Health Insurance (1993-1994 General Medical Services Table) Regulations
Statutory Rules 1993 No. 272 as amended
made under the
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[Note: These regulations were repealed by SR 1994 No. 362]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
These Regulations may be cited as the Health Insurance (1993-1994 General Medical Services Table) Regulations.
These Regulations commence on 1 November 1993.
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) 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.
(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.
(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 non‑operative 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 $13.15 for each additional 15 minutes or part thereof for continuous attendance by the medical practitioner beyond the first hour.
36 Histopathological proof of malignancy in certain cases for purposes of certain items relating to surgical procedures
For the purposes of items 30196 to 30203, the requirement for histopathological proof of malignancy is satisfied where multiple lesions are to be removed from the one anatomical region if a single lesion from that region is histologically tested and proven positive for malignancy.
Item | Service | Fee ($) | ||
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 | $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) | $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 | $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 | $1,551.40 | ||
30596 | Splenorrhaphy or partial splenectomy for trauma | $639.05 | ||
30597 | Splenectomy (AU 13) | $513.00 | ||
30599 | Splenectomy, for massive spleen (weighing more than 1500gms) or involving thoracoabdominal incision | $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 | $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 | $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 | $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 | $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 | $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 | $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 | $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 | $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) | $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 | $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 | $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 |