Health Insurance (1993-1994 General Medical Services Table) Regulations

Statutory Rules 1993 No. 272 as amended

made under the

Health Insurance Act 1973

This compilation was prepared on 17 July 2001
taking into account amendments up to SR 1994 No. 112

[Note: These regulations were repealed by SR 1994 No. 362]

Prepared by the Office of Legislative Drafting,
Attorney-General’s Department, Canberra

Contents

Page

 1 Citation [see Note 1] 

 2 Commencement 

 3 Repeal 

 4 General medical services table 

Schedule Table of general medical services 

Part 1 Rules of interpretation 

 1 General 

 2 Meaning of symbols (S) and (G)

 3 Meaning of single course of treatment in certain circumstances             

 4 Interpretation of items 104 to 159 

 5 Meaning of professional attendance in certain items 

 6 Meaning of Amount under rule 6 in certain items 

 7 Items 10809 and 10929 not to apply in certain circumstances             

 8 Application of items 10921 to 10929 

 9 Personal attendance by medical practitioners generally 

 10 Personal attendance by certain medical practitioners 

 11 Certain services may be given by persons other than medical practitioners             

 12 Conditions under which certain services to be provided 

 13 Application of items 51700 to 53455 

 14 Meaning of administration of an anaesthetic in items 18102 to 18118             

 16 Meaning of Amount under rule 16 in certain items 

 17 Meaning of Amount under rule 17 in certain items 

 18 Meaning of Amount under rule 18 in certain items 

 19 Meaning of (AD) in Groups C2 — Oral surgical services and C3 — General and Prosthodontic services             

 20 Orthodontic services 

 21 Oral surgery services 

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

 23 Meaning of treatment cycle of a patient 

 24 Certain assisted reproductive services given as part of treatment cycle             

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

 26 Meaning of embryology laboratory services in items 13200 and 13206             

 27 Meaning of confinement in certain items 

 28 Certain obstetrical procedures constitute a single operation 

 29 Meaning of maxilla in certain items 

 30 Items 46300 to 46510 apply only in certain circumstances 

 31 Meaning of closed reduction and open reduction in items 47000 to 50239             

 32 Services in association with spinal fusion services 

 33 Meaning of Amount under rule 33 in items 51303 and 51803 

 34 Meaning of Amount under rule 34 in item 51309 

 35 Meaning of Amount under rule 35 in item 18219 

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

Part 2 Services and fees 

Notes 

 

 

 

 

1 Citation [see Note 1]

  These Regulations may be cited as the Health Insurance (1993-1994 General Medical Services Table) Regulations.

2 Commencement

  These Regulations commence on 1 November 1993.

3 Repeal

  Statutory Rules 1992 Nos. 338, 347 and 398, and 1993 No. 145 are repealed.

4 General medical services table

  The table of general medical services in the Schedule is prescribed for the purposes of subsection 4 (2) of the Health Insurance Act 1973.

Schedule Table of general medical services

(regulation 4)

Part 1 Rules of interpretation

1 General

 (1) In this table, unless the contrary intention appears:

attendance of a minor nature or minor attendance, in relation to an attendance on a patient by a consultant physician, means an attendance that:

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

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

general intensive care unit means a separate hospital area that:

 (a) is equipped and staffed so as to be capable of providing to a patient:

 (i) mechanical ventilation for a period of several days; and

 (ii) invasive cardiovascular monitoring; and

 (b) is supported by:

 (i) at least one specialist or consultant physician in the specialty of intensive care who is immediately available during normal working hours; and

 (ii) a registered medical practitioner who is present in the hospital and immediately available to the unit at all times; and

 (iii) a registered nurse for at least 18 hours each day; and

 (c) has defined admission and discharge policies.

general practitioner means:

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

 (b) a practitioner who:

 (i) is a Fellow of the RACGP; and

 (ii) participates in the quality assurance and continuing medical education of the RACGP; and

 (iii) meets the RACGP requirements for quality assurance and continuing education; or

 (c) a practitioner who is undertaking an approved placement in general practice:

 (i) as part of a training program for general practice leading to the award of the Fellowship of the RACGP; or

 (ii) as part of some other training program recognised by the RACGP as being of an equivalent standard.

institution means a place (other than a hospital, a nursing home or accommodation for aged persons that is attached to a nursing home or situated within a nursing home complex) at which residential accommodation or day care is, or both residential accommodation and day care are, made available to:

(a) disadvantaged children; or

(b) juvenile offenders; or

(c) aged persons; or

(d) chronically ill psychiatric patients; or

(e) homeless persons; or

(f) unemployed persons; or

(g) persons suffering from alcoholism; or

(h) persons addicted to drugs; or

(i) physically or mentally handicapped persons.

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

neo-natal intensive care unit means a separate hospital area that:

 (a) is equipped and staffed so as to be capable of providing to a patient who is a newly born child:

 (i) mechanical ventilation for a period of several days; and

 (ii) invasive cardiovascular monitoring; and

 (b) is supported by:

 (i) at least one consultant physician in paediatric medicine who is immediately available during normal working hours; and

 (ii) a registered medical practitioner who is present in the hospital and immediately available to the unit at all times; and

 (iii) a registered nurse for at least 18 hours each day; and

 (c) has defined admission and discharge policies.

RACGP means the Royal Australian College of General Practitioners.

referring practitioner, in relation to a referral, means:

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

 (b) if the referral is given to a specialist who is an ophthalmologist — an optometrist; and

 (c) if the referral:

 (i) arises out of a dental service given by a dental practitioner; and

 (ii) is given to a specialist (but not a consultant physician);

  a dental practitioner; and

 (d) if the referral:

 (i) arises out of a dental service given by a dental practitioner who is approved by the Minister for the purposes of paragraph (b) of the definition of professional service in subsection 3 (1) of the Act; and

 (ii) is given to a consultant physician;

  a dental practitioner.

the Act means the Health Insurance Act 1973.

 (2) In this table, a reference by number to an item in the series 65001 to 73921 is a reference to the item so numbered in the pathology services table.

 (3) In this table, a reference by number to an item in the series 55028 to 61502 is a reference to the item so numbered in the diagnostic imaging services table.

 (4) In this table, the symbol (AU n) (where n is a number) is explained in items 17901 to 17959.

2 Meaning of symbols (S) and (G)

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

 (a) a service that:

 (i) is given to a patient who has been referred to the specialist; and

 (ii) is the first service given by the specialist in accordance with the referral; or

 (b) a service that:

 (i) is given to a patient who has been referred to the specialist; and

 (ii) is either:

 (A) part of a single course of treatment given for the condition identified in the referral; or

 (B) if no condition was identified in the referral — part of a single course of treatment for the condition identified by the specialist; and

 (iii) is given within the period of validity of the referral applicable under regulation 31 of the Health Insurance Regulations; or

 (c) a service that:

 (i) is given 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 given; and

 (ii) is the first service given by the specialist in accordance with the referral; or

 (d) a service that:

 (i) is given to a patient who has not been referred to the specialist; and

 (ii) is a service that, in an emergency, the specialist decides is necessary in the patient’s interests to be given as soon as practicable without a referral.

 (2) An item including the symbol (G) applies only to a service given otherwise than by a specialist in accordance with subrule (1).

3 Meaning of single course of treatment in certain circumstances

 (1) In subrule 1 (1), rules 2 and 4 and items 104, 105, 106, 107, 108, 110, 116, 119, 122, 128 and 131, single course of treatment includes:

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

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

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

 (2) For the purposes of subrule (1), an unrelated illness that requires referral of the patient to the specialist’s or consultant physician’s care, initiates a new course of treatment for which a new referral is required.

 (3) For the purposes of subrule (1), if:

 (a) a referring practitioner considers it necessary for a patient’s condition to be reviewed; and

 (b) the patient is attended by the specialist or consultant physician after the end of the period of validity of the last referral applicable under regulation 12 of the Health Insurance Regulations; and

 (c) the patient was last attended by the specialist or consultant physician more than 9 months before the attendance mentioned in paragraph (b);

  the attendance mentioned in paragraph (b) initiates a new course of treatment.

4 Interpretation of items 104 to 159

 (1) In items 104 to 159, a reference to an attendance on a patient by a specialist, or consultant physician, in the practice or his or her specialty where the patient is referred to him or her:

 (a) includes an attendance by a specialist, or consultant physician, in the practice of his or her specialty:

 (i) if the patient has declared that a written referral of the patient was completed by a medical practitioner; or

 (ii) if, in an emergency, the patient has not been referred to the specialist, or consultant physician, who decides that it is necessary in the patient’s interests to give the service mentioned in the item as soon as practicable without a referral; but

 (b) does not include an attendance by a specialist, or consultant physician, in the practice of his or her specialty if:

 (i) the attendance forms part of a single course of treatment in which the first service was given 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 given.

 (2) In subrule (1) and in items 104 to 159, a reference to the referring of a patient to a specialist, or consultant physician, is a reference to the referring of a patient to a specialist, or consultant physician, by a referring practitioner.

5 Meaning of professional attendance in certain items

  In items 3, 4, 13, 19, 20, 23, 24, 25, 33, 35, 36, 37, 38, 40, 43, 44, 47, 48, 50 and 51, professional attendance includes (but is not limited to) the provision in relation to a patient of 1 or more of the following services:

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

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

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

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

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

6 Meaning of Amount under rule 6 in certain items

 (1) In items 13, 19 and 20, Amount under rule 6 means an amount equal to the sum of:

 (a) the fee set out in item 3; and

 (b) either:

 (i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $17.10 divided by the number of patients so attended; or

 (ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — $1.15.

 (2) In items 25, 33 and 35, Amount under rule 6 means an amount equal to the sum of:

 (a) the fee set out in item 23; and

 (b) either:

 (i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $17.10 divided by the number of patients so attended; or

 (ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — $1.15.

 (3) In items 38, 40 and 43, Amount under rule 6 means an amount equal to the sum of:

 (a) the fee set out in item 36; and

 (b) either:

 (i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $17.10 divided by the number of patients so attended; or

 (ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — $1.15.

 (4) In items 48, 50 and 51, Amount under rule 6 means an amount equal to the sum of:

 (a) the fee set out in item 44; and

 (b) either:

 (i) for each patient attended at a single attendance up to a maximum of 6 patientsan amount equal to $17.10 divided by the number of patients so attended; or

 (ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — $1.15.

 (5) In items 81, 87 and 92, Amount under rule 6 means an amount equal to the sum of:

 (a) the fee set out in item 52; and

 (b) either:

 (i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $10.50 divided by the number of patients so attended; or

 (ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — 70 cents.

 (6) In items 83, 89 and 93, Amount under rule 6 means an amount equal to the sum of:

 (a) the fee set out in item 53; and

 (b) either:

 (i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $10.50 divided by the number of patients so attended; or

 (ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — 70 cents.

 (7) In items 84, 90 and 95, Amount under rule 6 means an amount equal to the sum of:

 (a) the fee set out in item 54; and

 (b) either:

 (i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $10.50 divided by the number of patients so attended; or

 (ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — 70 cents.

 (8) In items 86, 91 and 96, Amount under rule 6 means an amount equal to the sum of:

 (a) the fee set out in item 57; and

 (b) either:

 (i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $10.50 divided by the number of patients so attended; or

 (ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — 70 cents.

7 Items 10809 and 10929 not to apply in certain circumstances

  Items 10809 and 10929 do not apply if the patient requires contact lenses only for 1 or more of the following reasons:

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

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

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

8 Application of items 10921 to 10929

 (1) For the purposes of items 10921 to 10929, a patient has an ocular condition which necessitates a further course of attention within 36 months of the previous initial consultation only in the circumstances mentioned in subrules (2) and (3).

 (2) The patient requires a change in contact lens material, or basic lens parameters, other than a simple power change, because of:

 (a) a structural, or functional, change in the eye; or

 (b) an allergic response.

 (3) A lost, damaged or otherwise unsatisfactory contact lens is replaced by an optometrist:

 (a) who:

 (i) does not have access to the original prescription; and

 (ii) does a total refit where an item mentioned in subrule (1) applies; and

 (b) who is not:

 (i) the optometrist who initially fitted the contact lenses; or

 (ii) an optometrist at, or operating from, the same practice location at which the optometrist who initially fitted the contact lenses practised when the contact lenses were initially fitted.

9 Personal attendance by medical practitioners generally

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

 (2) The items are items 3 to 153, 157 to 164, 173 to 10815, 11012, 11015, 11018, 11021, 11212, 11303, 11500, 11600, 11627, 11630, 11701,11712, 11921, 12000, 12003, 12100, 12103, 12106, 12109, 12112, 12115, 13000, 13003, 13006, 13009, 13100, 13103, 13106, 13109, 13112, 13209, 13300, 13303, 13306, 13309, 13312, 13315, 13318, 13400, 13500, 13503, 13600, 13603, 13606, 13700, 13703, 13706, 13709, 13809, 13812, 13815, 13818, 13819, 13821, 13824, 13827, 13830, 13833, 13836, 14200, 14203, 14206, 14209, 16000 to 16552 and 16558 to 51309.

 (3) Items 154, 155, 156, 170, 171 and 172 apply only to a service given in the course of a personal attendance by a medical practitioner.

10 Personal attendance by certain medical practitioners

 (1) The items mentioned in subrule (2) apply only to a service given in the course of a personal attendance by:

 (a) a medical practitioner other than a medical practitioner employed by the proprietor of a hospital other than a private hospital; or

 (b) a medical practitioner who:

 (i) is employed by the proprietor of a hospital other than a private hospital; and

 (ii) gives the service otherwise than in the course of employment by that proprietor;

  whether or not another person provides essential assistance to that medical practitioner in accordance with accepted medical practice.

 (2) The items are items 3 to 10815, 11012, 11015, 11018, 11021, 11212, 11303, 11500, 11600, 11627, 11630, 11701, 11712, 11921, 12000, 12003, 12100, 12103, 12106, 12109, 12112, 12115, 13000, 13003, 13006, 13009, 13100, 13103, 13106, 13109, 13112, 13209, 13300, 13303, 13306, 13309, 13312, 13315, 13318, 13400, 13500, 13503, 13600, 13603, 13606, 13700, 13703, 13706, 13709, 13809, 13812, 13815, 13818, 13819, 13821, 13824, 13827, 13830, 13833, 13836, 14200, 14203, 14206, 14209, 16000 to 16552 and 16558 to 51309.

11 Certain services may be given 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 is employed by a medical practitioner or, in accordance with accepted medical practice, acts under the supervision of a medical practitioner.

 (2) The items are items 11000, 11003, 11006, 11009, 11024, 11027, 11200, 11203, 11206, 11209, 11215, 11218, 11221, 11224, 11227, 11300, 11306, 11309, 11312, 11315, 11318, 11321, 11324, 11327, 11330, 11333, 11336, 11339, 11503, 11506, 11509, 11512, 11603, 11606, 11609, 11612, 11615, 11618, 11621, 11624, 11700, 11702, 11706, 11708, 11709, 11710, 11711, 11713, 11715, 11718, 11721, 11800, 11810, 11830, 11833, 11900, 11903, 11906, 11909, 11912, 11915, 11918, 12006, 12009, 12200, 12500 to 12530, 13200, 13203, 13206, 13212, 13215, 13218, 13221, 13915 to 13948, 14050, 14053, 15000 to 15533, 15536 and 16555.

12 Conditions under which certain services to be provided

  Items 11309, 11312, 11315, 11318 and 11321 apply only to a service given:

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

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

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

13 Application of items 51700 to 53455

  Items 51700 to 53455 apply only to a service given in the course of dental practice by a dental practitioner approved by the Minister for the purposes of the definition of professional service in subsection 3 (1) of the Act.

14 Meaning of administration of an anaesthetic in items 18102 to 18118

  In items 18102 to 18118, administration of an anaesthetic means the administration of an anaesthetic in connection with a dental service, other than a dental service that is a prescribed medical service for the purposes of paragraph (b) of the definition of professional service in subsection 3 (1) of the Act.

15  Meaning of prescribed location in item 18013

  In item 18013, prescribed location means any of the following:

 (a) Royal North Shore Hospital, St Leonards, New South Wales;

 (b) Royal Prince Alfred Hospital, Camperdown, New South Wales;

 (c) Westmead Hospital, Westmead, New South Wales;

 (d) Royal Melbourne Hospital, Parkville, Victoria;

 (e) St Vincent’s Hospital, Fitzroy, Victoria;

 (f) Alfred Group of Hospitals, Prahran, Victoria;

 (g) Austin Hospital, Heidelberg, Victoria;

 (h) Princess Alexandra Hospital, Woolloongabba, Queensland;

 (i) Royal Brisbane Hospital, Herston, Queensland;

 (j) Royal Adelaide Hospital, Adelaide, South Australia;

 (k) Flinders Medical Centre, Bedford Park, South Australia;

 (l) Sir Charles Gairdner Hospital, Nedlands, Western Australia;

 (m) Royal Hobart Hospital, Hobart, Tasmania;

 (n) Townsville Hospital, Townsville, Queensland;

 (o) Royal Perth Hospital, Perth, Western Australia;

 (p) Prince of Wales Hospital, Randwick, New South Wales;

 (q) John Hunter Hospital, New Lambton, New South Wales;

 (r) Woden Valley Hospital, Woden, Australian Capital Territory.

16 Meaning of Amount under rule 16 in certain items

  In an item mentioned in subparagraph (b) (i), (ii), (iii), (iv), (v) or (vi), Amount under rule 16 means an amount equal to the sum of:

 (a) the amount of the fee set out in the other item that applies to radiotherapy treatment of the kind mentioned in the first-mentioned item when given to 1 field only; and

 (b) the following amount:

 (i) for item 15003 — $12.20 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or

 (ii) for item 15103 — $13.45 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or

 (iii) for item 15109 — $16.15 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or

 (iv) for item 15204 — $21.20 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or

 (v) for item 15208 — $21.20 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or

 (vi) for item 15214 — $17.80 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.

17 Meaning of Amount under rule 17 in certain items

  In an item mentioned in subparagraph (b) (i) or (ii), Amount under rule 17 means an amount equal to the sum of:

 (a) the amount of the fee set out in the other item that applies to treatment, by a single dose of radiotherapy, of the kind mentioned in the first-mentioned item when given to 1 field only; and

 (b) the following amount:

 (i) for item 15009 — $13.25 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or

 (ii) for item 15115 — $33.60 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.

18 Meaning of Amount under rule 18 in certain items

  In an item to which paragraph (a) or (b) applies, Amount under rule 18 means an amount equal to:

 (a) for item 17977 — 85% of the fee, for the administration of an anaesthetic, for the item relating to an original amputation of the kind performed (being any of items 44324 to 44373); or

 (b) for item 44376 — 75% of the fee for the item relating to an original amputation of the kind performed (being any of items 44324 to 44373).

19 Meaning of (AD) in Groups C2 — Oral surgical services and C3 — General and Prosthodontic services

  An item in the series 75200 to 75854 that includes the symbol (AD) applies only to a service given by a State registered dental practitioner practising as a dentist.

20 Orthodontic services

 (1) In this rule:

accredited orthodontist means:

 (a) a dental practitioner who is registered or licensed as an orthodontist under the relevant law; 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 75000 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 given to a patient, means the law of the State or Territory in which the service is given that provides for the registration or licensing of orthodontists.

 (2) An item in the series 75000 to 75051 that includes the symbol (AO) applies only to a service given by an accredited orthodontist.

21 Oral surgery services

 (1) In this rule, relevant law, in relation to a service given to a patient, means the law of the State or Territory in which the service is given that provides for the registration or licensing of oral surgeons.

 (2) An item in the series 75200 to 75609 that includes the symbol (AOS) applies only to a service given by a dental practitioner who is:

 (a) registered under the relevant law as an oral surgeon; and

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

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

  In items 11000 to 12200, report means a report prepared by a medical practitioner.

23 Meaning of treatment cycle of a patient

  In rule 24 and items 13200 to 13221, treatment cycle of a patient means a series of treatments of the patient that:

 (a) begins:

 (i) if treatment with superovulatory drugs is given — on the day on which that treatment begins; or

 (ii) if treatment with superovulatory drugs is not given — on the first day of the menstrual cycle of the patient; and

 (b) ends not more than 30 days after that day.

24 Certain assisted reproductive services given as part of treatment cycle

  If a service mentioned:

 (a) in an item in subgroup 3 of group T1 (assisted reproductive services); and

 (b) in another item outside that subgroup;

  is given as part of a treatment cycle to which that subgroup applies, it is not a medical service for the purposes of that other item.

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

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

26 Meaning of embryology laboratory services in items 13200 and 13206

  In items 13200 and 13206, embryology laboratory services includes:

 (a) egg recovery from aspirated follicular fluid; and

 (b) insemination; and

 (c) monitoring of fertilisation and embryo development; and

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

  but does not include semen preparation.

27 Meaning of confinement in certain items

  In items 16507, 16510, 16513 and 16517, confinement 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) a medical service mentioned in item 16558 or 16561 when performed at the time of delivery; and

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

28 Certain obstetrical procedures constitute a single operation

  The procedures mentioned in item 16517, 16520, 16564, 16567, 16570 or 16573 constitute, for the purposes of that item, a single operation for the purposes of subsections 16 (2), (3) and (4) of the Act.

29 Meaning of maxilla in certain items

  In items 45719 to 45752 and 52342 to 52375, maxilla includes the zygoma.

30 Items 46300 to 46510 apply only in certain circumstances

  Items 46300 to 46510 apply only to a service given in the course of an operation on a hand or hands.

31 Meaning of closed reduction and open reduction in items 47000 to 50239

  In items 47000 to 50239:

closed reduction:

 (a) means treatment of a dislocation or fracture by nonoperative reduction; and

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

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

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

 (b) non-operative (closed reduction) where intra-medullary fixation or external fixation is used.

32 Services in association with spinal fusion services

  Items 48678, 48681, 48684, 48687 and 48690 apply only if the service is undertaken in association with a spinal fusion service to which item 48642, 48645, 48648, 48651, 48654, 48657, 48660, 48663, 48666, 48669, 48672 or 48675 applies.

33 Meaning of Amount under rule 33 in items 51303 and 51803

  In items 51303 and 51803, Amount under rule 33, in relation to an amount payable for assistance at an operation, means an amount equal to 20% of the sum of the fees payable under the Act for the services at that operation of the practitioner to whom the assistance was given.

34 Meaning of Amount under rule 34 in item 51309

 (1) In item 51309, Amount under rule 34 in relation to an amount payable for assistance at a series, or combination, of operations, means an amount equal to 20% of the sum of the fees payable under the Act for the services at those operations of the practitioner to whom the assistance was given.

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

35 Meaning of Amount under rule 35 in item 18219

 (1) In item 18219, Amount under rule 35 means an amount equal to the sum of:

 (a) the amount of the fee for the service shown in item 18216 including continuous attendance by the medical practitioner for 1 hour; and

 (b) an amount of $13.15 for each additional 15 minutes or part thereof for continuous attendance by the medical practitioner beyond the first hour.

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

  For the purposes of items 30196 to 30203, the requirement for histopathological proof of malignancy is satisfied where multiple lesions are to be removed from the one anatomical region if a single lesion from that region is histologically tested and proven positive for malignancy.

Part 2 Services and fees

 

Item

Service

Fee ($)

Attendances

Group A1 — General practitioner attendances to which no other item applies

3

Professional attendance at consulting rooms (not being a service to which any other item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management — each attendance

$11.45

4

Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management — each attendance

$28.65

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 6

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 6

20

Professional attendance (not being a service to which any other item applies) at a nursing home including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in a nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient

Amount under rule 6

23

Professional attendance at consulting rooms (not being a service to which any other item applies) by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes’ duration involving components of a service to which item 36 or 44 applies — each attendance

$24.15

24

Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes’ duration involving components of a service to which item 37 or 47 applies — each attendance

$41.25

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 6

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 6

35

Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes’ duration involving components of a service to which item 43 or 51 applies — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient

Amount under rule 6

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

$43.55

37

Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes’ duration involving components of a service to which item 47 applies — each attendance

$60.75

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 6

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 6

43

Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) by a general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes’ duration involving components of a service to which item 51 applies — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient

Amount under rule 6

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

$64.20

47

Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems and lasting at least 40 minutes, or a professional attendance of at least 40 minutes’ duration for implementation of a management plan — each attendance

$81.40

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 6

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 6

51

Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) by a general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes’ duration for implementation of a management plan — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient

Amount under rule 6

Group A2 — Other non-referred Attendances to which no other item applies

52

Professional attendance at consulting rooms of not more than 5 minutes’ duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance

$11.00

53

Professional attendance at consulting rooms of more than 5 minutes’ duration but not more than 25 minutes’ duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance

$21.00

54

Professional attendance at consulting rooms of more than 25 minutes’ duration but not more than 45 minutes’ duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance

$38.00

57

Professional attendance at consulting rooms of more than 45 minutes’ duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance

$61.00

58

Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of not more than 5 minutes’ duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance

$24.00

59

Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 5 minutes’ duration but not more than 25 minutes’ duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance

$31.50

60

Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 25 minutes’ duration but not more than 45 minutes’ duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance

$51.00

65

Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 45 minutes’ duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance

$73.00

81

Professional attendance at an institution of not more than 5 minutes’ duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient

Amount under rule 6

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 6

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 6

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 6

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 6

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 6

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 6

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 6

92

Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) of not more than 5 minutes’ duration by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient

Amount under rule 6

93

Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) of more than 5 minutes’ duration but not more than 25 minutes’ duration by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient

Amount under rule 6

95

Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) of more than 25 minutes’ duration but not more than 45 minutes’ duration) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient

Amount under rule 6

96

Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) of more than 45 minutes’ duration by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient

Amount under rule 6

Group A3 — Emergency after hours attendances to which no other item applies

97

Professional attendance being an attendance at other than consulting rooms, on not more than 1 patient on 1 occasion by a medical practitioner — each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient’s medical condition requires immediate treatment

$45.50

98

Professional attendance being an attendance at consulting rooms, on not more than 1 patient on 1 occasion by a medical practitioner — each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period, where the patient’s medical condition requires immediate treatment, and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance

$45.50

Group A4 — Specialist attendances to which no other item applies

104

Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her — an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home, not being a service to which item 106 applies

$61.00

105

Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her — each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home

$30.50

106

Professional attendance by a specialist in the practice of his or her speciality where the patient is referred to him or her — an attendance (other than a second or subsequent attendance in a single course of treatment) at which refraction is performed by a specialist ophthalmologist, and the attendance results in the issuing of a prescription for spectacles or contact lenses, including any consultation on the same occasion and any other attendance on the same day (not being a service to which item 10801, 10802, 10803, 10804, 10805, 10806, 10807, 10808, 10809 or 10815 applies), where the attendance is at consulting rooms, hospital or nursing home

$50.15

107

Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her — an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home

$89.30

108

Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her — each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home

$56.50

Group A5 — Consultant physician attendances to which no other item applies

110

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

$107.45

116

Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner — each attendance (not being a service to which item 119 applies) subsequent to the first in a single course of treatment

$53.75

119

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

$30.50

122

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

$130.40

128

Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner — each attendance (other than a service to which item 131 applies) subsequent to the first in a single course of treatment

$78.80

131

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

$56.75

Group A6 — Consultant psychiatrist attendances to which no other item applies

134

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of not more than 15 minutes’ duration where that attendance is at consulting rooms, hospital or nursing home

$30.80

136

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

$61.60

138

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

$90.30

140

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

$124.65

142

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 75 minutes’ duration where that attendance is at consulting rooms, hospital or nursing home

$151.90

144

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

$56.60

146

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

$88.85

148

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

$123.25

150

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

$149.05

152

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 75 minutes’ duration where that attendance is at a place other than consulting rooms, hospital or nursing home

$177.70

153

Attendance for electroconvulsive therapy, including associated consultation (AU 3)

$40.55

154

Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 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

$35.15

155

Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 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

$46.65

156

Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 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

$68.95

157

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

$37.20

158

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

$83.80

159

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes’ duration, in the course of continuing management of a patient — payable not more than twice in any 12 month period

$37.25

Group A7 — Prolonged attendances to which no other item applies

160

Professional attendance for a period of not less than 1 hour but less than 2 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients

$87.55

161

Professional attendance for a period of not less than 2 hours but less than 3 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients

$143.00

162

Professional attendance for a period of not less than 3 hours but less than 4 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients

$198.45

163

Professional attendance for a period of not less than 4 hours but less than 5 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients

$253.85

164

Professional attendance for a period of 5 hours or more (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients

$306.40

Group A8 — 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

$92.00

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

$97.00

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

$118.00

Group A9 — Acupuncture

173

Attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed

$21.50

Group A10 — Contact lenses

10801

Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 consecutive months — patients with myopia of 4.0 dioptres or greater (spherical equivalent) in 1 eye

$86.75

10802

Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 consecutive months — patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye

$86.75

10803

Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 consecutive months — patients with astigmatism of 3.0 dioptres or greater in 1 eye

$86.75

10804

Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 consecutive months — patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is less than 6/12 and if that corrected acuity would be improved by an additional 1 line on the Snellen chart by the use of a contact lens

$86.75

10805

Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 consecutive months — patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents)

$86.75

10806

Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 consecutive months — patients with subnormal corrected visual acuity of not greater than 6/30 in either eye, being patients for whom a contact lens is prescribed as part of a telescopic system

$86.75

10807

Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 consecutive months — patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity — whether congenital, traumatic or surgical in origin

$86.75

10808

Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 consecutive months — patients who, by reason of physical deformity, are unable to wear spectacles

$86.75

10809

Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 consecutive months — patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10806, 10807 or 10808 applies) requiring the use of a contact lens for correction and which condition must be specified on the patient’s account

$86.75

10815

Attendance for the refitting of contact lenses with keratotomy and testing with trial lenses and the issue of a prescription being a subsequent fitting of contact lenses within a period of 36 months of the initial fitting to which item 10801, 10802, 10803, 10804, 10805, 10806, 10807, 10808 or 10809 applies

$6.20

Group A11 — Optometrical consultations

10900

Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location — once only in a period of 24 months

$50.15

10902

Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has a significant change of visual function requiring complete reassessment which necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies

$50.15

10903

Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has new signs or symptoms, unrelated to the earlier course of attention, requiring complete reassessment which necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies

$50.15

10904

Professional attendance that is the sole or first attendance in single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has a progressive disorder (excluding presbyopia) requiring complete reassessment which necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies

$50.15

10908

Professional attendance (not being an attendance relating to the prescription and fitting of contact lenses) that is the second attendance in a single course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies

$25.15

10909

Professional attendance (not being an attendance relating to the prescription and fitting of contact lenses) that is the third or subsequent attendance in a single course of attention of a patient in respect of whom the attending optometrist has certified that, in his or her professional opinion, there is a need for that attendance, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies

$25.15

10921

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months, unless the examining optometrist has certified on the patient’s account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation — patients with myopia of 4.0 dioptres or greater (spherical equivalent) in 1 eye

$126.40

10922

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months, unless the examining optometrist has certified on the patient’s account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation — patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye

$126.40

10923

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months, unless the examining optometrist has certified on the patient’s account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation — patients with astigmatism of 3.0 dioptres or greater in 1 eye

$126.40

10924

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months, unless the examining optometrist has certified on the patient’s account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation — patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is less than 6/12 and if that corrected acuity would be improved by an additional 1 line on the Snellen chart by the use of a contact lens

$126.40

10925

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months, unless the examining optometrist has certified on the patient’s account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation — patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents)

$126.40

10926

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months, unless the examining optometrist has certified on the patient’s account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation — patients with subnormal corrected visual acuity of not greater than 6/30 in either eye, being patients for whom a contact lens is prescribed as part of a telescopic system

$126.40

10927

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months, unless the examining optometrist has certified on the patient’s account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation — patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity — whether congenital, traumatic or surgical in origin

$126.40

10928

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months, unless the examining optometrist has certified on the patient’s account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation — patients who, by reason of physical deformity, are unable to wear spectacles

$126.40

10929

All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months, unless the examining optometrist has certified on the patient’s account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation — patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10926, 10927 or 10928 applies) requiring the use of a contact lens for correction and which condition must be specified on the patient’s account

$126.40

Diagnostic procedures and investigations

Group D1 — Miscellaneous diagnostic procedures and investigations

Subgroup 1 — Neurology

11000

Electroencephalography, not being a service associated with a service to which item 11003, 11006 or 11009 applies (AU 6)

$87.60

11003

Electroencephalography, prolonged recording of at least 3 hours’ duration, not being a service associated with a service to which item 11000, 11006 or 11009 applies

$232.00

11006

Electroencephalography, temporosphenoidal

$118.95

11009

Electrocorticography

$162.20

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)

$79.75

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)

$106.80

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)

$159.50

11021

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

$106.80

11024

Investigation of central nervous system evoked responses by computerised averaging techniques — 1 or 2 studies

$81.10

11027

Investigation of central nervous system evoked responses by computerised averaging techniques — 3 or more studies

$120.30

Subgroup 2 — Ophthalmology

11200

Provocative test or tests for glaucoma, including water drinking

$29.05

11203

Tonography — in the investigation or management of glaucoma, of 1 or both eyes — using an electrical tonography machine producing a directly recorded tracing

$49.15

11206

Electroretinography of 1 or both eyes or electro-oculography of 1 or both eyes

$78.30

11209

Electroretinography of 1 or both eyes and electro-oculography of 1 or both eyes

$116.10

11212

Optic fundi, examination of following intravenous dye injection

$49.95

11215

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

$97.20

11218

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

$120.15

11221

Full quantitative computerised perimetry — (automated absolute static threshold) performed by a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, bilateral — to a maximum of 2 examinations (including examinations to which item 11224 applies) in any 12 month period

$53.60

11224

Full quantitative computerised perimetry — (automated absolute static threshold) performed by a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, unilateral — to a maximum of 2 examinations (including examinations to which item 11221 applies) in any 12 month period

$32.35

11227

Full quantitative computerised perimetry — (automated absolute static threshold) performed by a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, an examination to which item 11221 or 11224 applies, being the third or subsequent examination in a 12 month period

$5.65

Subgroup 3 — Otolaryngology

11300

Brain stem evoked response audiometry (AU 6)

$137.05

11303

Electrocochleography including the insertion of electrodes

$135.75

11306

Non-determinate audiometry

$15.65

11309

Audiogram, air conduction

$18.65

11312

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

$26.45

11315

Audiogram, air and bone conduction and speech

$35.10

11318

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

$43.20

11321

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

$82.15

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

$23.45

11327

Impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a specialist in the practice of his or her specialty, where the patient is referred by a medical practitioner — being a service associated with a service to which item 11309, 11312, 11315 or 11318 applies

$14.05

11330

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

$5.65

11333

Caloric test of labyrinth or labyrinths

$31.75

11336

Simultaneous bithermal caloric test of labyrinths

$31.95

11339

Electronystagmography

$31.75

Subgroup 4 — Respiratory

11500

Bronchospirometry, including gas analysis

$118.95

11503

Measurement of the mechanical or gas exchange function of the respiratory system, or of respiratory muscle function, or of ventilatory control mechanisms, using measurements of various parameters including pressures, volumes, flow, gas concentrations in inspired or expired air, alveolar gas or blood, electrical activity of muscles (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital) — each occasion at which 1 or more such tests are performed

$98.70

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

$14.60

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

$25.45

11512

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

$44.05

Subgroup 5  Vascular

11600

Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter — each day of monitoring for each pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies) (AU 4)

$49.30

11601

Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter — for each pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies) performed in association with the administration of an anaesthetic relating to another discrete operation on the same day (AU 4)

$49.30

11603

Examination of peripheral vessels at rest (unilateral or bilateral) with hard copy recordings of wave forms, involving one of the following techniques — Doppler recordings (pulsed, continuous wave, or both) of blood flow velocity with or without pulse volume recordings; Doppler recordings involving real time fast fourier transform analysis; venous occlusion plethysmography; air plethysmography; strain-gauge plethysmography; impedance plethysmography; or photo plethysmography (not being a service associated with a service to which item 11612 or 11615 applies) — 1 examination and report

$36.80

11606

2 examinations of the kind referred to in item 11603 and report (not being a service associated with a service to which item 11612 or 11615 applies)

$52.20

11609

3 or more examinations of the kind referred to in item 11603 and report (not being a service associated with a service to which item 11612 or 11615 applies)

$67.65

11612

Examination of peripheral vessels and report, involving any of the techniques referred to in item 11603, with hard copy recording of wave forms before measured exercise using a treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral)

$67.65

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

$54.00

11618

Examination of carotid vessels (unilateral or bilateral), with hard copy recordings of wave forms, involving 1 of the following techniques — Doppler real time fast fourier transform analysis; oculoplethysmography, phonoangiography or both; or periorbital Doppler examination (not being a service associated with a service to which item 55201, 55204, 55225 or 55231 applies) — 1 examination and report

$48.05

11621

2 examinations of the kind referred to in item 11618, and report (not being a service associated with a service to which item 55201, 55204, 55225 or 55231 applies)

$72.40

11624

3 examinations of the kind referred to in item 11618, and report (not being a service associated with a service to which item 55201, 55204, 55225 or 55231 applies)

$96.10

11627

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

$162.90

Subgroup 6 — Cardiovascular

11700

Twelve-lead electrocardiography, tracing and report

$24.70

11701

Twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, including any consultation on the same day

$12.35

11702

Twelve-lead electrocardiography, tracing only

$12.35

11706

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

$51.35

11708

Continuous ECG recording ambulatory patient for 12 or more hours, including microprocessor based analysis, interpretation and report of recordings, not being a service to which item 11709 applies

$101.10

11709

Continuous ECG recording (Holter) of ambulatory patient for 12 or more hours involving recording and storage on a device, utilising a system capable of superimposition and full disclosure printout of at least 12 hours of recorded ECG data, microprocessor based scanning analysis, interpretation and report, including resting ECG and the recording of parameters

$132.50

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

$36.90

11711

Ambulatory ECG monitoring for 12 hours or more, patient activated, single or multiple event recording, utilising a memory recording device which is capable of recording for at least 30 seconds after each activation, including transmission, analysis, interpretation and report — payable once in any 4 week period

$20.20

11712

Electrocardiographic monitoring during exercise (bicycle ergometer or treadmill) or pharmacological stress, involving the continuous attendance of a medical practitioner for not less than 20 minutes, with resting ECG and with or without recording of other parameters, on premises equipped with mechanical respirator and defibrillator

$120.30

11713

Signal averaged electrocardiographic 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

$49.65

11715

Blood dye — dilution indicator test

$86.10

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

$24.80

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

$49.65

Subgroup 7 — Gastroenterology & Colorectal

11800

Oesophageal motility test, manometric

$124.30

11810

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

$122.05

11830

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

$133.00

11833

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

$177.90

Subgroup 8 — Genito-urinary Physiological Investigations

11900

Urine flow study including peak urine flow measurement, not being a service associated with a service to which item 11918 applies

$19.65

11903

Cystometrography, not being a service associated with a service to which item 11012-11027, 11912, 11915, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies

$79.10

11906

Urethral pressure profilometry, not being a service associated with a service to which item 11012-11027, 11909, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies

$79.10

11909

Urethral pressure profilometry with simultaneous measurement of urethral sphincter electromyography, not being a service associated with a service to which item 11906, 11915, 11918, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies

$117.55

11912

Cystometrography with simultaneous measurement of rectal pressure, not being a service associated with a service to which item 11012-11027, 11903, 11915, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies (AU 6)

$117.55

11915

Cystometrography with simultaneous measurement of urethral sphincter electromyography, not being a service associated with a service to which item 11012-11027, 11903, 11909, 11912, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies (AU 6)

$117.55

11918

Cystometrography with simultaneous measurement of any 1 or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography; and all associated fluoroscopic imaging, not being a service associated with a service to which items 11012-11027, 11900-11915, 11921 and 36800 apply (AU 6)

$305.10

11921

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

$53.40

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 12006 or 12009 applies

$27.70

12003

Skin sensitivity testing for allergens, using more than 20 allergens, not being a service associated with a service to which item 12006 or 12009 applies

$41.90

12006

Epicutaneous patch testing in the investigation of allergic dermatitis, using 1 to 20 allergens

$27.85

12009

Epicutaneous patch testing in the investigation of allergic dermatitis, using more than 20 allergens

$41.80

 

 

 

Subgroup 10 — Intensive Care Management and Procedures

 

 

 

Subgroup 11 — Other Diagnostic Procedures and Investigatios

12200

Collection of specimen of sweat by iontophoresis

$26.50

Group D2 — Nuclear medicine (non-imaging)

12500

Blood volume estimation

$154.25

12503

Erythrocyte radioactive uptake survival time test or iron kinetic test

$302.60

12506

Gastrointestinal blood loss estimation involving examination of stool specimens

$215.95

12509

Gastrointestinal protein loss

$154.25

12512

Radioactive B12 absorption test — 1 isotope

$74.75

12515

Radioactive B12 absorption test — 2 isotopes

$163.75

12518

Thyroid uptake (using probe)

$74.75

12521

Perchlorate discharge study

$90.20

12524

Renal function test (without imaging procedure)

$112.75

12527

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

$60.50

12530

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

$90.20

Therapeutic procedures

Group T1  Miscellaneous therapeutic procedures

Subgroup 1 — Hyperbaric Oxygen Therapy

13000

Hyperbaric oxygen therapy where the medical practitioner is not in the chamber

$98.55

13003

Hyperbaric oxygen therapy where the medical practitioner is confined in the chamber

$159.30

13006

Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is not confined in the chamber

$133.65

13009

Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is confined in the chamber

$197.10

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

$97.35

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

$50.70

13106

Declotting of an arteriovenous shunt

$86.50

13109

Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis — insertion and fixation of (AU 8)

$162.20

13112

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

$97.35

Subgroup 3 — Assisted Reproductive Services

13200

Assisted reproductive services (such as in vitro fertilisation, gamete intra-fallopian transfer or similar procedures) involving the use of drugs to induce superovulation, and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services — but excluding artificial insemination or transfer of frozen embryos or donated embryos or ova or a service to which item 13203, 13206 or 13218 applies — being services rendered during 1 treatment cycle, if the duration of the treatment cycle is at least 9 days — a maximum of 6 claims per patient

$1,582.10

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

$395.55

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

$678.05

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 (S)

$67.80

13212

Oocyte retrieval by any means including laparoscopy or ultrasound-guided ova flushing, for the purposes of assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer or similar procedures — only if rendered in conjunction with a service to which item 13200 or 13206 applies (AU 9)

$288.15

13215

Transfer of embryos or both ova and sperm to the female reproductive system, by any means but excluding artificial insemination or the transfer of frozen or donated embryos — only if rendered in conjunction with a service to which item 13200 or 13206 applies, being services rendered in 1 treatment cycle (AU 9)

$90.40

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 (AU 9)

$678.05

13221

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

$41.25

Subgroup 4 — Paediatric & Neonatal

13300

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

$40.55

13303

Umbilical artery catheterisation with or without infusion

$60.15

13306

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

$237.95

13309

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

$202.80

13312

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

$20.30

13315

Intra-uterine foetal blood transfusion using blood already collected, including necessary amniocentesis

$162.00

13318

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

$162.00

Subgroup 5 — Cardiovascular

13400

Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (AU 4)

$68.95

Subgroup 6 — Gastroenterology

13500

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

$128.45

13503

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

$256.85

13506

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

$131.40

Subgroup 7 — Perfusion

13600

Perfusion of limb or organ using heart-lung machine or equivalent

$316.10

13603

Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent

$457.30

13606

Induced controlled hypothermia — total body

$78.00

13609

Cardioplegia, retrograde administration of, involving crystalloid or blood, via a roller pump or pump-oxygenator

$180.00

Subgroup 8 — Haematology

13700

Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (AU 10)

$237.35

13703

Administration of blood including collection from donor

$85.05

13706

Administration of blood or bone marrow already collected

$59.40

13709

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

$34.45

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 (AU 6)

$60.75

13818

Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement

$81.00

13830

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

$53.60

13839

Arterial puncture and collection of blood for diagnostic purposes

$16.40

13842

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

$49.30

13845

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

$385.30

13848

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

$93.30

13851

Circulatory support device, management of, on first day

$351.65

13854

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

$81.70

Subgroup 9A — Management and procedures undertaken in an intensive care unit

13870

Management of a patient in an intensive care unit by a specialist or consultant physician — including initial and subsequent attendances, electrocardiograms, arterial sampling, bladder catheterisation and blood sampling — management on the first day

$217.35

13873

Management of a patient in an intensive care unit by a specialist or consultant physician — including all attendances, electrocardiograms, arterial sampling, bladder catheterisation and blood sampling — management on each day subsequent to the first day

$161.75

13876

Central venous pressure, pulmonary arterial pressure, systemic arterial pressure or cardiac intracavity pressure, continuous monitoring by indwelling catheter by a specialist or consultant physician in an intensive care unit — each day of monitoring for each pressure up to a maximum of 4 pressures

$49.30

13879

Mechanical ventilation, initiation of, by a specialist or consultant physician in conjunction with subsequent management of ventilatory support on the first day, in an intensive care unit

$157.70

13882

Ventilatory support in an intensive care unit, management of, by a specialist or consultant physician (not being a service to which item 13879 applies) each day

$53.60

13885

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

$97.05

13888

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

$50.55

Subgroup 10 — Chemotherapeutic Procedures

13915

Chemotherapy, administration of, either by intravenous push technique (directly into a vein, or a butterfly needle, or the side-arm of an infusion) or by intravenous infusion of not more than 1 hour’s duration — payable once only on the same day

$46.30

13918

Chemotherapy, administration of, by intravenous infusion of more than 1 hour’s duration but not more than 6 hours’ duration — payable once only on the same day

$69.75

13921

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

$78.85

13924

Chemotherapy, administration of, by intravenous infusion of more than 6 hours’ duration — on each day subsequent to the first in the same continuous treatment episode

$46.50

13927

Chemotherapy, administration of, either by intra-arterial push technique (directly into an artery, a butterfly needle or the side-arm of an infusion) or by intra-arterial infusion of not more than 1 hour’s duration — payable once only on the same day

$60.15

13930

Chemotherapy, administration of, by intra-arterial infusion of more than 1 hour’s duration but not more than 6 hours’ duration — payable once only on the same day

$83.90

13933

Chemotherapy, administration of, by intra-arterial infusion of more than 6 hours’ duration — for the first day of treatment

$93.00

13936

Chemotherapy, administration of, by intra-arterial infusion of more than 6 hours’ duration — on each day subsequent to the first in the same continuous treatment episode

$60.65

13939

Implanted pump or reservoir, loading of, with a therapeutic agent or agents, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933 or 13936 applies

$69.75

13942

Ambulatory drug delivery device, loading of, with a therapeutic agent or agents for the infusion of the agent or agents via the intravenous, intra-arterial or spinal routes, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933 or 13936 applies

$46.50

13945

Long-term implanted drug delivery device, accessing of

$37.40

13948

Cytotoxic agent, instillation of, into a body cavity

$46.50

Subgroup 11 — Dermatology

14050

PUVA therapy or UVB therapy administered in whole body cabinet (not being a service associated with a service to which item 14053 applies) including associated consultations other than an initial consultation

$41.75

14053

PUVA therapy or UVB therapy administered to localised body areas in a hand and foot cabinet (not being a service associated with a service to which item 14050 applies) including associated consultations other than an initial consultation

$41.75

Subgroup 12 —Other Therapeutic Procedures

14200

Gastric lavage in the treatment of ingested poison

$42.60

14203

Hormone or living tissue implantation, by direct implantation involving incision and suture

$36.45

14206

Hormone or living tissue implantation — by cannula

$25.40

14209

Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent

$63.25

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

$30.25

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 16

15006

Radiotherapy, superficial — attendance at which a single dose technique is applied — 1 field

$67.25

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

$38.05

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

$33.95

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 16

15106

Radiotherapy, deep or orthovoltage — each attendance at which fractionated treatment is given at 2 treatments per week or less frequently — 1 field

$40.10

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 16

15112

Radiotherapy, deep or orthovoltage — attendance at which a single dose technique is applied — 1 field

$85.60

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

15203

Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities — each attendance at which treatment is given — 1 field

$33.35

15204

Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities — each attendance at which treatment is given — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)

Amount under rule 16

15207

Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of 10 MV photons or greater, with electron facilities — each attendance at which treatment is given — 1 field

$33.20

15208

Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of 10 MV photons or greater, with electron facilities — each attendance at which treatment is given — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)

Amount under rule 16

15211

Radiation oncology treatment, using cobalt unit or caesium teletherapy unit — each attendance at which treatment is given — 1 field

$30.50

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 16

Subgroup 4 — Brachytherapy

15303

Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 5)

$254.25

15304

Intrauterine treatment alone using radioactive sealed sources having a half life greater than 115 days using automatic afterloading techniques (AU 5)

$251.75

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 (AU 5)

$480.30

15308

Intrauterine treatment alone using radioactive sealed sources having a half life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (AU 5)

$482.05

15311

Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 4)

$237.30

15312

Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (AU 4)

$235.65

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 (AU 4)

$463.35

15316

Intravaginal treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (AU 4)

$465.95

15319

Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 5)

$288.15

15320

Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (AU 5)

$289.20

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 (AU 4)

$514.20

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 (AU 4)

$514.15

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 (AU 7)

$559.40

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 (AU 7)

$557.00

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 (AU 6)

$531.15

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 (AU 6)

$530.25

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
(AU 5)

$480.30

15336

Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using automatic afterloading techniques (AU 5)

$482.05

15339

Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block (AU 4)

$54.25

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

$135.60

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

$361.65

15348

Subsequent applications of radioactive mould referred to in item 15342 or 15345 — each attendance

$41.55

15351

Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface

$83.05

15354

Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface

$100.85

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

$28.50

Subgroup 5 — Computerised Planning

15500

Radiation field setting using a simulator or isocentric X-ray or megavoltage machine of a single area for treatment by a single field or parallel opposed fields (not being a service associated with a service to which item 15509 applies)

$135.60

15503

Radiation field setting using a simulator or isocentric X-ray or megavoltage machine of a single area, where views in more than 1 plane are required for treatment by multiple fields, or of 2 areas (not being a service associated with a service to which item 15512 applies)

$174.05

15506

Radiation field setting using a simulator or isocentric X-ray or megavoltage machine of 3 or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of off-axis fields or several joined fields (not being a service associated with a service to which item 15515 applies)

$259.90

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)

$117.55

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)

$151.45

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)

$219.25

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

$42.95

15521

Radiation dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used

$189.85

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

$356.00

15527

Radiation dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to 1 area with up to 2 shielding blocks

$44.05

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

$196.65

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

$372.95

15536

Brachytherapy planning, computerised radiation dosimetry

$190.05

Group T3  Therapeutic nuclear medicine

16000

Administration of a therapeutic dose of a radioisotope — not being a service to which another item in this Group applies

$28.80

16003

Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis)
(AU 5)

$463.35

16006

Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique

$356.00

16009

Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique

$242.95

16012

Intravenous administration of a therapeutic dose of Phosphorous 32

$210.20

Group T4 — Obstetrics

16500

Antenatal care (not including any service or services to which item 16517 applies) where the attendances do not exceed 10 — each attendance

$24.15

16503

Antenatal care (not including any service or services to which item 16517 applies) where the attendances exceed 10

$241.50

16507

Confinement and postnatal care for 9 days where the medical practitioner has not given the antenatal care

$290.00

16510

Confinement as an independent procedure, including all related attendances (S)

$246.80

16513

Confinement, incomplete, with or without postnatal care for 9 days where the patient is referred to a specialist in the practice of his or her specialty or the patient’s care is transferred to another medical practitioner for completion of the delivery

$113.00

16517

Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for 9 days

$621.55

16520

Caesarean section and postnatal care for 9 days where the patient has been referred to a specialist in the practice of his or her specialty or the patient’s care has been transferred to another medical practitioner for management of the confinement and the practitioner who performed the Caesarean section did not provide the antenatal care

$444.25

16523

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

$15.75

16526

Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of — each attendance that is not a routine antenatal attendance

$15.75

16529

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 2 attendances in any 7 day period

$15.75

16532

Pregnancy complicated by acute intercurrent infection, intrauterine 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

$15.75

16535

Cervix, purse string ligation of, for threatened miscarriage (G) (AU 6)

$117.45

16536

Cervix, purse string ligation of, for threatened miscarriage (S) (AU 6)

$156.60

16539

Cervix, removal of purse string ligature of, under general anaesthesia (AU 5)

$45.25

16542

Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of — each attendance that is not a routine antenatal attendance

$15.75

16545

Management of second trimester labour, with or without induction (G)

$170.10

16546

Management of second trimester labour, with or without induction (S)

$210.60

16549

Amnioscopy or amniocentesis

$45.25

16552

Chorionic villus sampling using interventional imaging techniques

$182.65

16555

Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement)

$26.10

16558

Version, external, under general anaesthesia, not being a service to which items 16507 to 16517 apply (AU 6)

$45.25

16561

Version, internal, under general anaesthesia, not being a service to which items 16507 to 16517 apply (AU 6)

$81.00

16564

Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances

$123.40

16567

Treatment of post-partum haemorrhage by special procedures such as packing of uterus as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances

$123.40

16570

Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances

$246.80

16573

Third degree tear, repair of, involving anal sphincter muscles as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances

$185.10

Group T5 — Assistance in the administration of an anaesthetic

17500

Assistance in the administration of an anaesthetic where the administration of the anaesthetic is in connection with a medical service which contains the reference (AU 21), (AU 22), (AU 23), (AU 24), (AU 25), (AU 26), (AU 27), (AU 28), (AU 29), (AU 30), (AU 31), (AU 32), (AU 33), (AU 34), (AU 35), (AU 36), (AU 38), (AU 39), (AU 40), (AU 42), (AU 44), (AU 46), (AU 47), (AU 50), (AU 52), (AU 58) or (AU 59)

$96.85

Group T6 — Anaesthetics

Subgroup 1 — Examination by an Anaesthetist

17600

Examination of a patient by other than a specialist in the practice of his or her speciality in preparation for the administration of an anaesthetic, being an examination carried out at a place other than an operating theatre or an anaesthetic induction room

$22.15

17603

Examination of a patient by a specialist in the practice of his or her speciality in preparation for the administration of an anaesthetic, being an examination carried out at a place other than an operating theatre or an anaesthetic induction room

$30.50

Subgroup 2 — Administration of an Anaesthetic in connection with a Medical Service

17901

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 1)

$13.05

17902

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 2)

$26.10

17903

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 3)

$39.15

17904

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 4)

$52.15

17905

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 5)

$65.20

17906

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 6)

$78.25

17907

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 7)

$91.30

17908

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 8)

$104.35

17909

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 9)

$117.40

17910

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 10)

$130.45

17911

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 11)

$143.50

17912

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 12)

$156.50

17913

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 13)

$169.55

17914

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 14)

$182.60

17915

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 15)

$195.65

17916

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 16)

$208.70

17917

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 17)

$221.75

17918

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 18)

$234.80

17919

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 19)

$247.80

17920

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 20)

$260.85

17921

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 21)

$273.90

17922

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 22)

$286.95

17923

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 23)

$300.00

17924

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 24)

$313.05

17925

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 25)

$326.10

17926

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 26)

$339.10

17927

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 27)

$352.15

17928

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 28)

$365.20

17929

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 29)

$378.25

17930

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 30)

$391.30

17931

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 31)

$404.35

17932

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 32)

$417.40

17933

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 33)

$430.45

17934

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 34)

$443.45

17935

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 35)

$456.50

17936

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 36)

$469.55

17938

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 38)

$495.65

17939

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 39)

$508.70

17940

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 40)

$521.75

17942

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 42)

$547.80

17944

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 44)

$573.90

17946

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 46)

$600.00

17947

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 47)

$613.05

17950

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 50)

$652.15

17952

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 52)

$678.25

17958

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 58)

$756.50

17959

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 59)

$769.55

17965

Administration of an anaesthetic in connection with radio-therapy

$78.25

17968

Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, rotation of head followed by delivery

$91.30

17971

Administration of an anaesthetic in connection with a medical service, being a medical service that does not contain a reference to a number of anaesthetic units

$13.05

17974

Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure

$130.45

17977

Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 44376

Amount under rule 18

17980

Administration of an anaesthetic in connection with computerised axial tomography-brain scan, plain study with or without contrast medium study

$104.35

17983

Administration of an anaesthetic in connection with computerised axial tomography — body scan, plain study with or without contrast medium study

$104.35

17986

Administration of an anaesthetic in connection with the removal of phaeochromocytoma

$209.25

17989

Administration of an anaesthetic in connection with peripheral venous cannulation

$52.30

17992

Administration of an anaesthetic in connection with peripheral venous cannulation by open exposure

$64.85

17995

Administration of an anaesthetic in connection with percutaneous central venous cannulation

$64.85

17998

Administration of an anaesthetic in connection with electrocochleography (insertion of electrodes and brain stem evoked response audiometry)

$143.15

18001

Administration of an anaesthetic in connection with manual removal of products of conception, treatment of postpartum haemorrhage or repair of third degree tear

$91.30

18004

Administration of an anaesthetic in connection with manipulative correction of acute inversion of uterus by vaginal approach

$104.35

18007

Administration of an anaesthetic in connection with Caesarean section

$130.45

18010

Administration of an anaesthetic in connection with repair of episiotomy

$65.40

18013

Administration of an anaesthetic in connection with magnetic resonance imaging services provided at prescribed locations

$142.75

Subgroup 3 — Administration of an Anaesthetic in connection with a Dental Service

18102

Administration by a medical practitioner of an anaesthetic in connection with a dental operation other than for the extraction of teeth or restorative dental work where the procedure is less than 15 minutes’ duration

$51.70

18103

Administration by a medical practitioner of an anaesthetic in connection with a dental operation other than for the extraction of teeth or restorative dental work where the procedure is more than 15 minutes’ duration

$91.00

18105

Administration by a medical practitioner of an anaesthetic for extraction of a tooth or teeth, not being a service to which item 18109 applies

$78.25

18109

Administration by a medical practitioner of an anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone

$104.35

18113

Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of not more than 30 minutes’ duration

$78.25

18118

Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of more than 30 minutes’ duration

$130.45

Group T7 — Regional or field nerve blocks

18206

Introduction of a narcotic, for the control of post-operative pain, into the epidural or intrathecal space in conjunction with an operation

$35.75

18209

Introduction at the end of an operation of a local anaesthetic into the caudal, lumbar or thoracic epidural space for the control of post-operative pain, in conjunction with general anaesthesia

$35.65

18213

Intravenous regional anaesthesia of limb by retrograde perfusion

$63.20

18216

Intrathecal, epidural or caudal infusion of a therapeutic substance, initial injection or commencement of, including up to 1 hour of continuous attendance by the medical practitioner

$75.80

18219

Intrathecal, epidural or caudal infusion of a therapeutic substance, initial injection or commencement of, where continuous attendance by the medical practitioner extends beyond the first hour

Amount under rule 35

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

$26.80

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

$35.90

18228

Interpleural block, initial injection or commencement of infusion of a therapeutic substance

$44.50

18230

Intrathecal, epidural or caudal injection of neurolytic substance

$169.85

18232

Intrathecal, epidural or caudal injection of substance other than anaesthetic, contrast or neurolytic solutions, not being a service to which another item in this Group applies

$71.75

18233

Epidural injection of blood for blood patch

$71.75

18234

Trigeminal nerve, primary division of, injection of an anaesthetic agent

$88.95

18236

Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent

$44.50

18238

Facial nerve, injection of an anaesthetic agent, not being a service associated with a service to which item 18240 applies

$26.80

18240

Retrobulbar or peribulbar injection of an anaesthetic agent

$66.70

18242

Greater occipital nerve, injection of an anaesthetic agent

$26.80

18244

Vagus nerve, injection of an anaesthetic agent

$71.75

18246

Glossopharyngeal nerve, injection of an anaesthetic agent

$71.75

18248

Phrenic nerve, injection of an anaesthetic agent

$62.70

18250

Spinal accessory nerve, injection of an anaesthetic agent

$44.50

18252

Cervical plexus, injection of an anaesthetic agent

$71.75

18254

Brachial plexus, injection of an anaesthetic agent

$71.75

18256

Suprascapular nerve, injection of an anaesthetic agent

$44.50

18258

Intercostal nerve (single), injection of an anaesthetic agent

$44.50

18260

Intercostal nerves (multiple), injection of an anaesthetic agent

$62.70

18262

Ilio-inguinal, iliohypogastric or genitofemoral nerves, 1 or more of, injection of an anaesthetic agent

$44.50

18264

Pudendal nerve, injection of an anaesthetic agent

$71.75

18266

Ulnar, radial or median nerve of main trunk, 1 or more of, injection of an anaesthetic agent, not being associated with a brachial plexus block

$44.50

18268

Obturator nerve, injection of an anaesthetic agent

$62.70

18270

Femoral nerve, injection of an anaesthetic agent

$62.70

18272

Saphenous, sural, popliteal or posterior tibial nerve of main trunk, 1 or more of, injection of an anaesthetic agent

$44.50

18274

Paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, injection of an anaesthetic agent, (single vertebral level)

$62.70

18276

Paravertebral nerves, injection of an anaesthetic agent, (multiple levels)

$88.95

18278

Sciatic nerve, injection of an anaesthetic agent

$62.70

18280

Sphenopalatine ganglion, injection of an anaesthetic agent

$88.95

18282

Carotid sinus, injection of an anaesthetic agent, as an independent percutaneous procedure

$71.75

18284

Stellate ganglion, injection of an anaesthetic agent, (cervical sympathetic block)

$105.15

18286

Lumbar or thoracic nerves, injection of an anaesthetic agent, (paravertebral sympathetic block)

$105.15

18288

Coeliac plexus or splanchnic nerves, injection of an anaesthetic agent

$105.15

18290

Cranial nerve other than trigeminal, destruction by a neurolytic agent

$177.90

18292

Nerve branch, destruction by a neurolytic agent (not being a service to which any other item in this group applies)

$88.95

18294

Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent

$125.35

18296

Lumbar sympathetic chain, destruction by a neurolytic agent

$107.15

18298

Cervical or thoracic sympathetic chain, destruction by a neurolytic agent

$125.35

Group T8 — Surgical operations

Subgroup  — General

30000

Operative procedure on tissue, organ or region (not being a service to which another item in this Group applies), including any consultation on the same occasion

$13.10

30003

Dressing of localised burns (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation

$21.90

30006

Dressing of burns, extensive, without anaesthesia (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation

$33.10

30009

Dressing of localised burns under general anaesthesia (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation (G) (AU 7)

$43.20

30010

Dressing of localised burns under general anaesthesia (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation (S) (AU 7)

$52.65

30013

Dressing of burns, extensive, under general anaesthesia (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation (G) (AU 10)

$93.15

30014

Dressing of burns, extensive, under general anaesthesia (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation (S) (AU 10)

$110.70

30017

Excision, under general anaesthesia, of burns involving not more than 10% of body surface, where grafting is not carried out during the same operation (AU 10)

$232.20

30020

Excision, under general anaesthesia, of burns involving more than 10% of body surface, where grafting is not carried out during the same operation (AU 15)

$452.25

30023

Debridement, under general anaesthesia or major regional or field block, of deep or extensive contaminated wound of soft tissue, including suturing of that wound when performed (AU 10)

$232.20

30026

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 cm long), superficial, not being a service to which another item in Group T4 applies (AU 5)

$37.15

30029

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 cm long), involving deeper tissue, not being a service to which another item in Group T4 applies (AU 6)

$64.15

30032

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 cm long), superficial (AU 7)

$58.75

30035

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 (AU 7)

$83.70

30038

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 cm long), superficial, not being a service to which another item in Group T4 applies (AU 6)

$64.15

30041

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, 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 (G) (AU 7)

$102.60

30042

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, 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) (AU 7)

$130.95

30045

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), superficial (AU 7)

$83.70

30048

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 (G) (AU 8)

$106.65

30049

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 (S) (AU 8)

$132.30

30052

Repair of full thickness laceration of ear, eyelid or nose with accurate apposition of each layer of tissue (AU 10)

$180.90

30055

Dressing and removal of sutures requiring a general anaesthetic, not being a service associated with a service to which another item in this Group applies (AU 5)

$52.65

30058

Control of post-operative haemorrhage under general anaesthesia following perineal or vaginal operations (AU 6)

$102.60

30061

Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (AU 5)

$16.75

30064

Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (AU 6)

$78.30

30067

Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G) (AU 7)

$159.30

30068

Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S) (AU 7)

$197.10

30071

Biopsy of skin or mucous membrane, as an independent procedure (AU 5)

$37.15

30074

Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G) (AU 6)

$83.70

30075

Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S) (AU 6)

$106.65

30078

Drill biopsy of lymph gland, deep tissue or organ, as an independent procedure (AU 5)

$34.45

30081

Biopsy of bone marrow by trephine using an open approach (AU 5)

$78.30

30084

Biopsy of bone marrow by trephine using a percutaneous approach with a Jamshidi needle or similar device (AU 5)

$41.85

30087

Biopsy of bone marrow by aspiration or punch biopsy of synovial membrane (AU 5)

$21.00

30090

Biopsy of pleura, percutaneous — 1 or more biopsies on any 1 occasion (AU 5)

$91.55

30093

Needle biopsy of vertebra (AU 8)

$122.15

30094

Percutaneous aspiration biopsy of deep organ using interventional techniques — but not including imaging (AU 6)

$134.95

30096

Scalene node biopsy (AU 5)

$130.95

30099

Sinus, excision of, involving superficial tissue only (AU 6)

$64.15

30102

Sinus, excision of, involving muscle and deep tissue (G) (AU 7)

$106.65

30103

Sinus, excision of, involving muscle and deep tissue (S) (AU 7)

$130.95

30106

Ganglion or small bursa, excision of (G) (AU 6)

$110.70

30107

Ganglion or small bursa, excision of (S) (AU 6)

$156.60

30110

Bursa (large), including olecranon, calcaneum or patella, excision of (G) (AU 6)

$202.50

30111

Bursa (large), including olecranon, calcaneum or patella, excision of (S) (AU 6)

$264.60

30114

Bursa, semimembranosus (Baker’s cyst), excision of (AU 7)

$264.60

30117

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 30121, 30125, 30129, 30132 or 30195 applies (G) (AU 6)

$68.85

30118

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 30122, 30126, 30129, 30132 or 30195 applies (S) (AU 6)

$90.45

30121

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, not being a service to which item 30195 applies (G) (AU 9)

$180.90

30122

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, not being a service to which item 30195 applies (S) (AU 9)

$232.20

30125

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 10 but not more than 20 lesions, not being a service to which item 30195 applies (G) (AU 13)

$240.30

30126

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 10 but not more than 20 lesions, not being a service to which item 30195 applies (S) (AU 13)

$290.25

30129

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 20 but not more than 50 lesions, not being a service to which item 30195 applies (AU 15)

$357.75

30132

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 50 lesions, not being a service to which item 30195 applies (AU 17)

$492.75

30135

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 (G) (AU 6)

$101.25

30136

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 (S) (AU 6)

$122.85

30139

Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in this Group applies, involving muscle, bone or other deep tissue (G) (AU 8)

$140.40

30140

Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in this Group applies, involving muscle, bone or other deep tissue (S) (AU 8)

$175.50

30143

Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not being a service to which another item in this Group applies (G) (AU 8)

$232.20

30144

Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not being a service to which another item in this Group applies (S) (AU 8)

$264.60

30147

Malignant tumour, removal of, from skin, requiring wide and deep excision, other than removal of basal cell carcinoma (AU 8)

$283.50

30150

Malignant tumour, removal of, from skin, requiring wide and deep excision with immediate block dissection of lymph glands (AU 13)

$594.05

30153

Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin graft (AU 8)

$357.75

30156

Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin graft (AU 10)

$418.50

30159

Malignant tumour, removal of, from any region involving a radical operation (not being an operation to which another item in this Group applies) (AU 13)

$594.05

30162

Malignant tumour, removal of, from any region involving a limited operation, other than removal of basal cell carcinoma (not being an operation to which another item in this Group applies) (AU 8)

$283.50

30165

Lipectomy — transverse wedge excision of abdominal apron (AU 10)

$324.00

30168

Lipectomy — wedge excision of skin or fat (not being a service to which item 30165 applies) — 1 excision (AU 10)

$324.00

30171

Lipectomy — wedge excision of skin or fat (not being a service to which item 30165 applies) — 2 or more excisions (AU 12)

$492.75

30174

Lipectomy — subumbilical excision with undermining of skin edges and strengthening of musculo-aponeurotic wall (AU 12)

$492.75

30177

Lipectomy — radical abdominoplasty (Pitanguy type or similar) with excision of skin and subcutaneous tissue, repair of musculo-aponeurotic layer and transposition of umbilicus (AU 18)

$702.05

30180

Axillary hyperhidrosis, wedge excision for (AU 7)

$97.20

30183

Axillary hyperhidrosis, total excision of sweat gland bearing area (AU 10)

$174.75

30186

Plantar wart, removal of (AU 5)

$33.75

30189

Warts or molluscum contagiosum, removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital or approved day hospital facility, not being a service associated with a service to which another item in this Group applies (AU 6)

$104.90

30192

Premalignant skin lesions, treatment of, by galvanocautery or electrodesiccation or cryocautery (10 or more lesions) (AU 4)

$28.25

30195

Neoplastic skin lesions, other than viral verrucae (common warts) and seborrheic keratoses, treatment by electrosurgical destruction, simple curettage or shave excision, not being a service associated with a service to which item 30196, 30197, 30202, 30203 or 30205 applies — (1 or more lesions) (AU 4)

$45.25

30196

Cancer of skin or mucous membrane proven by histopathology or confirmed by a specialist opinion, removal of, by serial curettage, including any associated cryotherapy or diathermy, not being a service to which item 30197 applies

$89.95

30197

Cancer of skin or mucous membrane proven by histopathology or confirmed by a specialist opinion, removal of, by serial curettage, including any associated cryotherapy or diathermy, (10 or more lesions)

$313.40

30202

Cancer of skin or mucous membrane proven by histopathology or confirmed by a specialist opinion, removal of, by liquid nitrogen cryotherapy using repeat freeze-thaw cycles, not being a service to which item 30203 applies

$34.35

30203

Cancer of skin or mucous membrane proven by histopathology or confirmed by a specialist opinion, removal of, by liquid nitrogen cryotherapy using repeat freeze-thaw cycles (10 or more lesions)

$121.30

30205

Cancer of skin proven by histopathology, removal of, by liquid nitrogen cryotherapy using repeat freeze-thaw cycles where cancer extends into cartilage

$89.95

30207

Skin lesions, multiple injections with hydrocortisone or similar preparations

$31.75

30210

Keloid and other skin lesions, extensive, multiple injections of hydrocortisone or similar preparations where undertaken in the operating theatre of a hospital or approved day-hospital facility (AU 5)

$116.10

30213

Telangiectases or starburst vessels on the head or neck, diathermy or sclerosant injection of, including associated consultation — for a session of at least 20 minutes’ duration

$78.20

30216

Haematoma, aspiration of (AU 4)

$19.45

30219

Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of (excluding after-care)

$19.45

30222

Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (G) (AU 5)

$83.70

30223

Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (S) (AU 5)

$116.10

30224

Percutaneous drainage of deep abscess using interventional techniques — but not including imaging (AU 7)

$169.25

30225

Abscess drainage tube, exchange of using interventional techniques — but not including imaging (AU 5)

$190.65

30226

Muscle, excision of (limited) or fasciotomy (AU 6)

$106.65

30229

Muscle, excision of (extensive) (AU 7)

$194.40

30232

Muscle, ruptured, repair of (limited), not associated with external wound (AU 7)

$159.30

30235

Muscle, ruptured, repair of (extensive), not associated with external wound (AU 7)

$210.60

30238

Fascia, deep, repair of, for herniated muscle (AU 7)

$106.65

30241

Bone tumour, innocent, excision of, not being a service to which another item in this Group applies (AU 7)

$253.80

30244

Styloid process of temporal bone, removal of (AU 7)

$253.80

30247

Parotid gland, total extirpation of (AU 15)

$526.50

30250

Parotid gland, total extirpation of with preservation of facial nerve (AU 18)

$891.05

30253

Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (AU 14)

$594.05

30256

Submandibular gland, extirpation of (AU 8)

$317.25

30259

Sublingual gland, extirpation of (AU 7)

$140.40

30262

Salivary gland, dilatation or diathermy of duct (AU 6)

$41.85

30265

Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (G) (AU 7)

$83.70

30266

Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (S) (AU 7)

$106.65

30269

Salivary gland, repair of cutaneous fistula of (AU 7)

$106.65

30272

Tongue, partial excision of (AU 7)

$210.60

30275

Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation) (AU 18)

$1,255.55

30278

Tongue tie, repair of, not being a service to which another item in this Group applies (AU 6)

$33.10

30281

Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged not less than 2 years, under general anaesthesia (AU 6)

$85.05

30282

Ranula or mucous cyst of mouth, removal of (G) (AU 9)

$110.70

30283

Ranula or mucous cyst of mouth, removal of (S) (AU 9)

$145.80

30286

Branchial cyst, removal of (AU 9)

$283.50

30289

Branchial fistula, removal of (AU 9)

$357.75

30292

Cystic hygroma, removal of massive lesion requiring extensive excision — with or without thoracotomy (AU 11)

$681.80

30293

Cervical oesophagostomy; or closure of cervical oesophagostomy with or without plastic repair (AU 13)

$317.25

30294

Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction; or laryngopharyngectomy with tracheostomy and plastic reconstruction (AU 22)

$1,255.55

30296

Thyroidectomy, total (AU 14)

$729.15

30297

Thyroidectomy following previous thyroid surgery (AU 14)

$729.15

30306

Total hemithyroidectomy (AU 12)

$568.85

30308

Bilateral subtotal thyroidectomy (AU 12)

$568.85

30309

Thyroidectomy, subtotal for thyrotoxicosis (AU 14)

$729.15

30310

Thyroid, unilateral sub-total thyroidectomy or equivalent partial thyroidectomy (AU 10)

$325.80

30313

Thyroglossal cyst, removal of (AU 10)

$194.45

30314

Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone (AU 10)

$325.80

30315

Parathyroid operation for hyperparathyroidism (AU 16)

$811.90

30317

Cervical re-exploration for recurrent or persistent hyperparathyroidism (AU 20)

$972.20

30318

Mediastinum, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy) (AU 15)

$46.40

30320

Mediastinum, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy) (AU 17)

$972.20

30321

Retroperitoneal neuroendocrine tumour, removal of (AU 15)

$646.40

30323

Retroperitoneal neuroendocrine tumour, removal of, requiring complex and extensive dissection (AU 26)

$972.20

30324

Adrenal gland tumour, excision of (AU 20)

$972.20

30325

Lymph glands of neck, limited excision of (AU 9)

$264.60

30328

Lymph glands of neck, radical excision of (AU 20)

$702.05

30329

Lymph glands of groin, limited excision of (AU 9)

$175.80

30330

Lymph glands of groin, radical excision of (AU 13)

$511.95

30332

Lymph glands of axilla, limited excision of (AU 9)

$175.80

30333

Lymph glands of axilla, radical excision of (AU 13)

$511.95

30337

Simple mastectomy with or without frozen section biopsy (G) (AU 9)

$232.20

30338

Simple mastectomy with or without frozen section biopsy (S) (AU 9)

$317.25

30341

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G) (AU 7)

$140.40

30342

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S) (AU 7)

$182.60

30345

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (G) (AU 8)

$186.30

30346

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (S) (AU 8)

$232.20

30349

Partial mastectomy involving more than 25% of the breast tissue with or without frozen section biopsy (G) (AU 8)

$186.30

30350

Partial mastectomy involving more than 25% of the breast tissue with or without frozen section biopsy (S) (AU 8)

$232.20

30353

Breast, extended simple mastectomy with or without frozen section biopsy (AU 12)

$418.50

30356

Subcutaneous mastectomy with or without frozen section biopsy (AU 12)

$391.50

30359

Breast, radical or modified radical mastectomy with or without frozen section biopsy (AU 16)

$614.30

30360

Fine needle breast biopsy, imaging guided — but not including imaging (AU 6)

$134.95

30361

Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional techniques — but not including imaging (AU 6)

$134.95

30363

Breast, core biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination (AU 7)

$98.25

30364

Breast, exploration and drainage of haematoma, seroma or inflammatory condition including abscess, granulomatous mastitis or similar, when undertaken in the operating theatre of a hospital or approved day-hospital facility, excluding aftercare (AU 8)

$115.85

30366

Breast, microdochotomy of, for benign or malignant condition (AU 12)

$237.90

30367

Breast central ducts, excision of, for benign condition (AU 12)

$190.30

30369

Accessory breast tissue, excision of (AU 8)

$190.30

30370

Inverted nipple, surgical eversion of (AU 7)

$107.55

30372

Accessory nipple, excision of (AU 7)

$90.00

30373

Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (AU 9)

$344.25

30375

Laparotomy involving caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel’s diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty (adult) or drainage of pancreas (AU 11)

$371.25

30376

Laparotomy involving division of peritoneal adhesions (where no other intra-abdominal procedure is performed) (AU 14)

$371.25

30378

Laparotomy involving division of adhesions in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes (AU 14)

$372.95

30379

Laparotomy with division of extensive adhesions (duration greater than 2 hours) with or without insertion of long intestinal tube (AU 20)

$661.10

30384

Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (AU 14)

$783.05

30385

Laparotomy for control of post-operative haemorrhage, where no other procedure is performed (AU 11)

$401.20

30387

Laparotomy involving operation on abdominal viscera (including pelvic viscera), not being a service to which another item in this Group applies (AU 12)

$452.25

30390

Laparoscopy, diagnostic (AU 7)

$156.60

30391

Laparoscopy, with biopsy (AU 7)

$202.50

30394

Laparotomy for drainage of subphrenic abscess, pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause, with or without appendicectomy (AU 10)

$351.00

30400

Laparotomy with insertion of portacath for administration of cytotoxic therapy including placement of reservoir (AU 11)

$450.45

30402

Retroperitoneal abscess, drainage of, not involving laparotomy (AU 9)

$330.85

30403

Ventral, incisional, or recurrent hernia or burst abdomen, repair of (AU 10)

$371.25

30406

Paracentesis abdominis

$37.15

30409

Liver biopsy, percutaneous (AU 6)

$124.30

30411

Liver biopsy by wedge excision when performed in association with another intra-abdominal procedure (AU 11)

$63.30

30431

Liver abscess, open abdominal drainage of (AU 11)

$371.25

30439

Operative cholangiography or operative pancreatography or intra operative ultrasound (including 1 or more examinations performed during the 1 operation) (AU 10)

$132.30

30440

Cholangiogram, percutaneous transhepatic, and biliary drainage, using interventional techniques — but not including imaging (AU 11)

$374.90

30442

Choledochoscopy in conjunction with another procedure (AU 7)

$132.30

30443

Cholecystectomy (AU 11)

$526.50

30451

Biliary drainage tube, exchange of, using interventional techniques — but not including imaging (AU 6)

$190.65

30454

Choledochotomy (with or without cholecystectomy), with or without removal of calculi (AU 13)

$614.30

30455

Choledochotomy (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis (AU 18)

$722.30

30458

Transduodenal operation on sphincter of Oddi, involving 1 or more of, removal of calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with or without choledochotomy (AU 15)

$722.30

30460

Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (AU 15)

$614.30

30461

Radical resection of porta hepatis for gall bladder or common bile duct carcinoma with biliary-enteric anastomoses, not being a service associated with a service to which item 30443, 30454, 30455, 30458 or 30460 applies (AU 19)

$1,053.05

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 (AU 6)

$140.15

30475

Endoscopy with balloon dilatation of gastric or gastroduodenal stricture (AU 7)

$253.40

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 of oesophageal or gastric varices, not being a service associated with a service to which item 30473 or 30478 applies (AU 7)

$194.40

30478

Oesophagoscopy (not being a service to which item 41816, 41822 or 41825 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with 1 or more of the following endoscopic procedures — polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation, or sclerosing injection of bleeding upper gastointestional lesions, not being a service associated with a service to which item 30473 or 30476 applies (AU 7)

$194.40

30479

Endoscopic laser therapy for neoplasia and benign vascular lesions or strictures of the gastrointestinal tract (AU 12)

$339.05

30481

Percutaneous endoscopic gastrostomy (initial procedure) (AU 10)

$254.25

30482

Percutaneous endoscopic gastrostomy (repeat procedure) (AU 10)

$180.80

30484

Endoscopic retrograde cholangio-pancreatography (AU 8)

$259.90

30485

Endoscopic sphincterotomy with or without extraction of stones from common bile duct (AU 8)

$401.20

30487

Small bowel intubation with biopsy

$128.85

30488

Small bowel intubation — as an independent procedure

$64.15

30490

Oesophageal prosthesis, insertion of, including endoscopy and dilatation (AU 9)

$372.95

30491

Bile duct, endoscopic stenting of (including endoscopy and dilatation) (AU 11)

$395.55

30493

Biliary manometry (AU 9)

$237.30

30494

Endoscopic biliary dilatation (AU 11)

$299.45

30496

Vagotomy, truncal or selective, with or without pyloroplasty or gastroenterostomy (AU 11)

$418.85

30497

Vagotomy and antrectomy (AU 12)

$499.50

30499

Vagotomy, highly selective (AU 13)

$594.05

30500

Vagotomy, highly selective with duodenoplasty for peptic stricture (AU 15)

$636.05

30502

Vagotomy, highly selective, with dilatation of pylorus (AU 13)

$702.05

30503

Vagotomy or antrectomy, or both, for peptic ulcer following previous operation for peptic ulcer (AU 11)

$786.05

30505

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision (AU 11)

$393.00

30506

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy (AU 13)

$687.80

30508

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy (AU 13)

$724.00

30509

Bleeding peptic ulcer, control of, involving gastric resection (other than wedge resection) (AU 13)

$724.00

30511

Morbid obesity, gastric reduction or gastroplasty for, by any method (AU 13)

$605.05

30512

Morbid obesity, gastric bypass for, by any method including anastomosis (AU 21)

$744.65

30514

Morbid obesity, surgical reversal of procedure to which item 30511 or 30512 applies (AU 22)

$1,096.30

30515

Gastroenterostomy (including gastroduodenostomy) or enterocolostomy or enteroenterostomy (AU 12)

$501.60

30517

Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction of (AU 14)

$656.75

30518

Partial gastrectomy (AU 15)

$703.30

30520

Gastric tumour, removal of, by local excision, not being a service to which item 30518 applies (AU 15)

$480.95

30521

Gastrectomy, total, for benign disease (AU 19)

$1,029.10

30523

Gastrectomy, sub-total radical, for carcinoma, (including splenectomy when performed) (AU 19)

$1,075.60

30524

Gastrectomy, total radical, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) (AU 21)

$1,184.20

30526

Gastrectomy, total, and including lower oesophagus, performed by left thoracoabdominal incision or opening of diaghragmatic hiatus, (including splenectomy when performed) (AU 25)

$1,535.85

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 (AU 18)

$620.55

30529

Antireflux operation by fundoplasty, with oesophagoplasty for stricture or short oesophagus (AU 20)

$930.85

30530

Antireflux operation by cardiopexy, with or without fundoplasty (AU 20)

$558.50

30532

Oesophagogastric myotomy (Heller’s operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus (AU 17)

$641.30

30533

Oesophagogastric myotomy (Heller’s operation) via abdominal or thoracic approach, with fundoplasty, with or without closure of the diaphragmatic hiatus (AU 18)

$762.80

30535

Oesophagectomy with gastric reconstruction by abdominal mobilisation and thoracotomy (AU 27)

$1,208.30

30536

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck — 1 surgeon (AU 31)

$1,225.60

30538

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck — conjoint surgery, principal surgeon (including aftercare) (AU 31)

$848.10

30539

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck — conjoint surgery, co-surgeon

$620.55

30541

Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement — 1 surgeon (AU 31)

$1,080.80

30542

Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement — conjoint surgery, principal surgeon (including aftercare) (AU 31)

$734.30

30544

Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement — conjoint surgery, co-surgeon

$537.80

30545

Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) — 1 surgeon (AU 31)

$1,308.35

30547

Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) — conjoint surgery, principal surgeon (including aftercare) (AU 31)

$899.80

30548

Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) — conjoint surgery, co-surgeon

$672.25

30550

Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) — 1 surgeon (AU 31)

$1,468.65

30551

Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) — conjoint surgery, principal surgeon (including aftercare) (AU 31)

$1,013.55

30553

Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) — conjoint surgery, co-surgeon

$749.85

30554

Oesophagectomy with reconstruction by free jejunal graft — 1 surgeon (AU 31)

$1,634.10

30556

Oesophagectomy with reconstruction by free jejunal graft — conjoint surgery, principal surgeon (including aftercare) (AU 31)

$1,127.35

30557

Oesophagectomy with reconstruction by free jejunal graft — conjoint surgery, co-surgeon

$832.55

30559

Oesophagus, local excision for tumour of (AU 21)

$605.05

30560

Oesophageal perforation, repair of, by thoracotomy (AU 25)

$672.25

30562

Enterostomy or colostomy, closure of — not involving resection of bowel (AU 11)

$423.80

30563

Colostomy or ileostomy, refashioning of (AU 10)

$3.80

30564

Small bowel strictureplasty for chronic inflammatory bowel disease (AU 14)

$550.00

30565

Small intestine, resection of, without anastomosis (including formation of stoma) (AU 17)

$621.55

30566

Small intestine, resection of, with anastomosis (AU 18)

$689.35

30568

Intraoperative enterotomy for visualisation of the small intestine by endoscopy (AU 8)

$517.15

30569

Endoscopic examination of small bowel with flexible endoscope passed at laparotomy, with or without biopsies (AU 8)

$263.75

30571

Appendicectomy, not being a service to which item 30574 applies (AU 8)

$317.25

30572

Laparoscopic appendicectomy (AU 8)

$341.30

30574

Appendicectomy, when performed in conjunction with any other intra-abdominal procedure through the same incision (AU 5)

$87.75

30575

Pancreatic abscess, laparotomy and external drainage of, not requiring retro-pancreatic dissection (AU 11)

$365.15

30577

Pancreatic necrosectomy for pancreatic necrosis or abscess formation requiring major pancreatic or retro-pancreatic dissection, excluding aftercare (AU 24)

$775.70

30578

Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour (AU 22)

$817.05

30580

Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of duodenal tumour (AU 22)

$744.65

30581

Endocrine tumour, exploration of pancreas or duodenum for, but no tumour found (AU 20)

$543.00

30583

Distal pancreatectomy (AU 15)

$850.55

30584

Pancreatico-duodenectomy, Whipple’s operation, with or without preservation of pylorus (AU 30)

$1,255.55

30586

Pancreatic cyst — anastomosis to stomach or duodenum (AU 13)

$499.50

30587

Pancreatic cyst, anastomosis to Roux loop of jejunum (AU 14)

$517.15

30589

Pancreatico-jejunostomy for pancreatitis or trauma
(AU 18)

$891.05

30590

Pancreatico-jejunostomy following previous pancreatic surgery (AU 20)

$982.55

30593

Pancreatectomy, near total or total (including duodenum), with or without splenectomy (AU 30)

$1,344.55

30594

Pancreatectomy for pancreatitis following previously attempted drainage procedure or partial resection
(AU 20)

$1,551.40

30596

Splenorrhaphy or partial splenectomy for trauma
(AU 13)

$639.05

30597

Splenectomy (AU 13)

$513.00

30599

Splenectomy, for massive spleen (weighing more than 1500gms) or involving thoracoabdominal incision
(AU 19)

$930.85

30600

Diaphragmatic hernia, traumatic, repair of (AU 17)

$553.50

30601

Diaphragmatic hernia, congential, repair of, by thoracic or abdominal approach) (AU 14)

$681.80

30602

Portal hypertension, porto-caval shunt for (AU 24)

$1,106.65

30603

Portal hypertension, meso-caval shunt for (AU 24)

$1,168.70

30605

Portal hypertension, selective spleno-renal shunt for
(AU 24)

$1,329.00

30606

Portal hypertension, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (AU 18)

$791.20

30609

Femoral or inguinal hernia, laparoscopic repair of, not being a service associated with a service to which item 30612 or 30614 applies (AU 8)

$330.75

30612

Femoral or inguinal hernia or infantile hydrocele, repair of, not being a service to which item 30403 or 30615 applies (G) (AU 8)

$253.80

30614

Femoral or inguinal hernia or infantile hydrocele, repair of, not being a service to which item 30403 or 30615 applies (S) (AU 8)

$330.75

30615

Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection (AU 10)

$371.25

30616

Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age (G) (AU 8)

$189.00

30617

Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age (S) (AU 8)

$253.80

30620

Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over (G) (AU 8)

$213.30

30621

Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over (S) (AU 8)

$290.25

30628

Hydrocele, tapping of

$25.40

30631

Hydrocele, removal of, not being a service associated with a service to which items 30638, 30641 and 30644 apply (AU 7)

$168.50

30632

Pyloroplasty, infant, or pyloromyotomy (Ramstedt’s operation) (AU 9)

$317.25

30633

Intussusception, reduction of, by fluid

$167.40

30634

Varicocele, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply, 1 procedure (G) (AU 7)

$167.40

30635

Varicocele, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply, 1 procedure (S) (AU 7)

$207.90

30638

Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (G) (AU 7)

$213.30

30641

Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (S) (AU 7)

$290.25

30644

Exploration of spermatic cord, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis (AU 8)

$371.25

30647

Undescended testis, orchidopexy or transplantation of, with or without associated hernial repair (AU 8)

$371.25

30650

Secondary detachment of testis from thigh (AU 6)

$81.00

30653

Circumcision of a person under 6 months of age (AU 6)

$33.10

30656

Circumcision of a person under 10 years of age but not less than 6 months of age (AU 6)

$76.95

30659

Circumcision of a person 10 years of age or over (G) (AU 6)

$106.65

30660

Circumcision of a person 10 years of age or over (S) (AU 6)

$132.30

30663

Haemorrhage, arrest of, following circumcision requiring general anaesthesia (AU 5)

$102.85

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 (AU 5)

$33.75

30672

Coccyx, excision of (AU 8)

$317.25

30675

Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (G) (AU 8)

$213.30

30676

Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (S) (AU 8)

$270.00

30679

Pilonidal sinus, injection of sclerosant fluid under anaesthesia (AU 6)

$68.55

Subgroup 2 — Colorectal

32000

Large intestine, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (AU 18)

$734.55

32003

Large intestine, resection of, with anastomosis, including right hemicolectomy (AU 20)

$768.45

32004

Large intestine, subtotal 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 (AU 20)

$817.05

32005

Large intestine, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) with anastomosis, not being a service associated with a service to which item 32000, 32003, 32004 or 32006 applies (AU 22)

$925.65

32006

Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma) (AU 20)

$819.30

32009

Total colectomy and ileostomy (AU 22)

$971.90

32012

Total colectomy and ileo-rectal anastomosis (AU 20)

$1,073.60

32015

Total colectomy with excision of rectum and ileostomy — 1 surgeon (AU 20)

$1,324.40

32018

Total colectomy with excision of rectum and ileostomy, combined synchronous operation; abdominal resection (including after-care) (AU 17)

$1,118.80

32021

Total colectomy with excision of rectum and ileostomy, combined synchronous operation; perineal resection

$401.20

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 (AU 22)

$971.90

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 (AU 27)

$1,300.00

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 (AU 30)

$1,400.00

32028

Rectum, low or ultra low restorative resection, with peranal sutured coloanal anastomosis, with or without covering stoma (AU 34)

$1,500.00

32029

Colonic reservoir, construction of, being a service associated with a service to which any other item in this Subgroup applies (AU 20)

$300.00

32030

Rectosigmoidectomy — (Hartmann’s operation) (AU 15)

$734.30

32033

Restoration of bowel following Hartmann’s or similar operation, including dismantling of the stoma (AU 15)

$1,073.60

32036

Sacrococcygeal and presacral tumour — excision of (AU 13)

$1,361.75

32039

Rectum and anus, abdomino-perineal resection of — 1 surgeon (AU 17)

$1,093.35

32042

Rectum and anus, abdomino-perineal resection of, combined synchronous operation, abdominal resection (AU 16)

$921.00

32045

Rectum and anus, abdomino-perineal resection of, combined synchronous operation — perineal resection

$344.70

32046

Rectum and anus, abdomino-perineal resection of, combined synchronous operation — perineal resection where the perineal surgeon also provides assistance to the abdominal surgeon

$532.65

32047

Perineal proctectomy (AU 20)

$620.55

32051

Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy — 1 surgeon (AU 36)

$1,649.95

32054

Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy — conjoint surgery, abdominal surgeon (including aftercare) (AU 30)

$1,514.30

32057

Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir — conjoint surgery, perineal surgeon

$401.20

32060

Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy — 1 surgeon (AU 30)

$1,649.95

32063

Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy — conjoint surgery, abdominal surgeon (including aftercare) (AU 26)

$1,514.30

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

$401.20

32069

Ileostomy reservoir, continent type, creation of, including conversion of existing ileostomy where appropriate (AU 30)

$1,220.50

32072

Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy

$37.85

32075

Sigmoidoscopic examination (with rigid sigmoidoscope), under general anaesthesia, with or without biopsy, not being a service associated with a service to which another item in this Group applies
(AU 5)

$59.40

32078

Sigmoidoscopic examination with diathermy or resection of 1 or more polyps where the time taken is less than or equal to 45 minutes (AU 7)

$133.35

32081

Sigmoidoscopic examination with diathermy or resection of 1 or more polyps where the time taken is greater than 45 minutes (AU 10)

$183.05

32084

Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure, with or without biopsy (AU 6)

$88.15

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 (AU 10)

$162.00

32090

Fibreoptic colonoscopy — examination of colon beyond the hepatic flexure with or without biopsy
(AU 8)

$264.60

32093

Fibreoptic colonoscopy — examination of colon beyond the hepatic flexure with removal of 1 or more polyps (AU 10)

$371.25

32094

Endoscopic dilatation of colorectal strictures including colonoscopy (AU 10)

$393.00

32095

Endoscopic examination of small bowel with flexible endoscope passed by stoma, with or without biopsies (AU 8)

$91.00

32096

Rectal biopsy, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (AU 6)

$183.05

32099

Rectal tumour of 5 cm or less in diameter, per anal submucosal excision of (AU 10)

$237.30

32102

Rectal tumour of greater than 5 cm in diameter, indicated by pathological examination, per anal submucosal excision of (AU 14)

$452.05

32105

Anorectal carcinoma — per anal full thickness excision of (AU 13)

$344.70

32108

Rectal tumour, trans-sphincteric excision of (Kraske or similar operation) (AU 13)

$711.95

32111

Rectal prolapse, Delorme procedure for (AU 10)

$452.05

32112

Rectal prolapse, perineal recto-sigmoidectomy for
(AU 17)

$550.00

32114

Rectal stricture, per anal release of (AU 8)

$124.30

32117

Rectal prolapse, abdominal rectopexy of (AU 13)

$711.95

32120

Rectal prolapse, perineal repair of (AU 6)

$183.05

32123

Anal stricture, anoplasty for (AU 7)

$237.30

32126

Anal incontinence, Parks’ intersphincteric procedure for (AU 12)

$344.70

32129

Anal sphincter, direct repair of (AU 12)

$452.05

32131

Rectocele, perineal repair of (AU 13)

$380.00

32132

Haemorrhoids or rectal prolapse — sclerotherapy for (AU 6)

$32.20

32135

Haemorrhoids or rectal prolapse — rubber band ligation of, with or without sclerotherapy, cryosurgery or infrared therapy for (AU 5)

$48.05

32138

Haemorrhoidectomy (AU 8)

$261.90

32142

Anal skin tags or anal polyps, excision of 1 or more of (AU 7)

$48.10

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 (AU 7)

$96.20

32147

Perianal thrombosis, incision of (AU 7)

$32.20

32150

Operation for fissure-in-ano including excision, or sphincterotomy but excluding dilatation only (AU 6)

$183.05

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 (AU 4)

$49.95

32156

Fistula-in-ano, subcutaneous, excision of (AU 7)

$93.80

32159

Anal fistula, excision of, involving lower half of the anal sphincter mechanism (AU 7)

$237.30

32162

Anal fistula, excision of, involving the upper half of the anal sphincter mechanism (AU 11)

$344.70

32165

Anal fistula, repair of by mucosal flap advancement
(AU 15)

$452.05

32166

Anal fistula — readjustment of Seton (AU 7)

$146.85

32168

Fistula wound, review of, under general or regional anaesthetic, as an independent procedure (AU 7)

$93.80

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 (AU 6)

$63.30

32174

Intra-anal, perianal or ischio-rectal abscess, drainage of (excluding aftercare) (AU 8)

$63.30

32175

Intra-anal, perianal or ischio-rectal abscess, draining of, undertaken in the operating theatre of a hospital or approved day-hospital facility (excluding aftercare) (AU 8)

$115.85

32177

Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is less than or equal to 45 minutes — not being a service associated with a service to which item 35507 or 35508 applies (AU 6)

$124.10

32180

Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is greater than 45 minutes — not being a service associated with a service to which item 35507 or 35508 applies (AU 11)

$184.10

32183

Intestinal sling procedure prior to radiotherapy (AU 19)

$400.00

32186

Colonic lavage, total, intra-operative (AU 19)

$400.00

Subgroup 3 — Vascular

32500

Varicose veins (excluding telangiectases, starburst vessels, spider nevi or similar), multiple injections using continuous compression techniques including associated consultation — 1 or both legs — not being a service associated with any other varicose veins operation on the same leg (excluding after-care)

$99.60

32503

Varicose veins, multiple ligations, with or without local stripping or excision, including sub-fascial ligation of 1 or more deep perforating veins through separate incisions — 1 leg — not being a service associated with a service to which item 32506, 32509 or 32530 applies on the same leg (AU 7)

$190.65

32506

Varicose veins, high ligation and complete or partial stripping or excision of long or short saphenous vein or its major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins — 1 leg (AU 10)

$348.15

32509

Varicose veins, high ligation and stripping or excision of both long and short saphenous veins or their major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins — 1 leg (AU 12)

$522.20

32512

Long saphenous vein, complete dissection and ligation of, at the sapheno-femoral junction, for migrating thrombosis of long saphenous vein (AU 11)

$316.00

32515

Varicose veins, complete dissection at sapheno-femoral junction, with or without ligation of long saphenous vein, with or without ligation of the major tributaries at sapheno-femoral junction — 1 leg (AU 6)

$230.30

32518

Varicose veins, complete dissection at sapheno-popliteal junction, with or without ligation of the short saphenous vein, with or without ligation of the major tributaries at the sapheno-popliteal junction — 1 leg (AU 6)

$230.30

32521

Varicose veins, sub-fascial ligation of single deep perforating vein, not being a service associated with any other varicose vein operation on the same leg — 1 leg (AU 6)

$143.55

32524

Varicose veins, sub-fascial ligation of multiple deep perforating vein — 1 leg (Cockett’s operation, Linton’s operation or similar procedure) (AU 7)

$353.50

32527

Groin or popliteal fossa, reoperation in, for recurrent sapheno-popliteal incompetence — 1 leg (AU 12)

$428.45

32530

Groin or popliteal fossa, reoperation in, for recurrent sapheno-femoral incompetence or recurrent sapheno-popliteal incompetence with 1 or more of the following — multiple ligations, local stripping or excision of minor veins or sclerotherapy of minor veins — 1 leg (AU 13)

$562.35

32700

Artery of neck, bypass using vein or synthetic material (AU 19)

$1,022.95

32703

Internal carotid artery, transection and reanastomosis of, or resection of small length and reanastomosis of — with or without endarterectomy (AU 18)

$846.25

32706

Internal carotid artery, re-operation for recurrent stenosis with by-pass by graft of vein or synthetic material (AU 19)

$1,210.45

32709

Aorto-iliac or aorto-femoral grafting, straight or bifurcated (AU 21)

$996.20

32712

Ilio-femoral bypass grafting (AU 18)

$894.45

32715

Axillary or subclavian to femoral bypass grafting to 1 or both femoral arteries (AU 19)

$894.45

32718

Femoro-femoral or ilio-femoral cross-over bypass grafting (AU 18)

$846.25

32721

Renal artery, bypass grafting to (AU 22)

$1,344.30

32724

Renal arteries (both), bypass grafting to (AU 26)

$1,526.40

32727

Spleno-renal arterial bypass grafting (AU 21)

$1,344.30

32730

Mesenteric vessel (single), bypass grafting to (AU 18)

$1,156.85

32733

Mesenteric vessels (multiple), bypass grafting to (AU 21)

$1,344.30

32736

Inferior mesenteric artery, operation on, when performed in conjunction with another intra-abdominal vascular operation (AU 17)

$294.55

32739

Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with above knee anastomosis (AU 19)

$921.20

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 (AU 20)

$1,055.10

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 (AU 21)

$1,205.05

32748

Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis within 5cms of the ankle joint (AU 22)

$1,306.85

32751

Femoral artery bypass grafting using synthetic graft, with lower anastomosis above or below the knee (AU 18)

$846.25

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 (AU 20)

$1,055.10

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 (AU 16)

$294.55

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 (AU 9)

$289.20

32763

Arterial bypass grafting, using vein or synthetic material, not being a service to which another item in this Group applies (AU 18)

$846.25

32766

Arterial or venous anastomosis, not being a service to which another item in this Group applies, as an independent procedure (AU 15)

$562.35

32769

Arterial or venous anastomosis not being a service to which another item in this Group applies, when performed in combination with another vascular operation (including graft to graft anastomosis) (AU 15)

$194.95

33100

Aneurysm of common or internal carotid artery, or both, replacement by graft of vein or synthetic material (AU 20)

$1,022.95

33103

Thoracic aneurysm, replacement by graft (AU 35)

$1,435.35

33106

Artery or vein bypass graft, patch grafting to using vein or synthetic material, not being a service associated with any other vascular operation (AU 14)

$503.45

33109

Thoraco-abdominal aneurysm, replacement by graft including re-implantation of arteries (AU 40)

$1,735.30

33112

Suprarenal abdominal aortic aneurysm, replacement by graft including re-implantation of arteries (AU 35)

$1,505.00

33115

Infrarenal abdominal aortic aneurysm, replacement by tube graft (AU 26)

$1,055.10

33118

Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision of common iliac aneurysms) (AU 29)

$1,205.05

33121

Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to 1 or both femoral arteries (with or without excision or bypass of common iliac aneurysms) (AU 29)

$1,205.05

33124

Aneurysm of iliac artery (common, external or internal), replacement by graft — unilateral (AU 18)

$862.30

33127

Aneurysms of iliac arteries (common, external or internal), replacement by graft — bilateral (AU 20)

$1,130.10

33130

Aneurysm of visceral artery, excision and repair by direct anastomosis or replacement by graft (AU 18)

$985.50

33133

Aneurysm of visceral artery, dissection and ligation of arteries without restoration of continuity (AU 16)

$739.10

33136

False aneurysm, repair of, at aortic anastomosis following previous aortic surgery (AU 25)

$1,863.85

33139

False aneurysm, repair of, in iliac artery and restoration of arterial continuity (AU 19)

$1,130.10

33142

False aneurysm, repair of, in femoral artery and restor

ation of arterial continuity (AU 18)

$1,055.10

33145

Ruptured thoracic aortic aneurysm, replacement by graft (AU 38)

$1,815.65

33148

Ruptured thoraco-abdominal aortic aneurysm, replacement by graft (AU 40)

$2,254.80

33151

Ruptured suprarenal abdominal aortic aneurysm, replacement by graft (AU 38)

$2,142.35

33154

Ruptured infrarenal abdominal aortic aneurysm, replacement by tube graft (AU 28)

$1,585.35

33157

Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision or bypass of common iliac aneurysms) (AU 30)

$1,767.45

33160

Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to 1 or both femoral arteries (AU 30)

$1,767.45

33163

Ruptured iliac artery aneurysm, replacement by graft (AU 22)

$1,499.65

33166

Ruptured aneurysm of visceral artery, replacement by anastomosis or graft (AU 22)

$1,499.65

33169

Ruptured aneurysm of visceral artery, simple ligation of (AU 18)

$1,167.60

33172

Aneurysm of major artery, replacement by graft, not being a service to which another item in this Group applies (AU 21)

$910.50

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) (AU 17)

$808.75

33503

Internal carotid artery, re-operation for recurrent stenosis with endarterectomy and closure by suture (AU 19)

$1,022.95

33506

Innominate or subclavian artery, endarterectomy of, including closure by suture (AU 18)

$905.15

33509

Aortic endarterectomy, including closure by suture, not being a service associated with another procedure on the aorta (AU 18)

$937.30

33512

Aorto-iliac endarterectomy (1 or both iliac arteries), including closure by suture not being a service associated with a service to which item 33515 applies (AU 19)

$1,012.25

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 (AU 20)

$1,087.25

33518

Iliac endarterectomy, including closure by suture, not being a service associated with another procedure on the iliac artery (AU 17)

$905.15

33521

Ilio-femoral endarterectomy (1 side), including closure by suture (AU 17)

$980.10

33524

Renal artery, endarterectomy of (AU 19)

$1,156.85

33527

Renal arteries (both), endarterectomy of (AU 21)

$1,344.30

33530

Coeliac or superior mesenteric artery, endarterectomy of (AU 19)

$1,156.85

33533

Coeliac and superior mesenteric artery, endarterectomy of (AU 20)

$1,344.30

33536

Inferior mesenteric artery, endarterectomy of, not being a service associated with a service to which another item in this Group applies (AU 19)

$958.70

33539

Artery of extremities, endarterectomy of, including closure by suture (AU 12)

$690.90

33542

Extended deep femoral endarterectomy where the endarterectomy is at least 7 cm long (AU 17)

$985.50

33545

Artery or vein, patch grafting to by vein or synthetic material in association with another arterial or venous operation where patch is less than 3 cm long (AU 13)

$194.95

33548

Artery or vein, patch grafting to by vein or synthetic material in conjunction with another arterial or venous operation where patch is 3 cm long or greater (AU 14)

$396.3

33551

Vein, harvesting of from leg or arm for patch when not performed through same incision as operation (AU 9)

$194.95

33554

Endarterectomy, in conjunction with an arterial bypass operation to prepare the site for anastomosis — each site (AU 16)

$100.70

33800

Embolus, removal of, from artery of neck (AU 15)

$840.85

33803

Embolectomy or thrombectomy, by abdominal approach, of an artery or bypass graft of trunk (AU 16)

$803.40

33806

Embolectomy or thrombectomy, from an artery or bypass graft of extremities, or embolectomy of abdominal artery via the femoral artery (AU 11)

$578.45

33809

Inferior vena cava or iliac vein, thrombectomy of (AU 12)

$712.35

33812

Thrombus, removal of, from femoral or other similar large vein (AU 10)

$664.15

33815

Major artery or vein of extremity, repair of wound of, with restoration of continuity, by lateral suture (AU 12)

$610.55

33818

Major artery or vein of extremity, repair of wound of, with restoration of continuity, by direct anastomosis (AU 13)

$712.35

33821

Major artery or vein of extremity, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (AU 15)

$814.10

33824

Major artery or vein of neck, repair of wound of, with restoration of continuity, by lateral suture (AU 13)

$776.60

33827

Major artery or vein of neck, repair of wound of, with restoration of continuity, by direct anastomosis (AU 14)

$910.50

33830

Major artery or vein of neck, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (AU 16)

$1,044.40

33833

Major artery or vein of abdomen, repair of wound of, with restoration of continuity by lateral suture (AU 16)

$948.00

33836

Major artery or vein of abdomen, repair of wound of, with restoration of continuity by direct anastomosis (AU 17)

$1,130.10

33839

Major artery or vein of abdomen, repair of wound of, with restoration of continuity by means of interposition graft (AU 18)

$1,322.90

33842

Artery of neck, re-operation for bleeding or thrombosis after carotid or vertebral artery surgery (AU 12)

$653.40

33845

Laparotomy for control of post operative bleeding or thrombosis after intra-abdominal vascular procedure, where no other procedure is performed (AU 14)

$455.25

33848

Extremity, re-operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed (AU 12)

$455.25

34100

Major artery of neck, elective ligation or exploration of, not being a service associated with any other vascular procedure (AU 11)

$503.45

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 (AU 13)

$294.55

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 (AU 9)

$207.80

34109

Temporal artery, biopsy of (AU 7)

$241.00

34112

Arterio-venous fistula of an extremity, dissection and ligation (AU 14)

$610.55

34115

Arterio-venous fistula of the neck, dissection and ligation (AU 17)

$690.90

34118

Arterio-venous fistula of the abdomen, dissection and ligation (AU 19)

$985.50

34121

Arterio-venous fistula of an extremity, dissection and repair of, with restoration of continuity (AU 18)

$787.30

34124

Arterio-venous fistula of the neck, dissection and repair of, with restoration of continuity (AU 18)

$862.30

34127

Arterio-venous fistula of the abdomen, dissection and repair of, with restoration of continuity (AU 22)

$1,130.10

34130

Surgically created arterio-venous fistula of an extremity, closure of (AU 10)

$353.50

34133

Scalenotomy (AU 10)

$396.35

34136

First rib, resection of portion of (AU 13)

$637.35

34139

Cervical rib, removal of, or other operation for removal of thoracic outlet compression, not being a service to which another item in this Group applies (AU 13)

$637.35

34142

Coeliac artery, decompression of, for coeliac artery compression syndrome, as an independent procedure (AU 19)

$787.30

34145

Popliteal artery, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle (AU 13)

$573.10

34148

Carotid body tumour, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is less than 4 cm in maximum diameter (AU 19)

$1,022.95

34151

Carotid body 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 (AU 19)

$1,397.90

34154

Recurrent carotid body tumour, resection of, with or without repair or replacement of portion of common or internal carotid arteries (AU 19)

$1,665.70

34157

Neck, excision of infected bypass graft, including closure of vessel or vessels (AU 15)

$846.25

34160

Aorto-duodenal fistula, repair of, by suture of aorta and repair of duodenum (AU 24)

$1,585.35

34163

Aorto-duodenal fistula, repair of, by insertion of aortic graft and repair of duodenum (AU 26)

$2,035.25

34166

Aorto-duodenal fistula, repair of, by oversewing of abdominal aorta, repair of duodenum and axillo bifemoral grafting (AU 26)

$2,035.25

34169

Infected bypass graft from trunk, excision of, including closure of arteries (AU 20)

$1,130.10

34172

Infected axillo-femoral or femoro-femoral graft, excision of, including closure of arteries (AU 15)

$921.20

34175

Infected bypass graft from extremities, excision of including closure of arteries (AU 15)

$846.25

34500

Arteriovenous shunt, external, insertion of (AU 9)

$219.60

34503

Arteriovenous anastomosis of upper or lower limb, in conjunction with another venous or arterial operation (AU 14)

$294.55

34506

Arteriovenous shunt, external, removal of (AU 5)

$149.95

34509

Arteriovenous anastomosis of upper or lower limb, not in conjunction with another venous or arterial operation (AU 14)

$696.25

34512

Arteriovenous access device, insertion of (AU 14)

$765.90

34515

Arteriovenous access device, thrombectomy of (AU 11)

$546.30

34518

Stenosis of arteriovenous fistula or prosthetic arteriovenous access device, correction of (AU 14)

$915.85

34521

Intra-abdominal artery or vein, cannulation of for infusion chemotherapy, by open operation (excluding aftercare) (AU 11)

$374.90

34524

Arterial cannulation for infusion chemotherapy by open operation, not being a service to which item 34521 applies (excluding after-care) (AU 10)

$294.55

34527

Central vein catheterisation by open exposure, using subcutaneous tunnel with pump or access port as with Hickman or Broviac catheter or other chemotherapy delivery device (AU 11)

$294.55

34530

Hickman or broviac catheter, or other chemotherapy device, removal of (AU 10)

$294.55

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 aftercare) (AU 18)

$883.70

34800

Inferior vena cava, plication, ligation, or application of caval clip (AU 13)

$578.45

34803

Inferior vena cava, reconstruction of or bypass by vein or synthetic material (AU 24)

$1,274.70

34806

Cross leg bypass grafting, saphenous to iliac or femoral vein (AU 14)

$690.90

34809

Saphenous vein anastomosis to femoral or popliteal vein for femoral vein bypass (AU 14)

$690.90

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 (AU 13)

$835.50

34815

Vein stenosis, patch angioplasty for, (excluding vein graft stenosis) — using vein or synthetic material (AU 5)

$690.90

34818

Venous valve, plication or repair to restore valve competency (AU 25)

$760.55

34821

Vein transplant to restore valvular function (AU 15)

$1,033.70

34824

External stent, application of, to restore venous valve competency to superficial vein — 1 stent (AU 10)

$353.50

34827

External stents, application of, to restore venous valve competency to superficial vein or veins — more than 1 stent (AU 11)

$428.45

34830

External stent, application of, to restore venous valve competency to deep vein (1 stent) (AU 11)

$503.45

34833

External stents, application of, to restore venous valve competency to deep vein or veins (more than 1 stent) (AU 12)

$653.40

35000

Lumbar sympathectomy (AU 11)

$503.45

35003

Cervical or upper thoracic sympathectomy by any surgical approach (AU 16)

$653.40

35006

Cervical or upper thoracic sympathectomy, where operation is a reoperation for previous incomplete sympathectomy by any surgical approach (AU 13)

$819.45

35009

Lumbar sympathectomy, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (AU 11)

$637.35

35012

Sacral or pre-sacral sympathectomy (AU 11)

$503.45

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 (AU 8)

$262.45

35103

Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only (AU 9)

$167.10

35200

Operative arteriography or venography, 1 or more of, performed during the course of an operative procedure on an artery or vein, 1 site (AU 8)

$122.10

35300

Transluminal balloon angioplasty of 1 peripheral artery or vein of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 10)

$367.15

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 aftercare (AU 2)

$470.60

35304

Transluminal balloon angioplasty of 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 10)

$367.15

35305

Transluminal balloon angioplasty of more than 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 12)

$470.60

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 aftercare (AU 11)

$434.40

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 aftercare (AU 13)

$543.00

35310

Transluminal stent insertion including associated balloon dilatation for coronary artery, percutaneous or by open exposure, excluding associated radiological services and preparation, and excluding aftercare (AU 13)

$543.00

35312

Peripheral arterial atherectomy including associated balloon dilatation of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 13)

$615.40

35315

Peripheral laser angioplasty including associated balloon dilatation of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 13)

$615.40

35318

Peripheral arterial or venous catheterisation with administration of thrombolytic or chemotherapeutic agents, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (not being a service associated with a service to which item 13903 applies) (AU 6)

$253.40

35321

Peripheral arterial catheterisation to administer agents to occlude arteries, vein or arterio-venous fistulae or to arrest haemorrhage, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 12)

$579.20

35324

Angioscopy not combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (AU 8)

$217.20

35327

Angioscopy combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (AU 6)

$108.60

35330

Insertion of inferior vena caval filter, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 1)

$367.15

Subgroup 4 — Gynaecological

35500

Gynaecological examination under anaesthesia, not being a service associated with a service to which another item in this Group applies (AU 5)

$57.90

35503

Intrauterine contraceptive device, introduction of, not being a service associated with a service to which another item in this Group applies (AU 5)

$38.15

35506

Intrauterine contraceptive device, removal of under general anaesthesia, not being a service associated with a service to which another item in this Group applies
(AU 5)

$38.15

35507

Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day hospital facility, where the time taken is less than or equal to 45 minutes — not being a service associated with a service to which item 32177 or 32180 applies (AU 6)

$124.30

35508

Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day hospital facility, where the time taken is greater than 45 minutes — not being a service associated with a service to which item 32177 or 32180 applies (AU 11)

$183.05

35509

Hymenectomy (AU 5)

$63.85

35512

Bartholin’s cyst, excision of (G) (AU 7)

$127.70

35513

Bartholin’s cyst, excision of (S) (AU 7)

$157.95

35516

Bartholin’s cyst or gland, marsupialisation of (G) (AU 6)

$82.95

35517

Bartholin’s cyst or gland, marsupialisation of (S) (AU 6)

$104.00

35520

Bartholin’s abscess, incision of (AU 5)

$41.45

35523

Urethra or urethral caruncle, cauterisation of (AU 4)

$41.45

35526

Urethral caruncle, excision of (G) (AU 6)

$82.95

35527

Urethral caruncle, excision of (S) (AU 6)

$104.00

35530

Clitoris, amputation of, where medically indicated
(AU 7)

$192.20

35533

Vulvoplasty or labioplasty, where medically indicated, not being a service associated with a service to which item 35536 applies (AU 9)

$249.20

35536

Vulva, wide local excision of suspected malignancy or hemivulvectomy, 1 or both procedures (AU 9)

$248.20

35539

Colposcopically directed CO2 laser therapy for previously confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies — 1 anatomical site (AU 5)

$194.45

35542

Colposcopically directed CO2 laser therapy for previously confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies — 2 or more anatomical sites (AU 6)

$227.55

35545

Colposcopically directed CO2 laser therapy for condylomata, unsuccessfully treated by other methods (AU 6)

$130.80

35548

Vulvectomy, radical, for malignancy (AU 17)

$594.05

35551

Pelvic lymph glands, excision of (radical) (AU 15)

$487.05

35554

Vagina, dilatation of, as an independent procedure including any associated consultation (AU 4)

$30.95

35557

Vagina, removal of simple tumour — (including Gartner duct cyst) (AU 8)

$152.70

35560

Vagina, partial or complete removal of (AU 13)

$487.05

35561

Vaginectomy, radical, for proven invasive malignancy — 1 surgeon (AU 25)

$982.55

35562

Vaginectomy, radical, for proven invasive malignancy, conjoint surgery — abdominal surgeon (including aftercare) (AU 25)

$806.70

35564

Vaginectomy, radical, for proven invasive malignancy, conjoint surgery — perineal surgeon

$372.35

35565

Vaginal reconstruction for congenital absence, gynatresia or urogenital sinus (AU 18)

$486.10

35566

Vaginal septum, excision of, for correction of double vagina (AU 12)

$283.00

35567

Vaginal repair including 1 or more of anterior, posterior or enterocele repair, with sacrospinous colpopexy (AU 14)

$500.00

35569

Plastic repair to enlarge vaginal orifice (AU 9)

$114.50

35572

Colpotomy, not being a service to which another item in this Group applies (AU 6)

$88.20

35575

Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not being a service to which item 35579, 35580, 35583 or 35584 applies (G) (AU 10)

$247.45

35576

Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not being a service to which item 35579, 35580, 35583 or 35584 applies (S) (AU 10)

$302.75

35579

Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not being a service to which item 35583 or 35584 applies (G) (AU 10)

$302.75

35580

Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not being a service to which item 35583 or 35584 applies (S) (AU 10)

$381.75

35583

Donald-Fothergill or Manchester operation for genital prolapse (G) (AU 10)

$362.00

35584

Donald-Fothergill or Manchester operation for genital prolapse (S) (AU 10)

$480.45

35587

Urethrocele, operation for (AU 9)

$125.05

35590

Operation involving abdominal approach for repair of enterocoele or suspension of vaginal vault or enterocoele and suspension of vaginal vault (AU 9)

$381.75

35593

Vaginal repair of enterocele with or without repair of rectocele, not being a service associated with a service to which item 35575, 35576, 35579, 35580, 35583, 35584, 35590, 35656, 35657 or 35673 applies, and where on a previous occasion there had been performed surgery reflected by a procedure to which item 35575, 35576, 35579, 35580, 35583, 35584, 35590, 35656, 35657 or 35673 applies (AU 8)

$379.70

35596

Fistula between genital and urinary or alimentary tracts, repair of, not being a service to which item 37029, 37333 or 37336 applies (AU 13)

$487.05

35599

Stress incontinence, sling operation for (AU 12)

$480.45

35602

Stress incontinence, combined synchronous abdomino-vaginal operation for; abdominal procedure (including after-care) (AU 12)

$480.45

35605

Stress incontinence, combined synchronous abdomino-vaginal operation for; vaginal procedure (including after-care)

$260.65

35608

Cervix, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix (AU 5)

$45.40

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 (AU 5)

$45.15

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 (AU 5)

$45.40

35615

Vulva, biopsy of, when performed in conjunction with a service to which item 35614 applies

$38.25

35617

Cervix, cone biopsy, amputation or repair of, not being a service to which item 35583 or 35584 applies (G) (AU 7)

$123.75

35618

Cervix, cone biopsy, amputation or repair of, not being a service to which item 35583 or 35584 applies (S) (AU 7)

$152.70

35619

Cervix, dilatation of, under general anaesthesia, not being a service to which item 35639, 35640 or 35643 applies (AU 5)

$57.90

35620

Endometrial biopsy where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding (AU 5)

$37.95

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 (AU 12)

$429.20

35623

Hysteroscopic resection of myoma or uterine septum followed by endometrial ablation by laser or diathermy (AU 15)

$583.45

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 and including procedures to which item 35639, 35640 or 35643 applies, where performed

$58.95

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, and including procedures to which item 35639, 35640 or 35643 applies, where performed (AU 7)

$76.35

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, and including procedures to which item 35639, 35640 or 35643 applies, where performed (AU 7)

$130.30

35633

Hysteroscopy with uterine adhesiolysis or polypectomy or tubal catheterization or removal of IUD which cannot be removed by other means, 1 or more of (AU 8)

$154.25

35636

Hysteroscopy, and laparoscopy where performed, under general anaesthesia involving either myomectomy or resection of uterine septum, or both (AU 10)

$308.50

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 (AU 7)

$289.60

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 hours operating time, division of adhesions requiring more than 1 hours operating time or division of utero-sacral ligaments for significant dysmenorrhoea — not being a service associated with any other intraperitoneal procedure (AU 14)

$506.80

35639

Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (G) (AU 5)

$96.10

35640

Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (S) (AU 5)

$130.30

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 (AU 5)

$155.30

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 (AU 8)

$144.95

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 (AU 8)

$227.05

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 (AU 8)

$144.80

35647

Cervix, large loop excision of transformation zone together with colposcopy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not being a service associated with a service to which item 35644 applies (AU 8)

$144.95

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 (AU 8)

$227.05

35649

Hysterotomy or uterine myomectomy, abdominal (AU 10)

$381.75

35653

Hysterectomy, abdominal, sub total or total, with or without removal of uterine adnexae (AU 11)

$480.45

35657

Hysterectomy, vaginal, with or without uterine curettage, not being a service to which item 35673 applies (AU 11)

$480.55

35661

Hysterectomy, abdominal, requiring extensive retroperitoneal dissection with or without exposure of 1 or both ureters, for the management of severe endometrioses, pelvic inflammatory disease or benign pelvic tumours, with or without conservation of ovaries (AU 12)

$620.55

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 (AU 17)

$1,034.25

35667

Radical hysterectomy without gland dissection (with or without excision of uterine adnexae) for proven malignancy including excision of any 1 or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed (AU 17)

$879.10

35670

Hysterectomy, abdominal, with radical excision of pelvic lymph glands, with or without removal of uterine adnexae (AU 19)

$723.80

35673

Hysterectomy, vaginal, (with or without uterine curettage) with salpingectomy, oophorectomy or excision of ovarian cyst, 1 or more, 1 or both sides
(AU 12)

$539.70

35676

Ectopic pregnancy, removal of (G) (AU 9)

$302.75

35677

Ectopic pregnancy, removal of (S) (AU 9)

$381.75

35678

Ectopic pregnancy, laparoscopic removal of (AU 10)

$460.25

35680

Bicornuate uterus, plastic reconstruction for (AU 14)

$414.65

35683

Uterus, suspension or fixation of, as an independent procedure (G) (AU 8)

$250.10

35684

Uterus, suspension or fixation of, as an independent procedure (S) (AU 8)

$335.65

35687

Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (G) (AU 8)

$231.65

35688

Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (S) (AU 8)

$283.00

35691

Sterilisation by interruption of fallopian tubes when performed in conjunction with Caesarean section (AU 5)

$113.00

35694

Tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, 1 or more procedures (AU 11)

$454.15

35697

Microsurgical tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, 1 or more procedures (AU 16)

$673.90

35700

Fallopian tubes, unilateral microsurgical anastomosis of, using operating microscope (AU 18)

$519.95

35703

Hydrotubation of fallopian tubes as a non-repetitive procedure, not being a service associated with a service to which another item in this Group applies (AU 7)

$48.05

35706

Rubin test for patency of fallopian tubes (AU 7)

$48.05

35709

Fallopian tubes, hydrotubation of, as a repetitive post-operative procedure (AU 7)

$30.95

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) (AU 9)

$258.00

35713

Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst — 1 such procedure, not being a service associated with hysterectomy (S) (AU 9)

$322.50

35716

Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst — 2 or more such procedures, unilateral or bilateral, not being a service associated with hysterectomy (G) (AU 10)

$309.35

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) (AU 10)

$388.30

35720

Radical or debulking operation for advanced gynaecological malignancy, with or without omentectomy (AU 16)

$480.45

35723

Retro-peritoneal lymph node biopsies from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy (AU 19)

$344.10

35726

Infra-colic omentectomy with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy (AU 16)

$344.10

35729

Ovarian transposition out of the pelvis, in conjunction with radical hysterectomy for invasive malignancy (AU 18)

$155.15

Subgroup 5 — Urological

36500

Adrenal gland, excision of — partial or total (AU 12)

$658.55

36503

Renal transplant, not being a service to which item 36506 or 36509 applies (AU 24)

$990.80

36506

Renal transplant, performed by vascular surgeon and urologist operating together — vascular anastomosis, including after-care (AU 24)

$658.55

36509

Renal transplant, performed by vascular surgeon and urologist operating together — ureterovesical anastomosis, including after-care

$557.70

36515

Nephrectomy, complete (G) (AU 11)

$545.85

36516

Nephrectomy, complete (S) (AU 11)

$658.55

36519

Nephrectomy, complete, complicated by previous surgery on the same kidney (AU 13)

$919.60

36522

Nephrectomy, partial (AU 13)

$789.10

36525

Nephrectomy, partial, complicated by previous surgery on the same kidney (AU 15)

$1,121.35

36528

Nephrectomy, radical, with enbloc dissection of lymph nodes, with or without adrenalectomy (AU 17)

$919.60

36531

Nephro-ureterectomy, complete, including associated bladder repair and any associated endoscopic procedure (AU 17)

$824.70

36534

Kidney, fused, renal symphysiotomy for (AU 14)

$658.55

36537

Kidney or perinephric area, exploration of, with or without drainage of, by open exposure, not being a service to which another item in this Group applies (AU 10)

$492.45

36540

Nephrolithotomy or pyelolithotomy, or both, through the same skin incision, for 1 or 2 stones (AU 12)

$789.10

36543

Nephrolithotomy or pyelolithotomy, or both, extended, for staghorn stone or 3 or more stones, including 1 or more of the following: nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (AU 12)

$919.60

36546

Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post-treatment care for 3 days, including pre-treatment consultations, unilateral (AU 12)

$492.45

36549

Ureterolithotomy (AU 11)

$593.30

36552

Nephrostomy or pyelostomy, open, as an independent procedure (AU 11)

$528.05

36555

Nephropexy, as an independent procedure (AU 9)

$361.90

36558

Renal cyst or cysts, excision or unroofing of (AU 11)

$462.75

36561

Renal biopsy (closed) (AU 6)

$122.85

36564

Pyeloplasty, by open exposure (AU 14)

$658.55

36567

Pyeloplasty in congenitally abnormal kidney or solitary kidney, by open exposure (AU 14)

$723.80

36570

Pyeloplasty, complicated by previous surgery on the same kidney, by open exposure (AU 15)

$919.60

36573

Divided ureter, repair of (AU 13)

$658.55

36576

Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, not being a service associated with any other procedure performed on the kidney, renal pelvis or renal pedicle (AU 13)

$824.70

36579

Ureterectomy, complete or partial, with or without associated bladder repair, not being a service associated with a service to which item 37000 applies (AU 12)

$528.05

36582

Ureter, replacement of, by bowel (AU 12)

$919.60

36585

Ureter, transplantation of, into skin (AU 10)

$528.05

36588

Ureter, reimplantation into bladder (AU 12)

$658.55

36591

Ureter, reimplantation into bladder with psoas hitch or Boari flap or both (AU 12)

$789.10

36594

Ureter, transplantation of, into intestine (AU 12)

$658.55

36597

Ureter, transplantation of, into another ureter (AU 12)

$658.55

36600

Ureter, transplantation of, into isolated intestinal segment, unilateral (AU 14)

$789.10

36603

Ureters, transplantation of, into isolated intestinal segment, bilateral (AU 16)

$919.60

36606

Intestinal urinary reservoir, continent, formation of, including formation of non-return valves and implantation of ureters (1 or both) into reservoir (AU 27)

$1,649.35

36609

Intestinal urinary conduit or ureterostomy, revision of (AU 13)

$528.05

36612

Ureter, exploration of, with or without drainage of, as an independent procedure (AU 11)

$462.75

36615

Ureterolysis, with or without repositioning of ureter, for retroperitoneal fibrosis, ovarian vein syndrome or similar condition (AU 11)

$528.05

36618

Reduction ureteroplasty (AU 14)

$462.75

36621

Closure of cutaneous ureterostomy (AU 9)

$330.75

36624

Nephrostomy, percutaneous, using interventional imaging techniques (AU 9)

$397.50

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 (AU 11)

$492.45

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 (AU 10)

$243.25

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 (AU 11)

$528.05

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 (AU 13)

$284.80

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) (AU 13)

$593.30

36642

Nephroscopy, being a service to which item 36639 applies, where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation due to bleeding (AU 12)

$296.65

36645

Nephroscopy, percutaneous, with removal or destruction of a stone greater than 3 cm in any dimension, or for 3 or more stones (AU 17)

$759.40

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 (AU 16)

$676.35

36649

Nephrostomy drainage tube, exchange of — but not including imaging (AU 7)

$190.65

36800

Bladder, catheterisation of, where no other procedure is performed (AU 4)

$19.70

36803

Ureteroscopy, with or without any 1 or more of; cystoscopy, ureteric meatotomy, ureteric dilatation and pyeloscopy, not being a service associated with a service to which item 36806, 36809, 36812, 36824, 36848 or 36857 applies (AU 7)

$332.25

36806

Ureteroscopy being a service to which item 36803 applies, plus 1 or more of extraction of stone, biopsy or diathermy (AU 9)

$462.75

36809

Ureteroscopy being a service to which item 36803 applies, plus destruction of stone with ultrasound, electrohydraulic shock waves, or laser, with extraction of fragments (AU 11)

$593.30

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 (AU 5)

$118.65

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 (AU 6)

$169.50

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 (AU 6)

$196.95

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 (AU 6)

$230.20

36824

Cystoscopy with ureteric catheterisation, unilateral or bilateral, not being a service associated with a service to which item 36818 or 36821 applies (AU 5)

$151.90

36827

Cystoscopy, with controlled hydro-dilatation of the bladder (AU 5)

$163.75

36830

Cystoscopy, with ureteric meatotomy (AU 5)

$144.75

36833

Cystoscopy with removal of foreign body (AU 6)

$196.95

36836

Cystoscopy with biopsy of bladder, not being a service associated with a service to which item 36812, 36830, 36839, 36845, 36848, 36854, 37203, 37206 or 37215 applies (AU 6)

$163.75

36839

Cystoscopy with resection or diathermy of bladder tumour or other lesion of the bladder or prostate, not being a service associated with a service to which item 36845 applies (AU 6)

$230.20

36842

Cystoscopy with lavage of blood clots from bladder including any associated diathermy of prostate or bladder and not being a service associated with a service to which item 36812, items 36827 to 36863 or items 37203 and 37206 apply (AU 8)

$231.65

36845

Cystoscopy with diathermy or resection of multiple bladder tumours in more than 2 quadrants of the bladder or solitary tumour greater than 2 cm in diameter (AU 6)

$492.45

36848

Cystoscopy with resection of ureterocele (AU 5)

$163.75

36851

Cystoscopy with injection into bladder wall (AU 5)

$163.75

36854

Cystoscopy with endoscopic incision or resection of external sphincter, bladder neck or both (AU 7)

$332.25

36857

Endoscopic manipulation or extraction of ureteric calculus (AU 6)

$261.05

36860

Endoscopic examination of intestinal conduit or reservoir (AU 5)

$118.65

36863

Litholapaxy, with or without cystoscopy (AU 7)

$332.25

37000

Bladder, partial excision of (AU 13)

$528.05

37003

Bladder, repair of rupture (G) (AU 13)

$379.70

37004

Bladder, repair of rupture (S) (AU 13)

$462.75

37007

Cystostomy or cystotomy, suprapubic, not being a service to which item 37011 applies and not being a service associated with other open bladder procedure (G) (AU 8)

$237.30

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 (S) (AU 8)

$296.65

37011

Suprapubic stab cystotomy (AU 6)

$66.45

37014

Bladder, total excision of (AU 29)

$759.40

37017

Bladder tumours, suprapubic diathermy of (AU 10)

$492.45

37020

Bladder diverticulum, excision or obliteration of (AU 10)

$528.05

37023

Vesical fistula, cutaneous, operation for (AU 12)

$296.65

37026

Cutaneous vesicostomy, establishment of (AU 9)

$296.65

37029

Vesico-vaginal fistula, closure of by abdominal approach (AU 12)

$658.55

37032

Vesico-vaginal fistula, closure of, synchronous combined approach, abdominal component, including aftercare (AU 12)

$593.30

37035

Vesico-vaginal fistula, closure of, synchronous combined approach, vaginal component, including aftercare

$427.15

37038

Vesico-intestinal fistula, closure of, excluding bowel resection (AU 11)

$492.75

37041

Bladder aspiration, by needle

$33.20

37044

Bladder, stress incontinence, suprapubic procedure for, not being a service to which item 35599 applies (AU 9)

$492.75

37047

Bladder enlargement using intestine (AU 23)

$1,186.60

37050

Bladder extrophy closure, not involving sphincter reconstruction (AU 14)

$528.05

37053

Bladder transection and re-anastomosis to trigone (AU 16)

$610.25

37200

Prostatectomy, open (AU 13)

$723.80

37203

Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies (AU 10)

$824.70

37206

Prostatectomy (endoscopic), 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 initial procedure which had to be discontinued for medical reasons (AU 9)

$397.50

37209

Prostate, total excision of (AU 13)

$919.60

37212

Prostate, open perineal biopsy or open drainage of abscess (AU 6)

$196.95

37215

Prostate, biopsy of, endoscopic, with or without cystoscopy (AU 6)

$296.65

37218

Prostate, needle biopsy of, or injection into (AU 5)

$98.50

37219

Prostate, transrectal needle biopsy of, using transrectal prostatic ultrasound techniques and obtaining 1 or more than 1 prostatic specimen, being a service associated with a service to which item 55300 or 55303 applies (AU 6)

$200.00

37221

Prostatic abscess, endoscopic drainage of (AU 7)

$332.25

37300

Urethral sounds, passage of, as an independent procedure (AU 5)

$33.20

37303

Urethral stricture, dilatation of (AU 5)

$52.80

37306

Urethra, repair of rupture of distal section (AU 9)

$462.75

37309

Urethra, repair of rupture of prostatic or membranous segment (AU 10)

$658.55

37312

Urethral fistula, closure of (AU 8)

$196.95

37315

Urethroscopy, as an independent procedure (AU 5)

$98.50

37318

Urethroscopy, with any 1 or more of; biopsy, diathermy or removal of foreign body or stone (AU 7)

$196.95

37321

Urethral meatotomy, external (AU 4)

$66.45

37324

Urethrotomy or urethrostomy, internal or external (AU 5)

$163.75

37327

Urethrotomy, optical, for urethral stricture (AU 5)

$230.20

37330

Urethrectomy, partial or complete, for removal of tumour (AU 9)

$462.75

37333

Urethro-vaginal fistula, closure of (AU 9)

$397.50

37336

Urethro-rectal fistula, closure of (AU 10)

$528.05

37339

Peri-urethral injection of Teflon, including urethroscopy and cystoscopy (AU 5)

$170.85

37342

Urethroplasty — single stage operation (AU 10)

$593.30

37345

Urethroplasty — 2 stage operation — first stage (AU 9)

$492.45

37348

Urethroplasty — 2 stage operation — second stage (AU 9)

$492.45

37351

Urethroplasty, not being a service to which another item in this Group applies (AU 9)

$196.95

37354

Hypospadias, meatotomy and hemi-circumcision (AU 7)

$230.20

37357

Hypospadias, glanuloplasty incorporating meatal advancement (AU 8)

$296.65

37360

Hypospadias or epispadias, with or without chordee, correction of, as a staged procedure, first stage (AU 10)

$332.25

37363

Hypospadias or epispadias, with or without chordee, correction of, as a staged procedure, second stage (AU 11)

$492.45

37366

Hypospadias or epispadias, with or without chordee, correction of, as 1 stage procedure, not being a service to which item 37357 applies (AU 13)

$593.30

37369

Urethra, excision of prolapse of (AU 7)

$132.90

37372

Urethral diverticulum, excision of (AU 8)

$332.25

37375

Urethral sphincter, reconstruction by bladder tubularisation technique or similar procedure (AU 16)

$824.70

37378

Urethra, operation for correction of male urinary incontinence, not being a service to which item 37381 or 37390 applies (AU 9)

$528.05

37381

Artificial urinary sphincter, insertion of cuff, perineal approach (AU 10)

$528.05

37384

Artificial urinary sphincter, insertion of cuff, abdominal approach (AU 16)

$824.70

37387

Artificial urinary sphincter, insertion of pressure regulating balloon and pump (AU 8)

$230.20

37390

Artificial urinary sphincter, revision or removal of, with or without replacement (AU 12)

$658.55

37393

Priapism, decompression by glanular stab caverno-sospongiosum shunt or penile aspiration with or without lavage (AU 7)

$163.75

37396

Priapism, shunt operation for, not being a service to which item 37393 applies (AU 10)

$528.05

37399

Urethral valve, destruction of, including cystoscopy and urethroscopy (AU 7)

$261.05

37402

Penis, partial amputation of (AU 8)

$332.25

37405

Penis, complete or radical amputation of (AU 12)

$658.55

37408

Penis, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (AU 8)

$332.25

37411

Penis, repair of avulsion (AU 12)

$658.55

37414

Penis, injection of, for investigation or treatment of impotence, priapism or Peyronie’s plaque

$33.20

37417

Penis, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting (AU 8)

$397.50

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 (AU 7)

$261.05

37423

Penis, lengthening by translocation of corpora (AU 14)

$658.55

37426

Penis, artificial erection device, insertion of, into 1 or both corpora (AU 8)

$694.15

37429

Penis, artificial erection device, insertion of pump and pressure regulating reservoir (AU 11)

$230.20

37432

Penis, artificial erection device, complete or partial revision or removal of components, with or without replacement (AU 11)

$658.55

37435

Penis, frenuloplasty as an independent procedure (AU 5)

$66.45

37438

Scrotum, partial excision of (AU 7)

$196.95

37441

Penis erection test for hypospadias and chordee when performed under general anaesthesia, as an independent procedure (AU 5)

$65.55

37444

Ureterolithotomy complicated by previous surgery at the same site of the same ureter (AU 12)

$711.95

37600

Spermatocele or epididymal cyst, excision of, 1 or more of, on 1 side (G) (AU 6)

$163.75

37601

Spermatocele or epididymal cyst, excision of, 1 or more of, on 1 side (S) (AU 6)

$196.95

37604

Exploration of scrotal contents, with or without fixation and with or without biopsy, unilateral (AU 5)

$196.95

37607

Retroperitoneal lymph node dissection, unilateral, not being a service associated with a service to which item 36528 applies (AU 12)

$658.55

37610

Retroperitoneal lymph node dissection, unilateral, not being a service associated with a service to which item 36528 applies, following previous similar retroperitoneal dissection, retroperitoneal irradiation or chemotherapy (AU 24)

$990.80

37613

Epididymectomy (AU 8)

$196.95

37616

Vaso-vasostomy or vaso-epididymostomy, unilateral, using the operating microscope (AU 14)

$492.45

37619

Vaso-vasostomy or vaso-epididymostomy, unilateral (AU 9)

$196.95

37622

Vasotomy or vasectomy, unilateral or bilateral (G) (AU 5)

$137.70

37623

Vasotomy or vasectomy, unilateral or bilateral (S)
(AU 5)

$163.75

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 (AU 12)

$317.25

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 (AU 12)

$378.60

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 (AU 14)

$457.70

38209

Cardiac electrophysiological study — up to and including 3 catheter investigation of any 1 or more of — syncope, atrio-ventricular conduction, sinus node function or simple ventricular tachycardia studies, not being a service associated with a service to which item 38212 applies (AU 19)

$587.65

38212

Cardiac electrophysiological study — 4 or more catheter supraventricular tachycardia investigation; or complex ventricular tachycardia investigation involving multiple ventricular tachycardia inductions, or multiple catheter mapping, or acute intravenous anti-arrhythmic drug testing with pre and post drug inductions; or catheter ablation; or intra-operative mapping; or electrophysiological services during defibrillator implantation or testing — not being a service associated with a service to which item 38209 applies (AU 27)

$977.55

38215

Selective coronary arteriography — placement of catheters and injection of opaque material (AU 14)

$322.10

38218

Selective coronary arteriography — placement of catheters and injection of opaque material with right or left heart catheterisation, or both (AU 16)

$531.15

38250

Single chamber permanent transvenous electrode, insertion of (AU 12)

$454.90

38253

Permanent pacemaker, insertion or replacement of
(AU 12)

$181.95

38256

Temporary transvenous pacemaking electrode, insertion of (AU 11)

$190.30

38259

Permanent dual chamber transvenous electrodes, insertion of (AU 12)

$596.45

38400

Thoracic cavity, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38403 applies

$27.40

38403

Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample

$54.80

38406

Pericardium, paracentesis of (excluding after-care) (AU 6)

$95.15

38409

Intercostal drain, insertion of, not involving resection of rib (excluding after-care) (AU 7)

$95.15

38410

Intercostal drain, insertion of, with pleurodesis and not involving resection of rib (excluding aftercare) (AU 7)

$117.25

38412

Percutaneous needle biopsy of lung (AU 7)

$148.95

38415

Empyema, radical operation for, involving resection of rib (AU 13)

$284.40

38418

Thoracotomy, exploratory, with or without biopsy (AU 11)

$682.60

38421

Thoracotomy, with pulmonary decortication (AU 17)

$1,091.15

38424

Thoracotomy, with pleurectomy or pleurodesis, or enucleation of hydatid cysts (AU 16)

$682.60

38427

Thoracoplasty (complete) — 3 or more ribs (AU 21)

$842.90

38430

Thoracoplasty (in stages) — each stage (AU 14)

$434.40

38436

Thoracoscopy, with or without division of pleural adhesions, including insertion of intercostal catheter, with or without biopsy (AU 7)

$177.90

38438

Pneumonectomy or lobectomy or segmentectomy (AU 18)

$1,091.15

38440

Lung, wedge resection of (AU 16)

$817.05

38441

Radical lobectomy or pneumonectomy including resection of chest wall, diaphragm, pericardium, or formal mediastinal node dissection (AU 22)

$1,292.80

38446

Thoracotomy or sternotomy, for removal of thymus or mediastinal tumour (AU 16)

$842.90

38447

Pericardiectomy via sternotomy or anterolateral thoracotomy without cardiopulmonary bypass (AU 28)

$1,091.75

38448

Mediastinum, cervical exploration of, with or without biopsy (AU 10)

$258.55

38449

Pericardiectomy via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass (AU 32)

$1,526.45

38450

Pericardium, transthoracic drainage of (AU 14)

$610.20

38452

Pericardium, sub-xyphoid drainage of (AU 12)

$408.55

38453

Tracheal excision and repair without cardiopulmonary bypass (AU 28)

$1,225.60

38455

Tracheal excision and repair of, with cardiopulmonary bypass (AU 40)

$1,657.90

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 (AU 28)

$1,091.15

38457

Pectus excavatum or pectus carinatum, repair or radical correction of (AU 16)

$1,018.75

38458

Pectus excavatum, repair of, with implantation of subcutaneous prosthesis (AU 16)

$543.00

38460

Sternal wires or wires, removal of (AU 8)

$196.10

38462

Sternotomy wound, debridement of, not involving reopening of the mediastinum (AU 12)

$232.50

38464

Sternotomy wound, debridement of, involving curettage of infected bone with or without removal of wires but not involving reopening of the mediastinum (AU 12)

$252.70

38466

Sternum, reoperation on for dihiscence or infection involving reopening of the mediastinum, with or without rewiring (AU 18)

$682.35

38468

Sternum and mediastinum, reoperation for infection of, involving muscle advancement flaps or greater omentum (AU 28)

$1,051.35

38469

Sternum and mediastinum, reoperation for infection of, involving muscle advancement flaps and greater omentum (AU 32)

$1,223.20

38470

Permanent myocardial electrode, insertion of, by thoracotomy (AU 11)

$682.60

38473

Permanent pacemaker electrode, insertion by sub-xyphoid approach (AU 11)

$408.55

38486

Aortic valve, decalcification of (AU 32)

$1,223.20

38487

Mitral valve, open valvotomy of (AU 32)

$1,223.20

38488

Valve replacement with bioprosthesis, mechanical prosthesis or unstented xenograft (AU 32)

$1,359.65

38492

Valve replacement with allograft, subcoronary or cylindrical implant (AU 36)

$1,617.45

38494

Valve, repair of (AU 32)

$1,427.25

38497

Coronary artery bypass using saphenous vein graft or grafts only, including harvesting of graft material where performed (AU 36)

$1,458.30

38500

Coronary artery bypass using single arterial graft, with or without vein graft or grafts, including harvesting of graft material where performed (AU 36)

$1,566.90

38503

Coronary artery bypass using 2 or more arterial grafts, with or without vein graft or grafts, including harvesting of graft material where performed (AU 36)

$1,701.35

38506

Left ventricular aneurysmectomy (AU 32)

$1,158.35

38509

Ischaemic ventricular septal rupture, repair of (AU 40)

$1,701.35

38512

Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving 1 atrial chamber only (AU 32)

$1,494.50

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 (AU 36)

$1,903.00

38518

Ventricular arrhythmia with mapping and muscle ablation, with or without aneurysmeotomy (AU 44)

$2,042.65

38521

Automatic defibrillator, insertion of patches for (AU 10)

$749.85

38524

Automatic defibrillator generator, insertion or replacement of (AU 10)

$205.00

38550

Ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (AU 42)

$1,360.05

38553

Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (AU 46)

$1,768.55

38556

Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (AU 50)

$2,042.65

38559

Aortic arch and ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (AU 46)

$1,634.10

38562

Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (AU 50)

$2,042.65

38565

Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (AU 52)

$2,311.55

38568

Descending thoracic aorta, repair or replacement of, without shunt or cardiopulmonary bypass (AU 32)

$1,158.35

38571

Descending thoracic aorta, repair or replacement of, using shunt or cardiopulmonary bypass (AU 36)

$1,292.80

38572

Operative management of acute rupture or dissection, in conjunction with procedures on the thoracic aorta (AU 25)

$1,415.25

38574

Deep hypothermia with cardiac arrest, in conjunction with open heart surgery

$543.00

38600

Central cannulation for cardiopulmonary bypass excluding post-operative management, not being a service associated with a service to which another item in this Subgroup applies (AU 16)

$1,091.15

38603

Peripheral cannulation for cardiopulmonary bypass excluding post-operative management (AU 13)

$682.60

38606

Intra-aortic balloon pump, percutaneous insertion of (AU 11)

$274.10

38609

Intra-aortic balloon pump, insertion of, by arteriotomy (AU 14)

$341.30

38612

Intra-aortic balloon pump, removal of, with closure of artery by direct suture (AU 14)

$382.65

38613

Intra-aortic balloon pump, removal of, with closure of artery by patch graft (AU 20)

$480.20

38615

Left or right ventricular assist device, insertion of (AU 30)

$1,091.15

38618

Left and right ventricular assist device, insertion of (AU 32)

$1,360.05

38621

Left or right ventricular assist device, removal of, as an independent procedure (AU 18)

$543.00

38624

Left and right ventricular assist device, removal of, as an independent procedure (AU 20)

$610.20

38640

Re-operation via median sternotomy, for any procedure, including any divisions of adhesions where the time taken to divide the adhesions is 45 minutes or less (AU 25)

$682.60

38650

Myomectomy or myotomy for hypertrophic obstructive cardiomyopathy (AU 32)

$1,360.05

38653

Open heart surgery, not being a service to which another item in this Group applies (AU 36)

$1,360.05

38656

Thoracotomy or median sternotomy for post-operative bleeding (AU 18)

$682.60

38659

Thoracotomy or sternotomy involving division of adhesions where the time taken to divide the adhesions exceeds 45 minutes (AU 15)

$760.20

38662

Thoracotomy or sternotomy involving division of extensive adhesions where the time taken to divide the adhesions exceeds 2 hours (AU 25)

$1,520.35

Subgroup 7 — Neurosurgical

39000

Lumbar puncture (AU 5)

$53.55

39003

Cisternal puncture

$61.05

39006

Ventricular puncture (not including burr-hole)

$113.55

39009

Subdural haemorrhage, tap for, each tap (AU 6)

$42.30

39012

Burr-hole, single, preparatory to ventricular puncture or for inspection purpose — not being a service to which another item applies (AU 11)

$169.25

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

$77.85

39015

Ventricular reservoir, external ventricular drain or intracranial pressure monitoring device, insertion of — including burr-hole (excluding after-care) (AU 12)

$267.80

39018

Cerebrospinal fluid reservoir, insertion of (AU 10)

$267.80

39100

Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (AU 8)

$169.25

39106

Neurectomy, intracranial, for trigeminal neuralgia (AU 16)

$846.25

39109

Trigeminal gangliotomy by radiofrequency, balloon or glycerol (AU 8)

$316.00

39112

Cranial nerve, intracranial decompression of, using microsurgical techniques (AU 25)

$1,097.95

39115

Percutaneous neurotomy of posterior divisions (or rami) of spinal nerves by any method, including any associated spinal, epidural or regional nerve block (payable once only in a 30 day period) (AU 6)

$70.70

39118

Percutaneous neurotomy for facet joint denervation by radio-frequency probe or cryoprobe using radiological imaging control (AU 7)

$212.10

39121

Percutaneous cordotomy (AU 9)

$449.90

39124

Cordotomy or myelotomy, laminectomy for, or operation for dorsal root entry zone (Drez) lesion (AU 13)

$1,151.50

39125

Spinal catheter, insertion of — for an automated infusion device (AU 8)

$212.30

39126

Automated subcutaneous infusion device, insertion of (AU 8)

$257.80

39127

Subcutaneous reservoir and spinal catheter for pain, insertion of (AU 8)

$337.40

39128

Automated subcutaneous infusion device and spinal catheter, insertion of (AU 11)

$470.05

39130

Percutaneous epidural electrode, insertion of 1 or more of — for spinal stimulation (AU 10)

$434.70

39131

Percutaneous epidural electrodes, management, adjustment, electronic programming and trial of stimulation of, by a medical practitioner — each day

$91.00

39133

Epidural stimulator or intrathecal infusion device, revision of (AU 7)

$113.55

39134

Spinal neurostimulator receiver or pulse generator, subcutaneous placement of (AU 8)

$242.60

39136

Percutaneous epidural implant for management of pain, removal of (AU 7)

$113.55

39139

Epidural electrode for management of pain, insertion of 1 or more of by laminectomy, including implantation of pulse generator (1 or 2 stages) (AU 18)

$765.90

39300

Cutaneous nerve (including digital nerve), primary repair of, using microsurgical techniques (AU 9)

$251.75

39303

Cutaneous nerve (including digital nerve), secondary repair of, using microsurgical techniques (AU 10)

$332.05

39306

Nerve trunk, primary repair of, using microsurgical techniques (AU 11)

$482.05

39309

Nerve trunk, secondary repair of, using microsurgical techniques (AU 12)

$508.80

39312

Nerve trunk, internal (interfasicular), neurolysis of, using microsurgical techniques (AU 11)

$283.85

39315

Nerve trunk, nerve graft to, (cable graft) including harvesting of nerve graft using microsurgical techniques (AU 16)

$733.75

39318

Cutaneous nerve (including digital nerve), nerve graft to, using microsurgical techniques (AU 12)

$455.25

39321

Nerve, transposition of (AU 8)

$337.40

39323

Percutaneous neurotomy by cryoneurotomy or radiofrequency lesion generator, not being a service to which another item applies (AU 8)

$196.10

39324

Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve, by open operation (AU 8)

$197.10

39327

Neurectomy, neurotomy or removal of tumour from deep peripheral nerve, by open operation (AU 10)

$337.40

39330

Neurolysis by open operation without transposition, not being a service associated with a service to which item 39312 applies (AU 7)

$197.10

39331

Carpal tunnel release (division of transverse carpal ligament), by any method (AU 7)

$196.10

39333

Brachial plexus, exploration of, not being a service to which another item in this Group applies (AU 11)

$283.85

39500

Vestibular nerve, section of, via posterior fossa (AU 24)

$905.15

39503

Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of (AU 28)

$680.20

39600

Intracranial haemorrhage, burr-hole craniotomy for — including burr holes (AU 11)

$337.40

39603

Intracranial haemorrhage, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (AU 18)

$851.60

39606

Fractured skull, depressed or comminuted, operation for (AU 12)

$567.70

39609

Fractured skull, compound, without dural penetration, operation for (AU 12)

$680.20

39612

Fractured skull, compound, depressed or complicated, with dural penetration and brain laceration, operation for (AU 14)

$798.05

39615

Fractured skull with rhinorrhoea or otorrhoea, cranioplasty and repair of (AU 16)

$851.60

39700

Skull tumour, benign or malignant, excision of, excluding cranioplasty (AU 27)

$396.35

39703

Intracranial tumour, cyst or other brain tissue, burr-hole and biopsy of, or drainage of, or both (AU 10)

$369.55

39706

Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (AU 18)

$792.65

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 Group applies (AU 25)

$1,130.10

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 Group applies (AU 25)

$2,040.60

39715

Pituitary tumour, removal of, by transcranial or transphenoidal approach (AU 25)

$1,413.95

39718

Arachnoidal cyst, craniotomy for (AU 15)

$621.30

39721

Craniotomy, involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling, etc (AU 16)

$567.70

39800

Aneurysm, clipping or reinforcement of sac (AU 28)

$2,035.25

39803

Intracranial arteriovenous malformation, excision of (AU 32)

$2,035.25

39806

Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping of (AU 24)

$915.85

39809

Arteriovenous malformation, craniotomy and direct embolisation of (AU 32)

$1,017.60

39812

Intracranial aneurysm or arteriovenous fistula, ligation of cervical vessel or vessels (AU 10)

$449.90

39815

Carotid-cavernous fistula, obliteration of — combined cervical and intracranial procedure (AU 40)

$1,301.50

39818

Extracranial to intracranial bypass using superficial temporal artery or saphenous vein graft (AU 32)

$1,301.50

39900

Intracranial infection, drainage of, via burr-hole — including burr-hole (AU 10)

$369.55

39903

Intracranial abscess, excision of (AU 17)

$1,130.10

39906

Osteomyelitis of skull or removal of infected bone flap, craniectomy for (AU 10)

$567.70

40000

Ventriculo-cisternostomy (Torkildsen’s operation) (AU 15)

$653.40

40003

Cranial or cisternal shunt diversion, insertion of (AU 14)

$653.40

40006

Lumbar shunt diversion, insertion of (AU 13)

$514.15

40009

Cranial, cisternal or lumbar shunt, revision or removal of (AU 12)

$374.90

40012

Third ventriculostomy (AU 15)

$733.75

40015

Subtemporal decompression (AU 26)

$454.90

40018

Lumbar cerebrospinal fluid drain, insertion of (AU 6)

$113.55

40100

Meningocele, excision and closure of (AU 13)

$492.75

40103

Myelomeningocele, excision and closure of, including skin flaps or Z plasty where performed (AU 15)

$723.05

40106

Arnold-Chiari malformation, decompression of (AU 35)

$733.75

40109

Encephalocoele, excision and closure of (AU 34)

$792.65

40112

Tethered cord, release of, including lipomeningocoele or diastematomyelia (AU 35)

$1,017.60

40115

Craniostenosis, operation for — single suture (AU 17)

$514.15

40118

Craniostenosis, operation for — more than 1 suture
(AU 20)

$680.20

40300

Intervertebral disc or discs, laminectomy for removal of (AU 12)

$680.20

40301

Intervertebral disc or discs, microsurgical discectomy of (AU 12)

$682.35

40303

Recurrent disc lesion or spinal stenosis, or both, laminectomy for — 1 level (AU 13)

$776.60

40306

Spinal stenosis, laminectomy for, involving more than 1 vertebral interspace (disc level) (AU 16)

$1,022.95

40309

Extradural tumour or abscess, laminectomy for (AU 12)

$776.60

40312

Intradural lesion, laminectomy for, not being a service to which another item in this Group applies (AU 13)

$1,044.40

40315

Craniocervical junction lesion, transoral approach for (AU 29)

$1,130.10

40318

Intramedullary tumour or arteriovenous malformation, laminectomy and radical excision of (AU 14)

$1,413.95

40321

Posterior spinal fusion, not being a service to which items 40324 and 40327 apply (AU 18)

$776.60

40324

Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together — laminectomy, including aftercare (AU 18)

$455.25

40327

Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together — posterior fusion, including aftercare

$455.25

40330

Spinal rhizolysis involving exposure of spinal nerve roots, with or without laminectomy (AU 16)

$680.20

40333

Cervical discectomy (anterior), without fusion (AU 19)

$567.70

40336

Intradiscal injection of chymopapain (discase) — 1 disc (AU 8)

$225.00

40339

Hydromyelia, plugging of obex for, with or without duroplasty (AU 25)

$1,130.10

40342

Hydromyelia, craniotomy and laminectomy for, with cavity packing and CSF shunt (AU 25)

$1,044.40

40600

Cranioplasty, reconstructive (AU 16)

$680.20

40700

Corpus callosum, anterior section of, for epilepsy (AU 25)

$1,242.55

40703

Corticectomy, topectomy or partial lobectomy for epilepsy (AU 23)

$1,044.40

40706

Hemispherectomy for intractible epilepsy (AU 40)

$1,526.40

40709

Burr-hole placement of intracranial depth or surface electrodes (AU 15)

$369.55

40712

Intracranial electrode placement via craniotomy (AU 21)

$744.45

40800

Stereotactic anatomical localisation, as an independent procedure (AU 17)

$454.90

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 (AU 25)

$1,243.40

40803

Intracranial stereotactic procedure by any method, not being a service to which item 40800 or 40801 applies (AU 17)

$851.60

Subgroup 8 — Ear, Nose