557.25 |
||||||
|
48415 |
Humerus, osteotomy or osteectomy of, with internal fixation (H) (Anaes.) (Assist.) |
707.15 |
||||||
|
48418 |
Tibia, osteotomy or osteectomy of (H) (Anaes.) (Assist.) |
557.25 |
||||||
|
48421 |
Tibia, osteotomy or osteectomy of, with internal fixation (H) (Anaes.) (Assist.) |
707.15 |
||||||
|
48424 |
Femur or pelvis, osteotomy or osteectomy of (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
48427 |
Femur or pelvis, osteotomy or osteectomy of, with internal fixation (H) (Anaes.) (Assist.) |
807.00 |
||||||
|
48500 |
Femur, epiphysiodesis of (H) (Anaes.) (Assist.) |
291.25 |
||||||
|
48503 |
Tibia and fibula, epiphysiodesis of (H) (Anaes.) (Assist.) |
291.25 |
||||||
|
48506 |
Femur, tibia and fibula, epiphysiodesis of (H) (Anaes.) (Assist.) |
432.60 |
||||||
|
48509 |
Epiphysiodesis, staple arrest of hemi‑epiphysis (H) (Anaes.) |
208.05 |
||||||
|
48512 |
Epiphysiolysis, operation to prevent closure of plate (H) (Anaes.) (Assist.) |
790.30 |
||||||
|
48600 |
Spine, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility (Anaes.) |
83.05 |
||||||
|
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.) |
124.80 |
||||||
|
48606 |
Scoliosis or Kyphosis, spinal fusion for (without instrumentation) (H) (Anaes.) (Assist.) |
1 164.55 |
||||||
|
48612 |
Scoliosis, spinal fusion for, using segmental instrumentation (C D, Zielke, Luque, or similar) (H) (Anaes.) (Assist.) |
2 163.00 |
||||||
|
48613 |
Scoliosis or Kyphosis, spinal fusion for, using segmental instrumentation, reconstruction using separate anterior and posterior approaches (H) (Anaes.) (Assist.) |
3 076.65 |
||||||
|
48615 |
Scoliosis, re‑exploration for, involving adjustment or removal of instrumentation or simple bone grafting procedure (H) (Anaes.) (Assist.) |
390.95 |
||||||
|
48618 |
Scoliosis, revision of failed scoliosis surgery, involving more than 1 of multiple osteotomy, fusion or instrumentation (H) (Anaes.) (Assist.) |
2 163.00 |
||||||
|
48621 |
Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke, or similar) -- not more than 4 levels (H) (Anaes.) (Assist.) |
1 414.40 |
||||||
|
48624 |
Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) -- more than 4 levels (H) (Anaes.) (Assist.) |
1 747.15 |
||||||
|
48627 |
Scoliosis, spinal fusion for, combined with segmental instrumentation (C D, Zielke or similar) down to and including pelvis (H) (Anaes.) (Assist.) |
2 246.10 |
||||||
|
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.) |
2 495.75 |
||||||
|
48632 |
Scoliosis, congenital, vertebral resection and fusion for (H) (Anaes.) (Assist.) |
1 379.60 |
||||||
|
48636 |
Percutaneous lumbar partial or total discectomy, 1 or more levels, not being a service associated with intradiscal electrothermal annuloplasty (Anaes.) (Assist.) |
715.35 |
||||||
|
48639 |
Vertebral body, total or sub‑total excision of, including bone grafting or other form of fixation (H) (Anaes.) (Assist.) |
1 206.20 |
||||||
|
48640 |
Vertebral body, disease of, excision and spinal fusion for, using segmental instrumentation, reconstruction utilising separate anterior and posterior approaches (H) (Anaes.) (Assist.) |
3 076.65 |
||||||
|
48642 |
Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies -- 1 or 2 levels (H) (Anaes.) (Assist.) |
707.15 |
||||||
|
48645 |
Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies -- more than 2 levels (H) (Anaes.) (Assist.) |
956.70 |
||||||
|
48648 |
Spine, bone graft to, (postero‑lateral fusion) -- 1 or 2 levels (H) (Anaes.) (Assist.) |
956.70 |
||||||
|
48651 |
Spine, bone graft to, (postero‑lateral fusion) -- more than 2 levels (H) (Anaes.) (Assist.) |
1 331.10 |
||||||
|
48654 |
Spinal fusion (posterior interbody), with partial or total laminectomy -- 1 level (H) (Anaes.) (Assist.) |
956.70 |
||||||
|
48657 |
Spinal fusion (posterior interbody), with partial or total laminectomy -- more than 1 level (H) (Anaes.) (Assist.) |
1 331.10 |
||||||
|
48660 |
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions -- 1 level, not being a service associated with artificial intervertebral total disc replacement (H) (Anaes.) (Assist.) |
956.70 |
||||||
|
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.) |
715.35 |
||||||
|
48666 |
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions -- 1 level (where an assisting surgeon performs the approach) -- assisting surgeon (H) (Assist.) |
432.60 |
||||||
|
48669 |
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions -- more than 1 level, not being a service associated with artificial intervertebral total disc replacement (H) (Anaes.) (Assist.) |
1 289.45 |
||||||
|
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.) |
965.15 |
||||||
|
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.) |
582.45 |
||||||
|
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.) |
499.65 |
||||||
|
48681 |
Spine, non‑segmental internal fixation of (Harrington or similar), other than for scoliosis, being a service associated with a service to which any 1 of items 48642 to 48675 applies (H) (Anaes.) (Assist.) |
831.95 |
||||||
|
48684 |
Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which any 1 of items 48642 to 48675 applies -- 1 or 2 levels, not being a service associated with artificial intervertebral total disc replacement (H) (Anaes.) (Assist.) |
831.95 |
||||||
|
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.) |
1 164.55 |
||||||
|
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.) |
1 331.10 |
||||||
|
48691 |
Lumbar artificial intervertebral total disc replacement including removal of disc, 1 level, in a patient with single‑level intralumbar disc disease in the absence of vertebral osteoporosis and prior spinal fusion at the same lumbar level who has failed conservative therapy, with fluoroscopy (Anaes.) (Assist.) |
1 585.00 |
||||||
|
48692 |
Lumbar artificial intervertebral total disc replacement including removal of disc, 1 level , in a patient with single‑level intralumbar disc disease in the absence of vertebral osteoporosis and prior spinal fusion at the same lumbar level who has failed conservative therapy, with fluoroscopy (where an assisting surgeon performs the approach) -- principal surgeon (Anaes.) (Assist.) |
1 068.30 |
||||||
|
48693 |
Lumbar artificial intervertebral total disc replacement including removal of disc, 1 level , in a patient with single‑level intralumbar disc disease in the absence of vertebral osteoporosis and prior spinal fusion at the same lumbar level who has failed conservative therapy, (where an assisting surgeon performs the approach) -- assisting surgeon (Anaes.) (Assist.) |
516.70 |
||||||
|
48900 |
Shoulder, excision of coraco‑acromial ligament or removal of calcium deposit from cuff or both (Anaes.) (Assist.) |
249.50 |
||||||
|
48903 |
Shoulder, decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination (H) (Anaes.) (Assist.) |
499.10 |
||||||
|
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.) |
499.10 |
||||||
|
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.) |
665.60 |
||||||
|
48912 |
Shoulder, arthrotomy of (Anaes.) (Assist.) |
291.25 |
||||||
|
48915 |
Shoulder, hemi‑arthroplasty of (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
48918 |
Shoulder, total replacement arthroplasty of, including any associated rotator cuff repair (H) (Anaes.) (Assist.) |
1 331.10 |
||||||
|
48921 |
Shoulder, total replacement arthroplasty, revision of (H) (Anaes.) (Assist.) |
1 372.65 |
||||||
|
48924 |
Shoulder, total replacement arthroplasty, revision of, requiring bone graft to scapula or humerus, or both (H) (Anaes.) (Assist.) |
1 580.70 |
||||||
|
48927 |
Shoulder prosthesis, removal of (H) (Anaes.) (Assist.) |
324.35 |
||||||
|
48930 |
Shoulder, stabilisation procedure for recurrent anterior or posterior dislocation (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
48933 |
Shoulder, stabilisation procedure for multi‑directional instability, anterior or posterior (or both) repair when performed (H) (Anaes.) (Assist.) |
873.55 |
||||||
|
48936 |
Shoulder, synovectomy of, as an independent procedure (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
48939 |
Shoulder, arthrodesis of (H) (Anaes.) (Assist.) |
956.70 |
||||||
|
48942 |
Shoulder, arthrodesis of, including removal of prosthesis, requiring bone grafting or internal fixation (H) (Anaes.) (Assist.) |
1 247.90 |
||||||
|
48945 |
Shoulder, diagnostic arthroscopy of (including biopsy) -- not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.) |
241.20 |
||||||
|
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.) |
540.75 |
||||||
|
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.) |
790.30 |
||||||
|
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.) |
831.95 |
||||||
|
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.) |
956.70 |
||||||
|
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.) |
831.95 |
||||||
|
49100 |
Elbow, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture (H) (Anaes.) (Assist.) |
291.25 |
||||||
|
49103 |
Elbow, ligamentous stabilisation of (H) (Anaes.) (Assist.) |
623.90 |
||||||
|
49106 |
Elbow, arthrodesis of (Anaes.) (Assist.) |
831.95 |
||||||
|
49109 |
Elbow, total synovectomy of (H) (Anaes.) (Assist.) |
623.90 |
||||||
|
49112 |
Elbow, silastic or other replacement of radial head (H) (Anaes.) (Assist.) |
623.90 |
||||||
|
49115 |
Elbow, total joint replacement of (H) (Anaes.) (Assist.) |
998.25 |
||||||
|
49116 |
Elbow, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) (Anaes.) (Assist.) |
1 317.65 |
||||||
|
49117 |
Elbow, total replacement arthroplasty of, revision procedure, requiring bone grafting, including removal of prosthesis (H) (Anaes.) (Assist.) |
1 581.15 |
||||||
|
49118 |
Elbow, diagnostic arthroscopy of, including biopsy (H) (Anaes.) (Assist.) |
241.20 |
||||||
|
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.) |
540.75 |
||||||
|
49200 |
Wrist, arthrodesis of, including bone graft, with or without internal fixation of the radiocarpal joint (H) (Anaes.) (Assist.) |
723.70 |
||||||
|
49203 |
Wrist, limited arthrodesis of the intercarpal joint, including bone graft (H) (Anaes.) (Assist.) |
540.75 |
||||||
|
49206 |
Wrist, proximal carpectomy of, including styloidectomy when performed (H) (Anaes.) (Assist.) |
499.10 |
||||||
|
49209 |
Wrist, total replacement arthroplasty of (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
49210 |
Wrist, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) (Anaes.) (Assist.) |
878.55 |
||||||
|
49211 |
Wrist, total replacement arthroplasty of, revision procedure, requiring bone grafting, including removal of prosthesis (H) (Anaes.) (Assist.) |
1 054.30 |
||||||
|
49212 |
Wrist, arthrotomy of (H) (Anaes.) |
208.05 |
||||||
|
49215 |
Wrist, reconstruction of, including repair of single or multiple ligaments or capsules, including associated arthrotomy (H) (Anaes.) (Assist.) |
574.10 |
||||||
|
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.) |
241.20 |
||||||
|
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.) |
540.75 |
||||||
|
49224 |
Wrist, arthroscopic debridement of: 2 or more distinct areas; or osteoplasty including excision of the distal ulna; or total synovectomy (H) (Anaes.) (Assist.) |
623.90 |
||||||
|
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.) |
623.90 |
||||||
|
49300 |
Sacro‑iliac joint -- arthrodesis of (H) (Anaes.) (Assist.) |
460.55 |
||||||
|
49303 |
Hip, arthrotomy of, including lavage, drainage or biopsy when performed (H) (Anaes.) (Assist.) |
482.45 |
||||||
|
49306 |
Hip‑arthrodesis of (H) (Anaes.) (Assist.) |
956.70 |
||||||
|
49309 |
Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (Austin Moore or similar (non cement)) (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
49312 |
Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (cemented, porous coated or similar) (H) (Anaes.) (Assist.) |
831.95 |
||||||
|
49315 |
Hip, arthroplasty of, unipolar or bipolar (H) (Anaes.) (Assist.) |
748.80 |
||||||
|
49318 |
Hip, total replacement arthroplasty of, including minor bone grafting (H) (Anaes.) (Assist.) |
1 164.55 |
||||||
|
49319 |
Hip, total replacement arthroplasty of, including associated minor grafting, if performed -- bilateral (H) (Anaes.) (Assist.) |
2 045.90 |
||||||
|
49321 |
Hip, total replacement arthroplasty of, including major bone grafting, including obtaining of graft (H) (Anaes.) (Assist.) |
1 414.40 |
||||||
|
49324 |
Hip, total replacement arthroplasty of, revision procedure including removal of prosthesis (H) (Anaes.) (Assist.) |
1 663.85 |
||||||
|
49327 |
Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to acetabulum, including obtaining of graft (H) (Anaes.) (Assist.) |
1 913.40 |
||||||
|
49330 |
Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to femur, including obtaining of graft (H) (Anaes.) (Assist.) |
1 913.40 |
||||||
|
49333 |
Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to both acetabulum and femur, including obtaining of graft (H) (Anaes.) (Assist.) |
2 163.00 |
||||||
|
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.) |
316.05 |
||||||
|
49339 |
Hip, revision total replacement of, requiring anatomic specific allograft of proximal femur greater than 5 cm in length (H) (Anaes.) (Assist.) |
2 454.10 |
||||||
|
49342 |
Hip, revision total replacement of, requiring anatomic specific allograft of acetabulum (H) (Anaes.) (Assist.) |
2 454.10 |
||||||
|
49345 |
Hip, revision total replacement of, requiring anatomic specific allograft of both femur and acetabulum (H) (Anaes.) (Assist.) |
2 911.70 |
||||||
|
49346 |
Hip, revision arthroplasty with replacement of acetabular liner or ceramic head, not requiring removal of femoral component or acetabular shell (H) (Anaes.) (Assist.) |
748.80 |
||||||
|
49360 |
Hip, diagnostic arthroscopy of (H) (Anaes.) (Assist.) |
303.95 |
||||||
|
49363 |
Hip, diagnostic arthroscopy of, with synovial biopsy (H) (Anaes.) (Assist.) |
366.05 |
||||||
|
49366 |
Hip, arthroscopic surgery of (Anaes.) (Assist.) |
540.75 |
||||||
|
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.) |
332.80 |
||||||
|
49503 |
Knee, partial or total 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.) |
432.60 |
||||||
|
49506 |
Knee, partial or total 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.) |
648.90 |
||||||
|
49509 |
Knee, total synovectomy or arthrodesis of (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
49512 |
Knee, arthrodesis of, with removal of prosthesis (H) (Anaes.) (Assist.) |
956.70 |
||||||
|
49515 |
Knee, removal of prosthesis, cemented or uncemented, including associated cement, as the first stage of a 2 stage procedure (H) (Anaes.) (Assist.) |
748.80 |
||||||
|
49517 |
Knee, hemiarthroplasty of (H) (Anaes.) (Assist.) |
1 066.00 |
||||||
|
49518 |
Knee, total replacement arthroplasty of (H) (Anaes.) (Assist.) |
1 164.55 |
||||||
|
49519 |
Knee, total replacement arthroplasty of, including associated minor grafting, if performed -- bilateral (H) (Anaes.) (Assist.) |
2 045.90 |
||||||
|
49521 |
Knee, total replacement arthroplasty of, requiring major bone grafting to femur or tibia, including obtaining of graft (H) (Anaes.) (Assist.) |
1 414.40 |
||||||
|
49524 |
Knee, total replacement arthroplasty of, requiring major bone grafting to femur and tibia, including obtaining of graft (H) (Anaes.) (Assist.) |
1 663.85 |
||||||
|
49527 |
Knee, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) (Anaes.) (Assist.) |
1 414.40 |
||||||
|
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.) |
1 747.15 |
||||||
|
49533 |
Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to both femur and tibia, including obtaining of graft and including removal of prosthesis (H) (Anaes.) (Assist.) |
1 996.65 |
||||||
|
49534 |
Knee, patello‑femoral joint of, total replacement arthroplasty as a primary procedure (H) (Anaes.) (Assist.) |
397.15 |
||||||
|
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.) |
831.95 |
||||||
|
49539 |
Knee, reconstructive surgery of cruciate ligament or 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.) |
831.95 |
||||||
|
49542 |
Knee, reconstructive surgery of cruciate ligament or ligaments (open or arthroscopic, or both), including notchplasty, meniscus repair, extracapsular procedure and debridement when performed (H) (Anaes.) (Assist.) |
1 164.55 |
||||||
|
49545 |
Knee, revision arthrodesis of (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
49548 |
Knee, revision of patello‑femoral stabilisation (H) (Anaes.) (Assist.) |
831.95 |
||||||
|
49551 |
Knee, revision of procedures to which item 49536, 49539 or 49542 applies (H) (Anaes.) (Assist.) |
1 164.55 |
||||||
|
49554 |
Knee, revision of total replacement of, by anatomic specific allograft of tibia or femur (H) (Anaes.) (Assist.) |
1 663.85 |
||||||
|
49557 |
Knee, diagnostic arthroscopy of (including biopsy, simple trimming of meniscal margin or plica) -- not being a service associated with any other arthroscopic procedure of the knee region (H) (Anaes.) (Assist.) |
241.20 |
||||||
|
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.) |
241.20 |
||||||
|
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.) |
361.15 |
||||||
|
49560 |
Knee, arthroscopic surgery of, involving 1 or more of partial or total 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.) |
487.45 |
||||||
|
49561 |
Knee, arthroscopic surgery of, involving 1 or more of partial or total 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.) |
595.65 |
||||||
|
49562 |
Knee, arthroscopic surgery of, involving 1 or more of partial or total 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.) |
649.90 |
||||||
|
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.) |
703.95 |
||||||
|
49564 |
Knee, patello‑femoral stabilisation of, combined arthroscopic and open procedure, including lateral release, medial capsulorrhaphy and tendon transfer (H) (Anaes.) (Assist.) |
812.05 |
||||||
|
49566 |
Knee, arthroscopic total synovectomy of (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
49569 |
Knee, mobilisation for post‑traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
49700 |
Ankle, diagnostic arthroscopy of, including biopsy (H) (Anaes.) (Assist.) |
241.20 |
||||||
|
49703 |
Ankle, arthroscopic surgery of (H) (Anaes.) (Assist.) |
540.75 |
||||||
|
49706 |
Ankle, arthrotomy of, involving 1 or more of: lavage, removal of loose body or division of contracture (H) (Anaes.) (Assist.) |
291.25 |
||||||
|
49709 |
Ankle, ligamentous stabilisation of (H) (Anaes.) (Assist.) |
623.90 |
||||||
|
49712 |
Ankle, arthrodesis of (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
49715 |
Ankle, total joint replacement of (H) (Anaes.) (Assist.) |
998.25 |
||||||
|
49716 |
Ankle, total replacement arthroplasty of, revision procedure, including removal of prosthesis (H) (Anaes.) (Assist.) |
1 317.65 |
||||||
|
49717 |
Ankle, total replacement arthroplasty of, revision procedure, requiring bone grafting, including removal of prosthesis (H) (Anaes.) (Assist.) |
1 581.15 |
||||||
|
49718 |
Ankle, Achilles' tendon or other major tendon, repair of (H) (Anaes.) (Assist.) |
332.80 |
||||||
|
49721 |
Ankle, Achilles' tendon rupture managed by non‑operative treatment |
208.05 |
||||||
|
49724 |
Ankle, Achilles' tendon, secondary repair or reconstruction of (H) (Anaes.) (Assist.) |
582.45 |
||||||
|
49727 |
Ankle, Achilles' tendon, operation for lengthening (H) (Anaes.) (Assist.) |
249.50 |
||||||
|
49728 |
Ankle, lengthening of the gastrocnemius aponeurosis and soleus fascia, for the correction of equinus deformity in children with cerebral palsy (H) (Anaes.) (Assist.) |
498.95 |
||||||
|
49800 |
Foot, flexor or extensor tendon, primary repair of (Anaes.) |
116.50 |
||||||
|
49803 |
Foot, flexor or extensor tendon, secondary repair of (Anaes.) |
149.80 |
||||||
|
49806 |
Foot, subcutaneous tenotomy of, 1 or more tendons (Anaes.) |
116.50 |
||||||
|
49809 |
Foot, open tenotomy of, with or without tenoplasty (H) (Anaes.) |
191.30 |
||||||
|
49812 |
Foot, tendon or ligament transplantation of, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
382.60 |
||||||
|
49815 |
Foot, triple arthrodesis of (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
49818 |
Foot, excision of calcaneal spur (H) (Anaes.) (Assist.) |
241.20 |
||||||
|
49821 |
Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) -- unilateral (H) (Anaes.) (Assist.) |
382.60 |
||||||
|
49824 |
Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) -- bilateral (H) (Anaes.) (Assist.) |
669.70 |
||||||
|
49827 |
Foot, correction of hallux valgus by transfer of adductor hallucis tendon -- unilateral (H) (Anaes.) (Assist.) |
415.90 |
||||||
|
49830 |
Foot, correction of hallux valgus by transfer of adductor hallucis tendon -- bilateral (H) (Anaes.) (Assist.) |
727.95 |
||||||
|
49833 |
Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed -- unilateral (H) (Anaes.) (Assist.) |
457.60 |
||||||
|
49836 |
Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed -- bilateral (H) (Anaes.) (Assist.) |
790.30 |
||||||
|
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.) |
571.95 |
||||||
|
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.) |
987.70 |
||||||
|
49839 |
Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty -- unilateral (H) (Anaes.) (Assist.) |
457.60 |
||||||
|
49842 |
Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty -- bilateral (H) (Anaes.) (Assist.) |
790.30 |
||||||
|
49845 |
Foot, arthrodesis of, first metatarso‑phalangeal joint (H) (Anaes.) (Assist.) |
415.90 |
||||||
|
49848 |
Foot, correction of claw or hammer toe (Anaes.) |
141.45 |
||||||
|
49851 |
Foot, correction of claw or hammer toe with internal fixation (H) (Anaes.) |
182.95 |
||||||
|
49854 |
Foot, radical plantar fasciotomy or fasciectomy of (H) (Anaes.) (Assist.) |
332.80 |
||||||
|
49857 |
Foot, metatarso‑phalangeal joint replacement (H) (Anaes.) (Assist.) |
307.80 |
||||||
|
49860 |
Foot, synovectomy of metatarso‑phalangeal joint, single joint (H) (Anaes.) (Assist.) |
249.50 |
||||||
|
49863 |
Foot, synovectomy of metatarso‑phalangeal joint, 2 or more joints (H) (Anaes.) (Assist.) |
374.45 |
||||||
|
49866 |
Foot, neurectomy for plantar or digital neuritis (Morton's or Bett's syndrome) (H) (Anaes.) (Assist.) |
266.05 |
||||||
|
49878 |
Talipes equinovarus, calcaneo valgus or metatarsus varus, treatment by cast, splint or manipulation -- each attendance (Anaes.) |
49.95 |
||||||
|
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.) |
241.20 |
||||||
|
50102 |
Joint, arthroscopic surgery of, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
540.75 |
||||||
|
50103 |
Joint, arthrotomy of, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
291.25 |
||||||
|
50104 |
Joint, synovectomy of, not being a service to which another item in this group applies (Anaes.) (Assist.) |
276.00 |
||||||
|
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.) |
415.90 |
||||||
|
50109 |
Joint, arthrodesis of, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
415.90 |
||||||
|
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.) |
319.05 |
||||||
|
50115 |
Joint or joints, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility, not being a service associated with a service to which another item in this group applies (Anaes.) |
124.80 |
||||||
|
50118 |
Subtalar joint, arthrodesis of (H) (Anaes.) (Assist.) |
382.60 |
||||||
|
50121 |
Greater trochanter, transplantation of ileopsoas tendon to (H) (Anaes.) (Assist.) |
748.80 |
||||||
|
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.) |
26.15 |
||||||
|
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.) |
26.15 |
||||||
|
50127 |
Joint or joints, arthroplasty of, by any technique not being a service to which another item applies (H) (Anaes.) (Assist.) |
620.75 |
||||||
|
50130 |
Joint or joints, application of external fixator to, other than for treatment of fractures (H) (Anaes.) (Assist.) |
276.00 |
||||||
|
Aggressive or potentially malignant bone or deep soft tissue tumour, biopsy of (not including after‑care) (Anaes.) |
166.35 |
|||||||
|
50201 |
Aggressive or potentially malignant bone or deep soft tissue tumour involving neurovascular structures, open biopsy of (not including after‑care) (Anaes.) (Assist.) |
291.15 |
||||||
|
50203 |
Bone or malignant deep soft tissue tumour, lesional or marginal excision of (Anaes.) (Assist.) |
366.10 |
||||||
|
50206 |
Bone tumour, lesional or marginal excision of, combined with any 1 of the following: (a) liquid nitrogen freezing; (b) autograft; (c) allograft; (d) cementation (H) (Anaes.) (Assist.) |
540.75 |
||||||
|
50209 |
Bone tumour, lesional or marginal excision of, combined with any 2 or more of the following: (a) liquid nitrogen freezing; (b) autograft; (c) allograft; (d) cementation (H) (Anaes.) (Assist.) |
665.60 |
||||||
|
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.) |
1 455.85 |
||||||
|
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.) |
1 830.25 |
||||||
|
50218 |
Malignant tumour of long bone, enbloc resection of, with replacement or arthrodesis of adjacent joint (H) (Anaes.) (Assist.) |
2 412.60 |
||||||
|
50221 |
Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of (H) (Anaes.) (Assist.) |
2 246.10 |
||||||
|
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.) |
2 495.75 |
||||||
|
50227 |
Malignant bone tumour, enbloc resection of, with massive anatomic specific allograft or autograft, with or without prosthetic replacement (H) (Anaes.) (Assist.) |
2 911.70 |
||||||
|
50230 |
Benign tumour, resection of, requiring anatomic specific allograft, with or without internal fixation (H) (Anaes.) (Assist.) |
1 497.40 |
||||||
|
50233 |
Malignant tumour, amputation for, hemipelvectomy or interscapulo‑thoracic (H) (Anaes.) (Assist.) |
1 913.40 |
||||||
|
50236 |
Malignant tumour, amputation for, hip disarticulation, shoulder disarticulation or proximal third femur (H) (Anaes.) (Assist.) |
1 497.40 |
||||||
|
50239 |
Malignant tumour, amputation for, not being a service to which another item in this group applies (H) (Anaes.) (Assist.) |
998.25 |
||||||
|
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.) |
1 022.95 |
||||||
|
50303 |
Limb lengthening, not more than 5 cm, by gradual distraction, applying an external fixator or intra medullary device in the operating theatre of a hospital or an approved day‑hospital facility (Anaes.) (Assist.) (Item is subject to rule 92) |
1 396.65 |
||||||
|
50306 |
Limb lengthening, if: (a) the lengthening is bipolar; or (b) bone transport is carried out; or (c) the fixator is extended to correct an adjacent joint deformity; or (d) the lengthening is more than 5cm (Anaes.) (Assist.) |
2 180.70 |
||||||
|
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.) |
269.50 |
||||||
|
50312 |
Ankle, synovectomy of (H) (Anaes.) (Assist.) |
618.65 |
||||||
|
50315 |
Talipes equinovarus, posterior release of (H) (Anaes.) (Assist.) |
612.55 |
||||||
|
50318 |
Talipes equinovarus, medial release of (H) (Anaes.) (Assist.) |
612.55 |
||||||
|
50321 |
Talipes equinovarus, combined postero‑medial release of (H) (Anaes.) (Assist.) |
820.80 |
||||||
|
50324 |
Talipes equinovarus, combined postero‑medial release of, revision procedure (H) (Anaes.) (Assist.) |
1 170.00 |
||||||
|
50327 |
Talipes equinovarus, bilateral procedures (H) (Anaes.) (Assist.) |
1 427.20 |
||||||
|
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.) |
202.10 |
||||||
|
50333 |
Tarsal coalition, excision of, with interposition of muscle, fat graft or similar graft (H) (Anaes.) (Assist.) |
545.10 |
||||||
|
50336 |
Talus, vertical, congenital, combined anterior and posterior reconstruction (H) (Anaes.) (Assist.) |
814.75 |
||||||
|
50339 |
Foot and ankle, tibialis anterior tendon (split or whole) transfer to lateral column (H) (Anaes.) (Assist.) |
496.25 |
||||||
|
50342 |
Foot and ankle, tibialis or tibialis posterior tendon transfer, through the interosseous membrane to anterior or posterior aspect of foot (H) (Anaes.) (Assist.) |
575.75 |
||||||
|
50345 |
Hyperextension deformity of toe, release incorporating V‑Y plasty of skin, lengthening of extensor tendons and release of capsule contracture (H) (Anaes.) (Assist.) |
306.35 |
||||||
|
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.) |
202.10 |
||||||
|
50349 |
Hip, congenital dislocation of, treatment of, by closed reduction (Anaes.) (Assist.) |
282.95 |
||||||
|
50351 |
Hip, developmental dislocation of, open reduction of (H) (Anaes.) (Assist.) |
1 411.35 |
||||||
|
50352 |
Hip, congenital dislocation of, treatment of, involving supervision of splint, harness or cast -- each attendance (Anaes.) |
49.95 |
||||||
|
50353 |
Hip spica, initial application of, for congenital dislocation of hip (excluding after‑care) (H) (Anaes.) (Assist.) |
313.50 |
||||||
|
50354 |
Tibia, pseudarthrosis of, congenital, resection and internal fixation (Anaes.) (Assist.) |
1 157.70 |
||||||
|
50357 |
Knee, leg or thigh, rectus femoris tendon transfer or medial or lateral hamstring tendon transfer (H) (Anaes.) (Assist.) |
496.25 |
||||||
|
50360 |
Knee, leg or thigh, combined medial and lateral hamstring tendon transfer (H) (Anaes.) (Assist.) |
575.75 |
||||||
|
50363 |
Knee, contracture of, posterior release involving multiple tendon lengthening or tenotomies, unilateral (H) (Anaes.) (Assist.) |
441.00 |
||||||
|
50366 |
Knee, contracture of, posterior release involving multiple tendon lengthening or tenotomies, bilateral (H) (Anaes.) (Assist.) |
771.80 |
||||||
|
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.) |
575.75 |
||||||
|
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.) |
1 010.70 |
||||||
|
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.) |
441.00 |
||||||
|
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.) |
771.80 |
||||||
|
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.) |
575.75 |
||||||
|
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.) |
1 010.70 |
||||||
|
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.) |
575.75 |
||||||
|
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.) |
202.10 |
||||||
|
50393 |
Pelvis, bone graft or shelf procedures for acetabular dysplasia (H) (Anaes.) (Assist.) |
747.25 |
||||||
|
50394 |
Acetabular dysplasia, treatment of, by multiple peri‑acetabular osteotomy, including internal fixation where performed (H) (Anaes.) (Assist.) |
2 454.10 |
||||||
|
50396 |
Hand, congenital abnormalities or duplication of digits, amputation or splitting of phalanx or phalanges, with ligament or joint reconstruction (H) (Anaes.) (Assist.) |
410.50 |
||||||
|
50399 |
Forearm, radial aplasia or dysplasia (radial club hand), centralisation or radialisation of (H) (Anaes.) (Assist.) |
814.75 |
||||||
|
50402 |
Torticollis, bipolar release of sternocleidomastoid muscle and associated soft tissue (H) (Anaes.) (Assist.) |
373.70 |
||||||
|
50405 |
Elbow, flexorplasty, or tendon transfer to restore elbow function (H) (Anaes.) (Assist.) |
508.40 |
||||||
|
50408 |
Shoulder, congenital or developmental dislocation, open reduction of (H) (Anaes.) (Assist.) |
882.10 |
||||||
|
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.) |
1 157.70 |
||||||
|
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.) |
1 562.00 |
||||||
|
50417 |
Lower limb deficiency, treatment of congenital deficiency of the tibia by reconstruction of the knee, involving transfer of fibula or tibia, and repair of quadriceps mechanism (Anaes.) (Assist.) |
1 157.70 |
||||||
|
50420 |
Patella, congenital dislocation of, reconstruction of the quadriceps (H) (Anaes.) (Assist.) |
955.55 |
||||||
|
50423 |
Tibia, fibula or both, congenital deficiency of, transfer of the fibula to tibia, with internal fixation (Anaes.) (Assist.) |
882.10 |
||||||
|
50426 |
Diaphyseal aclasia, removal of lesion or lesions from bone -- 1 approach (H) (Anaes.) (Assist.) |
410.50 |
||||||
|
50450 |
Unilateral single event multilevel surgery, for a patient less than 18 years of age with hemiplegic cerebral palsy, comprising 3 or more of the following: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; (b) correction of muscle imbalance by transfer of a tendon or tendons; (c) correction of femoral torsion by rotational osteotomy of the femur; (d) correction of tibial torsion by rotational osteotomy of the tibia; (e) correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis or os calcis lengthening; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.) |
1 084.15 |
||||||
|
50451 |
Unilateral single event multilevel surgery, for a patient less than 18 years of age with hemiplegic cerebral palsy, comprising 3 or more of the following: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; (b) correction of muscle imbalance by transfer of a tendon or tendons; (c) correction of femoral torsion by rotational osteotomy of the femur; (d) correction of tibial torsion by rotational osteotomy of the tibia; (e) correction of joint instability by varus derotation osteotomy of the femur, subtalar arthrodesis or os calcis lengthening; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) (Anaes.) (Assist.) |
1 084.15 |
||||||
|
50455 |
Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.) |
1 227.75 |
||||||
|
50456 |
Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) (Anaes.) (Assist.) |
1 227.75 |
||||||
|
50460 |
Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery and bilateral femoral osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of torsional abnormality of the femur by rotational osteotomy and internal fixation; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.) |
1 833.00 |
||||||
|
50461 |
Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery and bilateral femoral osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of torsional abnormality of the femur by rotational osteotomy and internal fixation; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) (Anaes.) (Assist.) |
1 833.00 |
||||||
|
50465 |
Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.) |
2 581.80 |
||||||
|
50466 |
Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) (Anaes.) (Assist.) |
2 581.80 |
||||||
|
50470 |
Bilateral single event multilevel surgery, for a patient less than 18 years of age with cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; and (e) correction of bilateral pes valgus by os calcis lengthening or subtalar fusion; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.) |
3 274.35 |
||||||
|
50471 |
Bilateral single event multilevel surgery, for a patient less than 18 years of age with cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies and bilateral foot stabilisation, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; and (e) correction of bilateral pes valgus by os calcis lengthening or subtalar fusion; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) (Anaes.) (Assist.) |
3 274.35 |
||||||
|
50475 |
Single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, for the correction of crouch gait, including: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation; and (d) correction of patella alta and quadriceps insufficiency by patella tendon shortening or reconstruction; and (e) correction of tibial torsion by rotational osteotomy of the tibia with internal fixation; and (f) correction of foot instability by os calcis lengthening or subtalar fusion; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.) |
3 778.30 |
||||||
|
50476 |
Single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, for the correction of crouch gait including: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; (b) correction of muscle imbalance by transfer of a tendon or tendons; (c) correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation; (d) correction of patella alta and quadriceps insufficiency by patella tendon shortening or reconstruction; (e) correction of tibial torsion by rotational osteotomy of the tibia with internal fixation; (f) correction of foot instability by os calcis lengthening or subtalar fusion; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) (Anaes.) (Assist.) |
3 778.30 |
||||||
|
50500 |
Radius or ulna, distal end of, with open growth plate, treatment of fracture of, by closed reduction (Anaes.) |
244.45 |
||||||
|
50504 |
Radius or ulna, distal end of, with open growth plate, treatment of fracture of, by open reduction (Anaes.) (Assist.) |
326.10 |
||||||
|
50508 |
Radius, distal end of, with open growth plate, treatment of Colles', Smith's or Barton's fracture of, by closed reduction (Anaes.) |
349.30 |
||||||
|
50512 |
Radius, distal end of, with open growth plate, treatment of Colles', Smith's or Barton's fracture of, by open reduction (H) (Anaes.) (Assist.) |
465.95 |
||||||
|
50516 |
Radius or ulna, shaft of, with open growth plate, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital or approved day‑hospital facility (Anaes.) |
314.45 |
||||||
|
50520 |
Radius or ulna, shaft of, with open growth plate, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) |
419.20 |
||||||
|
50524 |
Radius or ulna, shaft of, with open growth plate, 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.) |
360.95 |
||||||
|
50528 |
Radius or ulna, shaft of, with open growth plate, treatment of fracture of, in conjunction with dislocation of distal radio‑ulnar joint or proximal radio‑humeral joint (Galeazzi or Monteggia injury), by reduction with or without internal fixation by open or percutaneous means (H) (Anaes.) (Assist.) |
582.30 |
||||||
|
50532 |
Radius and ulna, shafts of, with open growth plates, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital or approved day‑hospital facility (H) (Anaes.) |
506.65 |
||||||
|
50536 |
Radius and ulna, shafts of, with open growth plates, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) |
675.45 |
||||||
|
50540 |
Olecranon, with open growth plate, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) |
465.95 |
||||||
|
50544 |
Radius, with open growth plate, treatment of fracture of head or neck of, by closed reduction of (Anaes.) |
232.95 |
||||||
|
50548 |
Radius, with open growth plate, treatment of fracture of head or neck of, by reduction with or without internal fixation by open or percutaneous means (H) (Anaes.) (Assist.) |
465.95 |
||||||
|
50552 |
Humerus, proximal, with open growth plate, treatment of fracture of, by closed reduction, undertaken in the operating theatre, neonatal unit or nursery of a hospital or approved day‑hospital facility (Anaes.) |
401.80 |
||||||
|
50556 |
Humerus, proximal, with open growth plate, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.) |
535.65 |
||||||
|
50560 |
Humerus, shaft of, with open growth plate, treatment of fracture of, by closed reduction, undertaken in the operating theatre, neonatal unit or nursery of a hospital or approved day‑hospital facility (H) (Anaes.) |
419.20 |
||||||
|
50564 |
Humerus, shaft of, with open growth plate, treatment of fracture of, by internal or external fixation (H) (Anaes.) (Assist.) |
559.05 |
||||||
|
50568 |
Humerus, with open growth plate, supracondylar or condylar, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day‑hospital facility (Anaes.) |
489.25 |
||||||
|
50572 |
Humerus, with open growth plate, supracondylar or condylar, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means, undertaken in the operating theatre of a hospital or approved day‑hospital facility (H) (Anaes.) (Assist.) |
652.20 |
||||||
|
50576 |
Femur, with open growth plate, treatment of fracture of, by closed reduction or traction (Anaes.) (Assist.) |
535.65 |
||||||
|
50580 |
Tibia, with open growth plate, plateau or condyles, medial or lateral, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (H) (Anaes.) (Assist.) |
559.05 |
||||||
|
50584 |
Tibia, distal, with open growth plate, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (H) (Anaes.) (Assist.) |
535.65 |
||||||
|
50588 |
Tibia and fibula, with open growth plates, treatment of fracture of, by internal fixation (H) (Anaes.) (Assist.) |
698.75 |
||||||
|
50600 |
Scoliosis or kyphosis, in a child, manipulation of deformity and application of a localiser cast, under general anaesthesia, in a hospital or approved day‑hospital facility (Anaes.) (Assist.) |
384.10 |
||||||
|
50604 |
Scoliosis or kyphosis, in a child or adolescent, spinal fusion for (without instrumentation) (H) (Anaes.) (Assist.) |
1 630.40 |
||||||
|
50608 |
Scoliosis or kyphosis, in a child or adolescent, treatment by segmental instrumentation and fusion of the spine, not being a service to which any of items 48642 to 48675 apply (H) (Anaes.) (Assist.) |
3 028.20 |
||||||
|
50612 |
Scoliosis or kyphosis, in a child or adolescent, with spinal deformity, treatment by segmental instrumentation, utilising separate anterior and posterior approaches, not being a service to which any of items 48642 to 48675 apply (H) (Anaes.) (Assist.) |
4 307.30 |
||||||
|
50616 |
Scoliosis, in a child or adolescent, re‑exploration for adjustment or removal of segmental instrumentation used for correction of spine deformity (H) (Anaes.) (Assist.) |
547.30 |
||||||
|
50620 |
Scoliosis, in a child or adolescent, revision of failed scoliosis surgery, involving more than 1 of osteotomy, fusion, removal of instrumentation or instrumentation, not being a service to which any of items 48642 to 48675 apply (H) (Anaes.) (Assist.) |
3 028.20 |
||||||
|
50624 |
Scoliosis, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) -- not more than 4 levels (H) (Anaes.) (Assist.) |
3 028.20 |
||||||
|
50628 |
Scoliosis, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) -- more than 4 levels (H) (Anaes.) (Assist.) |
3 740.60 |
||||||
|
50632 |
Scoliosis or kyphosis, in a child or adolescent, requiring segmental instrumentation and fusion of the spine down to and including the pelvis or sacrum, not being a service to which any of items 48642 to 48675 apply (H) (Anaes.) (Assist.) |
3 144.55 |
||||||
|
50636 |
Scoliosis, in a child or adolescent, requiring anterior decompression of the spinal cord with vertebral resection and instrumentation in the presence of spinal cord involvement, not being a service to which any of items 48642 to 48675 apply (H) (Anaes.) (Assist.) |
3 494.00 |
||||||
|
50640 |
Scoliosis, in a child or adolescent, congenital, resection and fusion of abnormal vertebra via an anterior or posterior approach, not being a service to which any of items 48642 to 48675 apply (H) (Anaes.) (Assist.) |
1 931.45 |
||||||
|
50644 |
Spine, bone graft to, for a child or adolescent, associated with surgery for correction of scoliosis or kyphosis or both (H) (Anaes.) (Assist.) |
1 863.55 |
||||||
|
50650 |
Hip dysplasia or dislocation , in a child, examination, manipulation and arthrography of the hip under anaesthesia (Anaes.) |
366.50 |
||||||
|
50654 |
Hip dysplasia or dislocation , in a child, application or reapplication of a hip spica, including examination of the hip (H) (Assist.) (Anaes.) |
438.90 |
||||||
|
50658 |
Hip dysplasia or dislocation , in a child, examination and manipulation of the hip under anaesthesia (Anaes.) |
174.75 |
||||||
|
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.) |
722.05 |
||||||
|
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 1 or more of the following clinical circumstances: (a) percutaneous access cannot be achieved; |
722.05 |
||||||
|
|
(b) vital organs or tissues are at risk of damage from the percutaneous radiofrequency ablation procedure; (c) resection of 1 part of the liver is possible, however there is at least 1 primary liver tumour in a nonresectable section of the liver that is suitable for radiofrequency ablation; 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 $493.35 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 $493.35 |
76.25 |
||||||
|
51303 |
Assistance at any operation specified in an item in Group T8 that includes '(Assist.)' for which the fee exceeds $493.35 or at a series or combination of operations specified in items in Group T8 that include '(Assist.)' for which the aggregate fee exceeds $493.35 |
Amount under rule 32 |
||||||
|
51306 |
Assistance at a delivery involving Caesarean section |
110.20 |
||||||
|
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 |
240.65 |
||||||
|
51318 |
Assistance at cataract and intraocular lens surgery where patient has: (a) total loss of vision, including no potential for central vision, in the fellow eye; or (b) previous significant surgical complication in the fellow eye; or (c) pseudo exf o liation, subluxed lens, iridodonesis, phacodonesis, retinal detachment, corneal scarring, pre‑existing uveitis, bound down miosed pupil, nanophthalmos, spherophakia, Marfan's syndrome, homocysteinuria or previous blunt trauma causing intraocular damage |
158.85 |
||||||
|
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 |
75.60 |
||||||
|
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 |
37.95 |
||||||
|
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 $493.35 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 $493.35 |
76.25 |
||||||
|
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 $493.35 or at a series or combination of operations specified in items that include '(Assist.)' where the aggregate fee exceeds $493.35 |
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.) |
288.10 |
||||||
|
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.) |
65.30 |
||||||
|
51904 |
Lipectomy -- wedge excision of skin or fat -- 1 excision (Anaes.) (Assist.) |
401.90 |
||||||
|
51906 |
Lipectomy -- wedge excision of skin or fat -- 2 or more excisions (Anaes.) (Assist.) |
611.30 |
||||||
|
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.) |
72.90 |
||||||
|
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.) |
103.85 |
||||||
|
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.) |
103.85 |
||||||
|
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.) |
164.05 |
||||||
|
52010 |
Full thickness laceration of ear, eyelid, nose or lip, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.) |
224.40 |
||||||
|
52012 |
Superficial foreign body, removal of, as an independent procedure (Anaes.) |
20.75 |
||||||
|
52015 |
Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (Anaes.) |
97.10 |
||||||
|
52018 |
Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (Anaes.) (Assist.) |
244.55 |
||||||
|
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.) |
26.05 |
||||||
|
52024 |
Biopsy of skin or mucous membrane, as an independent procedure (Anaes.) |
46.15 |
||||||
|
52025 |
Lymph node of neck, biopsy of (Anaes.) |
162.50 |
||||||
|
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.) |
132.30 |
||||||
|
52030 |
Sinus, excision of, involving superficial tissue only (Anaes.) |
79.50 |
||||||
|
52033 |
Sinus, excision of, involving muscle and deep tissue (Anaes.) |
162.50 |
||||||
|
52034 |
Premalignant lesions of the oral mucous, treatment by cryotherapy, diathermy or carbon dioxide laser |
37.95 |
||||||
|
52035 |
Endoscopic laser therapy for neoplasia and benign vascular lesions of the oral cavity (Anaes.) |
420.70 |
||||||
|
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.) |
112.15 |
||||||
|
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.) |
288.10 |
||||||
|
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.) |
152.45 |
||||||
|
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.) |
217.80 |
||||||
|
52048 |
Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, not being a service to which another item in Groups O3 to O9 applies (Anaes.) (Assist.) |
328.30 |
||||||
|
52051 |
Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (Anaes.) (Assist.) |
443.85 |
||||||
|
52054 |
Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (Anaes.) (Assist.) |
519.25 |
||||||
|
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) |
24.15 |
||||||
|
52056 |
Haematoma in the oral and maxillofacial region, aspiration of (Anaes.) |
24.15 |
||||||
|
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.) |
144.00 |
||||||
|
52058 |
Percutaneous drainage of deep abscess in the oral and maxillofacial region, using interventional imaging techniques -- but not including imaging (Anaes.) |
209.95 |
||||||
|
52059 |
Abscess in the oral and maxillofacial region drainage tube, exchange of using interventional imaging techniques -- but not including imaging (Anaes.) |
236.50 |
||||||
|
52060 |
Muscle in the oral and maxillofacial region, excision of (Anaes.) |
167.35 |
||||||
|
52061 |
Muscle, in the oral and maxillofacial region, ruptured, repair of (limited), not associated with external wound (Anaes.) |
197.60 |
||||||
|
52062 |
Muscle, in the oral and maxillofacial region, ruptured, repair of (extensive), not associated with external wound (Anaes.) (Assist.) |
261.25 |
||||||
|
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.) |
314.90 |
||||||
|
52064 |
Bone cyst in the oral and maxillofacial region, injection into or aspiration of (Anaes.) |
149.80 |
||||||
|
52066 |
Submandibular gland, extirpation of (Anaes.) (Assist.) |
393.60 |
||||||
|
52069 |
Sublingual gland, extirpation of (Anaes.) |
175.45 |
||||||
|
52072 |
Salivary gland, dilatation or diathermy of duct (Anaes.) |
51.95 |
||||||
|
52073 |
Salivary gland, repair of cutaneous fistula of (Anaes.) |
132.30 |
||||||
|
52075 |
Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (Anaes.) |
132.30 |
||||||
|
52078 |
Tongue, partial excision of (Anaes.) (Assist.) |
261.25 |
||||||
|
52081 |
Tongue tie, division or excision of frenulum (Anaes.) |
41.10 |
||||||
|
52084 |
Tongue tie, mandibular frenulum or maxillary frenulum, division or excision of frenulum, in a person aged not less than 2 years (Anaes.) |
105.55 |
||||||
|
52087 |
Ranula or mucous cyst of mouth, removal of (Anaes.) |
180.85 |
||||||
|
52090 |
Operation on mandible or maxilla (other than alveolar margins) for chronic osteomyelitis -- 1 bone or in combination with adjoining bones (Anaes.) (Assist.) |
314.90 |
||||||
|
52092 |
Operation on skull for osteomyelitis (Anaes.) (Assist.) |
410.45 |
||||||
|
52094 |
Operation on any combination of adjoining bones in the oral and maxillofacial region, being bones referred to in item 52092 (Anaes.) (Assist.) |
519.20 |
||||||
|
52095 |
Bone growth stimulator in the oral and maxillofacial region, insertion of (Anaes.) (Assist.) |
336.45 |
||||||
|
52096 |
Orthopaedic pin or wire, insertion of, into maxilla or mandible or zygoma, as an independent procedure (Anaes.) |
99.75 |
||||||
|
52097 |
External fixation in the oral and maxillofacial region, removal of, in the operating theatre of a hospital or approved day hospital facility (Anaes.) |
141.45 |
||||||
|
52098 |
External fixation in the oral and maxillofacial region, removal of, in conjunction with operations involving internal fixation or bone grafting or both (Anaes.) |
166.35 |
||||||
|
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.) |
124.80 |
||||||
|
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.) |
124.80 |
||||||
|
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.) |
232.95 |
||||||
|
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.) |
96.25 |
||||||
|
52108 |
Lip, full thickness wedge excision of, with repair by direct sutures (Anaes.) (Assist.) |
288.10 |
||||||
|
52111 |
Vermilionectomy (Anaes.) (Assist.) |
288.10 |
||||||
|
52114 |
Mandible or maxilla, segmental resection of, for tumours or cysts (Anaes.) (Assist.) |
519.25 |
||||||
|
52117 |
Mandible, including lower border, or maxilla, sub‑total resection of (Anaes.) (Assist.) |
618.05 |
||||||
|
52120 |
Mandible, hemimandiblectomy of, including condylectomy where performed (Anaes.) (Assist.) |
728.60 |
||||||
|
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.) |
731.00 |
||||||
|
52123 |
Mandible, total resection of both sides, including condylectomies where performed (Anaes.) (Assist.) |
827.60 |
||||||
|
52126 |
Maxilla, total resection of (Anaes.) (Assist.) |
795.65 |
||||||
|
52129 |
Maxilla, total resection of both maxillae (Anaes.) (Assist.) |
1 065.10 |
||||||
|
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.) |
390.95 |
||||||
|
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.) |
540.75 |
||||||
|
52132 |
Tracheostomy (Anaes.) |
211.05 |
||||||
|
52133 |
Cricothyrostomy by direct stab or Seldinger technique, using Minitrach or similar device (Anaes.) |
80.45 |
||||||
|
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.) |
127.55 |
||||||
|
52138 |
Maxillary artery, ligation of (Anaes.) (Assist.) |
393.60 |
||||||
|
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.) |
392.05 |
||||||
|
52144 |
Foreign body, deep, removal of using interventional imaging techniques (Anaes.) (Assist.) |
365.40 |
||||||
|
52147 |
Duct of major salivary gland, transposition of (Anaes.) (Assist.) |
344.80 |
||||||
|
52148 |
Parotid duct, repair of, using micro‑surgical techniques (Anaes.) (Assist.) |
609.55 |
||||||
|
52158 |
Submandibular ducts, relocation of, for surgical control of drooling (Anaes.) (Assist.) |
981.45 |
||||||
|
52180 |
Aggressive or potentially malignant bone or deep soft tissue tumour in the oral and maxillofacial region, biopsy of (not including after‑care) (Anaes.) |
166.35 |
||||||
|
52182 |
Bone or malignant deep soft tissue tumour in the oral and maxillofacial region, lesional or marginal excision of (Anaes.) (Assist.) |
366.10 |
||||||
|
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.) |
540.75 |
||||||
|
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.) |
665.60 |
||||||
|
Group O4 -- Plastic and reconstructive |
||||||||
|
52300 |
Single‑stage local flap, where indicated, repair to 1 defect, with skin or mucosa (Anaes.) (Assist.) |
251.25 |
||||||
|
52303 |
Single‑stage local flap, where indicated, repair to 1 defect, with buccal pad of fat (Anaes.) (Assist.) |
358.80 |
||||||
|
52306 |
Single‑stage local flap, where indicated, repair to 1 defect, using temporalis muscle (Anaes.) (Assist.) |
532.35 |
||||||
|
52309 |
Free grafting (mucosa or split skin) of a granulating area (Anaes.) |
180.85 |
||||||
|
52312 |
Free grafting (mucosa, split skin or connective tissue) to 1 defect, including elective dissection (Anaes.) (Assist.) |
251.25 |
||||||
|
52315 |
Free grafting, full thickness, to 1 defect (mucosa or skin) (Anaes.) (Assist.) |
418.65 |
||||||
|
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.) |
124.80 |
||||||
|
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.) |
207.70 |
||||||
|
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.) |
418.65 |
||||||
|
52324 |
Direct flap repair, using tongue, first stage (Anaes.) (Assist.) |
418.65 |
||||||
|
52327 |
Direct flap repair, using tongue, second stage (Anaes.) |
207.70 |
||||||
|
52330 |
Palatal defect (oro‑nasal fistula), plastic closure of, including services to which item 52300, 52303, 52306 or 52324 applies (Anaes.) (Assist.) |
690.95 |
||||||
|
52333 |
Cleft palate, primary repair (Anaes.) (Assist.) |
690.95 |
||||||
|
52336 |
Cleft palate, secondary repair, closure of fistula using local flaps (Anaes.) (Assist.) |
431.90 |
||||||
|
52337 |
Alveolar cleft (congenital) unilateral, grafting of, including plastic closure of associated oro‑nasal fistulae and ridge augmentation (Anaes.) (Assist.) |
944.70 |
||||||
|
52339 |
Cleft palate, secondary repair, lengthening procedure (Anaes.) (Assist.) |
491.85 |
||||||
|
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.) |
854.25 |
||||||
|
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.) |
963.45 |
||||||
|
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.) |
1 088.70 |
||||||
|
52351 |
Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and stabilisation with fixation by wires, screws, plates or pins, or any combination (Anaes.) (Assist.) |
1 222.65 |
||||||
|
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.) |
1 239.50 |
||||||
|
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.) |
1 395.45 |
||||||
|
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.) |
1 423.60 |
||||||
|
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.) |
1 601.50 |
||||||
|
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.) |
1 566.10 |
||||||
|
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.) |
1 760.80 |
||||||
|
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.) |
1 708.55 |
||||||
|
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.) |
1 913.75 |
||||||
|
52378 |
Genioplasty including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.) |
661.55 |
||||||
|
52379 |
Face, contour reconstruction of 1 region, using autogenous bone or cartilage graft (Anaes.) (Assist.) |
1 129.60 |
||||||
|
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.) |
1 925.15 |
||||||
|
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.) |
2 307.70 |
||||||
|
52420 |
Mandible, fixation by intermaxillary wiring, excluding wiring for obesity |
213.10 |
||||||
|
52424 |
Dermis, dermofat or fascia graft (excluding transfer of fat by injection) in the oral and maxillofacial region (Anaes.) (Assist.) |
418.55 |
||||||
|
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.) |
963.45 |
||||||
|
52440 |
Cleft lip, unilateral -- primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.) |
478.40 |
||||||
|
52442 |
Cleft lip, unilateral -- primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.) |
598.10 |
||||||
|
52444 |
Cleft lip, bilateral -- primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.) |
664.40 |
||||||
|
52446 |
Cleft lip, bilateral -- primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.) |
784.20 |
||||||
|
52450 |
Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (Anaes.) |
265.75 |
||||||
|
52452 |
Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.) |
431.90 |
||||||
|
52456 |
Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.) |
731.00 |
||||||
|
52458 |
Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (Anaes.) |
265.75 |
||||||
|
52460 |
Velo‑pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (Anaes.) |
690.95 |
||||||
|
52480 |
Composite graft (chondro‑cutaneous or chondro‑mucosal) to nose, ear or eyelid (Anaes.) (Assist.) |
443.85 |
||||||
|
52482 |
Macrocheilia or macroglossia, operation for (Anaes.) (Assist.) |
427.05 |
||||||
|
52484 |
Macrostomia, operation for (Anaes.) (Assist.) |
508.35 |
||||||
|
Group O5 -- Preprosthetic |
||||||||
|
52600 |
Mandibular or palatal exostosis, excision of (Anaes.) (Assist.) |
298.95 |
||||||
|
52603 |
Mylohyoid ridge, reduction of (Anaes.) (Assist.) |
285.80 |
||||||
|
52606 |
Maxillary tuberosity, reduction of (Anaes.) |
218.00 |
||||||
|
52609 |
Papillary hyperplasia of the palate, removal of -- less than 5 lesions (Anaes.) (Assist.) |
285.80 |
||||||
|
52612 |
Papillary hyperplasia of the palate, removal of -- 5 to 20 lesions (Anaes.) (Assist.) |
358.80 |
||||||
|
52615 |
Papillary hyperplasia of the palate, removal of -- more than 20 lesions (Anaes.) (Assist.) |
445.25 |
||||||
|
52618 |
Vestibuloplasty, submucosal or open, including excision of muscle and skin or mucosal graft when performed -- unilateral or bilateral (Anaes.) (Assist.) |
518.20 |
||||||
|
52621 |
Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed -- unilateral (Anaes.) (Assist.) |
518.20 |
||||||
|
52624 |
Alveolar ridge augmentation with bone or alloplast or both -- unilateral (Anaes.) (Assist.) |
418.55 |
||||||
|
52626 |
Alveolar ridge augmentation -- unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (Anaes.) (Assist.) |
256.70 |
||||||
|
52627 |
Osseo‑integration procedure -- extra oral implantation of titanium fixture (Anaes.) (Assist.) |
445.25 |
||||||
|
52630 |
Osseo‑integration procedure -- fixation of transcutaneous abutment (Anaes.) |
164.80 |
||||||
|
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.) |
445.25 |
||||||
|
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.) |
164.80 |
||||||
|
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.) |
244.55 |
||||||
|
52803 |
Nerve trunk, internal (interfascicular) , neurolysis of, using microsurgical techniques (Anaes.) (Assist.) |
352.15 |
||||||
|
52806 |
Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (Anaes.) (Assist.) |
244.55 |
||||||
|
52809 |
Neurectomy, neurotomy or removal of tumour from deep peripheral nerve (Anaes.) (Assist.) |
418.65 |
||||||
|
52812 |
Nerve trunk, primary repair of, using microsurgical techniques (Anaes.) (Assist.) |
598.10 |
||||||
|
52815 |
Nerve trunk, secondary repair of, using microsurgical techniques (Anaes.) (Assist.) |
631.20 |
||||||
|
52818 |
Nerve, transposition of (Anaes.) (Assist.) |
418.65 |
||||||
|
52821 |
Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques (Anaes.) (Assist.) |
910.30 |
||||||
|
52824 |
Peripheral branches of the trigeminal nerve, cryosurgery of, for pain relief (Anaes.) (Assist.) |
392.05 |
||||||
|
52826 |
Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (Anaes.) |
209.95 |
||||||
|
52828 |
Cutaneous nerve, primary repair of, using microsurgical techniques (Anaes.) (Assist.) |
312.25 |
||||||
|
52830 |
Cutaneous nerve, secondary repair of, using microsurgical techniques (Anaes.) (Assist.) |
411.85 |
||||||
|
52832 |
Cutaneous nerve, nerve graft to, using microsurgical techniques (Anaes.) (Assist.) |
564.80 |
||||||
|
Group O7 -- Ear, nose and throat |
||||||||
|
53000 |
Maxillary antrum, proof puncture and lavage of (Anaes.) |
28.70 |
||||||
|
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.) |
81.25 |
||||||
|
53004 |
Maxillary antrum, lavage of -- each attendance at which the procedure is performed, including any associated consultation (Anaes.) |
29.65 |
||||||
|
53006 |
Antrostomy (radical) (Anaes.) (Assist.) |
460.55 |
||||||
|
53009 |
Antrum, intranasal operation on or removal of foreign body from (Anaes.) (Assist.) |
261.25 |
||||||
|
53012 |
Antrum, drainage of, through tooth socket (Anaes.) |
103.85 |
||||||
|
53015 |
Oro‑antral fistula, plastic closure of (Anaes.) (Assist.) |
519.25 |
||||||
|
53016 |
Nasal septum, septoplasty, submucous resection or closure of septal perforation (Anaes.) (Assist.) |
427.05 |
||||||
|
53017 |
Nasal septum, reconstruction of (Anaes.) (Assist.) |
532.75 |
||||||
|
53019 |
Maxillary sinus, bone graft to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral (Anaes.) (Assist.) |
513.25 |
||||||
|
53052 |
Post‑nasal space, direct examination of, with or without biopsy (Anaes.) |
108.55 |
||||||
|
53054 |
Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx -- 1 or more of these procedures (Anaes.) |
108.50 |
||||||
|
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.) |
63.55 |
||||||
|
53058 |
Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after‑care) (Anaes.) |
108.50 |
||||||
|
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.) |
88.80 |
||||||
|
53062 |
Post‑surgical nasal haemorrhage, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes.) |
79.50 |
||||||
|
53064 |
Cryotherapy to nose in the treatment of nasal haemorrhage (Anaes.) |
144.00 |
||||||
|
53068 |
Turbinectomy or turbinectomies, partial or total, unilateral (Anaes.) |
119.20 |
||||||
|
53070 |
Turbinates, submucous resection of, unilateral (Anaes.) |
157.30 |
||||||
|
Group O8 -- Temporomandibular joint |
|
|||||||
|
53200 |
Mandible, treatment of a dislocation of, not requiring open reduction (Anaes.) |
62.50 |
||||||
|
53203 |
Mandible, treatment of a dislocation of, requiring open reduction (Anaes.) |
104.95 |
||||||
|
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.) |
126.30 |
||||||
|
53209 |
Glenoid fossa, zygomatic arch and temporal bone, reconstruction of (Obwegeser technique) (Anaes.) (Assist.) |
1 457.20 |
||||||
|
53212 |
Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (Anaes.) (Assist.) |
787.20 |
||||||
|
53215 |
Temporomandibular joint, arthroscopy of, with or without biopsy, not being a service associated with any other arthroscopic procedure of that joint (Anaes.) (Assist.) |
361.15 |
||||||
|
53218 |
Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions -- 1 or more of such procedures (Anaes.) (Assist.) |
577.70 |
||||||
|
53220 |
Temporomandibular joint, arthrotomy of, not being a service to which another item in this group applies (Anaes.) (Assist.) |
291.25 |
||||||
|
53221 |
Temporomandibular joint, open surgical exploration of, with or without microsurgical techniques (Anaes.) (Assist.) |
770.80 |
||||||
|
53224 |
Temporomandibular joint, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (Anaes.) (Assist.) |
854.45 |
||||||
|
53225 |
Arthrocentesis, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.) |
256.70 |
||||||
|
53226 |
Temporomandibular joint, synovectomy of, not being a service to which another item in this group applies (Anaes.) (Assist.) |
276.00 |
||||||
|
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.) |
1 049.95 |
||||||
|
53230 |
Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (Anaes.) (Assist.) |
1 182.75 |
||||||
|
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.) |
1 329.00 |
||||||
|
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.) |
415.90 |
||||||
|
53239 |
Temporomandibular joint, arthrodesis of, not being a service to which another item in this group applies (Anaes.) (Assist.) |
415.90 |
||||||
|
53242 |
Temporomandibular joint or joints, application of external fixator to, other than for treatment of fractures (Anaes.) (Assist.) |
276.00 |
||||||
|
Group O9 -- Treatment of fractures |
||||||||
|
53400 |
Maxilla, unilateral or bilateral, treatment of fracture of, not requiring splinting |
114.15 |
||||||
|
53403 |
Mandible, treatment of fracture of, not requiring splinting |
139.45 |
||||||
|
53406 |
Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.) |
359.35 |
||||||
|
53409 |
Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.) |
359.35 |
||||||
|
53410 |
Zygomatic bone, treatment of fracture of, not requiring surgical reduction |
75.70 |
||||||
|
53411 |
Zygomatic bone, treatment of fracture of, requiring surgical reduction, by temporal, intra‑oral or other approach (Anaes.) |
211.05 |
||||||
|
53412 |
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (Anaes.) (Assist.) |
346.50 |
||||||
|
53413 |
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (Anaes.) (Assist.) |
423.40 |
||||||
|
53414 |
Zygomatic bone, treatment of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (Anaes.) (Assist.) |
487.60 |
||||||
|
53415 |
Maxilla, treatment of fracture of, requiring open reduction (Anaes.) (Assist.) |
385.00 |
||||||
|
53416 |
Mandible, treatment of fracture of, requiring open reduction (Anaes.) (Assist.) |
385.00 |
||||||
|
53418 |
Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.) |
500.45 |
||||||
|
53419 |
Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.) |
500.45 |
||||||
|
53422 |
Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.) |
635.10 |
||||||
|
53423 |
Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.) |
635.10 |
||||||
|
53424 |
Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes.) (Assist.) |
544.90 |
||||||
|
53425 |
Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes.) (Assist.) |
544.90 |
||||||
|
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.) |
744.25 |
||||||
|
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.) |
744.25 |
||||||
|
53439 |
Mandible, treatment of a closed fracture of, involving a joint surface (Anaes.) |
211.05 |
||||||
|
53453 |
Orbital cavity, reconstruction of a wall or floor with or without foreign implant (Anaes.) (Assist.) |
427.05 |
||||||
|
53455 |
Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (Anaes.) (Assist.) |
501.60 |
||||||
|
53458 |
Nasal bones, treatment of fracture of, not being a service to which item 53459 or 53460 applies |
38.00 |
||||||
|
53459 |
Nasal bones, treatment of fracture of, by reduction (Anaes.) |
208.05 |
||||||
|
53460 |
Nasal bones, treatment of fractures of, by open reduction involving osteotomies (Anaes.) (Assist.) |
424.45 |
||||||
|
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 |
34.40 |
||||||
|
Group O11 -- Regional or field nerve blocks |
||||||||
|
53700 |
Trigeminal nerve, primary division of, injection of an anaesthetic agent |
110.30 |
||||||
|
53702 |
Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent |
55.25 |
||||||
|
53704 |
Facial nerve, injection of an anaesthetic agent |
33.25 |
||||||
|
53706 |
Nerve branch in the oral and maxillofacial region, destruction by a neurolytic agent, not being a service to which any other item in this group applies |
110.30 |
||||||
|
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) |
75.60 |
||||||
|
75004 |
Professional attendance by an accredited orthodontist subsequent to the first professional attendance by the orthodontist in a single course of treatment (AO) |
37.95 |
||||||
|
75006 |
Production of dental study models (not being a service associated with a service to which item 75004 applies) prior to provision of a service to which: (a) item 75030, 75033, 75034, 75036, 75037, 75039, 75045 or 75051 applies; or (b) an item in Group T8 or Groups O3 to O9 applies; in a single course of treatment (AO) |
67.40 |
||||||
|
75009 |
Orthodontic radiography -- orthopantomography (panoramic radiography), including any consultation on the same occasion (AOS) (AO) |
60.25 |
||||||
|
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) |
95.45 |
||||||
|
75015 |
Orthodontic radiography -- anteroposterior and lateral cephalometric radiography, with cephalometric tracings including any consultation on the same occasion (AOS) (AO) |
131.25 |
||||||
|
75018 |
Orthodontic radiography -- anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography including any consultation on the same occasion (AOS) (AO) |
167.20 |
||||||
|
75021 |
Orthodontic radiography -- hand‑wrist studies (including growth prediction) including any consultation on the same occasion (AOS) (AO) |
205.05 |
||||||
|
75023 |
Intraoral radiography -- single area, periapical or bitewing film (AOS) (AO) |
41.05 |
||||||
|
75024 |
Pre‑surgical infant maxillary arch repositioning, including supply of appliances and all adjustments of appliances and supervision -- where 1 appliance is used (AO) |
530.30 |
||||||
|
75027 |
Pre‑surgical infant maxillary arch repositioning, including supply of appliances and all adjustments of appliances and supervision -- where 2 appliances are used (AO) |
727.10 |
||||||
|
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) |
647.50 |
||||||
|
75033 |
Mixed dentition treatment -- incisor alignment using fixed appliances in maxillary arch, including supply of appliances, all adjustments of appliances, removal of the appliances and retention (AO) |
1 061.20 |
||||||
|
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) |
540.10 |
||||||
|
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) |
1 465.75 |
||||||
|
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) |
1 846.05 |
||||||
|
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) |
490.60 |
||||||
|
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) |
183.40 |
||||||
|
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) |
982.20 |
||||||
|
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) |
251.90 |
||||||
|
75049 |
Retention, fixed or removable, single arch (mandibular or maxillary) -- supply of retainer and supervision of retention (AO) |
294.75 |
||||||
|
75050 |
Retention, fixed or removable, 2‑arch (mandibular and maxillary) -- supply of retainers and supervision of retention (AO) |
569.10 |
||||||
|
75051 |
Jaw growth guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances (AO) |
873.65 |
||||||
|
Group C2 -- Oral and maxillofacial services |
||||||||
|
75150 |
Initial professional attendance in a single course of treatment by an accredited oral and maxillofacial surgeon where the patient is referred to the surgeon by an accredited orthodontist (AOS) |
75.60 |
||||||
|
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) |
37.95 |
||||||
|
75156 |
Production of dental study models (not being a service associated with a service to which item 75153 applies) prior to provision of a service: (a) to which item 52321 , 53212 or 75618 applies; or (b) to which an item in the series 52330 to 52382, 52600 to 52630, 53400 to 53409 or 53415 to 53429 applies; in a single course of treatment, where the patient is referred by an accredited orthodontist (AOS) |
67.40 |
||||||
|
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) |
48.55 |
||||||
|
75203 |
Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by an accredited orthodontist (AD) |
72.85 |
||||||
|
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) |
24.15 |
||||||
|
75400 |
Surgical removal of erupted tooth, where the patient is referred by an accredited orthodontist (AOS) |
145.65 |
||||||
|
75403 |
Surgical removal of tooth with soft tissue impaction, where the patient is referred by an accredited orthodontist (AOS) |
167.20 |
||||||
|
75406 |
Surgical removal of tooth with partial bone impaction, where the patient is referred by an accredited orthodontist (AOS) |
190.55 |
||||||
|
75409 |
Surgical removal of tooth with complete bone impaction, where the patient is referred by an accredited orthodontist (AOS) |
215.85 |
||||||
|
75412 |
Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by an accredited orthodontist (AOS) |
120.55 |
||||||
|
75415 |
Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by an accredited orthodontist (AOS) |
145.65 |
||||||
|
75600 |
Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by an accredited orthodontist (AOS) |
205.05 |
||||||
|
75603 |
Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by an accredited orthodontist (AOS) |
241.00 |
||||||
|
75606 |
Surgical repositioning of unerupted tooth, where the patient is referred by an accredited orthodontist (AOS) |
241.00 |
||||||
|
75609 |
Transplantation of tooth bud, where the patient is referred by an accredited orthodontist (AOS) |
359.75 |
||||||
|
75612 |
Surgical procedure for intra oral implantation of osseointegrated fixture (first stage), where the patient is referred by an accredited orthodontist (AOS) |
445.25 |
||||||
|
75615 |
Surgical procedure for fixation of trans‑mucosal abutment (second stage of osseointegrated implant), where the patient is referred by an accredited orthodontist (AOS) |
164.80 |
||||||
|
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) |
204.70 |
||||||
|
75621 |
The provision and fitting of surgical template in conjunction with orthognathic surgical procedures in association with: (a) an item in the series 52342 to 52375; or (b) item 52380 or 52382; where the patient is referred by an accredited orthodontist (AOS) |
204.70 |
||||||
|
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) |
72.85 |
||||||
|
75803 |
Provision and fitting of acrylic base partial denture, including retainers -- 1 tooth (AD) |
291.40 |
||||||
|
75806 |
Provision and fitting of acrylic base partial denture, including retainers -- 2 teeth (AD) |
341.75 |
||||||
|
75809 |
Provision and fitting of acrylic base partial denture, including retainers -- 3 teeth (AD) |
404.65 |
||||||
|
75812 |
Provision and fitting of acrylic base partial denture, including retainers -- 4 teeth (AD) |
449.65 |
||||||
|
75815 |
Provision and fitting of acrylic base partial denture, including retainers -- 5 to 9 teeth (AD) |
548.65 |
||||||
|
75818 |
Provision and fitting of acrylic base partial denture, including retainers -- 10 to 12 teeth (AD) |
647.50 |
||||||
|
75821 |
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers -- 1 tooth (AD) |
521.50 |
||||||
|
75824 |
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers -- 2 teeth (AD) |
602.50 |
||||||
|
75827 |
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers -- 3 teeth (AD) |
692.50 |
||||||
|
75830 |
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers -- 4 teeth (AD) |
764.45 |
||||||
|
75833 |
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers -- 5 to 9 teeth (AD) |
935.20 |
||||||
|
75836 |
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers -- 10 to 12 teeth (AD) |
1 070.10 |
||||||
|
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) |
24.15 |
||||||
|
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) |
36.00 |
||||||
|
75845 |
Relining of partial denture by laboratory process and associated fitting (AD) |
179.95 |
||||||
|
75848 |
Remodelling and fitting of partial denture of more than 4 teeth (AD) |
215.85 |
||||||
|
75851 |
Repair to cast metal base of partial denture -- 1 or more points (AD) |
107.90 |
||||||
|
75854 |
Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD) |
107.90 |
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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 any condition other than hepatic metastases that are secondary to colorectal cancer
13. Specific mass measurement of bone alkaline phosphatase
14. Transmyocardial laser revascularisation
15. Vertebral axial decompression therapy, for chronic back pain