Statutory Rules 1994   No. 362

 

_______________

 

Health Insurance (1994-1995 General Medical Services Table) Regulations

 

TABLE OF PROVISIONS

Regulation  Page

1. Citation 1

2. Commencement 2

3. Repeal of Health Insurance (1993-1994 General Medical Services Table) Regulations              2

4. General medical services table 2

 SCHEDULE 3

TABLE OF GENERAL MEDICAL SERVICES

Part

1 Rules of Interpretation 3

2 Services and Fees 26

Group

 Subgroup

ATTENDANCES

A1

General Practitioner Attendances to which no other Item applies

26

 

TABLE OF PROVISIONS

Group

 Subgroup  Page

A2

Other Non-referred Attendances to which no other Item applies

36

A3

Emergency After Hours Attendances to which no other Item applies

45

A4

Specialist Attendances to which no other Item applies

46

A5

Consultant Physician Attendances to which no other Item applies

48

A6

Consultant Psychiatrist Attendances to which no other Item applies

50

A7

Prolonged Attendances to which no other Item applies

55

A8

Group Therapy

57

A9

Acupuncture

58

A10

Contact lenses

58

A11

Optometrical Consultations

61

 

DIAGNOSTIC PROCEDURES AND INVESTIGATIONS

73

D1

Miscellaneous Diagnostic Procedures and Investigations

73

1

Neurology

73

2

Ophthalmology

74

3

Otolaryngology

76

4

Respiratory

78

5

Vascular

81

6

Cardiovascular

84

7

Gastroenterology and Colorectal

87

8

Genito-Urinary Physiological Investigations

87

9

Allergy Testing

89

10

Other Diagnostic Procedures and Investigations

90

D2

Nuclear Medicine (Non-imaging)

90

 

THERAPEUTIC PROCEDURES

90

T1

Miscellaneous Therapeutic Procedures

91

1

Hyperbaric Oxygen Therapy

91

2

Dialysis

92

3

Assisted Reproductive Services

93

4

Paediatric and Neonatal

95

TABLE OF PROVISIONS

Group

 Subgroup  Page

5

Cardiovascular

96

6

Gastroenterology

96

7

Perfusion

97

8

Haemotology

97

9

Procedures Associated with Intensive Care and Cardiopulmonary Support

98

10

Management and Procedures Undertaken in an Intensive Care Unit

99

11

Chemotherapeutic Procedures

101

12

Dermatology

103

13

Other Therapeutic Procedures

104

T2

Radiation Oncology

104

1

Superficial

104

2

Orthovoltage

105

3

Megavoltage

106

4

Brachytherapy

107

5

Computerised Planning

113

T3

Therapeutic Nuclear Medicine

116

T4

Obstetrics

116

T5

Assistance in the Administration of an Anaesthetic

120

T6

Anaesthetics

120

1

Examination by an Anaesthetist

120

2

Administration of an Anaesthetic in connection with a Medical Service

121

3

Administration of an Anaesthetic in connection with a Dental Service

138

T7

Regional or Field Nerve Blocks

139

T8

Surgical Operations

144

1

General

144

2

Colorectal

187

3

Vascular

197

4

Gynaecological

221

5

Urological

238

6

Cardio-thoracic

259

7

Neurosurgical

271

8

Ear, Nose and Throat

283

9

Ophthalmology

299

10

Operations for Osteomyelitis

316

TABLE OF PROVISIONS

Group

 Subgroup  Page

11

Paediatric

317

12

Amputations

326

13

Plastic and Reconstructive Surgery

328

14

Hand Surgery

350

15

Orthopaedic

361

T9

Assistance at Operations

418

 

ORAL AND MAXILLOFACIAL SERVICES

418

O1

Consultations

418

O2

Assistance at Operation

419

O3

General Surgery

419

O4

Plastic and Reconstructive

428

O5

Preprosthetic

433

O6

Neurosurgical

435

O7

Ear, Nose and Throat

436

O8

Temporomandibular Joint

437

O9

Treatment of Fractures

439

 

TREATMENT OF CLEFT LIP AND CLEFT PALATE CONDITIONS

442

C1

Orthodontic Services

442

C2

Oral and Maxillofacial Surgical Services

446

C3

General and Prosthodontic Services

449

 

 

 

Statutory Rules 1994   No. 3621

__________________

Health Insurance (1994-1995 General Medical Services Table) Regulations

I, The Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.

Dated 25 October 1994.

 

 

 

 BILL HAYDEN

 Governor-General

By His Excellency’s Command,

 

 

CARMEN LAWRENCE

Minister for Human Services and Health

____________

Citation

 1. These Regulations may be cited as the Health Insurance (1994-1995 General Medical Services Table) Regulations.

Commencement

 2. These Regulations commence on 1 November 1994.

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

 3. Statutory Rules 1993 No. 272 and 1994 No. 112 are repealed.

General medical services table

 4. The table of medical services (other than diagnostic imaging services and pathology services) set out in the Schedule is prescribed for the purposes of subsection 4 (1) of the Health Insurance Act 1973.

________________

 


SCHEDULE                          Regulation 4

 

TABLE OF GENERAL MEDICAL SERVICES

 

PART 1—RULES OF INTERPRETATION

General

 1. (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 1 specialist or consultant physician in the specialty of intensive care who is immediately available and exclusively rostered to the intensive care unit 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 another 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 1 consultant physician in paediatric medicine who is immediately available and exclusively rostered to the intensive care unit 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 made to a specialist who is an ophthalmologist—an optometrist; and

 (c) if the referral:

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

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

  a dental practitioner; and

 (d) if the referral:

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

 (ii) is made 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, a reference by number in an item to a combined anaesthetic unit value is a reference to the number that is calculated using the formula:

n1 + n2

where:

n1 is:

 (a) if the service in connection with which the anaesthetic is administered is a service described in another item to which rule 5 applies—the number by which B is multiplied in the application of the formula set out in that rule in the other item; and

 (b) in any other case—0;

n2 is:

 (a) if the service in connection with which the anaesthetic is administered is a service described in another item to which rule 5 applies—the number by which T is multiplied in the application of the formula set out in that rule in the other item; and

 (b) in any other case—the number of whole periods of:

 (i) 15 minutes in a period of up to 6 hours; and

 (ii) 10 minutes in any period in excess of that period;

  that commences when the medical practitioner begins to prepare his or her patient for anaesthesia and ends when he or she ceases to attend the patient.

Meaning of symbols “(S)” and “(G)”

 2. (1) An item including the symbol “(S)” applies only to a service provided 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 provided to a patient who has been referred to the specialist; and

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

 (b) a service that:

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

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

 (c) a service that:

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

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

 (d) a service that:

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

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

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

Meaning of “single course of treatment” in certain circumstances

 3. (1) In subrule 1 (1), rules 2 and 6 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.

Meaning of “professional attendance” in certain items

 4. 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 than 1, 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 provided to the patient.

Administration of anaesthetics in connection with certain services

 5. If a general anaesthetic is administered in connection with a service specified in an item that includes the formula:

Anaes. n = n1 B + n2 T

where:

 (a) n  is a number; and

 (b) n1 and n2 are other numbers;

the service that is provided by the medical practitioner who administers the anaesthetic is the service described in item n.

Interpretation of items 104 to 159

 6. (1) In items 104 to 159, a reference to an attendance on a patient by a specialist, or consultant physician, in the practice of his or her specialty if 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 provide 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 provided more than 12 months (or such other period, if any, set by the referring practitioner in, or in connection with, the referral) before the attendance; and

 (ii) a later referral has not been made.

 (2) 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.

Meaning of “Amount under rule 7” in certain items

 7. (1) In items 13, 19 and 20, “Amount under rule 7” 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 $17.20 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 7” 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 $17.20 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 7” 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 $17.20 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 7” 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 patients—an amount equal to $17.20 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 7” 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 7” 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 7” 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 7” 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.

Items 10809 and 10929 not to apply in certain circumstances

 8. Items 10809 and 10929 do not apply if the patient requires contact lenses only for 1, or more than 1, 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.

Application of items 10921 to 10929

 9. (1) For the purposes of items 10921 to 10929, a patient has an ocular condition that 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.

Personal attendance by medical practitioners generally

 10. (1) The items mentioned in subrule (2) apply only to a service provided 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, 11304, 11500, 11600, 11601, 11627, 11701,11712, 11921, 12000, 12003, 13000, 13003, 13006, 13009, 13100, 13103, 13106, 13109, 13112, 13209, 13300, 13303, 13306, 13309, 13312, 13315, 13318, 13400, 13500, 13503, 13506, 13600, 13603, 13606, 13609, 13700, 13703, 13706, 13709, 13815, 13818, 13830, 13839, 13842, 13845, 13848, 13851, 13854, 13857, 13870, 13873, 13876, 13879, 13882, 13885, 13888, 14200, 14203, 14206, 14209, 14212, 16000 to 16552 and 16558 to 51309.

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

Personal attendance by certain medical practitioners

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

 (a) a medical practitioner other than a medical practitioner employed by the proprietor of a hospital 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) provides 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, 11304, 11500, 11600, 11601, 11627, 11701, 11712, 11921, 12000, 12003, 13000, 13003, 13006, 13009, 13100, 13103, 13106, 13109, 13112, 13209, 13300, 13303, 13306, 13309, 13312, 13315, 13318, 13400, 13500, 13503, 13506, 13600, 13603, 13606, 13609, 13700, 13703, 13706, 13709, 13815, 13818, 13830, 13839, 13842, 13845, 13848, 13851, 13854, 13857, 13870, 13873, 13876, 13879, 13882, 13885, 13888, 14200, 14203, 14206, 14209, 14212, 16000 to 16552 and 16558 to 51309.

Certain services may be provided by persons other than medical practitioners

 12. (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 15536 and 16555.

Conditions under which certain services to be provided

 13. Items 11309, 11312, 11315, 11318 and 11321 apply only to a service provided:

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

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

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

Application of items 51700 to 53455

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

Meaning of “administration of an anaesthetic” in items 18102 to 18118

 15. 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.

Meaning of “prescribed location” in item 18013

 16. 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) Prince of Wales Hospital, Randwick, New South Wales;

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

 (f) Royal Melbourne Hospital, Parkville, Victoria;

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

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

 (i) Austin Hospital, Heidelberg, Victoria;

 (j) Princess Alexandra Hospital, Woolloongabba, Queensland;

 (k) Royal Brisbane Hospital, Herston, Queensland;

 (l) Townsville Hospital, Townsville, Queensland;

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

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

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

 (p) Poyal Perth Hospital, Perth, Western Australia;

 (q) Royal Hobart Hospital, Hobart, Tasmania;

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

Meaning of “Amount under rule 17” in certain items

 17. In an item mentioned in subparagraph (b) (i), (ii), (iii), (iv), (v) or (vi), “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 radiotherapy treatment of the kind mentioned in the first-mentioned item when given for 1 field only; and:

 (b) the following amount:

 (i) for item 15003—$12.35 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or

 (ii) for item 15103—$13.60 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or

 (iii) for item 15109—$16.35 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or

 (iv) for item 15204—$21.45 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or

 (v) for item 15208—$21.45 for each field separately treated in excess of 1 up  to a maximum of 5 additional fields; or

 (vi) for item 15214—$18.05 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.

Meaning of “Amount under rule 18” in certain items

 18. In an item mentioned in subparagraph (b) (i) or (ii), “Amount under rule 18” 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 for 1 field only; and

 (b) the following amount:

 (i) for item 15009—$13.40 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or

 (ii) for item 15115—$34.05 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.

Meaning of “Amount under rule 19” in certain items

 19. In an item to which paragraph (a) or (b) applies, “Amount under rule 19” 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).

Meaning of “(AD)” in Group C2—Oral and maxillofacial surgical services and Group C3—General and Prosthodontic services

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

Orthodontic services

 21. (1) In this rule:

“accredited orthodontist” means:

 (a) a dental practitioner who is:

 (i) registered or licensed as an orthodontist under the relevant law ; and

 (ii) accredited by the Minister for the purposes of this rule; or

 (b) a dental practitioner:

 (i) who is not registered or licensed under the relevant law as an orthodontist or who practises in a State or Territory in which there is no provision for the registration or licensing of orthodontists; and

 (ii) whose qualifications or experience demonstrate to the Committee his or her competence in the field of orthodontics that is applicable to the giving of the services specified in items 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 provided to a patient, means the law of the State or Territory in which the service is provided 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 provided by an accredited orthodontist.

Oral surgery services

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

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

 (a) registered under the relevant law as an oral and maxillofacial 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.

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

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

Meaning of “treatment cycle of a patient”

 24. In rule 25 and items 13200 to 13221, “treatment cycle of a patient” means a series of treatments of the patient that:

 (a) begins:

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

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

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

Certain assisted reproductive services provided as part of treatment cycle

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

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

 26. 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.

Meaning of “embryology laboratory services” in items 13200 and 13206

 27. 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.

Meaning of “confinement” in certain items

 28. 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.

Certain obstetrical procedures constitute a single operation

 29. 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.

Meaning of “maxilla” in certain items

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

Items 46300 to 46534 apply only in certain circumstances

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

Meaning of “closed reduction” and “open reduction” in items 47000 to 50239

 32. 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.

Services in association with spinal fusion services

 33. 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.

Meaning of “Amount under rule 34” in items 51303 and 51803

 34. In items 51303 and 51803, “Amount under rule 34”, 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.

Meaning of “Amount under rule 35” in item 51309

 35. (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.

Meaning of “Amount under rule 36” in item 18219

 36. (1) In item 18219, “Amount under rule 36” 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 $13.70 for each additional period of 15 minutes, or part of a period of 15 minutes, for continuous attendance by the medical practitioner beyond the first hour.

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

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

 

PART 2—SERVICES AND FEES

 

ATTENDANCES

 

GROUP A1—GENERAL PRACTITIONER ATTENDANCES TO WHICH NO OTHER ITEM APPLIES

 

Item

Service

Fee

 

 

 

 

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

   $11.50

 

 

 

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

   $28.85

 

 

 

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 7

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 7

 

 

 

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 7

 

 

 

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

   $24.30

 

 

 

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

   $41.50

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7

 

 

 

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

   $43.85

 

 

 

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

   $61.15

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7

 

 

 

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

   $64.60

 

 

 

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

   $81.90

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7

 

 

 

 

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 7

 

 

 

 

 

 

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7

 

 

 

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 7


 

 

 

 

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

   $45.80

 

 

 

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

   $45.80

 

 

 

 

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

   $61.75

 

 

 

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

   $30.90

 

 

 

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

   $50.80

 

 

 

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

   $90.45

 

 

 

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

   $57.20

 

 

 

 

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

  $108.80

 

 

 

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

   $54.45

 

 

 

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

   $30.90

 

 

 

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

  $132.05

 

 

 

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

   $79.80

 

 

 

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

   $57.45


 

 

 

 

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

   $31.20

 

 

 

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

   $62.40

 

 

 

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

   $91.45

 

 

 

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

  $126.25

 

 

 

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

  $153.85

 

 

 

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

   $57.30

 

 

 

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

   $90.00

 

 

 

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

  $124.80

 

 

 

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

  $150.95

 

 

 

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

  $179.95

 

 

 

153

Attendance for electroconvulsive therapy, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (Anaes. 17705 = 4B + 1T)

   $50.65

 

 

 

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 hours 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

   $35.60

 

 

 

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 hours 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

   $47.25

 

 

 

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 hours 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

   $69.85

 

 

 

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

   $37.70

 

 

 

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

   $84.85

 

 

 

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 4 times in any 12 month period

   $37.70

 

 

 

 

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

   $88.10

 

 

 

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

  $143.90

 

 

 

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

  $199.70

 

 

 

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

  $255.45

 

 

 

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

  $308.35


 

 

 

 

GROUP A8—GROUP THERAPY

 

 

 

 

170

Professional attendance for the purpose of group therapy of not less than 1 hours 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

   $92.60

 

 

 

171

Professional attendance for the purpose of group therapy of not less than 1 hours 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

   $97.60

 

 

 

172

Professional attendance for the purpose of group therapy of not less than 1 hours 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

  $118.75


 

 

 

 

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

   $21.65

 

 

 

 

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

   $87.85

 

 

 

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

   $87.85

 

 

 

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

   $87.85

 

 

 

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

   $87.85

 

 

 

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)

   $87.85

 

 

 

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

   $87.85

 

 

 

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

   $87.85

 

 

 

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

   $87.85

 

 

 

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

   $87.85

 

 

 

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

    $6.30

 

 

 

 

GROUP A11—OPTOMETRICAL CONSULTATIONS

 

 

 

 

10900

Professional attendance, not being an attendance covered by item 10906, 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

   $50.80

 

 

 

10902

Professional attendance, not being an attendance covered by item 10906, 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, 10904 or 10906 applies

   $50.80

 

 

 

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

   $50.80

 

 

 

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

   $50.80

 

 

 

10906

Professional attendance, not being an attendance to which item 10908 or 10909 applies, of not more than 15 minutes duration 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.

   $25.45

 

 

 

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, 10904 or 10906 applies

   $25.45

 

 

 

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, and the attendance follows an attendance covered by item 10908 or 10909

   $25.45

 

 

 

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, 10904 or 10906 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

  $128.00

 

 

 

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

  $128.00

 

 

 

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

  $128.00

 

 

 

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

  $128.00

 

 

 

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)

  $128.00

 

 

 

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

  $128.00

 

 

 

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

  $128.00

 

 

 

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

  $128.00

 

 

 

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

  $128.00


 

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 (Anaes. 17708 = 5B + 3T)

   $88.70

 

 

 

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

  $234.95

 

 

 

11006

Electroencephalography, temporosphenoidal

  $120.45

 

 

 

11009

Electrocorticography

  $164.25

 

 

 

11012

Neuromuscular electrodiagnosis—conduction studies on 1 nerve or electromyography of 1 or more muscles using concentric needle electrodes or both these examinations (not being a service associated with a service to which item 11015 or 11018 applies)

   $80.75

 

 

 

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)

  $108.15

 

 

 

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)

  $161.55

 

 

 

11021

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

  $108.15

 

 

 

11024

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

   $82.15

 

 

 

11027

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

  $121.85

 

 

 

 

Subgroup 2—Ophthalmology

 

 

 

 

11200

Provocative test or tests for glaucoma, including water drinking

   $29.40

 

 

 

11203

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

   $49.75

 

 

 

11206

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

   $79.30

 

 

 

11209

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

  $117.55

 

 

 

11212

Optic fundi, examination of following intravenous dye injection

   $50.60

 

 

 

11215

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

   $98.45

 

 

 

11218

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

  $121.70

 

 

 

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

   $54.30

 

 

 

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

   $32.75

 

 

 

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    

    $5.70

 

 

 

 

Subgroup 3—Otolaryngology

 

 

 

 

11300

Brain stem evoked response audiometry  (Anaes. 17707 = 5B + 2T)

  $138.80

 

 

 

11303

Electrocochleography, extratympanic method, 1 or both ears

  $138.80

 

 

 

11304

Electrocochleography, transtympanic membrane insertion technique, 1 or both ears

  $228.60

 

 

 

11306

Non-determinate audiometry

   $15.85

 

 

 

11309

Audiogram, air conduction

   $18.90

 

 

 

11312

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

   $26.80

 

 

 

11315

Audiogram, air and bone conduction and speech

   $35.55

 

 

 

11318

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

   $43.75

 

 

 

11321

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

   $83.20

 

 

 

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

   $23.75

 

 

 

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

   $14.25

 

 

 

11330

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

    $5.70

 

 

 

11333

Caloric test of labyrinth or labyrinths

   $32.15

 

 

 

11336

Simultaneous bithermal caloric test of labyrinths

   $32.15

 

 

 

11339

Electronystagmography

   $32.15

 

 

 

 

Subgroup 4—Respiratory

 

 

 

 

11500

Bronchospirometry, including gas analysis

  $120.45

 

 

 

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

   $99.95

 

 

 

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

   $14.80

 

 

 

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

   $25.75

 

 

 

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

   $44.60


 

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)  (Anaes. 17703 = 2B + 1T)

   $49.95

 

 

 

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 (Anaes. 17703 = 2B + 1T)

   $49.95

 

 

 

11603

Examination of peripheral vessels at rest (unilateral or bilateral) with hard copy recordings of wave forms, involving 1 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

   $37.25

 

 

 

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)

   $52.85

 

 

 

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)

   $68.50

 

 

 

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)

   $68.50

 

 

 

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

   $54.70

 

 

 

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

   $48.65

 

 

 

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)

   $73.30

 

 

 

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)

   $97.30

 

 

 

11627

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

  $164.95


 

Subgroup 6—Cardiovascular

 

 

 

 

11700

Twelve-lead electrocardiography, tracing and report

   $25.00

 

 

 

11701

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

   $12.50

 

 

 

11702

Twelve-lead electrocardiography, tracing only

   $12.50

 

 

 

11706

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

   $52.00

 

 

 

11708

Continuous ECG recording of ambulatory patient for 12 or more hours (including resting ECG and the recording of parameters), not in association with ambulatory blood pressure monitoring, involving microprocessor based analysis equipment, interpretation and report of recordings by a specialist physician or consultant physician, not being a service to which item 11709 applies

  $102.40

 

 

 

11709

Continuous ECG recording (Holter) of ambulatory patient for 12 or more hours (including resting ECG and the recording of parameters), not in association with ambulatory blood pressure monitoring, utilising a system capable of superimposition and full disclosure printout of at least 12 hours of recorded ECG data, microprocessor based scanning analysis, with interpretation and report by a specialist physician or consultant physician

  $134.20

 

 

 

11710

Ambulatory ECG monitoring, patient activated, single or multiple event recording, utilising a looping memory recording device which is connected continuously to the patient for 12 hours or more and is capable of recording for at least 20 seconds prior to each activation and for 15 seconds after each activation, including transmission, analysis, interpretation and report—payable once in any 4 week period

   $37.35

 

 

 

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

   $20.45

 

 

 

11712

Multi channel ECG monitoring and recording during exercise (motorised treadmill or cycle ergometer capable of quantifying external workload in watts) or pharmacological stress, involving the continuous attendance of a medical practitioner for not less than 20 minutes, with resting ECG, and with or without continuous blood pressure monitoring and the recording of other parameters, on premises equipped with mechanical respirator and defibrillator

  $121.85

 

 

 

11713

Signal averaged ECG recording involving not more than 300 beats, using at least 3 leads with data acquisition at not less than 1000Hz of at least 100 QRS complexes, including analysis, interpretation and report of recording by a specialist physician or consultant physician

   $50.30

 

 

 

11715

Blood dye—dilution indicator test

   $87.20

 

 

 

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

   $25.00

 

 

 

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

   $50.30

 

 

 

 

Subgroup 7—Gastroenterology and Colorectal

 

 

 

 

 

 

 

11800

Oesophageal motility test, manometric

  $125.90

 

 

 

11810

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

  $125.90

 

 

 

11830

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

  $134.70

 

 

 

11833

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

  $180.15

 

 

 

 

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

   $19.90

 

 

 

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

   $80.10

 

 

 

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

   $80.10

 

 

 

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

  $119.05

 

 

 

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 (Anaes. 17704 = 3B + 1T)

  $119.05

 

 

 

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 (Anaes. 17704 = 3B + 1T)

  $119.05

 

 

 

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 imaging, not being a service associated with a service to which items 11012-11027, 11900-11915, 11921 and 36800 apply (Anaes. 17704 = 3B + 1T)

  $308.95

 

 

 

11921

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

   $54.10

 

 

 

 

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

   $28.05

 

 

 

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

   $42.45

 

 

 

12006

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

   $28.05

 

 

 

12009

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

   $42.45

 

 

 

 

Subgroup 10—Other Diagnostic

 

 

Procedures and Investigations

 

 

 

 

12200

Collection of specimen of sweat by iontophoresis

   $26.85

 

 

 

 

GROUP D2—NUCLEAR MEDICINE

 

 

(NON-IMAGING)

 

 

 

 

 

THERAPEUTIC PROCEDURES

 

 

 

 

12500

Blood volume estimation

  $156.20

 

 

 

12503

Erythrocyte radioactive uptake survival time test or iron kinetic test

  $306.45

 

 

 

12506

Gastrointestinal blood loss estimation involving examination of stool specimens

  $218.70

 

 

 

12509

Gastrointestinal protein loss

  $156.20

 

 

 

12512

Radioactive B12 absorption test—1 isotope

   $75.70

 

 

 

12515

Radioactive B12 absorption test—2 isotopes

  $165.85

 

 

 

12518

Thyroid uptake (using probe)

   $75.70

 

 

 

12521

Perchlorate discharge study

   $91.35

 

 

 

12524

Renal function test (without imaging procedure)

  $114.20

 

 

 

12527

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

   $61.25

 

 

 

12530

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

   $91.35

 

 

 

 

GROUP T1—MISCELLANEOUS

 

 

THERAPEUTIC PROCEDURES

 

 

 

 

 

Subgroup 1—Hyperbaric Oxygen

 

 

Therapy

 

 

 

 

13000

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

   $99.80

 

 

 

13003

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

  $161.30

 

 

 

13006

Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is not confined in the chamber (Anaes. 17714 = 8B + 6T)

  $135.35

 

 

 

13009

Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is confined in the chamber  (Anaes. 17726 = 15B + 11T)

  $199.60

 

 

 

 

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

   $98.60

 

 

 

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

   $51.35

 

 

 

13106

Declotting of an arteriovenous shunt

   $87.60

 

 

 

13109

Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis—insertion and fixation of   (Anaes. 17710 = 6B + 4T)

  $164.25

 

 

 

13112

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

   $98.60

 

 

 

 

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

$1,602.20

 

 

 

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

  $400.55

 

 

 

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

  $686.65

 

 

 

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)

   $68.65

 

 

 

13212

Oocyte retrieval by any means including laparoscopy or ultrasound-guided ova flushing, for the purposes of assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer or similar procedures—only if rendered in conjunction with a service to which item 13200 or 13206 applies (Anaes. 17707 = 4B + 3T)

  $291.80

 

 

 

13215

Transfer of embryos or both ova and sperm to the female reproductive system, by any means but excluding artificial insemination or the transfer of frozen or donated embryos—only if rendered in conjunction with a service to which item 13200 or 13206 applies, being services rendered in 1 treatment cycle (Anaes. 17709 = 6B + 3T)

   $91.55

 

 

 

13218

Preparation and transfer of frozen or donated embryos or both ova and sperm, to the female reproductive system, by any means and  including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in 1 treatment cycle and excluding a service to which item 13200, 13203, 13206, 13212 or 13215 applies (Anaes. 17709 = 6B + 3T)

  $686.65

 

 

 

13221

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

   $41.75

 

 

 

 

Subgroup 4—Paediatric and Neonatal

 

 

 

 

13300

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

   $41.05

 

 

 

13303

Umbilical artery catheterisation with or without infusion

   $60.90

 

 

 

13306

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

  $240.95

 

 

 

13309

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

  $205.40

 

 

 

13312

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

   $20.55

 

 

 

13315

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

  $164.05

 

 

 

13318

Central vein catheterisation (via jugular or subclavian vein) by open exposure, in a person under 12 years of age  (Anaes. 17709 = 5B + 4T)

  $164.05

 

 

 

 

Subgroup 5—Cardiovascular

 

 

 

 

13400

Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery   (Anaes. 17706 = 5B + 1T)

   $69.85

 

 

 

 

Subgroup 6—Gastroenterology

 

 

 

 

13500

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

  $130.10

 

 

 

13503

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

  $260.10

 

 

 

13506

Gastro-oesophageal balloon intubation, minnesota, sengstaken-blakemore or similar, for control of bleeding from gastric oesophageal varices

  $133.05

 

 

 

 

Subgroup 7—Perfusion

 

 

 

 

13600

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

  $320.10

 

 

 

13603

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

  $463.10

 

 

 

13606

Induced controlled hypothermia—total body

   $79.00

 

 

 

13609

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

  $182.30

 

 

 

 

Subgroup 8—Haematology

 

 

 

 

13700

Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation   (Anaes. 17712 = 5B + 7T)

  $240.35

 

 

 

13703

Administration of blood including collection from donor

   $86.15

 

 

 

13706

Administration of blood or bone marrow already collected

   $60.15

 

 

 

13709

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

   $34.90

 

 

 

 

Subgroup 9—Procedures Associated

 

 

with Intensive Care and

 

 

Cardiopulmonary Support

 

 

 

 

13815

Central vein catheterisation (via jugular, subclavian or femoral vein) by percutaneous or open exposure not being a service to which item 13318 applies (Anaes. 17705 = 3B + 2T)

   $61.50

 

 

 

13818

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

   $82.05

 

 

 

13830

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

   $54.30

 

 

 

13839

Arterial puncture and collection of blood for diagnostic purposes

   $16.60

 

 

 

13842

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

   $49.95

 

 

 

13845

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

  $390.20

 

 

 

13848

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

   $94.50

 

 

 

13851

Circulatory support device, management of, on first day

  $356.10

 

 

 

13854

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

   $82.75

 

 

 

13857

Mechanical ventilation, initiation of (other than initiation of ventilation in the context of an anaesthetic for surgery), outside of an Intensive Care Unit, where subsequent management of ventilatory support is undertaken in an Intensive Care Unit

  $105.60

 

 

 

 

Subgroup 10—Management and

 

 

Procedures Undertaken in an Intensive

 

 

Care Unit

 

 

 

 

13870

Management of a patient in an Intensive Care Unit by a specialist or consultant physician—including initial and subsequent attendances, electrocardiographic monitoring, arterial sampling, bladder catheterisation and blood sampling—management on the first day

  $220.10

 

 

 

13873

Management of a patient in an Intensive Care Unit by a specialist or consultant physician—including all attendances, electrocardiographic monitoring, arterial sampling, bladder catheterisation and blood sampling—management on each day subsequent to the first day

  $163.80

 

 

 

13876

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

   $49.95

 

 

 

13879

Mechanical ventilation, initiation of, by a specialist or consultant physician, in an Intensive Care Unit, including subsequent management of ventilatory support on the first day

  $159.70

 

 

 

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

   $54.30

 

 

 

13885

Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician—on the first day in an Intensive Care Unit

   $98.30

 

 

 

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

   $51.20

 

 

 

 

Subgroup 11—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 hours duration—payable once only on the same day

   $46.90

 

 

 

13918

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

   $70.65

 

 

 

13921

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

   $79.85

 

 

 

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

   $47.10

 

 

 

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 hours duration—payable once only on the same day

   $60.90

 

 

 

13930

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

   $84.95

 

 

 

13933

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

   $94.20

 

 

 

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

   $61.40

 

 

 

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

   $70.65

 

 

 

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

   $47.10

 

 

 

13945

Long-term implanted drug delivery device, accessing of

   $37.85

 

 

 

13948

Cytotoxic agent, instillation of, into a body cavity

   $47.10

 

 

 

 

Subgroup 12—Dermatology

 

 

 

 

14050

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

   $42.30

 

 

 

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

   $42.30


 

Subgroup 13—Other Therapeutic

 

 

Procedures

 

 

 

 

14200

Gastric lavage in the treatment of ingested poison

   $43.15

 

 

 

14203

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

   $36.90

 

 

 

14206

Hormone or living tissue implantation—by cannula

   $25.70

 

 

 

14209

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

   $64.05

 

 

 

14212

Intussusception, management of fluid or gas reduction for (Anaes. 17705 = 3B + 2T)

  $133.70

 

 

 

 

GROUP T2—RADIATION ONCOLOGY

 

 

 

 

 

Subgroup 1—Superficial

 

 

 

 

15000

Radiotherapy, superficial (including treatment with x-rays, radium rays or other radioactive substances), not being a service to which another item in this Group applies—each attendance at which fractionated treatment is given—1 field

   $30.65

 

 

 

15003

Radiotherapy, superficial (including treatment with x-rays, radium rays or other radioactive substances), not being a service to which another item in this Group applies—each attendance at which fractionated treatment is given—2 or more fields up to a maximum of 5 additional fields

Amount under rule 17

 

 

 

15006

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

   $68.10

 

 

 

15009

Radiotherapy, superficial—attendance at which a single dose technique is applied—2 or more fields up to a maximum of 5 additional fields

Amount under rule 18

 

 

 

15012

Radiotherapy, superficial—each attendance at which treatment is given to an eye

   $38.55

 

 

 

 

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

   $34.40

 

 

 

15103

Radiotherapy, deep or orthovoltage—each attendance at which fractionated treatment is given at 3 or more treatments per week—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)

Amount under rule 17

 

 

 

15106

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

   $40.60

 

 

 

15109

Radiotherapy, deep or orthovoltage—each attendance at which fractionated treatment is given at 2 treatments per week or less frequently—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)

Amount under rule 17

 

 

 

15112

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

   $86.70

 

 

 

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 18

 

 

 

 

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

   $33.75

 

 

 

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 17

 

 

 

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

   $33.75

 

 

 

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 17

 

 

 

15211

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

   $30.90

 

 

 

15214

Radiation oncology treatment, using cobalt unit or caesium teletherapy unit—each attendance at which treatment is given—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)

Amount under rule 17

 

 

 

 

Subgroup 4—Brachytherapy

 

 

 

 

15303

Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes. 17705 = 3B + 2T)

  $257.50

 

 

 

15304

Intrauterine treatment alone using radioactive sealed sources having a half life greater than 115 days using automatic afterloading techniques (Anaes. 17705 = 3B + 2T)

  $257.50

 

 

 

15307

Intrauterine treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (Anaes. 17705 = 3B + 2T)

  $488.15

 

 

 

15308

Intrauterine treatment alone using radioactive sealed sources having a half life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (Anaes. 17705 = 3B + 2T)

  $488.15

 

 

 

15311

Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes. 17705 = 3B + 2T)

  $240.30

 

 

 

15312

Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes. 17705 = 3B + 2T)

  $238.65

 

 

 

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 (Anaes. 17705 = 3B + 2T)

  $471.85

 

 

 

15316

Intravaginal treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (Anaes. 17706 = 3B + 3T)

  $471.85

 

 

 

15319

Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes. 17706 = 3B + 3T)

  $292.85

 

 

 

15320

Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes. 17706 = 3B + 3T)

  $292.85

 

 

 

15323

Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium, or tantalum using manual afterloading techniques (Anaes. 17706 = 3B + 3T)

  $520.75

 

 

 

15324

Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium, or tantalum using automatic afterloading techniques (Anaes. 17706 = 3B + 3T)

  $520.75

 

 

 

15327

Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using manual afterloading techniques (Anaes. 17707 = 4B + 3T)

  $566.50

 

 

 

15328

Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using automatic afterloading techniques (Anaes. 17708 = 5B + 3T)

  $566.50

 

 

 

15331

Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using manual afterloading techniques (Anaes. 17708 = 5B + 3T)

  $537.90

 

 

 

15332

Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using automatic afterloading techniques (Anaes. 17708 = 5B + 3T)

  $537.90

 

 

 

15335

Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using manual afterloading techniques (Anaes. 17705 = 3B + 2T)

  $488.15

 

 

 

15336

Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using automatic afterloading techniques (Anaes. 17705 = 3B + 2T)

  $488.15

 

 

 

15339

Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block  (Anaes. 17705 = 3B + 2T)

   $54.95

 

 

 

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

  $137.30

 

 

 

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

  $366.25

 

 

 

15348

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

   $42.10

 

 

 

15351

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

   $84.10

 

 

 

15354

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

  $102.15

 

 

 

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

   $28.85


 

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)

  $137.30

 

 

 

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)

  $176.25

 

 

 

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)

  $263.20

 

 

 

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)

  $119.05

 

 

 

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)

  $153.35

 

 

 

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)

  $222.05

 

 

 

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

   $43.50

 

 

 

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

  $192.25

 

 

 

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

  $360.50

 

 

 

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

   $44.60

 

 

 

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

  $199.15

 

 

 

15533

Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to 3 or more areas, or by mantle fields or inverted Y fields, or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields

  $377.70

 

 

 

15536

Brachytherapy planning, computerised radiation dosimetry

  $192.45


 

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

   $29.15

 

 

 

16003

Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis)  (Anaes. 17705 = 3B + 2T)

  $469.25

 

 

 

16006

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

  $360.50

 

 

 

16009

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

  $246.05

 

 

 

16012

Intravenous administration of a therapeutic dose of Phosphorous 32

  $212.85

 

 

 

 

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

   $24.45

 

 

 

16503

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

  $244.50

 

 

 

16507

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

  $293.70

 

 

 

16510

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

  $249.95

 

 

 

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

  $114.45

 

 

 

16517

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

  $629.45

 

 

 

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

  $449.90

 

 

 

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

   $15.95

 

 

 

16526

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

   $15.95

 

 

 

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

   $15.95

 

 

 

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

   $15.95

 

 

 

16536

Cervix, purse string ligation of, for threatened miscarriage  (Anaes. 17706 = 4B + 2T)

  $158.60

 

 

 

16539

Cervix, removal of purse string ligature of, under general anaesthesia  (Anaes. 17706 = 4B + 2T)

   $45.80

 

 

 

16542

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

   $15.95

 

 

 

16546

Management of second trimester labour, with or without induction 

  $213.25

 

 

 

16549

Amnioscopy or amniocentesis

   $45.80

 

 

 

16552

Chorionic villus sampling using interventional imaging techniques

  $184.95

 

 

 

16555

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

   $26.45

 

 

 

16558

Version, external, under general anaesthesia, not being a service to which items 16507 to 16517 apply (Anaes. 17706 = 4B + 2T)

   $45.80

 

 

 

16561

Version, internal, under general anaesthesia, not being a service to which items 16507 to 16517 apply (Anaes. 17706 = 4B + 2T)

   $82.05

 

 

 

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

  $124.95

 

 

 

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

  $124.95

 

 

 

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

  $249.95

 

 

 

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

  $187.45

 

 

 

 

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 where the combined anaesthetic unit value exceeds 21 units

   $98.10

 

 

 

 

GROUP T6—ANAESTHETICS

 

 

 

 

 

Subgroup 1—Examination by an

 

 

Anaesthetist

 

 

 

 

17603

Examination of a patient in preparation for the administration of an anaesthetic relating to a professional service, being an examination carried out at a place other than an operating theatre or an anaesthetic induction room

   $30.90

 

Subgroup 2—Administration of an

 

 

Anaesthetic in connection with a

 

 

Medical Service

 

 

 

 

17701

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 1

   $13.70

 

 

 

17702

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 2

   $27.40

 

 

 

17703

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 3

   $41.10

 

 

 

17704

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 4

   $54.80

 

 

 

17705

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 5

   $68.50

 

 

 

17706

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 6

   $82.20

 

 

 

17707

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 7

   $95.90

 

 

 

17708

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 8

  $109.60

 

 

 

17709

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 9

  $123.30

 

 

 

17710

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 10

  $137.00

 

 

 

17711

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 11

  $150.70

 

 

 

17712

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 12

  $164.40

 

 

 

17713

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 13

  $178.10

 

 

 

17714

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 14

  $191.80

 

 

 

17715

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 15

  $205.50

 

 

 

17716

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 16

  $219.20

 

 

 

17717

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 17

  $232.90

 

 

 

17718

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 18

  $246.60

 

 

 

17719

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 19

  $260.30

 

 

 

17720

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 20

  $274.00

 

 

 

17721

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 21

  $287.70

 

 

 

17722

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 22

  $301.40

 

 

 

17723

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 23

  $315.10

 

 

 

17724

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 24

  $328.80

 

 

 

17725

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 25

  $342.50

 

 

 

17726

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 26

  $356.20

 

 

 

17727

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 27

  $369.90

 

 

 

17728

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 28

  $383.60

 

 

 

17729

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 29

  $397.30

 

 

 

17730

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 30

  $411.00

 

 

 

17731

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 31

  $424.70

 

 

 

17732

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 32

  $438.40

 

 

 

17733

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 33

  $452.10

 

 

 

17734

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 34

  $465.80

 

 

 

17735

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 35

  $479.50

 

 

 

17736

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 36

  $493.20

 

 

 

17737

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 37

  $506.90

 

 

 

17738

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 38

  $520.60

 

 

 

17739

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 39

  $534.30

 

 

 

17740

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 40

  $548.00

 

 

 

17741

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 41

  $561.70

 

 

 

17742

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 42

  $575.40

 

 

 

17743

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 43

  $589.10

 

 

 

17744

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 44

  $602.80

 

 

 

17745

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 45

  $616.50

 

 

 

17746

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 46

  $630.20

 

 

 

17747

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 47

  $643.90

 

 

 

17748

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 48

  $657.60

 

 

 

17749

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 49

  $671.30

 

 

 

17750

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 50

  $685.00

 

 

 

17751

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 51

  $698.70

 

 

 

17752

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 52

  $712.40

 

 

 

17753

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 53

  $726.10

 

 

 

17754

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 54

  $739.80

 

 

 

17755

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 55

  $753.50

 

 

 

17756

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 56

  $767.20

 

 

 

17757

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 57

  $780.90

 

 

 

17758

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 58

  $794.60

 

 

 

17759

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 59

  $808.30

 

 

 

17760

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 60

  $822.00

 

 

 

17761

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 61

  $835.70

 

 

 

17762

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 62

  $849.40

 

 

 

17763

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 63

  $863.10

 

 

 

17764

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 64

  $876.80

 

 

 

17765

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 65

  $890.50

 

 

 

17766

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 66

  $904.20

 

 

 

17767

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 67

  $917.90

 

 

 

17768

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 68

  $931.60

 

 

 

17769

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 69

  $945.30

 

 

 

17770

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 70

  $959.00

 

 

 

17771

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 71

  $972.70

 

 

 

17772

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 72

  $986.40

 

 

 

17773

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 73

$1,000.10

 

 

 

17774

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 74

$1,013.80

 

 

 

17775

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 75

$1,027.50

 

 

 

17776

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 76

$1,041.20

 

 

 

17777

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 77

$1,054.90

 

 

 

17778

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 78

$1,068.60

 

 

 

17779

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 79

$1,082.30

 

 

 

17780

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 80

$1,096.00

 

 

 

17781

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 81

$1,109.70

 

 

 

17782

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 82

$1,123.40

 

 

 

17783

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 83

$1,137.10

 

 

 

17784

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 84

$1,150.80

 

 

 

17785

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 85

$1,164.50

 

 

 

17786

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 86

$1,178.20

 

 

 

17787

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 87

$1,191.90

 

 

 

17788

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 88

$1,205.60

 

 

 

17789

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 89

$1,219.30

 

 

 

17790

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 90

$1,233.00

 

 

 

17791

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 91

$1,246.70

 

 

 

17792

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 92

$1,260.40

 

 

 

17793

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 93

$1,274.10

 

 

 

17794

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 94

$1,287.80

 

 

 

17795

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 95

$1,301.50

 

 

 

17796

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 96

$1,315.20

 

 

 

17797

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 97

$1,328.90

 

 

 

17798

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 98

$1,342.60

 

 

 

17799

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 99

$1,356.30

 

 

 

17965

Administration of an anaesthetic in connection with radio-therapy  (Anaes.  = 7B + 4T)

  $150.70

 

 

 

17968

Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, rotation of head followed by delivery (Anaes.  = 5B + 3T)

  $109.60

 

 

 

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

   $13.20

 

 

 

17972

Administration of an anaesthetic, where the anaesthetic is prolonged

    $2.00

 

 

 

17974

Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure (Anaes.  = 5B + 5T)

  $137.00

 

 

 

17977

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

Amount under rule 19

 

 

 

17980

Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study  (Anaes.  = 7B + 4T)

  $150.70

 

 

 

17983

Administration of an anaesthetic in connection with computerised axial tomography—body scan, plain study with or without contrast medium study  (Anaes.  = 7B + 4T)

  $150.70

 

 

 

17986

Administration of an anaesthetic in connection with the removal of phaeochromocytoma (Anaes.  = 10B + 15T)

  $342.50

 

 

 

17989

Administration of an anaesthetic in connection with peripheral venous cannulation (Anaes.  = 3B + 2T)

   $68.50

 

 

 

17992

Administration of an anaesthetic in connection with peripheral venous cannulation by open exposure (Anaes.  = 3B + 2T)

   $68.50

 

 

 

17995

Administration of an anaesthetic in connection with percutaneous central venous cannulation (Anaes.  = 5B + 2T)

   $95.90

 

 

 

17998

Administration of an anaesthetic in connection with electrocochleography (insertion of electrodes and brain stem evoked response audiometry) (Anaes.  = 5B + 7T)

  $164.40

 

 

 

18001

Administration of an anaesthetic in connection with manual removal of products of conception, treatment of postpartum haemorrhage or repair of third degree tear (Anaes.  = 4B + 3T)

   $95.90

 

 

 

18004

Administration of an anaesthetic in connection with manipulative correction of acute inversion of uterus by vaginal approach (Anaes.  = 4B + 4T)

  $109.60

 

 

 

 

 

 

18007

Administration of an anaesthetic in connection with Caesarean section (Anaes.  = 10B + 5T)

  $205.50

 

 

 

18010

Administration of an anaesthetic in connection with repair of episiotomy  (Anaes.  = 3B + 2T)

   $68.50

 

 

 

18013

Administration of an anaesthetic in connection with magnetic resonance imaging services provided at prescribed locations (Anaes.  = 7B + 7T)

  $191.80

 

 

 

18016

Administration of an anaesthetic in connection with a regional or field nerve block covered by items 18216, 18219, 18230, 18232, 18233, 18234, 18236, 18280, 18284, 18286, 18288, 18290, 18292, 18294, 18296 or 18298, not being an anaesthetic administered in conjunction with an operative procedure (Anaes.  = 4B + 4T)

  $109.60

 

 

 

18019

Administration of an anaesthetic for incision and drainage of large haematoma, large abscess, cellulitis or similar lesion causing life threatening airway obstruction, or for the relief of life threatening airway obstruction due to epiglottitus (Anaes.  = 15B + 4T)

  $260.30

 

 

 

 

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 (Anaes.  = 5B + 1T)

   $82.20

 

 

 

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 (Anaes.  = 5B + 3T)

  $109.60

 

 

 

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 (Anaes.  = 5B + 2T)

   $95.90

 

 

 

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  (Anaes.  = 5B + 4T)

  $123.30

 

 

 

18113

Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (Anaes.  = 5B + 2T)

   $95.90

 

 

 

18118

Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration (Anaes.  = 5B + 6T)

  $150.70

 

 

 

 

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

   $36.20

 

 

 

18209

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

   $36.20

 

 

 

18213

Intravenous regional anaesthesia of limb by retrograde perfusion

   $64.00

 

 

 

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

  $137.00

 

 

 

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 36

 

 

 

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

   $27.15

 

 

 

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

   $36.20

 

 

 

18228

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

   $45.05

 

 

 

18230

Intrathecal, epidural or caudal injection of neurolytic substance

  $172.00

 

 

 

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

  $137.00

 

 

 

18233

Epidural injection of blood for blood patch

  $137.00

 

 

 

18234

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

   $90.10

 

 

 

18236

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

   $45.05

 

 

 

18238

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

   $27.15

 

 

 

18240

Retrobulbar or peribulbar injection of an anaesthetic agent

   $67.55

 

 

 

18242

Greater occipital nerve, injection of an anaesthetic agent

   $27.15

 

 

 

18244

Vagus nerve, injection of an anaesthetic agent

   $72.65

 

 

 

18246

Glossopharyngeal nerve, injection of an anaesthetic agent

   $72.65

 

 

 

18248

Phrenic nerve, injection of an anaesthetic agent

   $64.00

 

 

 

18250

Spinal accessory nerve, injection of an anaesthetic agent

   $45.05

 

 

 

18252

Cervical plexus, injection of an anaesthetic agent

   $72.65

 

 

 

18254

Brachial plexus, injection of an anaesthetic agent

   $72.65

 

 

 

18256

Suprascapular nerve, injection of an anaesthetic agent

   $45.05

 

 

 

18258

Intercostal nerve (single), injection of an anaesthetic agent

   $45.05

 

 

 

18260

Intercostal nerves (multiple), injection of an anaesthetic agent

   $64.00

 

 

 

18262

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

   $45.05

 

 

 

18264

Pudendal nerve, injection of an anaesthetic agent

   $72.65

 

 

 

18266

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

   $45.05

 

 

 

18268

Obturator nerve, injection of an anaesthetic agent

   $64.00

 

 

 

18270

Femoral nerve, injection of an anaesthetic agent

   $64.00

 

 

 

18272

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

   $45.05

 

 

 

18274

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

   $64.00

 

 

 

18276

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

   $90.10

 

 

 

18278

Sciatic nerve, injection of an anaesthetic agent

   $64.00

 

 

 

18280

Sphenopalatine ganglion, injection of an anaesthetic agent

   $90.10

 

 

 

18282

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

   $72.65

 

 

 

18284

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

  $106.50

 

 

 

18286

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

  $106.50

 

 

 

18288

Coeliac plexus or splanchnic nerves, injection of an anaesthetic agent

  $106.50

 

 

 

18290

Cranial nerve other than trigeminal, destruction by a neurolytic agent

  $180.15

 

 

 

18292

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

   $90.10

 

 

 

18294

Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent

  $126.95

 

 

 

18296

Lumbar sympathetic chain, destruction by a neurolytic agent

  $108.50

 

 

 

18298

Cervical or thoracic sympathetic chain, destruction by a neurolytic agent

  $126.95

 

GROUP T8—SURGICAL OPERATIONS

 

 

 

 

 

Subgroup 1—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

   $13.25

 

 

 

30003

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

   $22.20

 

 

 

30006

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

   $33.50

 

 

 

30009

Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (G) (Anaes. 17708 = 4B + 4T)

   $43.75

 

 

 

30010

Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (S) (Anaes. 17708 = 4B + 4T)

   $53.30

 

 

 

30013

Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (G) (Anaes. 17710 = 4B + 6T)

   $94.35

 

 

 

30014

Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (S) (Anaes. 17710 = 4B + 6T)

  $112.10

 

 

 

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 (Anaes. 17710 = 4B + 6T)

  $235.15

 

 

 

30020

Excision, under general anaesthesia, of burns involving more than 10% of body surface, where grafting is not carried out during the same operation (Anaes. 17715 = 4B + 11T)

  $458.00

 

 

 

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 (Anaes. 17707 = 4B + 3T)

  $235.15

 

 

 

30026

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7cms long), superficial, not being a service to which another item in Group T4 applies (Anaes. 17706 = 4B + 2T)

   $37.60

 

 

 

30029

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7cm long), involving deeper tissue, not being a service to which another item in Group T4 applies (Anaes. 17706 = 4B + 2T)

   $64.95

 

 

 

30032

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7cm long), superficial  (Anaes. 17709 = 4B + 5T)

   $59.50

 

 

 

30035

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7cm long), involving deeper tissue (Anaes. 17709 = 4B + 5T)

   $84.75

 

 

 

30038

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7cm long), superficial, not being a service to which another item in Group T4 applies (Anaes. 17709 = 4B + 5T)

   $64.95

 

 

 

30041

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7cm long), involving deeper tissue, not being a service to which another item in Group T4 applies (G) (Anaes. 17709 = 4B + 5T)

  $103.90

 

 

 

30042

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7cm long), involving deeper tissue, not being a service to which another item in Group T4 applies (S) (Anaes. 17709 = 4B + 5T)

  $134.00

 

 

 

30045

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7cm long), superficial (Anaes. 17709 = 4B + 5T)

   $84.75

 

 

 

30048

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7cm long), involving deeper tissue  (G) (Anaes. 17709 = 4B + 5T)

  $108.00

 

 

 

30049

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7cm long), involving deeper tissue  (S) (Anaes. 17709 = 4B + 5T)

  $134.00

 

 

 

30052

Repair of full thickness laceration of ear, eyelid or nose with accurate apposition of each layer of tissue  (Anaes. 17711 = 5B + 6T)

  $183.20

 

 

 

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 (Anaes. 17706 = 4B + 2T)

   $53.30

 

 

 

30058

Control of post-operative haemorrhage under general anaesthesia following perineal or vaginal operations (Anaes. 17705 = 3B + 2T)

  $103.90

 

 

 

30061

Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (Anaes. 17706 = 4B + 2T)

   $16.95

 

 

 

30064

Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (Anaes. 17707 = 4B + 3T)

   $79.30

 

 

 

30067

Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure  (G) (Anaes. 17706 = 4B + 2T)

  $161.30

 

 

 

30068

Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure  (S) (Anaes. 17706 = 4B + 2T)

  $199.60

 

 

 

30071

Biopsy of skin or mucous membrane, as an independent procedure  (Anaes. 17706 = 4B + 2T)

   $37.60

 

 

 

30074

Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G) (Anaes. 17706 = 4B + 2T)

   $84.75

 

 

 

30075

Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S) (Anaes. 17706 = 4B + 2T)

  $108.00

 

 

 

30078

Drill biopsy of lymph gland, deep tissue or organ, as an independent procedure  (Anaes. 17706 = 4B + 2T)

   $34.90

 

 

 

30081

Biopsy of bone marrow by trephine using an open approach (Anaes. 17706 = 4B + 2T)

   $79.30

 

 

 

30084

Biopsy of bone marrow by trephine using a percutaneous approach with a Jamshidi needle or similar device (Anaes. 17706 = 4B + 2T)

   $42.40

 

 

 

30087

Biopsy of bone marrow by aspiration or punch biopsy of synovial membrane  (Anaes. 17706 = 4B + 2T)

   $21.25

 

 

 

30090

Biopsy of pleura, percutaneous—1 or more biopsies on any 1 occasion (Anaes. 17706 = 4B + 2T)

   $92.70

 

 

 

30093

Needle biopsy of vertebra (Anaes. 17708 = 4B + 4T)

  $123.70

 

 

 

30094

Percutaneous aspiration biopsy of deep organ using interventional techniques—but not including imaging (Anaes. 17706 = 4B + 2T)

  $136.65

 

 

 

30096

Scalene node biopsy (Anaes. 17707 = 5B + 2T)

  $132.60

 

 

 

30099

Sinus, excision of, involving superficial tissue only  (Anaes. 17706 = 4B + 2T)

   $64.95

 

 

 

30102

Sinus, excision of, involving muscle and deep tissue (G) (Anaes. 17706 = 4B + 2T)

  $108.00

 

 

 

30103

Sinus, excision of, involving muscle and deep tissue (S) (Anaes. 17706 = 4B + 2T)

  $132.60

 

 

 

30106

Ganglion or small bursa, excision of  (G) (Anaes. 17706 = 4B + 2T)

  $112.10

 

 

 

30107

Ganglion or small bursa, excision of  (S) (Anaes. 17706 = 4B + 2T)

  $158.60

 

 

 

30110

Bursa (large), including olecranon, calcaneum or patella, excision of  (G) (Anaes. 17707 = 4B + 3T)

  $205.05

 

 

 

30111

Bursa (large), including olecranon, calcaneum or patella, excision of  (S) (Anaes. 17707 = 4B + 3T)

  $267.95

 

 

 

30114

Bursa, semimembranosus (Baker's cyst), excision of  (Anaes. 17707 = 3B + 4T)

  $267.95

 

 

 

30117

Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3cm 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) (Anaes. 17706 = 4B + 2T)

   $69.70

 

 

 

30118

Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3cm 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) (Anaes. 17706 = 4B + 2T)

   $91.60

 

 

 

30121

Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3cm 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) (Anaes. 17707 = 4B + 3T)

  $183.20

 

 

 

30122

Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3cm 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) (Anaes. 17707 = 4B + 3T)

  $235.15

 

 

 

30125

Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3cm 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) (Anaes. 17713 = 4B + 9T)

  $243.35

 

 

 

30126

Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3cm 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) (Anaes. 17713 = 4B + 9T)

  $293.95

 

 

 

30129

Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3cm 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 (Anaes. 17715 = 4B + 11T)

  $362.30

 

 

 

30132

Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3cm 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 (Anaes. 17717 = 4B + 13T)

  $499.00

 

 

 

30135

Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (G) (Anaes. 17706 = 4B + 2T)

  $102.55

 

 

 

30136

Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane  (S) (Anaes. 17706 = 4B + 2T)

  $124.40

 

 

 

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 5mm 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) (Anaes. 17707 = 4B + 3T)

  $142.20

 

 

 

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 5mm 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) (Anaes. 17707 = 4B + 3T)

  $177.75

 

 

 

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) (Anaes. 17706 = 4B + 2T)

  $235.15

 

 

 

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) (Anaes. 17706 = 4B + 2T)

  $267.95

 

 

 

30147

Malignant tumour, removal of, from skin, requiring wide and deep excision, other than removal of basal cell carcinoma (Anaes. 17707 = 4B + 3T)

  $287.10

 

 

 

30150

Malignant tumour, removal of, from skin, requiring wide and deep excision with immediate block dissection of lymph glands (Anaes. 17713 = 4B + 9T)

  $601.60

 

 

 

30153

Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin graft  (Anaes. 17708 = 4B + 4T)

  $362.30

 

 

 

30156

Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin graft (Anaes. 17709 = 4B + 5T)

  $423.80

 

 

 

30159

Malignant tumour, removal of, from any region involving a radical operation (not being an operation to which another item in this Group applies) (Anaes. 17710 = 5B + 5T)

  $601.60

 

 

 

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)  (Anaes. 17706 = 4B + 2T)

  $287.10

 

 

 

30165

Lipectomy—transverse wedge excision of abdominal apron  (Anaes. 17710 = 5B + 5T)

  $328.10

 

 

 

30168

Lipectomy—wedge excision of skin or fat (not being a service to which item 30165 applies)—1 excision (Anaes. 17710 = 4B + 6T)

  $328.10

 

 

 

30171

Lipectomy—wedge excision of skin or fat (not being a service to which item 30165 applies)—2 or more excisions (Anaes. 17712 = 4B + 8T)

  $499.00

 

 

 

30174

Lipectomy—subumbilical excision with undermining of skin edges and strengthening of musculo-aponeurotic wall (Anaes. 17712 = 5B + 7T)

  $499.00

 

 

 

30177

Lipectomy—radical abdominoplasty (Pitanguy type or similar) with excision of skin and subcutaneous tissue, repair of musculo-aponeurotic layer and transposition of umbilicus  (Anaes. 17715 = 5B + 10T)

  $710.95

 

 

 

30180

Axillary hyperhidrosis, wedge excision for (Anaes. 17706 = 3B + 3T)

   $98.45

 

 

 

30183

Axillary hyperhidrosis, total excision of sweat gland bearing area (Anaes. 17709 = 3B + 6T)

  $177.75

 

 

 

30186

Plantar wart, removal of (Anaes. 17705 = 3B + 2T)

   $34.20

 

 

 

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 (Anaes. 17705 = 4B + 1T)

  $106.25

 

 

 

30192

Premalignant skin lesions, treatment of, by galvanocautery or electrodesiccation or cryocautery (10 or more lesions)  (Anaes. 17706 = 4B + 2T)

   $28.60

 

 

 

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) (Anaes. 17706 = 4B + 2T)

   $45.80

 

 

 

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

   $91.10

 

 

 

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)

  $317.40

 

 

 

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

   $34.80

 

 

 

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)

  $122.85

 

 

 

30205

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

   $91.10

 

 

 

30207

Skin lesions, multiple injections with hydrocortisone or similar preparations

   $32.15

 

 

 

30210

Keloid and other skin lesions, extensive, multiple injections of hydrocortisone or similar preparations where undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes. 17706 = 4B + 2T)

  $117.55

 

 

 

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

   $79.20

 

 

 

30216

Haematoma, aspiration of (Anaes. 17705 = 4B + 1T)

   $19.70

 

 

 

30219

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

   $19.70

 

 

 

30222

Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (G) (Anaes. 17706 = 4B + 2T)

   $84.75

 

 

 

30223

Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (S) (Anaes. 17706 = 4B + 2T)

  $117.55

 

 

 

30224

Percutaneous drainage of deep abscess using interventional techniques—but not including imaging (Anaes. 17707 = 4B + 3T)

  $171.40

 

 

 

30225

Abscess drainage tube, exchange of using interventional techniques—but not including imaging (Anaes. 17706 = 4B + 2T)

  $193.05

 

 

 

30226

Muscle, excision of (limited) or fasciotomy (Anaes. 17706 = 4B + 2T)

  $108.00

 

 

 

30229

Muscle, excision of (extensive)  (Anaes. 17707 = 4B + 3T)

  $196.90

 

 

 

30232

Muscle, ruptured, repair of (limited), not associated with external wound (Anaes. 17707 = 4B + 3T)

  $161.30

 

 

 

30235

Muscle, ruptured, repair of (extensive), not associated with external wound  (Anaes. 17707 = 4B + 3T)

  $213.25

 

 

 

30238

Fascia, deep, repair of, for herniated muscle (Anaes. 17707 = 4B + 3T)

  $108.00

 

 

 

30241

Bone tumour, innocent, excision of, not being a service to which another item in this Group applies (Anaes. 17707 = 4B + 3T)

  $257.00

 

 

 

30244

Styloid process of temporal bone, removal of (Anaes. 17708 = 5B + 3T)

  $257.00

 

 

 

30247

Parotid gland, total extirpation of  (Anaes. 17715 = 5B + 10T)

  $533.20

 

 

 

30250

Parotid gland, total extirpation of with preservation of facial nerve (Anaes. 17718 = 5B + 13T)

  $902.35

 

 

 

30253

Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (Anaes. 17714 = 5B + 9T)

  $601.60

 

 

 

30256

Submandibular gland, extirpation of (Anaes. 17713 = 5B + 8T)

  $321.30

 

 

 

30259

Sublingual gland, extirpation of  (Anaes. 17707 = 5B + 2T)

  $142.20

 

 

 

30262

Salivary gland, dilatation or diathermy of duct  (Anaes. 17706 = 5B + 1T)

   $42.40

 

 

 

30265

Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures  (G) (Anaes. 17707 = 5B + 2T)

   $84.75

 

 

 

30266

Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (S) (Anaes. 17707 = 5B + 2T)

  $108.00

 

 

 

30269

Salivary gland, repair of cutaneous fistula of  (Anaes. 17707 = 5B + 2T)

  $108.00

 

 

 

30272

Tongue, partial excision of (Anaes. 17707 = 5B + 2T)

  $213.25

 

 

 

30275

Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation)  (Anaes. 17718 = 7B + 11T)

$1,271.50

 

 

 

30278

Tongue tie, repair of, not being a service to which another item in this Group applies (Anaes. 17707 = 5B + 2T)

   $33.50

 

 

 

30281

Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged not less than 2 years, under general anaesthesia (Anaes. 17707 = 5B + 2T)

   $86.15

 

 

 

30282

Ranula or mucous cyst of mouth, removal of  (G) (Anaes. 17709 = 5B + 4T)

  $112.10

 

 

 

30283

Ranula or mucous cyst of mouth, removal of (S) (Anaes. 17709 = 5B + 4T)

  $147.65

 

 

 

30286

Branchial cyst, removal of (Anaes. 17709 = 5B + 4T)

  $287.10

 

 

 

30289

Branchial fistula, removal of (Anaes. 17709 = 5B + 4T)

  $362.30

 

 

 

30293

Cervical oesophagostomy; or closure of cervical oesophagostomy with or without plastic repair (Anaes. 17715 = 6B + 9T)

  $321.30

 

 

 

30294

Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction; or laryngopharyngectomy with tracheostomy and plastic reconstruction (Anaes. 17723 = 6B + 17T)

$1,271.50

 

 

 

30296

Thyroidectomy, total (Anaes. 17716 = 6B + 10T)

  $738.40

 

 

 

30297

Thyroidectomy following previous thyroid surgery (Anaes. 17716 = 6B + 10T)

  $738.40

 

 

 

30306

Total hemithyroidectomy (Anaes. 17714 = 6B + 8T)

  $576.05

 

 

 

30308

Bilateral subtotal thyroidectomy (Anaes. 17714 = 6B + 8T)

  $576.05

 

 

 

30309

Thyroidectomy, subtotal for thyrotoxicosis (Anaes. 17716 = 6B + 10T)

  $738.40

 

 

 

30310

Thyroid, unilateral sub-total thyroidectomy or equivalent partial thyroidectomy (Anaes. 17711 = 6B + 5T)

  $329.95

 

 

 

30313

Thyroglossal cyst, removal of (Anaes. 17711 = 6B + 5T)

  $196.90

 

 

 

30314

Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone (Anaes. 17711 = 6B + 5T)

  $329.95

 

 

 

30315

Parathyroid operation for hyperparathyroidism (Anaes. 17716 = 6B + 10T)

  $822.20

 

 

 

30317

Cervical re-exploration for recurrent or persistent hyperparathyroidism  (Anaes. 17720 = 6B + 14T)

  $984.55

 

 

 

30318

Mediastinum, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy) (Anaes. 17715 = 6B + 9T)

  $654.60

 

 

 

30320

Mediastinum, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy) (Anaes. 17717 = 6B + 11T)

  $984.55

 

 

 

30321

Retroperitoneal neuroendocrine tumour, removal of (Anaes. 17722 = 10B + 12T)

  $654.60

 

 

 

30323

Retroperitoneal neuroendocrine tumour, removal of, requiring complex and extensive dissection (Anaes. 17730 = 10B + 20T)

  $984.55

 

 

 

30324

Adrenal gland tumour, excision of (Anaes. 17725 = 10B + 15T)

  $984.55

 

 

 

30325

Lymph glands of neck, limited excision of (Anaes. 17708 = 6B + 2T)

  $267.95

 

 

 

30328

Lymph glands of neck, radical excision of  (Anaes. 17720 = 6B + 14T)

  $710.95

 

 

 

30329

Lymph glands of groin, limited excision of (Anaes. 17709 = 3B + 6T)

  $178.05

 

 

 

30330

Lymph glands of groin, radical excision of (Anaes. 17713 = 3B + 10T)

  $518.45

 

 

 

30332

Lymph glands of axilla, limited excision of (Anaes. 17709 = 5B + 4T)

  $178.05

 

 

 

30333

Lymph glands of axilla, radical excision of (Anaes. 17713 = 5B + 8T)

  $518.45

 

 

 

30337

Simple mastectomy with or without frozen section biopsy  (G) (Anaes. 17708 = 5B + 3T)

  $235.15

 

 

 

30338

Simple mastectomy with or without frozen section biopsy  (S) (Anaes. 17708 = 5B + 3T)

  $321.30

 

 

 

30341

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G) (Anaes. 17705 = 3B + 2T)

  $142.20

 

 

 

30342

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S) (Anaes. 17705 = 3B + 2T)

  $184.90

 

 

 

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) (Anaes. 17706 = 3B + 3T)

  $188.65

 

 

 

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) (Anaes. 17706 = 3B + 3T)

  $235.15

 

 

 

30349

Partial mastectomy involving more than 25% of the breast tissue, with or without frozen section biopsy (G) (Anaes. 17706 = 3B + 3T)

  $188.65

 

 

 

30350

Partial mastectomy involving more than 25% of the breast tissue, with or without frozen section biopsy  (S) (Anaes. 17706 = 3B + 3T)

  $235.15

 

 

 

30353

Breast, extended simple mastectomy with or without frozen section biopsy (Anaes. 17709 = 3B + 6T)

  $423.80

 

 

 

30356

Subcutaneous mastectomy with or without frozen section biopsy (Anaes. 17709 = 3B + 6T)

  $396.45

 

 

 

30359

Breast, radical or modified radical mastectomy with or without frozen section biopsy  (Anaes. 17713 = 5B + 8T)

  $622.10

 

 

 

30360

Fine needle breast biopsy, imaging guided—but not including imaging (Anaes. 17705 = 3B + 2T)

  $136.65

 

 

 

30361

Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional techniques—but not including imaging (Anaes. 17705 = 3B + 2T)

  $136.65

 

 

 

30363

Breast, core biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination (Anaes. 17705 = 3B + 2T)

   $99.50

 

 

 

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 (Anaes. 17707 = 3B + 4T)

  $117.30

 

 

 

30366

Breast, microdochotomy of, for benign or malignant condition (Anaes. 17710 = 3B + 7T)

  $240.90

 

 

 

30367

Breast central ducts, excision of, for benign condition (Anaes. 17710 = 3B + 7T)

  $192.70

 

 

 

30369

Accessory breast tissue, excision of (Anaes. 17707 = 3B + 4T)

  $192.70

 

 

 

30370

Inverted nipple, surgical eversion of (Anaes. 17707 = 3B + 4T)

  $108.90

 

 

 

30372

Accessory nipple, excision of (Anaes. 17707 = 3B + 4T)

   $91.15

 

 

 

30373

Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (Anaes. 17711 = 7B + 4T)

  $348.60

 

 

 

30375

Laparotomy involving caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel's diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty (adult) or drainage of pancreas (Anaes. 17713 = 7B + 6T)

  $375.95

 

 

 

30376

Laparotomy involving division of peritoneal adhesions (where no other intra-abdominal procedure is performed) (Anaes. 17714 = 7B + 7T)

  $375.95

 

 

 

30378

Laparotomy involving division of adhesions in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes (Anaes. 17714 = 7B + 7T)

  $377.70

 

 

 

30379

Laparotomy with division of extensive adhesions (duration greater than 2 hours) with or without insertion of long intestinal tube (Anaes. 17720 = 7B + 13T)

  $669.50

 

 

 

30384

Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (Anaes. 17714 = 7B + 7T)

  $793.00

 

 

 

30385

Laparotomy for control of post-operative haemorrhage, where no other procedure is performed (Anaes. 17712 = 7B + 5T)

  $406.30

 

 

 

30387

Laparotomy involving operation on abdominal viscera (including pelvic viscera), not being a service to which another item in this Group applies (Anaes. 17712 = 7B + 5T)

  $458.00

 

 

 

30390

Laparoscopy, diagnostic (Anaes. 17709 = 6B + 3T)

  $158.60

 

 

 

30391

Laparoscopy, with biopsy (Anaes. 17709 = 6B + 3T)

  $205.05

 

 

 

30394

Laparotomy for drainage of subphrenic abscess, pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause, with or without appendicectomy (Anaes. 17711 = 7B + 4T)

  $355.45

 

 

 

30400

Laparotomy with insertion of portacath for administration of cytotoxic therapy including placement of reservoir (Anaes. 17712 = 7B + 5T)

  $456.15

 

 

 

30402

Retroperitoneal abscess, drainage of, not involving laparotomy (Anaes. 17709 = 6B + 3T)

  $335.05

 

 

 

30403

Ventral, incisional, or recurrent hernia or burst abdomen, repair of (Anaes. 17711 = 6B + 5T)

  $375.95

 

 

 

30406

Paracentesis abdominis

   $37.60

 

 

 

30409

Liver biopsy, percutaneous  (Anaes. 17706 = 4B + 2T)

  $125.90

 

 

 

30411

Liver biopsy by wedge excision when performed in association with another intra-abdominal procedure (Anaes. 17711 = 7B + 4T)

   $64.10

 

 

 

30431

Liver abscess, open abdominal drainage of (Anaes. 17713 = 7B + 6T)

  $375.95

 

 

 

30439

Operative cholangiography or operative pancreatography or intra operative ultrasound (including 1 or more examinations performed during the 1 operation) (Anaes. 17711 = 7B + 4T)

  $134.00

 

 

 

30440

Cholangiogram, percutaneous transhepatic, and biliary drainage, using interventional techniques—but not including imaging (Anaes. 17712 = 7B + 5T)

  $379.65

 

 

 

30442

Choledochoscopy in conjunction with another procedure (Anaes. 17709 = 7B + 2T)

  $134.00

 

 

 

30443

Cholecystectomy (Anaes. 17713 = 7B + 6T)

  $533.20

 

 

 

30451

Biliary drainage tube, exchange of, using interventional techniques—but not including imaging (Anaes. 17710 = 7B + 3T)

  $193.05

 

 

 

30454

Choledochotomy (with or without cholecystectomy), with or without removal of calculi (Anaes. 17713 = 7B + 6T)

  $622.10

 

 

 

30455

Choledochotomy (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis (Anaes. 17718 = 7B + 11T)

  $731.45

 

 

 

30458

Transduodenal operation on sphincter of Oddi, involving 1 or more of, removal of calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with or without choledochotomy (Anaes. 17715 = 7B + 8T)

  $731.45

 

 

 

30460

Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (Anaes. 17715 = 7B + 8T)

  $622.10

 

 

 

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 (Anaes. 17719 = 7B + 12T)

$1,066.40

 

 

 

30473

Oesophagoscopy (not being a service to which item 41816 or 41822 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with or without biopsy, not being a service associated with a service to which item 30476 or 30478 applies (Anaes. 17706 = 5B + 1T)

  $141.95

 

 

 

30475

Endoscopy with balloon dilatation of gastric or gastroduodenal stricture (Anaes. 17707 = 4B + 3T)

  $256.60

 

 

 

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 (Anaes. 17708 = 6B + 2T)

  $196.85

 

 

 

30478

Oesophagoscopy (not being a service to which item 41816, 41822 or 41825 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with 1 or more of the following endoscopic procedures—polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation, or sclerosing injection of bleeding upper gastrointestinal lesions, not being a service associated with a service to which item 30473 or 30476 applies (Anaes. 17708 = 6B + 2T)

  $196.85

 

 

 

30479

Endoscopic laser therapy for neoplasia and benign vascular lesions or strictures of the gastrointestinal tract (Anaes. 17711 = 5B + 6T)

  $343.35

 

 

 

30481

Percutaneous endoscopic gastrostomy (initial procedure) (Anaes. 17711 = 5B + 6T)

  $257.50

 

 

 

30482

Percutaneous endoscopic gastrostomy (repeat procedure) (Anaes. 17711 = 5B + 6T)

  $183.10

 

 

 

30484

Endoscopic retrograde cholangio-pancreatography (Anaes. 17708 = 5B + 3T)

  $263.20

 

 

 

30485

Endoscopic sphincterotomy with or without extraction of stones from common bile duct (Anaes. 17708 = 5B + 3T)

  $406.30

 

 

 

30487

Small bowel intubation with biopsy

  $130.50

 

 

 

30488

Small bowel intubation—as an independent procedure

   $64.95

 

 

 

30490

Oesophageal prosthesis, insertion of, including endoscopy and dilatation (Anaes. 17709 = 5B + 4T)

  $379.65

 

 

 

30491

Bile duct, endoscopic stenting of (including endoscopy and dilatation) (Anaes. 17711 = 5B + 6T)

  $400.55

 

 

 

30493

Biliary manometry (Anaes. 17709 = 5B + 4T)

  $240.30

 

 

 

30494

Endoscopic biliary dilatation (Anaes. 17711 = 5B + 6T)

  $303.25

 

 

 

30496

Vagotomy, truncal or selective, with or without pyloroplasty or gastroenterostomy (Anaes. 17713 = 7B + 6T)

  $424.15

 

 

 

30497

Vagotomy and antrectomy (Anaes. 17714 = 7B + 7T)

  $505.85

 

 

 

30499

Vagotomy, highly selective (Anaes. 17715 = 7B + 8T)

  $601.60

 

 

 

30500

Vagotomy, highly selective with duodenoplasty for peptic stricture (Anaes. 17717 = 7B + 10T)

  $644.15

 

 

 

30502

Vagotomy, highly selective, with dilatation of pylorus (Anaes. 17715 = 7B + 8T)

  $710.95

 

 

 

30503

Vagotomy or antrectomy, or both, for peptic ulcer following previous operation for peptic ulcer (Anaes. 17713 = 7B + 6T)

  $796.05

 

 

 

30505

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision (Anaes. 17713 = 7B + 6T)

  $398.00

 

 

 

30506

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy (Anaes. 17715 = 7B + 8T)

  $696.55

 

 

 

30508

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy (Anaes. 17715 = 7B + 8T)

  $733.20

 

 

 

30509

Bleeding peptic ulcer, control of, involving gastric resection (other than wedge resection) (Anaes. 17715 = 7B + 8T)

  $733.20

 

 

 

30511

Morbid obesity, gastric reduction or gastroplasty for, by any method (Anaes. 17715 = 7B + 8T)

  $612.75

 

 

 

30512

Morbid obesity, gastric bypass for, by any method including anastomosis (Anaes. 17723 = 7B + 16T)

  $754.10

 

 

 

30514

Morbid obesity, surgical reversal of procedure to which item 30511 or 30512 applies (Anaes. 17724 = 7B + 17T)

$1,110.20

 

 

 

30515

Gastroenterostomy (including gastroduodenostomy) or enterocolostomy or enteroenterostomy  (Anaes. 17714 = 7B + 7T)

  $507.95

 

 

 

30517

Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction of (Anaes. 17716 = 7B + 9T)

  $665.10

 

 

 

30518

Partial gastrectomy (Anaes. 17717 = 7B + 10T)

  $712.25

 

 

 

30520

Gastric tumour, removal of, by local excision, not being a service to which item 30518 applies (Anaes. 17717 = 7B + 10T)

  $487.05

 

 

 

30521

Gastrectomy, total, for benign disease  (Anaes. 17721 = 7B + 14T)

$1,042.15

 

 

 

30523

Gastrectomy, sub-total radical, for carcinoma, (including splenectomy when performed) (Anaes. 17721 = 7B + 14T)

$1,089.25

 

 

 

30524

Gastrectomy, total radical, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) (Anaes. 17723 = 7B + 16T)

$1,199.25

 

 

 

30526

Gastrectomy, total, and including lower oesophagus, performed by left thoraco-abdominal incision or opening of diaphragmatic hiatus, (including splenectomy when performed) (Anaes. 17735 = 15B + 20T)

$1,555.35

 

 

 

30527

Antireflux operation by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus—not being a service to which item 30601 applies (Anaes. 17722 = 9B + 13T)

  $628.45

 

 

 

30529

Antireflux operation by fundoplasty, with oesophagoplasty for stricture or short oesophagus (Anaes. 17730 = 15B + 15T)

  $942.65

 

 

 

30530

Antireflux operation by cardiopexy, with or without fundoplasty (Anaes. 17730 = 15B + 15T)

  $565.60

 

 

 

30532

Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus (Anaes. 17727 = 15B + 12T)

  $649.45

 

 

 

30533

Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with fundoplasty, with or without closure of the diaphragmatic hiatus  (Anaes. 17728 = 15B + 13T)

  $772.50

 

 

 

30535

Oesophagectomy with gastric reconstruction by abdominal mobilisation and thoracotomy (Anaes. 17735 = 15B + 20T)

$1,223.65

 

 

 

30536

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck—1 surgeon (Anaes. 17739 = 15B + 24T)

$1,241.15

 

 

 

30538

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck—conjoint surgery, principal surgeon (including aftercare) (Anaes. 17739 = 15B + 24T)

  $858.85

 

 

 

30539

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

  $628.45

 

 

 

30541

Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement—1 surgeon (Anaes. 17739 = 15B + 24T)

$1,094.55

 

 

 

30542

Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement—conjoint surgery, principal surgeon (including aftercare) (Anaes. 17739 = 15B + 24T)

  $743.65

 

 

 

30544

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

  $544.65

 

 

 

30545

Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis)—1 surgeon (Anaes. 17739 = 15B + 24T)

$1,324.95

 

 

 

30547

Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis)—conjoint surgery, principal surgeon (including aftercare) (Anaes. 17739 = 15B + 24T)

  $911.25

 

 

 

30548

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

  $680.80

 

 

 

30550

Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck)—1 surgeon (Anaes. 17739 = 15B + 24T)

$1,487.30

 

 

 

30551

Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck)—conjoint surgery, principal surgeon (including aftercare) (Anaes. 17739 = 15B + 24T)

$1,026.40

 

 

 

30553

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

  $759.35

 

 

 

30554

Oesophagectomy with reconstruction by free jejunal graft—1 surgeon (Anaes. 17739 = 15B + 24T)

$1,654.85

 

 

 

30556

Oesophagectomy with reconstruction by free jejunal graft—conjoint surgery, principal surgeon (including aftercare) (Anaes. 17739 = 15B + 24T)

$1,141.65

 

 

 

30557

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

  $843.10

 

 

 

30559

Oesophagus, local excision for tumour of (Anaes. 17730 = 15B + 15T)

  $612.75

 

 

 

30560

Oesophageal perforation, repair of, by thoracotomy (Anaes. 17735 = 15B + 20T)

  $680.80

 

 

 

30562

Enterostomy or colostomy, closure of—not involving resection of bowel (Anaes. 17713 = 7B + 6T)

  $429.20

 

 

 

30563

Colostomy or ileostomy, refashioning of (Anaes. 17712 = 7B + 5T)

  $429.20

 

 

 

30564

Small bowel strictureplasty for chronic inflammatory bowel disease (Anaes. 17714 = 7B + 7T)

  $557.00

 

 

 

30565

Small intestine, resection of, without anastomosis (including formation of stoma) (Anaes. 17719 = 7B + 12T)

  $628.45

 

 

 

30566

Small intestine, resection of, with anastomosis (Anaes. 17720 = 7B + 13T)

  $698.10

 

 

 

30568

Intraoperative enterotomy for visualisation of the small intestine by endoscopy (Anaes. 17710 = 7B + 3T)

  $523.70

 

 

 

30569

Endoscopic examination of small bowel with flexible endoscope passed at laparotomy, with or without biopsies (Anaes. 17710 = 7B + 3T)

  $267.10

 

 

 

30571

Appendicectomy, not being a service to which item 30574 applies (Anaes. 17710 = 6B + 4T)

  $321.30

 

 

 

30572

Laparoscopic appendicectomy (Anaes. 17711 = 7B + 4T)

  $345.65

 

 

 

30574

Appendicectomy, when performed in conjunction with any other intra-abdominal procedure through the same incision (Anaes. 17707 = 6B + 1T)

   $88.85

 

 

 

30575

Pancreatic abscess, laparotomy and external drainage of, not requiring retro-pancreatic dissection (Anaes. 17713 = 7B + 6T)

  $369.80

 

 

 

30577

Pancreatic necrosectomy for pancreatic necrosis or abscess formation requiring major pancreatic or retro-pancreatic dissection, excluding aftercare (Anaes. 17726 = 7B + 19T)

  $785.55

 

 

 

30578

Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour (Anaes. 17725 = 8B + 17T)

  $827.45

 

 

 

30580

Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of duodenal tumour (Anaes. 17724 = 7B + 17T)

  $754.10

 

 

 

30581

Endocrine tumour, exploration of pancreas or duodenum for, but no tumour found (Anaes. 17722 = 7B + 15T)

  $549.90

 

 

 

30583

Distal pancreatectomy (Anaes. 17720 = 10B + 10T)

  $861.35

 

 

 

30584

Pancreatico-duodenectomy, Whipple's operation, with or without preservation of pylorus (Anaes. 17730 = 10B + 20T)

$1,271.50

 

 

 

30586

Pancreatic cyst—anastomosis to stomach or duodenum (Anaes. 17715 = 7B + 8T)

  $505.85

 

 

 

30587

Pancreatic cyst, anastomosis to Roux loop of jejunum (Anaes. 17716 = 7B + 9T)

  $523.70

 

 

 

30589

Pancreatico-jejunostomy for pancreatitis or trauma (Anaes. 17720 = 7B + 13T)

  $902.35

 

 

 

30590

Pancreatico-jejunostomy following previous pancreatic surgery (Anaes. 17722 = 7B + 15T)

  $995.05

 

 

 

30593

Pancreatectomy, near total or total (including duodenum), with or without splenectomy (Anaes. 17730 = 10B + 20T)

$1,361.65

 

 

 

30594

Pancreatectomy for pancreatitis following previously attempted drainage procedure or partial resection (Anaes. 17725 = 10B + 15T)

$1,571.10

 

 

 

30596

Splenorrhaphy or partial splenectomy for trauma (Anaes. 17715 = 7B + 8T)

  $647.15

 

 

 

30597

Splenectomy (Anaes. 17714 = 7B + 7T)

  $519.50

 

 

 

30599

Splenectomy, for massive spleen (weighing more than 1500gms) or involving thoraco-abdominal incision (Anaes. 17721 = 7B + 14T)

  $942.65

 

 

 

30600

Diaphragmatic hernia, traumatic, repair of (Anaes. 17720 = 9B + 11T)

  $560.55

 

 

 

30601

Diaphragmatic hernia, congenital, repair of, by thoracic or abdominal approach) (Anaes. 17717 = 9B + 8T)

  $690.45

 

 

 

30602

Portal hypertension, porto-caval shunt for (Anaes. 17734 = 15B + 19T)

$1,120.70

 

 

 

30603

Portal hypertension, meso-caval shunt for (Anaes. 17726 = 7B + 19T)

$1,183.55

 

 

 

30605

Portal hypertension, selective spleno-renal shunt for (Anaes. 17734 = 15B + 19T)

$1,345.90

 

 

 

30606

Portal hypertension, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (Anaes. 17720 = 7B + 13T)

  $801.25

 

 

 

30609

Femoral or inguinal hernia, laparoscopic repair of, not being a service associated with a service to which item 30612 or 30614 applies (Anaes. 17711 = 7B + 4T)

  $334.95

 

 

 

30612

Femoral or inguinal hernia or infantile hydrocele, repair of, not being a service to which item 30403 or 30615 applies (G) (Anaes. 17708 = 4B + 4T)

  $257.00

 

 

 

30614

Femoral or inguinal hernia or infantile hydrocele, repair of, not being a service to which item 30403 or 30615 applies (S) (Anaes. 17708 = 4B + 4T)

  $334.95

 

 

 

30615

Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection  (Anaes. 17710 = 4B + 6T)

  $375.95

 

 

 

30616

Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age  (G) (Anaes. 17707 = 4B + 3T)

  $191.40

 

 

 

30617

Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age (S) (Anaes. 17707 = 4B + 3T)

  $257.00

 

 

 

30620

Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over  (G) (Anaes. 17707 = 4B + 3T)

  $216.00

 

 

 

30621

Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over (S) (Anaes. 17707 = 4B + 3T)

  $293.95

 

 

 

30628

Hydrocele, tapping of

   $25.70

 

 

 

30631

Hydrocele, removal of, not being a service associated with a service to which items 30638, 30641 and 30644 apply (Anaes. 17705 = 3B + 2T)

  $170.65

 

 

 

30634

Varicocele, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply, 1 procedure  (G) (Anaes. 17707 = 4B + 3T)

  $169.55

 

 

 

30635

Varicocele, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply, 1 procedure  (S) (Anaes. 17707 = 4B + 3T)

  $210.55

 

 

 

30638

Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis  (G) (Anaes. 17706 = 3B + 3T)

  $216.00

 

 

 

30641

Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis  (S) (Anaes. 17706 = 3B + 3T)

  $293.95

 

 

 

30644

Exploration of spermatic cord, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis (Anaes. 17707 = 4B + 3T)

  $375.95

 

 

 

30653

Circumcision of a person under 6 months of age  (Anaes. 17705 = 3B + 2T)

   $33.50

 

 

 

30656

Circumcision of a person under 10 years of age but not less than 6 months of age  (Anaes. 17706 = 3B + 3T)

   $77.95

 

 

 

30659

Circumcision of a person 10 years of age or over (G) (Anaes. 17706 = 3B + 3T)

  $108.00

 

 

 

30660

Circumcision of a person 10 years of age or over  (S) (Anaes. 17706 = 3B + 3T)

  $134.00

 

 

 

30663

Haemorrhage, arrest of, following circumcision requiring general anaesthesia (Anaes. 17905 = B + T)

  $104.15

 

 

 

30666

Paraphimosis, reduction of, under general anaesthesia, with or without dorsal incision, not being a service associated with a service to which another item in this Group applies (Anaes. 17705 = 3B + 2T)

   $34.20

 

 

 

30672

Coccyx, excision of (Anaes. 17710 = 6B + 4T)

  $321.30

 

 

 

30675

Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (G) (Anaes. 17709 = 5B + 4T)

  $216.00

 

 

 

30676

Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (S) (Anaes. 17709 = 5B + 4T)

  $273.45

 

 

 

30679

Pilonidal sinus, injection of sclerosant fluid under anaesthesia (Anaes. 17707 = 5B + 2T)

   $69.40

 

 

 

 

Subgroup 2—Colorectal

 

 

 

 

32000

Large intestine, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (Anaes. 17716 = 7B + 9T)

  $743.90

 

 

 

32003

Large intestine, resection of, with anastomosis, including right hemicolectomy (Anaes. 17717 = 7B + 10T)

  $778.20

 

 

 

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 (Anaes. 17719 = 7B + 12T)

  $829.70

 

 

 

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 (Anaes. 17720 = 7B + 13T)

  $937.40

 

 

 

32006

Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma) (Anaes. 17718 = 7B + 11T)

  $829.70

 

 

 

32009

Total colectomy and ileostomy (Anaes. 17719 = 7B + 12T)

  $984.25

 

 

 

32012

Total colectomy and ileo-rectal anastomosis (Anaes. 17719 = 7B + 12T)

$1,087.25

 

 

 

32015

Total colectomy with excision of rectum and ileostomy—1 surgeon  (Anaes. 17726 = 10B + 16T)

$1,336.15

 

 

 

32018

Total colectomy with excision of rectum and ileostomy, combined synchronous operation; abdominal resection (including after-care) (Anaes. 17724 = 10B + 14T)

$1,133.00

 

 

 

32021

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

  $406.30

 

 

 

32024

Rectum, high restorative anterior resection with intraperitoneal anastomosis (of the rectum) greater than 10cm from the anal verge—excluding resection of sigmoid colon alone  (Anaes. 17716 = 6B + 10T)

  $984.25

 

 

 

32025

Rectum, low restorative anterior resection with extraperitoneal anastomosis (of the rectum) less than 10 cm from the anal verge, with or without covering stoma (Anaes. 17720 = 6B + 14T)

$1,316.50

 

 

 

32026

Rectum, ultra low restorative resection, with or without covering stoma, where the anastomosis is sited in the anorectal region and is 6cm or less from the anal verge (Anaes. 17728 = 10B + 18T)

$1,417.80

 

 

 

32028

Rectum, low or ultra low restorative resection, with peranal sutured coloanal anastomosis, with or without covering stoma (Anaes. 17730 = 10B + 20T)

$1,519.05

 

 

 

32029

Colonic reservoir, construction of, being a service associated with a service to which any other item in this Subgroup applies (Anaes. 17720 = 6B + 14T)

  $303.80

 

 

 

32030

Rectosigmoidectomy—(Hartmann's operation)  (Anaes. 17715 = 6B + 9T)

  $743.90

 

 

 

32033

Restoration of bowel following Hartmann's or similar operation, including dismantling of the stoma (Anaes. 17716 = 7B + 9T)

$1,087.25

 

 

 

32036

Sacrococcygeal and presacral tumour—excision of  (Anaes. 17720 = 8B + 12T)

$1,379.05

 

 

 

32039

Rectum and anus, abdomino-perineal resection of—1 surgeon  (Anaes. 17722 = 10B + 12T)

$1,107.25

 

 

 

32042

Rectum and anus, abdomino-perineal resection of, combined synchronous operation, abdominal resection  (Anaes. 17720 = 10B + 10T)

  $932.70

 

 

 

32045

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

  $349.10

 

 

 

32046

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

  $539.40

 

 

 

32047

Perineal proctectomy (Anaes. 17717 = 7B + 10T)

  $628.45

 

 

 

32051

Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy—1 surgeon (Anaes. 17737 = 10B + 27T)

$1,670.90

 

 

 

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) (Anaes. 17730 = 10B + 20T)

$1,533.55

 

 

 

32057

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

  $406.30

 

 

 

32060

Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy—1 surgeon (Anaes. 17730 = 10B + 20T)

$1,670.90

 

 

 

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)  (Anaes. 17726 = 10B + 16T)

$1,533.55

 

 

 

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

  $406.30

 

 

 

32069

Ileostomy reservoir, continent type, creation of, including conversion of existing ileostomy where appropriate (Anaes. 17727 = 7B + 20T)

$1,236.00

 

 

 

32072

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

   $38.35

 

 

 

32075

Sigmoidoscopic examination (with rigid sigmoidoscope), under general anaesthesia, with or without biopsy, not being a service associated with a service to which another item in this Group applies (Anaes. 17705 = 4B + 1T)

   $60.15

 

 

 

32078

Sigmoidoscopic examination with diathermy or resection of 1 or more polyps where the time taken is less than or equal to 45 minutes  (Anaes. 17707 = 4B + 3T)

  $135.05

 

 

 

32081

Sigmoidoscopic examination with diathermy or resection of 1 or more polyps where the time taken is greater than 45 minutes (Anaes. 17708 = 4B + 4T)

  $185.35

 

 

 

32084

Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure, with or without biopsy (Anaes. 17706 = 4B + 2T)

   $89.25

 

 

 

32087

Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure with removal of 1 or more polyps—not being a service to which item 32078 applies (Anaes. 17707 = 4B + 3T)

  $164.05

 

 

 

32090

Fibreoptic colonoscopy—examination of colon beyond the hepatic flexure with or without biopsy  (Anaes. 17707 = 4B + 3T)

  $267.95

 

 

 

32093

Fibreoptic colonoscopy—examination of colon beyond the hepatic flexure with removal of 1 or more polyps (Anaes. 17708 = 4B + 4T)

  $375.95

 

 

 

32094

Endoscopic dilatation of colorectal strictures including colonoscopy (Anaes. 17708 = 4B + 4T)

  $398.00

 

 

 

32095

Endoscopic examination of small bowel with flexible endoscope passed by stoma, with or without biopsies (Anaes. 17707 = 4B + 3T)

   $92.15

 

 

 

32096

Rectal biopsy, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility  (Anaes. 17706 = 4B + 2T)

  $185.35

 

 

 

32099

Rectal tumour of 5cm or less in diameter, per anal submucosal excision of (Anaes. 17710 = 4B + 6T)

  $240.30

 

 

 

32102

Rectal tumour of greater than 5cm in diameter, indicated by pathological examination, per anal submucosal excision of (Anaes. 17715 = 4B + 11T)

  $457.80

 

 

 

32105

Anorectal carcinoma—per anal full thickness excision of  (Anaes. 17713 = 4B + 9T)

  $349.10

 

 

 

32108

Rectal tumour, trans-sphincteric excision of (Kraske or similar operation) (Anaes. 17713 = 4B + 9T)

  $721.00

 

 

 

32111

Rectal prolapse, Delorme procedure for (Anaes. 17712 = 6B + 6T)

  $457.80

 

 

 

32112

Rectal prolapse, perineal recto-sigmoidectomy for (Anaes. 17714 = 6B + 8T)

  $557.00

 

 

 

32114

Rectal stricture, per anal release of  (Anaes. 17708 = 4B + 4T)

  $125.90

 

 

 

32117

Rectal prolapse, abdominal rectopexy of (Anaes. 17715 = 6B + 9T)

  $721.00

 

 

 

32120

Rectal prolapse, perineal repair of  (Anaes. 17708 = 4B + 4T)

  $185.35

 

 

 

32123

Anal stricture, anoplasty for (Anaes. 17708 = 4B + 4T)

  $240.30

 

 

 

32126

Anal incontinence, Parks' intersphincteric procedure for (Anaes. 17712 = 4B + 8T)

  $349.10

 

 

 

32129

Anal sphincter, direct repair of (Anaes. 17712 = 4B + 8T)

  $457.80

 

 

 

32131

Rectocele, perineal repair of (Anaes. 17710 = 4B + 6T)

  $384.85

 

 

 

32132

Haemorrhoids or rectal prolapse—sclerotherapy for (Anaes. 17707 = 4B + 3T)

   $32.60

 

 

 

32135

Haemorrhoids or rectal prolapse—rubber band ligation of, with or without sclerotherapy, cryosurgery or infrared therapy for (Anaes. 17705 = 4B + 1T)

   $48.65

 

 

 

32138

Haemorrhoidectomy (Anaes. 17707 = 4B + 3T)

  $265.25

 

 

 

32142

Anal skin tags or anal polyps, excision of 1 or more of (Anaes. 17706 = 4B + 2T)

   $48.65

 

 

 

32145

Anal skin tags or anal polyps, excision of 1 or more of, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes. 17706 = 4B + 2T)

   $97.40

 

 

 

32147

Perianal thrombosis, incision of  (Anaes. 17705 = 3B + 2T)

   $32.60

 

 

 

32150

Operation for fissure-in-ano, including excision or sphincterotomy but excluding dilatation only (Anaes. 17706 = 4B + 2T)

  $185.35

 

 

 

32153

Anus, dilatation of, under general anaesthesia, with or without disimpaction of faeces, not being a service associated with a service to which another item in this Group applies (Anaes. 17706 = 4B + 2T)

   $50.60

 

 

 

32156

Fistula-in-ano, subcutaneous, excision of (Anaes. 17708 = 4B + 4T)

   $95.00

 

 

 

32159

Anal fistula, excision of, involving lower half of the anal sphincter mechanism (Anaes. 17706 = 4B + 2T)

  $240.30

 

 

 

32162

Anal fistula, excision of, involving the upper half of the anal sphincter mechanism (Anaes. 17710 = 4B + 6T)

  $349.10

 

 

 

32165

Anal fistula, repair of by mucosal flap advancement  (Anaes. 17715 = 4B + 11T)

  $457.80

 

 

 

32166

Anal fistula—readjustment of Seton (Anaes. 17707 = 4B + 3T)

  $148.70

 

 

 

32168

Fistula wound, review of, under general or regional anaesthetic, as an independent procedure  (Anaes. 17707 = 4B + 3T)

   $95.00

 

 

 

32171

Anorectal examination, with or without biopsy, under general anaesthetic, not being a service associated with a service to which another item in this Group applies (Anaes. 17706 = 4B + 2T)

   $64.10

 

 

 

32174

Intra-anal, perianal or ischio-rectal abscess, drainage of (excluding aftercare) (Anaes. 17708 = 4B + 4T)

   $64.10

 

 

 

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) (Anaes. 17708 = 4B + 4T)

  $117.30

 

 

 

32177

Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is less than or equal to 45 minutes—not being a service associated with a service to which item 35507 or 35508 applies (Anaes. 17707 = 4B + 3T)

  $125.70

 

 

 

32180

Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is greater than 45 minutes—not being a service associated with a service to which item 35507 or 35508 applies (Anaes. 17708 = 4B + 4T)

  $185.35

 

 

 

32183

Intestinal sling procedure prior to radiotherapy (Anaes. 17715 = 6B + 9T)

  $405.10

 

 

 

32186

Colonic lavage, total, intra-operative (Anaes. 17715 = 7B + 8T)

  $405.10

 

 

 

 

Subgroup 3—Vascular

 

 

 

 

32500

Varicose veins where varicosity measures 2.5mm or greater in diameter, multiple injections using continuous compression techniques, including associated consultation—1 or both legs—not being a service associated with any other varicose vein operation on the same leg (excluding aftercare)—to a maximum of 6 treatments in a 12 month period

   $79.20

 

 

 

32504

Varicose veins, multiple excision of tributaries, with or without division of 1 or more perforating veins—1 leg—not being a service associated with a service to which item 32505, 32508, 32511, 32514 or 32517 applies (Anaes. 17707 = 3B + 4T)

  $193.05

 

 

 

32505

Varicose veins, sub-fascial ligation of 1 or more incompetent perforating veins—1 leg—not being a service associated with a service to which item 32508, 32511, 32514 or 32517 applies (Anaes. 17708 = 3B + 5T)

  $384.85

 

 

 

32508

Varicose veins, complete dissection at the sapheno-femoral or sapheno-popliteal junction, with or without either ligation or stripping, or both, of the long or short saphenous veins, for the first time, including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes. 17710 = 3B + 7T)

  $384.85

 

 

 

32511

Varicose veins, complete dissection at the sapheno-femoral and sapheno-popliteal junction, with or without either ligation or stripping, or both, of the long or short saphenous veins, for the first time, including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes. 17711 = 3B + 8T)

  $572.20

 

 

 

32514

Varicose veins, ligation of the long or short saphenous vein, with or without stripping, by re-operation for recurrent veins in the same territory—1 leg—including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes. 17712 = 3B + 9T)

  $668.40

 

 

 

32517

Varicose veins, ligation of the long and short saphenous vein, with or without stripping, by re-operation for recurrent veins in either territory—1 leg—including excision or injection of either tributaries or incompetent perforating veins, or both (Anaes. 17713 = 3B + 10T)

  $860.80

 

 

 

32700

Artery of neck, bypass using vein or synthetic material (Anaes. 17725 = 10B + 15T)

$1,035.95

 

 

 

32703

Internal carotid artery, transection and reanastomosis of, or resection of small length and reanastomosis of—with or without endarterectomy (Anaes. 17724 = 10B + 14T)

  $857.00

 

 

 

32706

Internal carotid artery, re-operation for recurrent stenosis with by-pass by graft of vein or synthetic material (Anaes. 17725 = 10B + 15T)

$1,225.80

 

 

 

32709

Aorto-iliac or aorto-femoral grafting, straight or bifurcated (Anaes. 17731 = 15B + 16T)

$1,008.85

 

 

 

32712

Ilio-femoral bypass grafting (Anaes. 17728 = 15B + 13T)

  $905.80

 

 

 

32715

Axillary or subclavian to femoral bypass grafting to 1 or both femoral arteries (Anaes. 17728 = 15B + 13T)

  $905.80

 

 

 

32718

Femoro-femoral or ilio-femoral cross-over bypass grafting (Anaes. 17729 = 15B + 14T)

  $857.00

 

 

 

32721

Renal artery, bypass grafting to (Anaes. 17732 = 15B + 17T)

$1,361.35

 

 

 

32724

Renal arteries (both), bypass grafting to (Anaes. 17736 = 15B + 21T)

$1,545.80

 

 

 

32727

Spleno-renal arterial bypass grafting (Anaes. 17731 = 15B + 16T)

$1,361.35

 

 

 

32730

Mesenteric vessel (single), bypass grafting to (Anaes. 17728 = 15B + 13T)

$1,171.55

 

 

 

32733

Mesenteric vessels (multiple), bypass grafting to (Anaes. 17731 = 15B + 16T)

$1,361.35

 

 

 

32736

Inferior mesenteric artery, operation on, when performed in conjunction with another intra-abdominal vascular operation (Anaes. 17727 = 15B + 12T)

  $298.30

 

 

 

32739

Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with above knee anastomosis (Anaes. 17721 = 8B + 13T)

  $932.90

 

 

 

32742

Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to below knee popliteal artery (Anaes. 17721 = 8B + 13T)

$1,068.50

 

 

 

32745

Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to tibio peroneal trunk or tibial or peroneal artery (Anaes. 17723 = 8B + 15T)

$1,220.35

 

 

 

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 (Anaes. 17724 = 8B + 16T)

$1,323.45

 

 

 

32751

Femoral artery bypass grafting using synthetic graft, with lower anastomosis above or below the knee (Anaes. 17720 = 8B + 12T)

  $857.00

 

 

 

32754

Femoral artery bypass grafting, using a composite graft (synthetic material and vein) with lower anastomosis above or below the knee, including use of a cuff or sleeve of vein at 1 or both anastomoses (Anaes. 17722 = 8B + 14T)

$1,068.50

 

 

 

32757

Femoral artery sequential bypass grafting (using a vein or synthetic material) where an additional anastomosis is made to separately revascularise more than 1 artery—each additional artery revascularised beyond a femoral bypass (Anaes. 17718 = 8B + 10T)

  $298.30

 

 

 

32760

Vein, harvesting of, from leg or arm for bypass or replacement graft when not performed on the limb which is the subject of the bypass or graft—each vein (Anaes. 17708 = 3B + 5T)

  $292.85

 

 

 

32763

Arterial bypass grafting, using vein or synthetic material, not being a service to which another item in this Sub-group applies (Anaes. 17724 = 12B + 12T)

  $857.00

 

 

 

32766

Arterial or venous anastomosis, not being a service to which another item in this Sub-group applies, as an independent procedure (Anaes. 17722 = 12B + 10T)

  $569.50

 

 

 

32769

Arterial or venous anastomosis not being a service to which another item in this Sub-group applies, when performed in combination with another vascular operation (including graft to graft anastomosis) (Anaes. 17722 = 12B + 10T)

  $197.45

 

 

 

33100

Aneurysm of common or internal carotid artery, or both, replacement by graft of vein or synthetic material (Anaes. 17723 = 10B + 13T)

$1,035.95

 

 

 

33103

Thoracic aneurysm, replacement by graft (Anaes. 17745 = 15B + 30T)

$1,453.60

 

 

 

33106

Artery or vein bypass graft, patch grafting to using vein or synthetic material, not being a service associated with any other vascular operation (Anaes. 17720 = 12B + 8T)

  $509.85

 

 

 

33109

Thoraco-abdominal aneurysm, replacement by graft including re-implantation of arteries (Anaes. 17748 = 15B + 33T)

$1,757.35

 

 

 

33112

Suprarenal abdominal aortic aneurysm, replacement by graft including re-implantation of arteries (Anaes. 17745 = 15B + 30T)

$1,524.10

 

 

 

33115

Infrarenal abdominal aortic aneurysm, replacement by tube graft (Anaes. 17734 = 15B + 19T)

$1,068.50

 

 

 

33118

Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision of common iliac aneurysms) (Anaes. 17737 = 15B + 22T)

$1,220.35

 

 

 

33121

Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to 1 or both femoral arteries (with or without excision or bypass of common iliac aneurysms) (Anaes. 17737 = 15B + 22T)

$1,220.35

 

 

 

33124

Aneurysm of iliac artery (common, external or internal), replacement by graft—unilateral (Anaes. 17726 = 15B + 11T)

  $873.25

 

 

 

33127

Aneurysms of iliac arteries (common, external or internal), replacement by graft—bilateral (Anaes. 17728 = 15B + 13T)

$1,144.45

 

 

 

33130

Aneurysm of visceral artery, excision and repair by direct anastomosis or replacement by graft (Anaes. 17726 = 15B + 11T)

  $998.00

 

 

 

33133

Aneurysm of visceral artery, dissection and ligation of arteries without restoration of continuity (Anaes. 17724 = 15B + 9T)

  $748.50

 

 

 

33136

False aneurysm, repair of, at aortic anastomosis following previous aortic surgery (Anaes. 17733 = 15B + 18T)

$1,887.50

 

 

 

33139

False aneurysm, repair of, in iliac artery and restoration of arterial continuity (Anaes. 17727 = 15B + 12T)

$1,144.45

 

 

 

33142

False aneurysm, repair of, in femoral artery and restoration of arterial continuity (Anaes. 17726 = 15B + 11T)

$1,068.50

 

 

 

33145

Ruptured thoracic aortic aneurysm, replacement by graft (Anaes. 17749 = 15B + 34T)

$1,838.70

 

 

 

33148

Ruptured thoraco-abdominal aortic aneurysm, replacement by graft (Anaes. 17752 = 15B + 37T)

$2,283.45

 

 

 

33151

Ruptured suprarenal abdominal aortic aneurysm, replacement by graft (Anaes. 17749 = 15B + 34T)

$2,169.55

 

 

 

33154

Ruptured infrarenal abdominal aortic aneurysm, replacement by tube graft (Anaes. 17736 = 15B + 21T)

$1,605.50

 

 

 

33157

Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision or bypass of common iliac aneurysms) (Anaes. 17738 = 15B + 23T)

$1,789.90

 

 

 

33160

Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to 1 or both femoral arteries (Anaes. 17738 = 15B + 23T)

$1,789.90

 

 

 

33163

Ruptured iliac artery aneurysm, replacement by graft (Anaes. 17730 = 15B + 15T)

$1,518.70

 

 

 

33166

Ruptured aneurysm of visceral artery, replacement by anastomosis or graft (Anaes. 17730 = 15B + 15T)

$1,518.70

 

 

 

33169

Ruptured aneurysm of visceral artery, simple ligation of (Anaes. 17726 = 15B + 11T)

$1,182.45

 

 

 

33172

Aneurysm of major artery, replacement by graft, not being a service to which another item in this Sub-group applies (Anaes. 17726 = 12B + 14T)

  $922.05

 

 

 

33500

Artery or arteries of neck, endarterectomy of, including closure by suture (where endarterectomy of 1 or more arteries is undertaken through 1 arteriotomy incision) (Anaes. 17720 = 10B + 10T)

  $819.00

 

 

 

33503

Internal carotid artery, re-operation for recurrent stenosis with endarterectomy and closure by suture (Anaes. 17725 = 10B + 15T)

$1,035.95

 

 

 

33506

Innominate or subclavian artery, endarterectomy of, including closure by suture (Anaes. 17720 = 10B + 10T)

  $916.65

 

 

 

33509

Aortic endarterectomy, including closure by suture, not being a service associated with another procedure on the aorta (Anaes. 17728 = 15B + 13T)

  $949.20

 

 

 

33512

Aorto-iliac endarterectomy (1 or both iliac arteries), including closure by suture not being a service associated with a service to which item 33515 applies (Anaes. 17729 = 15B + 14T)

$1,025.10

 

 

 

33515

Aorto-femoral endarterectomy (1 or both femoral arteries) or bilateral ilio-femoral endarterectomy, including closure by suture, not being a service associated with a service to which item 33512 applies (Anaes. 17730 = 15B + 15T)

$1,101.05

 

 

 

33518

Iliac endarterectomy, including closure by suture, not being a service associated with another procedure on the iliac artery (Anaes. 17728 = 15B + 13T)

  $916.65

 

 

 

33521

Ilio-femoral endarterectomy (1 side), including closure by suture (Anaes. 17727 = 15B + 12T)

  $992.55

 

 

 

33524

Renal artery, endarterectomy of (Anaes. 17729 = 15B + 14T)

$1,171.55

 

 

 

33527

Renal arteries (both), endarterectomy of (Anaes. 17731 = 15B + 16T)

$1,361.35

 

 

 

33530

Coeliac or superior mesenteric artery, endarterectomy of (Anaes. 17729 = 15B + 14T)

$1,171.55

 

 

 

33533

Coeliac and superior mesenteric artery, endarterectomy of (Anaes. 17733 = 15B + 18T)

$1,361.35

 

 

 

33536

Inferior mesenteric artery, endarterectomy of, not being a service associated with a service to which another item in this Sub-group applies (Anaes. 17730 = 15B + 15T)

  $970.90

 

 

 

33539

Artery of extremities, endarterectomy of, including closure by suture (Anaes. 17714 = 8B + 6T)

  $699.65

 

 

 

33542

Extended deep femoral endarterectomy where the endarterectomy is at least 7cms long (Anaes. 17716 = 8B + 8T)

  $998.00

 

 

 

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 3cm long (Anaes. 17714 = 8B + 6T)

  $197.45

 

 

 

33548

Artery or vein, patch grafting to by vein or synthetic material in conjunction with another arterial or venous operation where patch is 3cm long or greater (Anaes. 17715 = 8B + 7T)

  $401.40

 

 

 

33551

Vein, harvesting of from leg or arm for patch when not performed through same incision as operation (Anaes. 17708 = 3B + 5T)

  $197.45

 

 

 

33554

Endarterectomy, in conjunction with an arterial bypass operation to prepare the site for anastomosis—each site (Anaes. 17715 = 12B + 3T)

  $102.00

 

 

 

33800

Embolus, removal of, from artery of neck (Anaes. 17715 = 10B + 5T)

  $851.55

 

 

 

33803

Embolectomy or thrombectomy, by abdominal approach, of an artery or bypass graft of trunk (Anaes. 17723 = 15B + 8T)

  $813.60

 

 

 

33806

Embolectomy or thrombectomy, from an artery or bypass graft of extremities, or embolectomy of abdominal artery via the femoral artery (Anaes. 17711 = 7B + 4T)

  $585.80

 

 

 

33809

Inferior vena cava or iliac vein, thrombectomy of (Anaes. 17723 = 15B + 8T)

  $721.40

 

 

 

33812

Thrombus, removal of, from femoral or other similar large vein (Anaes. 17709 = 3B + 6T)

  $672.60

 

 

 

33815

Major artery or vein of extremity, repair of wound of, with restoration of continuity, by lateral suture (Anaes. 17713 = 6B + 7T)

  $618.30

 

 

 

33818

Major artery or vein of extremity, repair of wound of, with restoration of continuity, by direct anastomosis (Anaes. 17715 = 7B + 8T)

  $721.40

 

 

 

33821

Major artery or vein of extremity, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (Anaes. 17717 = 7B + 10T)

  $824.45

 

 

 

33824

Major artery or vein of neck, repair of wound of, with restoration of continuity, by lateral suture (Anaes. 17718 = 10B + 8T)

  $786.45

 

 

 

33827

Major artery or vein of neck, repair of wound of, with restoration of continuity, by direct anastomosis (Anaes. 17718 = 10B + 8T)

  $922.05

 

 

 

33830

Major artery or vein of neck, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (Anaes. 17720 = 10B + 10T)

$1,057.65

 

 

 

33833

Major artery or vein of abdomen, repair of wound of, with restoration of continuity by lateral suture (Anaes. 17727 = 15B + 12T)

  $960.05

 

 

 

33836

Major artery or vein of abdomen, repair of wound of, with restoration of continuity by direct anastomosis (Anaes. 17728 = 15B + 13T)

$1,144.45

 

 

 

33839

Major artery or vein of abdomen, repair of wound of, with restoration of continuity by means of interposition graft (Anaes. 17729 = 15B + 14T)

$1,339.70

 

 

 

33842

Artery of neck, re-operation for bleeding or thrombosis after carotid or vertebral artery surgery (Anaes. 17716 = 10B + 6T)

  $661.70

 

 

 

33845

Laparotomy for control of post operative bleeding or thrombosis after intra-abdominal vascular procedure, where no other procedure is performed (Anaes. 17723 = 15B + 8T)

  $461.05

 

 

 

33848

Extremity, re-operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed (Anaes. 17712 = 6B + 6T)

  $461.05

 

 

 

34100

Major artery of neck, elective ligation or exploration of, not being a service associated with any other vascular procedure (Anaes. 17712 = 5B + 7T)

  $509.85

 

 

 

34103

Great artery or great vein (including subclavian, axillary, iliac, femoral or popliteal), ligation of, or exploration of, not being a service associated with any other vascular procedure (Anaes. 17715 = 6B + 9T)

  $298.30

 

 

 

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 (Anaes. 17711 = 6B + 5T)

  $210.45

 

 

 

34109

Temporal artery, biopsy of (Anaes. 17708 = 5B + 3T)

  $244.05

 

 

 

34112

Arterio-venous fistula of an extremity, dissection and ligation (Anaes. 17714 = 6B + 8T)

  $618.30

 

 

 

34115

Arterio-venous fistula of the neck, dissection and ligation (Anaes. 17718 = 10B + 8T)

  $699.65

 

 

 

34118

Arterio-venous fistula of the abdomen, dissection and ligation (Anaes. 17727 = 15B + 12T)

  $998.00

 

 

 

34121

Arterio-venous fistula of an extremity, dissection and repair of, with restoration of continuity (Anaes. 17714 = 6B + 8T)

  $797.30

 

 

 

34124

Arterio-venous fistula of the neck, dissection and repair of, with restoration of continuity (Anaes. 17718 = 10B + 8T)

  $873.25

 

 

 

34127

Arterio-venous fistula of the abdomen, dissection and repair of, with restoration of continuity (Anaes. 17729 = 15B + 14T)

$1,144.45

 

 

 

34130

Surgically created arterio-venous fistula of an extremity, closure of (Anaes. 17712 = 8B + 4T)

  $358.00

 

 

 

34133

Scalenotomy (Anaes. 17711 = 5B + 6T)

  $401.40

 

 

 

34136

First rib, resection of portion of  (Anaes. 17714 = 6B + 8T)

  $645.45

 

 

 

34139

Cervical rib, removal of, or other operation for removal of thoracic outlet compression, not being a service to which another item in this Sub-group applies (Anaes. 17714 = 6B + 8T)

  $645.45

 

 

 

34142

Coeliac artery, decompression of, for coeliac artery compression syndrome, as an independent procedure (Anaes. 17727 = 15B + 12T)

  $797.30

 

 

 

34145

Popliteal artery, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle (Anaes. 17714 = 8B + 6T)

  $580.40

 

 

 

34148

Carotid body tumour, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is less than 4cm in maximum diameter (Anaes. 17725 = 10B + 15T)

$1,035.95

 

 

 

34151

Carotid body tumour, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is greater than 4cm in maximum diameter (Anaes. 17725 = 10B + 15T)

$1,415.65

 

 

 

34154

Recurrent carotid body tumour, resection of, with or without repair or replacement of portion of common or internal carotid arteries (Anaes. 17725 = 10B + 15T)

$1,686.85

 

 

 

34157

Neck, excision of infected bypass graft, including closure of vessel or vessels (Anaes. 17722 = 10B + 12T)

  $857.00

 

 

 

34160

Aorto-duodenal fistula, repair of, by suture of aorta and repair of duodenum  (Anaes. 17732 = 15B + 17T)

$1,605.50

 

 

 

34163

Aorto-duodenal fistula, repair of, by insertion of aortic graft and repair of duodenum (Anaes. 17735 = 15B + 20T)

$2,061.10

 

 

 

34166

Aorto-duodenal fistula, repair of, by oversewing of abdominal aorta, repair of duodenum and axillo bifemoral grafting (Anaes. 17737 = 15B + 22T)

$2,061.10

 

 

 

34169

Infected bypass graft from trunk, excision of, including closure of arteries (Anaes. 17728 = 15B + 13T)

$1,144.45

 

 

 

34172

Infected axillo-femoral or femoro-femoral graft, excision of, including closure of arteries (Anaes. 17722 = 10B + 12T)

  $932.90

 

 

 

34175

Infected bypass graft from extremities, excision of including closure of arteries (Anaes. 17718 = 8B + 10T)

  $857.00

 

 

 

34500

Arteriovenous shunt, external, insertion of (Anaes. 17714 = 8B + 6T)

  $222.40

 

 

 

34503

Arteriovenous anastomosis of upper or lower limb, in conjunction  with another venous or arterial operation (Anaes. 17717 = 8B + 9T)

  $298.30

 

 

 

34506

Arteriovenous shunt, external, removal of (Anaes. 17710 = 8B + 2T)

  $151.85

 

 

 

34509

Arteriovenous anastomosis of upper or lower limb, not in conjunction with another venous or arterial operation (Anaes. 17717 = 8B + 9T)

  $705.10

 

 

 

34512

Arteriovenous access device, insertion of (Anaes. 17716 = 8B + 8T)

  $775.65

 

 

 

34515

Arteriovenous access device, thrombectomy of (Anaes. 17714 = 8B + 6T)

  $553.25

 

 

 

34518

Stenosis of arteriovenous fistula or prosthetic arteriovenous access device, correction of (Anaes. 17718 = 8B + 10T)

  $927.50

 

 

 

34521

Intra-abdominal artery or vein, cannulation of for infusion chemotherapy, by open operation (excluding aftercare) (Anaes. 17715 = 7B + 8T)

  $379.65

 

 

 

34524

Arterial cannulation for infusion chemotherapy by open operation, not being a service to which item 34521 applies (excluding after-care) (Anaes. 17714 = 8B + 6T)

  $298.30

 

 

 

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 (Anaes. 17709 = 5B + 4T)

  $298.30

 

 

 

34530

Hickman or broviac catheter, or other chemotherapy device, removal of (Anaes. 17709 = 5B + 4T)

  $298.30

 

 

 

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) (Anaes. 17720 = 10B + 10T)

  $894.90

 

 

 

34800

Inferior vena cava, plication, ligation, or application of caval clip (Anaes. 17718 = 10B + 8T)

  $585.80

 

 

 

34803

Inferior vena cava, reconstruction of or bypass by vein or synthetic material (Anaes. 17729 = 10B + 19T)

$1,290.90

 

 

 

34806

Cross leg bypass grafting, saphenous to iliac or femoral vein (Anaes. 17714 = 3B + 11T)

  $699.65

 

 

 

34809

Saphenous vein anastomosis to femoral or popliteal vein for femoral vein bypass (Anaes. 17714 = 3B + 11T)

  $699.65

 

 

 

34812

Venous stenosis or occlusion, vein bypass for, using vein or synthetic material, not being a service associated with a service to which item 34806 or 34809 applies (Anaes. 17714 = 4B + 10T)

  $846.10

 

 

 

34815

Vein stenosis, patch angioplasty for, (excluding vein graft stenosis)—using vein or synthetic material (Anaes. 17714 = 4B + 10T)

  $699.65

 

 

 

34818

Venous valve, plication or repair to restore valve competency (Anaes. 17711 = 3B + 8T)

  $770.20

 

 

 

34821

Vein transplant to restore valvular function (Anaes. 17713 = 3B + 10T)

$1,046.85

 

 

 

34824

External stent, application of, to restore venous valve competency to superficial vein—1 stent (Anaes. 17709 = 3B + 6T)

  $358.00

 

 

 

34827

External stents, application of, to restore venous valve competency to superficial vein or veins—more than 1 stent (Anaes. 17711 = 3B + 8T)

  $433.90

 

 

 

34830

External stent, application of, to restore venous valve competency to deep vein (1 stent) (Anaes. 17711 = 3B + 8T)

  $509.85

 

 

 

34833

External stents, application of, to restore venous valve competency to deep vein or veins (more than 1 stent) (Anaes. 17712 = 3B + 9T)

  $661.70

 

 

 

35000

Lumbar sympathectomy (Anaes. 17713 = 7B + 6T)

  $509.85

 

 

 

35003

Cervical or upper thoracic sympathectomy by any surgical approach (Anaes. 17718 = 10B + 8T)

  $661.70

 

 

 

35006

Cervical or upper thoracic sympathectomy, where operation is a reoperation for previous incomplete sympathectomy by any surgical approach (Anaes. 17720 = 10B + 10T)

  $829.85

 

 

 

35009

Lumbar sympathectomy, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (Anaes. 17713 = 7B + 6T)

  $645.45

 

 

 

35012

Sacral or pre-sacral sympathectomy (Anaes. 17712 = 6B + 6T)

  $509.85

 

 

 

35100

Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, when debridement includes muscle, tendon or bone (Anaes. 17713 = 5B + 8T)

  $265.80

 

 

 

35103

Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only (Anaes. 17711 = 4B + 7T)

  $169.20

 

 

 

35200

Operative arteriography or venography, 1 or more of, performed during the course of an operative procedure on an artery or vein, 1 site (Anaes. 17708 = 5B + 3T)

  $123.65

 

 

 

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 (Anaes. 17712 = 8B + 4T)

  $371.80

 

 

 

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 (Anaes. 17714 = 10B + 4T)

  $476.60

 

 

 

35304

Transluminal balloon angioplasty of 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes. 17721 = 15B + 6T)

  $371.80

 

 

 

35305

Transluminal balloon angioplasty of more than 1 coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes. 17723 = 15B + 8T)

  $476.60

 

 

 

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 (Anaes. 17712 = 6B + 6T)

  $439.90

 

 

 

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 (Anaes. 17714 = 6B + 8T)

  $549.90

 

 

 

35310

Transluminal stent insertion including associated balloon dilatation for coronary artery, percutaneous or by open exposure, excluding associated radiological services and preparation, and excluding aftercare (Anaes. 17723 = 15B + 8T)

  $549.90

 

 

 

35312

Peripheral arterial atherectomy including associated balloon dilatation of 1 limb, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes. 17714 = 8B + 6T)

  $623.20

 

 

 

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 (Anaes. 17714 = 8B + 6T)

  $623.20

 

 

 

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 13915 applies) (Anaes. 17708 = 6B + 2T)

  $256.60

 

 

 

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 (Anaes. 17712 = 8B + 4T)

  $586.55

 

 

 

35324

Angioscopy not combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (Anaes. 17712 = 8B + 4T)

  $219.95

 

 

 

35327

Angioscopy combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (Anaes. 17712 = 8B + 4T)

  $110.00

 

 

 

35330

Insertion of inferior vena caval filter, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes. 17722 = 15B + 7T)

  $371.80

 

 

 

 

Subgroup 4—Gynaecological

 

 

 

 

35500

Gynaecological examination under anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes. 17704 = 3B + 1T)

   $58.65

 

 

 

35503

Intra-uterine contraceptive device, introduction of, not being a service associated with a service to which another item in this Group applies (Anaes. 17704 = 3B + 1T)

   $38.65

 

 

 

35506

Intra-uterine contraceptive device, removal of under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes. 17704 = 3B + 1T)

   $38.75

 

 

 

35507

Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day hospital facility, where the time taken is less than or equal to 45 minutes—not being a service associated with a service to which item 32177 or 32180 applies (Anaes. 17706 = 3B + 3T)

  $125.90

 

 

 

35508

Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day hospital facility, where the time taken is greater than 45 minutes—not being a service associated with a service to which item 32177 or 32180 applies (Anaes. 17708 = 3B + 5T)

  $185.35

 

 

 

35509

Hymenectomy  (Anaes. 17705 = 3B + 2T)

   $64.65

 

 

 

35512

Bartholin's cyst, excision of  (G) (Anaes. 17705 = 3B + 2T)

  $129.30

 

 

 

35513

Bartholin's cyst, excision of (S) (Anaes. 17705 = 3B + 2T)

  $159.95

 

 

 

35516

Bartholin's cyst or gland, marsupialisation of  (G) (Anaes. 17705 = 3B + 2T)

   $84.00

 

 

 

35517

Bartholin's cyst or gland, marsupialisation of  (S) (Anaes. 17705 = 3B + 2T)

  $105.30

 

 

 

35520

Bartholin's abscess, incision of  (Anaes. 17704 = 3B + 1T)

   $42.00

 

 

 

35523

Urethra or urethral caruncle, cauterisation of  (Anaes. 17705 = 3B + 2T)

   $42.00

 

 

 

35526

Urethral caruncle, excision of  (G) (Anaes. 17705 = 3B + 2T)

   $84.00

 

 

 

35527

Urethral caruncle, excision of  (S) (Anaes. 17705 = 3B + 2T)

  $105.30

 

 

 

35530

Clitoris, amputation of, where medically indicated  (Anaes. 17707 = 3B + 4T)

  $194.65

 

 

 

35533

Vulvoplasty or labioplasty, where medically indicated, not being a service associated with a service to which item 35536 applies (Anaes. 17709 = 3B + 6T)

  $252.35

 

 

 

35536

Vulva, wide local excision of suspected malignancy or hemivulvectomy, 1 or both procedures    (Anaes. 17710 = 4B + 6T)

  $251.35

 

 

 

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  (Anaes. 17705 = 3B + 2T)

  $196.90

 

 

 

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 (Anaes. 17705 = 3B + 2T)

  $230.45

 

 

 

35545

Colposcopically directed CO2 laser therapy for condylomata, unsuccessfully treated by other methods  (Anaes. 17705 = 3B + 2T)

  $132.45

 

 

 

35548

Vulvectomy, radical, for malignancy  (Anaes. 17720 = 7B + 13T)

  $601.60

 

 

 

35551

Pelvic lymph glands, excision of (radical)  (Anaes. 17718 = 8B + 10T)

  $493.25

 

 

 

35554

Vagina, dilatation of, as an independent procedure including any associated consultation  (Anaes. 17704 = 3B + 1T)

   $31.35

 

 

 

35557

Vagina, removal of simple tumour—(including Gartner duct cyst)  (Anaes. 17705 = 3B + 2T)

  $154.65

 

 

 

35560

Vagina, partial or complete removal of  (Anaes. 17712 = 4B + 8T)

  $493.25

 

 

 

35561

Vaginectomy, radical, for proven invasive malignancy—1 surgeon (Anaes. 17724 = 4B + 20T)

  $995.05

 

 

 

35562

Vaginectomy, radical, for proven invasive malignancy, conjoint surgery—abdominal surgeon (including aftercare) (Anaes. 17724 = 4B + 20T)

  $816.95

 

 

 

35564

Vaginectomy, radical, for proven invasive malignancy, conjoint surgery—perineal surgeon

  $377.10

 

 

 

35565

Vaginal reconstruction for congenital absence, gynatresia or urogenital sinus (Anaes. 17718 = 4B + 14T)

  $493.25

 

 

 

35566

Vaginal septum, excision of, for correction of double vagina  (Anaes. 17711 = 3B + 8T)

  $286.60

 

 

 

35567

Vaginal repair including 1 or more of anterior, posterior or enterocele repair, with sacrospinous colpopexy (Anaes. 17714 = 4B + 10T)

  $506.35

 

 

 

35569

Plastic repair to enlarge vaginal orifice  (Anaes. 17705 = 3B + 2T)

  $115.95

 

 

 

35572

Colpotomy, not being a service to which another item in this Group applies (Anaes. 17706 = 4B + 2T)

   $89.30

 

 

 

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) (Anaes. 17708 = 4B + 4T)

  $250.60

 

 

 

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) (Anaes. 17708 = 4B + 4T)

  $306.60

 

 

 

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) (Anaes. 17709 = 4B + 5T)

  $306.60

 

 

 

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) (Anaes. 17709 = 4B + 5T)

  $386.60

 

 

 

35583

Donald-Fothergill or Manchester operation for genital prolapse (G) (Anaes. 17709 = 4B + 5T)

  $366.60

 

 

 

35584

Donald-Fothergill or Manchester operation for genital prolapse  (S) (Anaes. 17709 = 4B + 5T)

  $486.55

 

 

 

35587

Urethrocele, operation for (Anaes. 17709 = 4B + 5T)

  $126.65

 

 

 

35590

Operation involving abdominal approach for repair of enterocele or suspension of vaginal vault or enterocele and suspension of vaginal vault (Anaes. 17712 = 6B + 6T)

  $386.60

 

 

 

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 (Anaes. 17709 = 4B + 5T)

  $386.60

 

 

 

35596

Fistula between genital and urinary or alimentary tracts, repair of, not being a service to which item 37029, 37333 or 37336 applies (Anaes. 17715 = 6B + 9T)

  $493.25

 

 

 

35599

Stress incontinence, sling operation for (Anaes. 17714 = 6B + 8T)

  $486.55

 

 

 

35602

Stress incontinence, combined synchronous abdomino-vaginal operation for; abdominal procedure (including after-care) (Anaes. 17714 = 6B + 8T)

  $486.55

 

 

 

35605

Stress incontinence, combined synchronous abdomino-vaginal operation for; vaginal procedure (including after-care)

  $263.95

 

 

 

35608

Cervix, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix (Anaes. 17705 = 3B + 2T)

   $46.10

 

 

 

35611

Cervix, removal of polyp or polypi, with or without dilatation of cervix, not being a service associated with a service to which item 35608 applies (Anaes. 17705 = 3B + 2T)

   $46.10

 

 

 

35614

Examination of lower female genital tract by a Hinselmann-type colposcope in a patient with a previous abnormal cervical smear or a history of maternal ingestion of oestrogen or where a patient, because of suspicious signs of cancer, has been referred by another medical practitioner (Anaes. 17705 = 3B + 2T)

   $46.00

 

 

 

35615

Vulva, biopsy of, when performed in conjunction with a service to which item 35614 applies

   $38.75

 

 

 

35617

Cervix, cone biopsy, amputation or repair of, not being a service to which item 35583 or 35584 applies (G) (Anaes. 17705 = 3B + 2T)

  $125.30

 

 

 

35618

Cervix, cone biopsy, amputation or repair of, not being a service to which item 35583 or 35584 applies (S) (Anaes. 17705 = 3B + 2T)

  $157.25

 

 

 

35619

Cervix, dilatation of, under general anaesthesia, not being a service to which item 35639, 35640 or 35643 applies (Anaes. 17704 = 3B + 1T)

   $58.65

 

 

 

35620

Endometrial biopsy where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding  (Anaes. 17705 = 3B + 2T)

   $38.45

 

 

 

35622

Endometrium, endoscopic ablation of, by laser or diathermy, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage, not being a service associated with a service to which item 30390 applies (Anaes. 17710 = 4B + 6T)

  $434.65

 

 

 

35623

Hysteroscopic resection of myoma or uterine septum followed by endometrial ablation by laser or diathermy (Anaes. 17714 = 4B + 10T)

  $590.85

 

 

 

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

   $59.70

 

 

 

35627

Hysteroscopy with dilatation of the cervix performed in the operating theatre of a hospital or approved day-hospital facility—not being a service associated with a service to which item 35626 or 35630 applies (Anaes. 17707 = 4B + 3T)

   $77.30

 

 

 

35630

Hysteroscopy, with endometrial biopsy, performed in the operating theatre of a hospital or approved day-hospital facility—not being a service associated with a service to which item 35626 or 35627 applies (Anaes. 17707 = 4B + 3T)

  $131.95

 

 

 

35633

Hysteroscopy with uterine adhesiolysis or polypectomy or tubal catheterisation or removal of IUD which cannot be removed by other means, 1 or more of (Anaes. 17707 = 4B + 3T)

  $157.25

 

 

 

35636

Hysteroscopy, and laparoscopy where performed, under general anaesthesia involving either myomectomy or resection of uterine septum or both (Anaes. 17712 = 6B + 6T)

  $312.40

 

 

 

35637

Laparoscopy, involving puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or similar procedure—1 or more procedures with or without biopsy—not being a service associated with any other laparoscopic procedure or hysterectomy (Anaes. 17709 = 6B + 3T)

  $293.30

 

 

 

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 (Anaes. 17714 = 6B + 8T)

  $513.25

 

 

 

35639

Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility, including procedures to which item 35626, 35627 or 35630 applies, where performed (G) (Anaes. 17705 = 3B + 2T)

   $97.30

 

 

 

35640

Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility, including procedures to which 35626, 35627 or 35630 applies, where performed (S) (Anaes. 17705 = 3B + 2T)

  $131.95

 

 

 

35643

Evacuation of the contents of the gravid uterus by curettage or suction curettage not being a service to which item 35639 or 35640 applies, including procedures to which item 35626, 35627 or 35630 applies, where performed (Anaes. 17705 = 3B + 2T)

  $157.25

 

 

 

35644

Cervix, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not being a service associated with a service to which item 35639, 35640 or 35647 applies (Anaes. 17707 = 5B + 2T)

  $146.80

 

 

 

35645

Cervix, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in association with ablative therapy of additional areas of intraepithelial change in 1 or more sites of vagina, vulva, urethra or anus, not being a service associated with a service to which item 35649 applies (Anaes. 17707 = 5B + 2T)

  $229.95

 

 

 

35646

Cervix, colposcopy with radical diathermy of, with or without cervical biopsy, for previously confirmed intraepithelial neoplastic changes of the cervix, where performed in the operating theatre of a hospital or approved day-hospital facility (Anaes. 17707 = 5B + 2T)

  $146.80

 

 

 

35647

Cervix, large loop excision of transformation zone together with colposcopy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not being a service associated with a service to which item 35644 applies (Anaes. 17707 = 5B + 2T)

  $146.80

 

 

 

35648

Cervix, large loop excision diathermy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in conjunction with ablative treatment of additional areas of intraepithelial change of 1 or more sites of vagina, vulva, urethra or anus, not being a service associated with a service to which item 35645 applies (Anaes. 17707 = 5B + 2T)

  $229.95

 

 

 

35649

Hysterotomy or uterine myomectomy, abdominal (Anaes. 17712 = 6B + 6T)

  $386.60

 

 

 

35653

Hysterectomy, abdominal, sub total or total, with or without removal of uterine adnexae  (Anaes. 17712 = 6B + 6T)

  $486.65

 

 

 

35657

Hysterectomy, vaginal, with or without uterine curettage, not being a service to which item 35673 applies (Anaes. 17712 = 6B + 6T)

  $486.65

 

 

 

35661

Hysterectomy, abdominal, requiring extensive retroperitoneal dissection with or without exposure of 1 or both ureters, for the management of severe endometriosis, pelvic inflammatory disease or benign pelvic tumours, with or without conservation of ovaries (Anaes. 17714 = 6B + 8T)

  $628.45

 

 

 

35664

Radical hysterectomy with radical excision of pelvic lymph glands (with or without excision of uterine adnexae) for proven malignancy including excision of any 1 or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed (Anaes. 17721 = 9B + 12T)

$1,047.40

 

 

 

35667

Radical hysterectomy without gland dissection (with or without excision of uterine adnexae) for proven malignancy including excision of any 1 or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum and involving ureterolysis where performed (Anaes. 17720 = 9B + 11T)

  $890.25

 

 

 

35670

Hysterectomy, abdominal, with radical excision of pelvic lymph glands, with or without removal of uterine adnexae (Anaes. 17718 = 8B + 10T)

  $733.00

 

 

 

35673

Hysterectomy, vaginal, (with or without uterine curettage) with salpingectomy, oophorectomy or excision of ovarian cyst, 1 or more, 1 or both sides  (Anaes. 17712 = 6B + 6T)

  $546.55

 

 

 

35676

Ectopic pregnancy, removal of (G) (Anaes. 17711 = 6B + 5T)

  $306.60

 

 

 

35677

Ectopic pregnancy, removal of  (S) (Anaes. 17711 = 6B + 5T)

  $386.60

 

 

 

35678

Ectopic pregnancy, laparoscopic removal of (Anaes. 17712 = 6B + 6T)

  $466.10

 

 

 

35680

Bicornuate uterus, plastic reconstruction for (Anaes. 17714 = 6B + 8T)

  $419.90

 

 

 

35683

Uterus, suspension or fixation of, as an independent procedure (G) (Anaes. 17710 = 6B + 4T)

  $253.30

 

 

 

35684

Uterus, suspension or fixation of, as an independent procedure  (S) (Anaes. 17710 = 6B + 4T)

  $339.90

 

 

 

35687

Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (G) (Anaes. 17708 = 6B + 2T)

  $234.60

 

 

 

35688

Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (S) (Anaes. 17708 = 6B + 2T)

  $286.60

 

 

 

35691

Sterilisation by interruption of fallopian tubes when performed in conjunction with Caesarean section  (Anaes. 17707 = 6B + 1T)

  $114.45

 

 

 

35694

Tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, 1 or more procedures (Anaes. 17712 = 6B + 6T)

  $459.90

 

 

 

35697

Microsurgical tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, 1 or more procedures (Anaes. 17716 = 6B + 10T)

  $682.45

 

 

 

35700

Fallopian tubes, unilateral microsurgical anastomosis of, using operating microscope (Anaes. 17717 = 6B + 11T)

  $526.55

 

 

 

35703

Hydrotubation of fallopian tubes as a non-repetitive procedure, not being a service associated with a service to which another item in this Sub-group applies (Anaes. 17707 = 3B + 4T)

   $48.65

 

 

 

35706

Rubin test for patency of fallopian tubes  (Anaes. 17705 = 3B + 2T)

   $48.65

 

 

 

35709

Fallopian tubes, hydrotubation of, as a repetitive post-operative procedure  (Anaes. 17705 = 3B + 2T)

   $31.35

 

 

 

35712

Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—1 such procedure, not being a service associated with hysterectomy (G) (Anaes. 17711 = 6B + 5T)

  $261.30

 

 

 

35713

Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—1 such procedure, not being a service associated with hysterectomy  (S) (Anaes. 17711 = 6B + 5T)

  $326.60

 

 

 

35716

Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—2 or more such procedures, unilateral or bilateral, not being a service associated with hysterectomy  (G) (Anaes. 17712 = 6B + 6T)

  $313.30

 

 

 

35717

Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—2 or more such procedures, unilateral or bilateral, not being a service associated with hysterectomy (S) (Anaes. 17712 = 6B + 6T)

  $393.25

 

 

 

35720

Radical or debulking operation for advanced gynaecological malignancy, with or without omentectomy (Anaes. 17721 = 10B + 11T)

  $486.55

 

 

 

35723

Retro-peritoneal lymph node biopsies from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy (Anaes. 17719 = 6B + 13T)

  $348.45

 

 

 

35726

Infra-colic omentectomy with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy  (Anaes. 17716 = 6B + 10T)

  $348.45

 

 

 

35729

Ovarian transposition out of the pelvis, in conjunction with radical hysterectomy for invasive malignancy (Anaes. 17718 = 6B + 12T)

  $157.10

 

 

 

 

Subgroup 5—Urological

 

 

 

 

36500

Adrenal gland, excision of—partial or total (Anaes. 17720 = 10B + 10T)

  $666.90

 

 

 

36503

Renal transplant, not being a service to which item 36506 or 36509 applies (Anaes. 17727 = 10B + 17T)

$1,003.40

 

 

 

36506

Renal transplant, performed by vascular surgeon and urologist operating together—vascular anastomosis, including after-care (Anaes. 17727 = 10B + 17T)

  $666.90

 

 

 

36509

Renal transplant, performed by vascular surgeon and urologist operating together—ureterovesical anastomosis, including after-care

  $564.80

 

 

 

36515

Nephrectomy, complete (G) (Anaes. 17713 = 7B + 6T)

  $552.80

 

 

 

36516

Nephrectomy, complete (S) (Anaes. 17713 = 7B + 6T)

  $666.90

 

 

 

36519

Nephrectomy, complete, complicated by previous surgery on the same kidney (Anaes. 17715 = 7B + 8T)

  $931.30

 

 

 

36522

Nephrectomy, partial (Anaes. 17715 = 7B + 8T)

  $799.10

 

 

 

36525

Nephrectomy, partial, complicated by previous surgery on the same kidney (Anaes. 17717 = 7B + 10T)

$1,135.60

 

 

 

36528

Nephrectomy, radical, with enbloc dissection of lymph nodes, with or without adrenalectomy  (Anaes. 17720 = 10B + 10T)

  $931.30

 

 

 

36531

Nephro-ureterectomy, complete, including associated bladder repair and any associated endoscopic procedure (Anaes. 17719 = 7B + 12T)

  $835.15

 

 

 

36534

Kidney, fused, renal symphysiotomy for (Anaes. 17715 = 7B + 8T)

  $666.90

 

 

 

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 Sub-group applies (Anaes. 17713 = 7B + 6T)

  $498.70

 

 

 

36540

Nephrolithotomy or pyelolithotomy, or both, through the same skin incision, for 1 or 2 stones  (Anaes. 17713 = 7B + 6T)

  $799.10

 

 

 

36543

Nephrolithotomy or pyelolithotomy, or both, extended, for staghorn stone or 3 or more stones, including 1 or more of the following: nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (Anaes. 17715 = 7B + 8T)

  $931.30

 

 

 

36546

Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post-treatment care for 3 days, including pre-treatment consultations, unilateral (Anaes. 17710 = 6B + 4T)

  $498.70

 

 

 

36549

Ureterolithotomy  (Anaes. 17713 = 7B + 6T)

  $600.85

 

 

 

36552

Nephrostomy or pyelostomy, open, as an independent procedure  (Anaes. 17713 = 7B + 6T)

  $534.75

 

 

 

36555

Nephropexy, as an independent procedure (Anaes. 17711 = 7B + 4T)

  $366.50

 

 

 

36558

Renal cyst or cysts, excision or unroofing of  (Anaes. 17713 = 7B + 6T)

  $468.65

 

 

 

36561

Renal biopsy (closed) (Anaes. 17708 = 7B + 1T)

  $124.40

 

 

 

36564

Pyeloplasty, by open exposure (Anaes. 17716 = 7B + 9T)

  $666.90

 

 

 

36567

Pyeloplasty in congenitally abnormal kidney or solitary kidney, by open exposure  (Anaes. 17717 = 7B + 10T)

  $733.00

 

 

 

36570

Pyeloplasty, complicated by previous surgery on the same kidney, by open exposure (Anaes. 17718 = 7B + 11T)

  $931.30

 

 

 

36573

Divided ureter, repair of (Anaes. 17715 = 7B + 8T)

  $666.90

 

 

 

36576

Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, not being a service associated with any other procedure performed on the kidney, renal pelvis or renal pedicle  (Anaes. 17715 = 7B + 8T)

  $835.15

 

 

 

36579

Ureterectomy, complete or partial, with or without associated bladder repair, not being a service associated with a service to which item 37000 applies (Anaes. 17714 = 6B + 8T)

  $534.75

 

 

 

36582

Ureter, replacement of, by bowel  (Anaes. 17719 = 7B + 12T)

  $931.30

 

 

 

36585

Ureter, transplantation of, into skin  (Anaes. 17714 = 6B + 8T)

  $534.75

 

 

 

36588

Ureter, reimplantation into bladder (Anaes. 17712 = 6B + 6T)

  $666.90

 

 

 

36591

Ureter, reimplantation into bladder with psoas hitch or Boari flap or both  (Anaes. 17713 = 6B + 7T)

  $799.10

 

 

 

36594

Ureter, transplantation of, into intestine  (Anaes. 17712 = 6B + 6T)

  $666.90

 

 

 

36597

Ureter, transplantation of, into another ureter  (Anaes. 17712 = 6B + 6T)

  $666.90

 

 

 

36600

Ureter, transplantation of, into isolated intestinal segment, unilateral (Anaes. 17714 = 6B + 8T)

  $799.10

 

 

 

36603

Ureters, transplantation of, into isolated intestinal segment, bilateral (Anaes. 17716 = 6B + 10T)

  $931.30

 

 

 

36606

Intestinal urinary reservoir, continent, formation of, including formation of non-return valves and implantation of ureters (1 or both) into reservoir (Anaes. 17729 = 6B + 23T)

$1,670.30

 

 

 

36609

Intestinal urinary conduit or ureterostomy, revision of  (Anaes. 17715 = 6B + 9T)

  $534.75

 

 

 

36612

Ureter, exploration of, with or without drainage of, as an independent procedure  (Anaes. 17713 = 6B + 7T)

  $468.65

 

 

 

36615

Ureterolysis, with or without repositioning of ureter, for retroperitoneal fibrosis, ovarian vein syndrome or similar condition  (Anaes. 17713 = 6B + 7T)

  $534.75

 

 

 

36618

Reduction ureteroplasty  (Anaes. 17716 = 6B + 10T)

  $468.65

 

 

 

36621

Closure of cutaneous ureterostomy (Anaes. 17711 = 6B + 5T)

  $334.95

 

 

 

36624

Nephrostomy, percutaneous, using interventional imaging techniques (Anaes. 17711 = 7B + 4T)

  $402.55

 

 

 

36627

Nephroscopy, percutaneous, with or without any 1 or more of; stone extraction, biopsy or diathermy, not being a service to which item 36639, 36642, 36645 or 36648 applies (Anaes. 17713 = 7B + 6T)

  $498.70

 

 

 

36630

Nephroscopy, being a service to which item 36627 applies, where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation due to bleeding  (Anaes. 17712 = 7B + 5T)

  $246.35

 

 

 

36633

Nephroscopy, percutaneous, with incision of any 1 or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, not being a service associated with a service to which item 36627, 36639, 36642, 36645 or 36648 applies (Anaes. 17713 = 7B + 6T)

  $534.75

 

 

 

36636

Nephroscopy, percutaneous, with incision of any 1 or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, being a service associated with a service to which item 36627, 36639, 36642, 36645 or 36648 applies (Anaes. 17715 = 7B + 8T)

  $288.40

 

 

 

36639

Nephroscopy, percutaneous, with destruction and extraction of 1 or 2 stones using ultrasound or electrohydraulic shock waves or lasers (not being a service to which item 36645 or 36648 applies) (Anaes. 17715 = 7B + 8T)

  $600.85

 

 

 

36642

Nephroscopy, being a service to which item 36639 applies, where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation due to bleeding (Anaes. 17714 = 7B + 7T)

  $300.40

 

 

 

36645

Nephroscopy, percutaneous, with removal or destruction of a stone greater than 3 cm in any dimension, or for 3 or more stones (Anaes. 17719 = 7B + 12T)

  $769.05

 

 

 

36648

Nephroscopy, being a service to which item 36645 applies, where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation (Anaes. 17718 = 7B + 11T)

  $684.95

 

 

 

36649

Nephrostomy drainage tube, exchange of—but not including imaging (Anaes. 17709 = 7B + 2T)

  $193.05

 

 

 

36800

Bladder, catheterisation of, where no other procedure is performed  (Anaes. 17704 = 3B + 1T)

   $19.95

 

 

 

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  (Anaes. 17706 = 3B + 3T)

  $336.45

 

 

 

36806

Ureteroscopy being a service to which item 36803 applies, plus 1 or more of extraction of stone, biopsy or diathermy (Anaes. 17706 = 3B + 3T)

  $468.65

 

 

 

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 (Anaes. 17707 = 3B + 4T)

  $600.85

 

 

 

36812

Cystoscopy with urethroscopy, with or without urethral dilatation, not being a service associated with any other urological endoscopic procedure on the lower urinary tract except a service to which item 37327 applies (Anaes. 17705 = 3B + 2T)

  $120.15

 

 

 

36815

Cystoscopy, with or without urethroscopy, for the treatment of penile warts or urethral warts, not being a service associated with a service to which item 30189 applies (Anaes. 17705 = 3B + 2T)

  $171.65

 

 

 

36818

Cystoscopy, with ureteric catheterisation including fluoroscopic imaging of the upper urinary tract, unilateral or bilateral, not being a service associated with a service to which item 36824 or 36830 applies (Anaes. 17705 = 3B + 2T)

  $199.45

 

 

 

36821

Cystoscopy with 1 or more of; ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis, unilateral, not being a service associated with a service to which item 36824 or 36830 applies (Anaes. 17705 = 3B + 2T)

  $233.10

 

 

 

36824

Cystoscopy with ureteric catheterisation, unilateral or bilateral, not being a service associated with a service to which item 36818 or 36821 applies (Anaes. 17705 = 3B + 2T)

  $153.85

 

 

 

36827

Cystoscopy, with controlled hydro-dilatation of the bladder (Anaes. 17705 = 3B + 2T)

  $165.85

 

 

 

36830

Cystoscopy, with ureteric meatotomy (Anaes. 17705 = 3B + 2T)

  $146.60

 

 

 

36833

Cystoscopy with removal of foreign body (Anaes. 17705 = 3B + 2T)

  $199.45

 

 

 

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 (Anaes. 17705 = 3B + 2T)

  $165.85

 

 

 

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 (Anaes. 17707 = 5B + 2T)

  $233.10

 

 

 

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 (Anaes. 17706 = 3B + 3T)

  $234.60

 

 

 

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 (Anaes. 17707 = 5B + 2T)

  $498.70

 

 

 

36848

Cystoscopy with resection of ureterocele (Anaes. 17705 = 3B + 2T)

  $165.85

 

 

 

36851

Cystoscopy with injection into bladder wall (Anaes. 17705 = 3B + 2T)

  $165.85

 

 

 

36854

Cystoscopy with endoscopic incision or resection of external sphincter, bladder neck or both (Anaes. 17705 = 3B + 2T)

  $336.45

 

 

 

36857

Endoscopic manipulation or extraction of ureteric calculus (Anaes. 17705 = 3B + 2T)

  $264.35

 

 

 

36860

Endoscopic examination of intestinal conduit or reservoir (Anaes. 17705 = 3B + 2T)

  $120.15

 

 

 

36863

Litholapaxy, with or without cystoscopy (Anaes. 17706 = 3B + 3T)

  $336.45

 

 

 

37000

Bladder, partial excision of (Anaes. 17715 = 6B + 9T)

  $534.75

 

 

 

37003

Bladder, repair of rupture (G) (Anaes. 17715 = 6B + 9T)

  $384.50

 

 

 

37004

Bladder, repair of rupture (S) (Anaes. 17715 = 6B + 9T)

  $468.65

 

 

 

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) (Anaes. 17709 = 6B + 3T)

  $240.30

 

 

 

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) (Anaes. 17709 = 6B + 3T)

  $300.40

 

 

 

37011

Suprapubic stab cystotomy (Anaes. 17705 = 3B + 2T)

   $67.30

 

 

 

37014

Bladder, total excision of (Anaes. 17732 = 10B + 22T)

  $769.05

 

 

 

37017

Bladder tumours, suprapubic diathermy of (Anaes. 17712 = 6B + 6T)

  $499.00

 

 

 

37020

Bladder diverticulum, excision or obliteration of (Anaes. 17712 = 6B + 6T)

  $534.75

 

 

 

37023

Vesical fistula, cutaneous, operation for (Anaes. 17714 = 6B + 8T)

  $300.40

 

 

 

37026

Cutaneous vesicostomy, establishment of (Anaes. 17715 = 6B + 9T)

  $300.40

 

 

 

37029

Vesico-vaginal fistula, closure of by abdominal approach (Anaes. 17714 = 6B + 8T)

  $666.90

 

 

 

37032

Vesico-vaginal fistula, closure of, synchronous combined approach, abdominal component, including aftercare (Anaes. 17714 = 6B + 8T)

  $600.85

 

 

 

37035

Vesico-vaginal fistula, closure of, synchronous combined approach, vaginal component, including aftercare

  $432.55

 

 

 

37038

Vesico-intestinal fistula, closure of, excluding bowel resection  (Anaes. 17713 = 6B + 7T)

  $499.00

 

 

 

37041

Bladder aspiration, by needle

   $33.60

 

 

 

37044

Bladder stress incontinence, suprapubic procedure for, not being a service to which item 35599 applies (Anaes. 17711 = 6B + 5T)

  $499.00

 

 

 

37047

Bladder enlargement using intestine (Anaes. 17725 = 6B + 19T)

$1,201.65

 

 

 

37050

Bladder exstrophy closure, not involving sphincter reconstruction (Anaes. 17716 = 6B + 10T)

  $534.75

 

 

 

37053

Bladder transection and re-anastomosis to trigone (Anaes. 17718 = 6B + 12T)

  $618.00

 

 

 

37200

Prostatectomy, open (Anaes. 17714 = 6B + 8T)

  $733.00

 

 

 

37203

Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies (Anaes. 17710 = 6B + 4T)

  $835.15

 

 

 

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 (Anaes. 17709 = 6B + 3T)

  $402.55

 

 

 

37209

Prostate, total excision of (Anaes. 17723 = 7B + 16T)

  $931.30

 

 

 

37212

Prostate, open perineal biopsy or open drainage of abscess (Anaes. 17706 = 3B + 3T)

  $199.45

 

 

 

37215

Prostate, biopsy of, endoscopic, with or without cystoscopy (Anaes. 17705 = 3B + 2T)

  $300.40

 

 

 

37218

Prostate, needle biopsy of, or injection into (Anaes. 17704 = 3B + 1T)

   $99.75

 

 

 

37219

Prostate, transrectal needle biopsy of, using transrectal prostatic ultrasound techniques and obtaining 1 or more prostatic specimens, being a service associated with a service to which item 55300 or 55303 applies (Anaes. 17706 = 3B + 3T)

  $202.55

 

 

 

37221

Prostatic abscess, endoscopic drainage of (Anaes. 17706 = 3B + 3T)

  $336.45

 

 

 

37300

Urethral sounds, passage of, as an independent procedure (Anaes. 17704 = 3B + 1T)

   $33.60

 

 

 

37303

Urethral stricture, dilatation of (Anaes. 17705 = 3B + 2T)

   $53.45

 

 

 

37306

Urethra, repair of rupture of distal section (Anaes. 17709 = 3B + 6T)

  $468.65

 

 

 

37309

Urethra, repair of rupture of prostatic or membranous segment (Anaes. 17711 = 3B + 8T)

  $666.90

 

 

 

37315

Urethroscopy, as an independent procedure (Anaes. 17704 = 3B + 1T)

   $99.75

 

 

 

37318

Urethroscopy, with any 1 or more of; biopsy, diathermy or removal of foreign body or stone (Anaes. 17705 = 3B + 2T)

  $199.45

 

 

 

37321

Urethral meatotomy, external (Anaes. 17704 = 3B + 1T)

   $67.30

 

 

 

37324

Urethrotomy or urethrostomy, internal or external (Anaes. 17705 = 3B + 2T)

  $165.85

 

 

 

37327

Urethrotomy, optical, for urethral stricture (Anaes. 17705 = 3B + 2T)

  $233.10

 

 

 

37330

Urethrectomy, partial or complete, for removal of tumour (Anaes. 17712 = 7B + 5T)

  $468.65

 

 

 

37333

Urethro-vaginal fistula, closure of (Anaes. 17711 = 5B + 6T)

  $402.55

 

 

 

37336

Urethro-rectal fistula, closure of (Anaes. 17713 = 6B + 7T)

  $534.75

 

 

 

37339

Peri-urethral injection of Teflon, including urethroscopy and cystoscopy (Anaes. 17705 = 3B + 2T)

  $173.00

 

 

 

37342

Urethroplasty—single stage operation (Anaes. 17710 = 3B + 7T)

  $600.85

 

 

 

37345

Urethroplasty—2 stage operation—first stage (Anaes. 17709 = 3B + 6T)

  $498.70

 

 

 

37348

Urethroplasty—2 stage operation—second stage (Anaes. 17709 = 3B + 6T)

  $498.70

 

 

 

37351

Urethroplasty, not being a service to which another item in this Group applies (Anaes. 17709 = 3B + 6T)

  $199.45

 

 

 

37354

Hypospadias, meatotomy and hemi-circumcision (Anaes. 17707 = 3B + 4T)

  $233.10

 

 

 

37369

Urethra, excision of prolapse of (Anaes. 17707 = 3B + 4T)

  $134.60

 

 

 

37372

Urethral diverticulum, excision of (Anaes. 17708 = 3B + 5T)

  $336.45

 

 

 

37375

Urethral sphincter, reconstruction by bladder tubularisation technique or similar procedure (Anaes. 17718 = 6B + 12T)

  $835.15

 

 

 

37378

Urethra, operation for correction of male urinary incontinence, not being a service to which item 37381 or 37390 applies (Anaes. 17711 = 3B + 8T)

  $534.75

 

 

 

37381

Artificial urinary sphincter, insertion of cuff, perineal approach  (Anaes. 17711 = 3B + 8T)

  $534.75

 

 

 

37384

Artificial urinary sphincter, insertion of cuff, abdominal approach  (Anaes. 17716 = 6B + 10T)

  $835.15

 

 

 

37387

Artificial urinary sphincter, insertion of pressure regulating balloon and pump  (Anaes. 17709 = 3B + 6T)

  $233.10

 

 

 

37390

Artificial urinary sphincter, revision or removal of, with or without replacement (Anaes. 17714 = 6B + 8T)

  $666.90

 

 

 

37393

Priapism, decompression by glanular stab caverno-sospongiosum shunt or penile aspiration with or without lavage  (Anaes. 17707 = 3B + 4T)

  $165.85

 

 

 

37396

Priapism, shunt operation for, not being a service to which item 37393 applies (Anaes. 17711 = 3B + 8T)

  $534.75

 

 

 

37402

Penis, partial amputation of   (Anaes. 17708 = 3B + 5T)

  $336.45

 

 

 

37405

Penis, complete or radical amputation of  (Anaes. 17714 = 6B + 8T)

  $666.90

 

 

 

37408

Penis, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (Anaes. 17708 = 3B + 5T)

  $336.45

 

 

 

37411

Penis, repair of avulsion (Anaes. 17712 = 3B + 9T)

  $666.90

 

 

 

37414

Penis, injection of, for investigation or treatment of impotence, priapism or Peyronie's plaque

   $33.60

 

 

 

37417

Penis, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting  (Anaes. 17707 = 3B + 4T)

  $402.55

 

 

 

37420

Penis, surgery to inhibit rapid penile drainage causing impotence, by ligation of veins deep to Buck's fascia including 1 or more deep cavernosal veins, with or without pharmacological erection test (Anaes. 17707 = 3B + 4T)

  $264.35

 

 

 

37423

Penis, lengthening by translocation of corpora (Anaes. 17714 = 3B + 11T)

  $666.90

 

 

 

37426

Penis, artificial erection device, insertion of, into 1 or both corpora (Anaes. 17709 = 4B + 5T)

  $702.95

 

 

 

37429

Penis, artificial erection device, insertion of pump and pressure regulating reservoir   (Anaes. 17714 = 4B + 10T)

  $233.10

 

 

 

37432

Penis, artificial erection device, complete or partial revision or removal of components, with or without replacement   (Anaes. 17716 = 4B + 12T)

  $666.90

 

 

 

37435

Penis, frenuloplasty as an independent procedure  (Anaes. 17705 = 3B + 2T)

   $67.30

 

 

 

37438

Scrotum, partial excision of   (Anaes. 17707 = 3B + 4T)

  $199.45

 

 

 

37444

Ureterolithotomy complicated by previous surgery at the same site of the same ureter (Anaes. 17715 = 7B + 8T)

  $721.00

 

 

 

37600

Spermatocele or epididymal cyst, excision of, 1 or more of, on 1 side   (G) (Anaes. 17706 = 3B + 3T)

  $165.85

 

 

 

37601

Spermatocele or epididymal cyst, excision of, 1 or more of, on 1 side   (S) (Anaes. 17706 = 3B + 3T)

  $199.45

 

 

 

37604

Exploration of scrotal contents, with or without fixation and with or without biopsy, unilateral  (Anaes. 17706 = 3B + 3T)

  $199.45

 

 

 

37607

Retroperitoneal lymph node dissection, unilateral, not being a service associated with a service to which item 36528 applies (Anaes. 17716 = 6B + 10T)

  $666.90

 

 

 

37610

Retroperitoneal lymph node dissection, unilateral, not being a service associated with a service to which item 36528 applies, following previous similar retroperitoneal dissection, retroperitoneal irradiation or chemotherapy (Anaes. 17720 = 6B + 14T)

$1,003.40

 

 

 

37613

Epididymectomy (Anaes. 17706 = 3B + 3T)

  $199.45

 

 

 

37616

Vaso-vasostomy or vaso-epididymostomy, unilateral, using the operating microscope  (Anaes. 17712 = 3B + 9T)

  $498.70

 

 

 

37619

Vaso-vasostomy or vaso-epididymostomy, unilateral  (Anaes. 17709 = 3B + 6T)

  $199.45

 

 

 

37622

Vasotomy or vasectomy, unilateral or bilateral  (G) (Anaes. 17705 = 3B + 2T)

  $139.45

 

 

 

37623

Vasotomy or vasectomy, unilateral or bilateral  (S) (Anaes. 17705 = 3B + 2T)

  $165.85

 

 

 

37800

Patent urachus, excision of (Anaes. 17710 = 6B + 4T)

  $375.95

 

 

 

37803

Undescended testis, orchidopexy for, not being a service to which item 37806 applies (Anaes. 17708 = 4B + 4T)

  $375.95

 

 

 

37806

Undescended testis in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for (Anaes. 17711 = 6B + 5T)

  $434.45

 

 

 

37809

Undescended testis, revision orchidopexy for (Anaes. 17709 = 4B + 5T)

  $434.45

 

 

 

37812

Impalpable testis, exploration of groin for, not being a service associated with a service to which items 37803 to 37809 apply (Anaes. 17709 = 4B + 5T)

  $401.05

 

 

 

37815

Hypospadias, examination under anaesthesia with erection test (Anaes. 17705 = 3B + 2T)

   $66.85

 

 

 

37818

Hypospadias, glanuloplasty incorporating meatal advancement (Anaes. 17709 = 3B + 6T)

  $354.45

 

 

 

37821

Hypospadias, distal, 1 stage repair (Anaes. 17709 = 3B + 6T)

  $600.85

 

 

 

37824

Hypospadias, proximal, 1 stage repair (Anaes. 17711 = 3B + 8T)

  $835.50

 

 

 

37827

Hypospadias, staged repair, first stage (Anaes. 17709 = 3B + 6T)

  $384.85

 

 

 

37830

Hypospadias, staged repair, second stage (Anaes. 17709 = 3B + 6T)

  $498.70

 

 

 

37833

Hypospadias, repair of post operative urethral fistula (Anaes. 17708 = 3B + 5T)

  $238.00

 

 

 

37836

Epispadias, staged repair, first stage (Anaes. 17711 = 3B + 8T)

  $501.30

 

 

 

37839

Epispadias, staged repair, second stage (Anaes. 17711 = 3B + 8T)

  $568.10

 

 

 

37842

Exstrophy of bladder or epispadias, secondary repair with bladder neck tightening, with or without ureteric reimplantation (Anaes. 17718 = 6B + 12T)

$1,102.85

 

 

 

37845

Ambiguous genitalia with urogenital sinus, reduction clitoroplasty, with or without endoscopy (Anaes. 17713 = 3B + 10T)

  $501.30

 

 

 

37848

Ambiguous genitalia with urogenital sinus, reduction clitoroplasty, with endoscopy and vaginoplasty (Anaes. 17715 = 3B + 12T)

  $902.30

 

 

 

37851

Congenital adrenal hyperplasia, mixed gonadal dysgenesis or similar condition, vaginoplasty for, with or without endoscopy (Anaes. 17715 = 3B + 12T)

  $668.40

 

 

 

37854

Urethral valve, destruction of, including cystoscopy and urethroscopy (Anaes. 17707 = 3B + 4T)

  $264.35

 

 

 

 

Subgroup 6—Cardio-thoracic

 

 

 

 

38200

Right heart catheterisation, including fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection and exercise stress test  (Anaes. 17712 = 7B + 5T)

  $321.30

 

 

 

38203

Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventri- cular puncture—including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (Anaes. 17712 = 7B + 5T)

  $383.40

 

 

 

38206

Right heart catheterisation with left heart catheterisation via the right heart or by any other procedure—including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (Anaes. 17714 = 7B + 7T)

  $463.50

 

 

 

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 (Anaes. 17719 = 7B + 12T)

  $595.10

 

 

 

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 (Anaes. 17727 = 7B + 20T)

  $989.95

 

 

 

38215

Selective coronary arteriography—placement of catheters and injection of opaque material (Anaes. 17714 = 7B + 7T)

  $326.20

 

 

 

38218

Selective coronary arteriography—placement of catheters and injection of opaque material with right or left heart catheterisation, or both (Anaes. 17716 = 7B + 9T)

  $537.90

 

 

 

38250

Single chamber permanent transvenous electrode, insertion of (Anaes. 17711 = 6B + 5T)

  $460.70

 

 

 

38253

Permanent pacemaker, insertion or replacement of (Anaes. 17710 = 6B + 4T)

  $184.25

 

 

 

38256

Temporary transvenous pacemaking electrode, insertion of (Anaes. 17710 = 6B + 4T)

  $192.70

 

 

 

38259

Permanent dual chamber transvenous electrodes, insertion of (Anaes. 17711 = 6B + 5T)

  $604.00

 

 

 

38400

Thoracic cavity, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38403 applies

   $27.75

 

 

 

38403

Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample

   $55.50

 

 

 

38406

Pericardium, paracentesis of (excluding after-care)  (Anaes. 17708 = 6B + 2T)

   $96.35

 

 

 

38409

Intercostal drain, insertion of, not involving resection of rib (excluding after-care)  (Anaes. 17706 = 4B + 2T)

   $96.35

 

 

 

38410

Intercostal drain, insertion of, with pleurodesis and not involving resection of rib (excluding aftercare) (Anaes. 17707 = 4B + 3T)

  $118.75

 

 

 

38412

Percutaneous needle biopsy of lung  (Anaes. 17706 = 4B + 2T)

  $150.85

 

 

 

38415

Empyema, radical operation for, involving resection of rib   (Anaes. 17721 = 13B + 8T)

  $288.00

 

 

 

38418

Thoracotomy, exploratory, with or without biopsy (Anaes. 17719 = 13B + 6T)

  $691.25

 

 

 

38421

Thoracotomy, with pulmonary decortication (Anaes. 17726 = 15B + 11T)

$1,105.00

 

 

 

38424

Thoracotomy, with pleurectomy or pleurodesis, or enucleation of hydatid cysts (Anaes. 17721 = 13B + 8T)

  $691.25

 

 

 

38427

Thoracoplasty (complete)—3 or more ribs (Anaes. 17730 = 15B + 15T)

  $853.60

 

 

 

38430

Thoracoplasty (in stages)—each stage  (Anaes. 17723 = 15B + 8T)

  $439.90

 

 

 

38436

Thoracoscopy, with or without division of pleural adhesions, including insertion of intercostal catheter, with or without biopsy  (Anaes. 17714 = 10B + 4T)

  $180.15

 

 

 

38438

Pneumonectomy or lobectomy or segmentectomy (Anaes. 17724 = 13B + 11T)

$1,105.00

 

 

 

38440

Lung, wedge resection of (Anaes. 17722 = 13B + 9T)

  $827.45

 

 

 

38441

Radical lobectomy or pneumonectomy including resection of chest wall, diaphragm, pericardium, or formal mediastinal node dissection (Anaes. 17728 = 13B + 15T)

$1,309.20

 

 

 

38446

Thoracotomy or sternotomy, for removal of thymus or mediastinal tumour (Anaes. 17723 = 13B + 10T)

  $853.60

 

 

 

38447

Pericardiectomy via sternotomy or anterolateral thoracotomy without cardiopulmonary bypass (Anaes. 17727 = 15B + 12T)

$1,105.00

 

 

 

38448

Mediastinum, cervical exploration of, with or without biopsy (Anaes. 17712 = 8B + 4T)

  $261.85

 

 

 

38449

Pericardiectomy via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass (Anaes. 17732 = 20B + 12T)

$1,545.85

 

 

 

38450

Pericardium, transthoracic drainage of (Anaes. 17719 = 13B + 6T)

  $617.95

 

 

 

38452

Pericardium, sub-xyphoid drainage of (Anaes. 17717 = 13B + 4T)

  $413.75

 

 

 

38453

Tracheal excision and repair without cardiopulmonary bypass (Anaes. 17731 = 15B + 16T)

$1,241.15

 

 

 

38455

Tracheal excision and repair of, with cardiopulmonary bypass (Anaes. 17738 = 20B + 18T)

$1,678.95

 

 

 

38456

Intrathoracic operation on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum, or on more than 1 of those organs, not being a service to which another item in this Group applies (Anaes. 17731 = 15B + 16T)

$1,105.00

 

 

 

38457

Pectus excavatum or pectus carinatum, repair or radical correction of (Anaes. 17724 = 13B + 11T)

$1,031.70

 

 

 

38458

Pectus excavatum, repair of, with implantation of subcutaneous prosthesis (Anaes. 17724 = 13B + 11T)

  $549.90

 

 

 

38460

Sternal wires or wires, removal of (Anaes. 17709 = 5B + 4T)

  $198.60

 

 

 

38462

Sternotomy wound, debridement of, not involving reopening of the mediastinum (Anaes. 17710 = 5B + 5T)

  $235.45

 

 

 

38464

Sternotomy wound, debridement of, involving curettage of infected bone with or without removal of wires but not involving reopening of the mediastinum (Anaes. 17711 = 5B + 6T)

  $255.90

 

 

 

38466

Sternum, reoperation on for dehiscence or infection involving reopening of the mediastinum, with or without rewiring (Anaes. 17721 = 13B + 8T)

  $691.00

 

 

 

38468

Sternum and mediastinum, reoperation for infection of, involving muscle advancement flaps or greater omentum (Anaes. 17729 = 13B + 16T)

$1,064.70

 

 

 

38469

Sternum and mediastinum, reoperation for infection of, involving muscle advancement flaps and greater omentum (Anaes. 17733 = 13B + 20T)

$1,241.15

 

 

 

38470

Permanent myocardial electrode, insertion of, by thoracotomy (Anaes. 17721 = 15B + 6T)

  $691.25

 

 

 

38473

Permanent pacemaker electrode, insertion by sub-xyphoid approach (Anaes. 17720 = 15B + 5T)

  $413.75

 

 

 

38486

Aortic valve, decalcification of (Anaes. 17734 = 20B + 14T)

$1,241.15

 

 

 

38487

Mitral valve, open valvotomy of (Anaes. 17734 = 20B + 14T)

$1,241.15

 

 

 

38488

Valve replacement with bioprosthesis, mechanical prosthesis or unstented xenograft (Anaes. 17734 = 20B + 14T)

$1,377.30

 

 

 

38492

Valve replacement with allograft, subcoronary or cylindrical implant (Anaes. 17736 = 20B + 16T)

$1,638.00

 

 

 

38494

Valve, repair of (Anaes. 17734 = 20B + 14T)

$1,445.40

 

 

 

38497

Coronary artery bypass using saphenous vein graft or grafts only, including harvesting of graft material where performed (Anaes. 17736 = 20B + 16T)

$1,476.80

 

 

 

38500

Coronary artery bypass using single arterial graft, with or without vein graft or grafts, including harvesting of graft material where performed (Anaes. 17736 = 20B + 16T)

$1,586.80

 

 

 

38503

Coronary artery bypass using 2 or more arterial grafts, with or without vein graft or grafts, including harvesting of graft material where performed (Anaes. 17738 = 20B + 18T)

$1,722.95

 

 

 

38506

Left ventricular aneurysmectomy (Anaes. 17734 = 20B + 14T)

$1,173.05

 

 

 

38509

Ischaemic ventricular septal rupture, repair of (Anaes. 17738 = 20B + 18T)

$1,722.95

 

 

 

38512

Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving 1 atrial chamber only (Anaes. 17734 = 20B + 14T)

$1,513.50

 

 

 

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 (Anaes. 17738 = 20B + 18T)

$1,927.15

 

 

 

38518

Ventricular arrhythmia with mapping and muscle ablation, with or without aneurysmeotomy (Anaes. 17744 = 20B + 24T)

$2,068.60

 

 

 

38521

Automatic defibrillator, insertion of patches for (Anaes. 17721 = 15B + 6T)

  $759.35

 

 

 

38524

Automatic defibrillator generator, insertion or replacement of (Anaes. 17712 = 6B + 6T)

  $207.60

 

 

 

38550

Ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (Anaes. 17742 = 20B + 22T)

$1,377.30

 

 

 

38553

Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (Anaes. 17747 = 20B + 27T)

$1,791.00

 

 

 

38556

Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (Anaes. 17753 = 20B + 33T)

$2,068.60

 

 

 

38559

Aortic arch and ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (Anaes. 17747 = 20B + 27T)

$1,654.85

 

 

 

38562

Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (Anaes. 17753 = 20B + 33T)

$2,068.60

 

 

 

38565

Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (Anaes. 17756 = 20B + 36T)

$2,340.90

 

 

 

38568

Descending thoracic aorta, repair or replacement of, without shunt or cardiopulmonary bypass (Anaes. 17733 = 15B + 18T)

$1,173.05

 

 

 

38571

Descending thoracic aorta, repair or replacement of, using shunt or cardiopulmonary bypass (Anaes. 17738 = 20B + 18T)

$1,309.20

 

 

 

38572

Operative management of acute rupture or dissection, in conjunction with procedures on the thoracic aorta (Anaes. 17725 = 15B + 10T)

$1,433.20

 

 

 

38574

Deep hypothermia with cardiac arrest, in conjunction with open heart surgery

  $549.90

 

 

 

38600

Central cannulation for cardiopulmonary bypass excluding post-operative management, not being a service associated with a service to which another item in this Subgroup applies (Anaes. 17721 = 15B + 6T)

$1,105.00

 

 

 

38603

Peripheral cannulation for cardiopulmonary bypass excluding post-operative management (Anaes. 17713 = 8B + 5T)

  $691.25

 

 

 

38606

Intra-aortic balloon pump, percutaneous insertion of (Anaes. 17711 = 8B + 3T)

  $277.60

 

 

 

38609

Intra-aortic balloon pump, insertion of, by arteriotomy (Anaes. 17713 = 8B + 5T)

  $345.65

 

 

 

38612

Intra-aortic balloon pump, removal of, with closure of artery by direct suture (Anaes. 17713 = 8B + 5T)

  $387.50

 

 

 

38613

Intra-aortic balloon pump, removal of, with closure of artery by patch graft (Anaes. 17715 = 8B + 7T)

  $486.30

 

 

 

38615

Left or right ventricular assist device, insertion of (Anaes. 17730 = 15B + 15T)

$1,105.00

 

 

 

38618

Left and right ventricular assist device, insertion of (Anaes. 17732 = 15B + 17T)

$1,377.30

 

 

 

38621

Left or right ventricular assist device, removal of, as an independent procedure (Anaes. 17721 = 15B + 6T)

  $549.90

 

 

 

38624

Left and right ventricular assist device, removal of, as an independent procedure (Anaes. 17722 = 15B + 7T)

  $617.95

 

 

 

38640

Re-operation via median sternotomy, for any procedure, including any divisions of adhesions where the time taken to divide the adhesions is 45 minutes or less (Anaes. 17721 = 13B + 8T)

  $691.25

 

 

 

38650

Myomectomy or myotomy for hypertrophic obstructive cardiomyopathy (Anaes. 17732 = 20B + 12T)

$1,377.30

 

 

 

38653

Open heart surgery, not being a service to which another item in this Group applies (Anaes. 17736 = 20B + 16T)

$1,377.30

 

 

 

38656

Thoracotomy or median sternotomy for post-operative bleeding (Anaes. 17721 = 15B + 6T)

  $691.25

 

 

 

38659

Thoracotomy or sternotomy involving division of adhesions where the time taken to divide the adhesions exceeds 45 minutes (Anaes. 17721 = 13B + 8T)

  $769.85

 

 

 

38662

Thoracotomy or sternotomy involving division of extensive adhesions where the time taken to divide the adhesions exceeds 2 hours (Anaes. 17727 = 13B + 14T)

$1,539.65

 

 

 

 

Subgroup 7—Neurosurgical

 

 

 

 

39000

Lumbar puncture (Anaes. 17706 = 5B + 1T)

   $54.25

 

 

 

39003

Cisternal puncture

   $61.85

 

 

 

39006

Ventricular puncture (not including burr-hole)

  $115.00

 

 

 

39009

Subdural haemorrhage, tap for, each tap (Anaes. 17707 = 5B + 2T)

   $42.85

 

 

 

39012

Burr-hole, single, preparatory to ventricular puncture or for inspection purpose—not being a service to which another item applies (Anaes. 17713 = 9B + 4T)

  $171.40

 

 

 

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

   $78.85

 

 

 

39015

Ventricular reservoir, external ventricular drain or intracranial pressure monitoring device, insertion of—including burr-hole (excluding after-care) (Anaes. 17713 = 9B + 4T)

  $271.20

 

 

 

39018

Cerebrospinal fluid reservoir, insertion of (Anaes. 17714 = 9B + 5T)

  $271.20

 

 

 

39100

Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (Anaes. 17709 = 5B + 4T)

  $171.40

 

 

 

39106

Neurectomy, intracranial, for trigeminal neuralgia (Anaes. 17724 = 12B + 12T)

  $857.00

 

 

 

39109

Trigeminal gangliotomy by radiofrequency, balloon or glycerol (Anaes. 17711 = 6B + 5T)

  $320.00

 

 

 

39112

Cranial nerve, intracranial decompression of, using microsurgical techniques (Anaes. 17729 = 12B + 17T)

$1,111.90

 

 

 

39115

Percutaneous neurotomy of posterior divisions (or rami) of spinal nerves by any method, including any associated spinal, epidural or regional nerve block (payable once only in a 30 day period) (Anaes. 17707 = 5B + 2T)

   $71.60

 

 

 

39118

Percutaneous neurotomy for facet joint denervation by radio-frequency probe or cryoprobe using radiological imaging control (Anaes. 17707 = 5B + 2T)

  $214.80

 

 

 

39121

Percutaneous cordotomy (Anaes. 17710 = 5B + 5T)

  $455.60

 

 

 

39124

Cordotomy or myelotomy, laminectomy for, or operation for dorsal root entry zone (Drez) lesion  (Anaes. 17718 = 10B + 8T)

$1,166.10

 

 

 

39125

Spinal catheter, insertion of—for an automated infusion device (Anaes. 17709 = 5B + 4T)

  $215.00

 

 

 

39126

Automated subcutaneous infusion device, insertion of (Anaes. 17709 = 5B + 4T)

  $261.05

 

 

 

39127

Subcutaneous reservoir and spinal catheter for pain, insertion of (Anaes. 17709 = 5B + 4T)

  $341.70

 

 

 

39128

Automated subcutaneous infusion device and spinal catheter, insertion of (Anaes. 17712 = 5B + 7T)

  $476.00

 

 

 

39130

Percutaneous epidural electrode, insertion of 1 or more of—for spinal stimulation (Anaes. 17711 = 5B + 6T)

  $440.20

 

 

 

39131

Percutaneous epidural electrodes, management, adjustment, electronic programming and trial of stimulation of, by a medical practitioner—each day

   $92.15

 

 

 

39133

Epidural stimulator or intrathecal infusion device, revision of (Anaes. 17709 = 5B + 4T)

  $115.00

 

 

 

39134

Spinal neurostimulator receiver or pulse generator, subcutaneous placement of (Anaes. 17709 = 5B + 4T)

  $245.70

 

 

 

39136

Percutaneous epidural implant for management of pain, removal of (Anaes. 17709 = 5B + 4T)

  $115.00

 

 

 

39139

Epidural electrode for management of pain, insertion of 1 or more of by laminectomy, including implantation of pulse generator (1 or 2 stages) (Anaes. 17718 = 10B + 8T)

  $775.65

 

 

 

39300

Cutaneous nerve (including digital nerve), primary repair of, using microsurgical techniques (Anaes. 17710 = 4B + 6T)

  $254.95

 

 

 

39303

Cutaneous nerve (including digital nerve), secondary repair of, using microsurgical techniques (Anaes. 17711 = 4B + 7T)

  $336.25

 

 

 

39306

Nerve trunk, primary repair of, using microsurgical techniques (Anaes. 17712 = 4B + 8T)

  $488.15

 

 

 

39309

Nerve trunk, secondary repair of, using microsurgical techniques (Anaes. 17713 = 4B + 9T)

  $515.25

 

 

 

39312

Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques (Anaes. 17712 = 4B + 8T)

  $287.45

 

 

 

39315

Nerve trunk, nerve graft to, (cable graft) including harvesting of nerve graft using microsurgical techniques (Anaes. 17717 = 4B + 13T)

  $743.05

 

 

 

39318

Cutaneous nerve (including digital nerve), nerve graft to, using microsurgical techniques (Anaes. 17713 = 4B + 9T)

  $461.05

 

 

 

39321

Nerve, transposition of (Anaes. 17708 = 4B + 4T)

  $341.70

 

 

 

39323

Percutaneous neurotomy by cryoneurotomy or radiofrequency lesion generator, not being a service to which another item applies (Anaes. 17710 = 5B + 5T)

  $199.60

 

 

 

39324

Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve, by open operation (Anaes. 17707 = 4B + 3T)

  $199.60

 

 

 

39327

Neurectomy, neurotomy or removal of tumour from deep peripheral nerve, by open operation (Anaes. 17708 = 4B + 4T)

  $341.70

 

 

 

39330

Neurolysis by open operation without transposition, not being a service associated with a service to which item 39312 applies (Anaes. 17706 = 4B + 2T)

  $199.60

 

 

 

39331

Carpal tunnel release (division of transverse carpal ligament), by any method (Anaes. 17705 = 3B + 2T)

  $199.60

 

 

 

39333

Brachial plexus, exploration of, not being a service to which another item in this Group applies (Anaes. 17713 = 5B + 8T)

  $287.45

 

 

 

39500

Vestibular nerve, section of, via posterior fossa (Anaes. 17729 = 12B + 17T)

  $916.65

 

 

 

39503

Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of (Anaes. 17733 = 12B + 21T)

  $688.85

 

 

 

39600

Intracranial haemorrhage, burr-hole craniotomy for—including burr holes (Anaes. 17715 = 9B + 6T)

  $341.70

 

 

 

39603

Intracranial haemorrhage, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (Anaes. 17723 = 12B + 11T)

  $862.40

 

 

 

39606

Fractured skull, depressed or comminuted, operation for (Anaes. 17719 = 12B + 7T)

  $574.90

 

 

 

39609

Fractured skull, compound, without dural penetration, operation for (Anaes. 17719 = 12B + 7T)

  $688.85

 

 

 

39612

Fractured skull, compound, depressed or complicated, with dural penetration and brain laceration, operation for (Anaes. 17721 = 12B + 9T)

  $808.20

 

 

 

39615

Fractured skull with rhinorrhoea or otorrhoea, cranioplasty and repair of (Anaes. 17723 = 12B + 11T)

  $862.40

 

 

 

39700

Skull tumour, benign or malignant, excision of, excluding cranioplasty (Anaes. 17727 = 12B + 15T)

  $401.40

 

 

 

39703

Intracranial tumour, cyst or other brain tissue, burr-hole and biopsy of, or drainage of, or both (Anaes. 17714 = 9B + 5T)

  $374.25

 

 

 

39706

Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (Anaes. 17720 = 12B + 8T)

  $802.70

 

 

 

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 Sub-group applies (Anaes. 17730 = 12B + 18T)

$1,144.45

 

 

 

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 Sub-group applies (Anaes. 17730 = 12B + 18T)

$2,066.50

 

 

 

39715

Pituitary tumour, removal of, by transcranial or transphenoidal approach (Anaes. 17730 = 12B + 18T)

$1,431.90

 

 

 

39718

Arachnoidal cyst, craniotomy for (Anaes. 17720 = 12B + 8T)

  $629.20

 

 

 

39721

Craniotomy, involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling, etc (Anaes. 17720 = 12B + 8T)

  $574.90

 

 

 

39800

Aneurysm, clipping or reinforcement of sac (Anaes. 17740 = 20B + 20T)

$2,061.10

 

 

 

39803

Intracranial arteriovenous malformation, excision of (Anaes. 17744 = 20B + 24T)

$2,061.10

 

 

 

39806

Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping of (Anaes. 17736 = 20B + 16T)

  $927.50

 

 

 

39809

Arteriovenous malformation, craniotomy and direct embolisation of (Anaes. 17744 = 20B + 24T)

$1,030.50

 

 

 

39812

Intracranial aneurysm or arteriovenous fistula, ligation of cervical vessel or vessels (Anaes. 17715 = 10B + 5T)

  $455.60

 

 

 

39815

Carotid-cavernous fistula, obliteration of—combined cervical and intracranial procedure (Anaes. 17756 = 20B + 36T)

$1,318.05

 

 

 

39818

Extracranial to intracranial bypass using superficial temporal artery or saphenous vein graft (Anaes. 17744 = 20B + 24T)

$1,318.05

 

 

 

39900

Intracranial infection, drainage of, via burr-hole—including burr-hole (Anaes. 17714 = 9B + 5T)

  $374.25

 

 

 

39903

Intracranial abscess, excision of (Anaes. 17722 = 12B + 10T)

$1,144.45

 

 

 

39906

Osteomyelitis of skull or removal of infected bone flap, craniectomy for (Anaes. 17717 = 12B + 5T)

  $574.90

 

 

 

40000

Ventriculo-cisternostomy (Torkildsen's operation) (Anaes. 17720 = 10B + 10T)

  $661.70

 

 

 

40003

Cranial or cisternal shunt diversion, insertion of (Anaes. 17719 = 10B + 9T)

  $661.70

 

 

 

40006

Lumbar shunt diversion, insertion of (Anaes. 17719 = 10B + 9T)

  $520.70

 

 

 

40009

Cranial, cisternal or lumbar shunt, revision or removal of (Anaes. 17718 = 10B + 8T)

  $379.65

 

 

 

40012

Third ventriculostomy (Anaes. 17720 = 10B + 10T)

  $743.05

 

 

 

40015

Subtemporal decompression (Anaes. 17724 = 12B + 12T)

  $460.70

 

 

 

40018

Lumbar cerebrospinal fluid drain, insertion of (Anaes. 17710 = 8B + 2T)

  $115.00

 

 

 

40100

Meningocele, excision and closure of (Anaes. 17717 = 8B + 9T)

  $499.00

 

 

 

40103

Myelomeningocele, excision and closure of, including skin flaps or Z plasty where performed (Anaes. 17719 = 8B + 11T)

  $732.25

 

 

 

40106

Arnold-Chiari malformation, decompression of (Anaes. 17735 = 12B + 23T)

  $743.05

 

 

 

40109

Encephalocoele, excision and closure of (Anaes. 17734 = 12B + 22T)

  $802.70

 

 

 

40112

Tethered cord, release of, including lipomeningocele or diastematomyelia (Anaes. 17736 = 8B + 28T)

$1,030.50

 

 

 

40115

Craniostenosis, operation for—single suture (Anaes. 17723 = 12B + 11T)

  $520.70

 

 

 

40118

Craniostenosis, operation for—more than 1 suture (Anaes. 17725 = 12B + 13T)

  $688.85

 

 

 

40300

Intervertebral disc or discs, laminectomy for removal of (Anaes. 17715 = 9B + 6T)

  $688.85

 

 

 

40301

Intervertebral disc or discs, microsurgical discectomy of (Anaes. 17717 = 9B + 8T)

  $691.00

 

 

 

40303

Recurrent disc lesion or spinal stenosis, or both, laminectomy for—1 level (Anaes. 17715 = 9B + 6T)

  $786.45

 

 

 

40306

Spinal stenosis, laminectomy for, involving more than 1 vertebral interspace (disc level) (Anaes. 17717 = 9B + 8T)

$1,035.95

 

 

 

40309

Extradural tumour or abscess, laminectomy for  (Anaes. 17715 = 9B + 6T)

  $786.45

 

 

 

40312

Intradural lesion, laminectomy for, not being a service to which another item in this Group applies (Anaes. 17715 = 9B + 6T)

$1,057.65

 

 

 

40315

Craniocervical junction lesion, transoral approach for (Anaes. 17733 = 13B + 20T)

$1,144.45

 

 

 

40318

Intramedullary tumour or arteriovenous malformation, laminectomy and radical excision of  (Anaes. 17725 = 13B + 12T)

$1,431.90

 

 

 

40321

Posterior spinal fusion, not being a service to which items 40324 and 40327 apply (Anaes. 17722 = 9B + 13T)

  $786.45

 

 

 

40324

Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together—laminectomy, including aftercare  (Anaes. 17722 = 9B + 13T)

  $461.05

 

 

 

40327

Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together—posterior fusion, including aftercare

  $461.05

 

 

 

40330

Spinal rhizolysis involving exposure of spinal nerve roots, with or without laminectomy  (Anaes. 17719 = 9B + 10T)

  $688.85

 

 

 

40333

Cervical discectomy (anterior), without fusion (Anaes. 17724 = 10B + 14T)

  $574.90

 

 

 

40336

Intradiscal injection of chymopapain (discase)—1 disc  (Anaes. 17709 = 5B + 4T)

  $227.85

 

 

 

40339

Hydromyelia, plugging of obex for, with or without duroplasty (Anaes. 17728 = 8B + 20T)

$1,144.45

 

 

 

40342

Hydromyelia, craniotomy and laminectomy for, with cavity packing and CSF shunt (Anaes. 17730 = 12B + 18T)

$1,057.65

 

 

 

40600

Cranioplasty, reconstructive (Anaes. 17722 = 12B + 10T)

  $688.85

 

 

 

40700

Corpus callosum, anterior section of, for epilepsy (Anaes. 17730 = 12B + 18T)

$1,258.35

 

 

 

40703

Corticectomy, topectomy or partial lobectomy for epilepsy (Anaes. 17728 = 12B + 16T)

$1,057.65

 

 

 

40706

Hemispherectomy for intractable epilepsy (Anaes. 17742 = 12B + 30T)

$1,545.80

 

 

 

40709

Burr-hole placement of intracranial depth or surface electrodes (Anaes. 17720 = 12B + 8T)

  $374.25

 

 

 

40712

Intracranial electrode placement via craniotomy (Anaes. 17724 = 12B + 12T)

  $753.90

 

 

 

40800

Stereotactic anatomical localisation, as an independent procedure (Anaes. 17720 = 12B + 8T)

  $460.70

 

 

 

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 (Anaes. 17725 = 12B + 13T)

$1,259.20

 

 

 

40803

Intracranial stereotactic procedure by any method, not being a service to which item 40800 or 40801 applies (Anaes. 17721 = 12B + 9T)

  $862.40

 

 

 

 

Subgroup 8—Ear, Nose and Throat

 

 

 

 

41500

Ear, removal of foreign body in, otherwise than by simple syringing  (Anaes. 17706 = 5B + 1T)

   $59.50

 

 

 

41503

Ear, removal of foreign body in, involving incision of external auditory canal (Anaes. 17708 = 5B + 3T)

  $172.25

 

 

 

41506

Aural polyp, removal of (Anaes. 17707 = 5B + 2T)

  $103.90

 

 

 

41509

External auditory meatus, surgical removal of keratosis obturans from, not being a service to which another item in this Group applies (Anaes. 17709 = 5B + 4T)

  $117.55

 

 

 

41512

Meatoplasty involving removal of cartilage or bone or both cartilage and bone, not being a service to which item 41515 applies (Anaes. 17710 = 5B + 5T)

  $422.65

 

 

 

41515

Meatoplasty involving removal of cartilage or bone or both cartilage and bone, being a service associated with a service to which item 41530, 41548, 41560, 41560 or 41563 applies (Anaes. 17709 = 5B + 4T)

  $277.35

 

 

 

41518

External auditory meatus, removal of exostoses in  (Anaes. 17711 = 5B + 6T)

  $669.95

 

 

 

41521

Correction of auditory canal stenosis, including meatoplasty, with or without grafting  (Anaes. 17713 = 5B + 8T)

  $713.20

 

 

 

41524

Reconstruction of external auditory canal, being a service associated with a service to which items 41557, 41560 and 41563 apply (Anaes. 17710 = 5B + 5T)

  $206.05

 

 

 

41527

Myringoplasty, trans-canal approach (Rosen incision) (Anaes. 17711 = 5B + 6T)

  $423.80

 

 

 

41530

Myringoplasty, post-aural or endaural approach with or without mastoid inspection (Anaes. 17711 = 5B + 6T)

  $690.45

 

 

 

41533

Atticotomy without reconstruction of the bony defect, with or without myringoplasty (Anaes. 17712 = 5B + 7T)

  $825.45

 

 

 

41536

Atticotomy with reconstruction of the bony defect with or without myringoplasty (Anaes. 17713 = 5B + 8T)

  $924.50

 

 

 

41539

Ossicular chain reconstruction (Anaes. 17710 = 5B + 5T)

  $786.15

 

 

 

41542

Ossicular chain reconstruction and myringoplasty (Anaes. 17711 = 5B + 6T)

  $861.35

 

 

 

41545

Mastoidectomy (cortical) (Anaes. 17711 = 5B + 6T)

  $375.95

 

 

 

41548

Obliteration of the mastoid cavity (Anaes. 17711 = 5B + 6T)

  $499.00

 

 

 

41551

Mastoidectomy, intact wall technique, with myringoplasty (Anaes. 17717 = 5B + 12T)

$1,149.00

 

 

 

41554

Mastoidectomy, intact wall technique, with myringoplasty and ossicular chain reconstruction (Anaes. 17719 = 5B + 14T)

$1,353.75

 

 

 

41557

Mastoidectomy (radical or modified radical) (Anaes. 17711 = 5B + 6T)

  $786.15

 

 

 

41560

Mastoidectomy (radical or modified radical) and myringoplasty  (Anaes. 17714 = 5B + 9T)

  $861.35

 

 

 

41563

Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruction (Anaes. 17715 = 5B + 10T)

$1,066.40

 

 

 

41566

Revision of mastoidectomy (radical, modified radical or intact wall), including myringoplasty (Anaes. 17713 = 5B + 8T)

  $786.15

 

 

 

41569

Decompression of facial nerve in its mastoid portion (Anaes. 17713 = 5B + 8T)

  $861.35

 

 

 

41572

Labyrinthotomy or destruction of labyrinth (Anaes. 17712 = 5B + 7T)

  $745.15

 

 

 

41575

Cerebello-pontine angle tumour, removal of by 2 surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approach—transmastoid, translabyrinthine or retromastoid procedure (including aftercare)  (Anaes. 17748 = 12B + 36T)

$1,756.85

 

 

 

41578

Cerebello-pontine angle tumour, removal of by 2 surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approach—intracranial procedure (including aftercare)

$1,756.85

 

 

 

41581

Skull base tumour, removal of by infra-temporal approach (Anaes. 17749 = 12B + 37T)

$2,020.70

 

 

 

41584

Partial temporal bone resection for removal of tumour involving mastoidectomy with or without decompression of facial nerve  (Anaes. 17733 = 12B + 21T)

$1,386.75

 

 

 

41587

Total temporal bone resection for removal of tumour  (Anaes. 17737 = 12B + 25T)

$1,888.65

 

 

 

41590

Endolymphatic sac, transmastoid decompression with or without drainage of (Anaes. 17713 = 5B + 8T)

  $861.35

 

 

 

41593

Translabyrinthine vestibular nerve section  (Anaes. 17722 = 5B + 17T)

$1,122.65

 

 

 

41596

Retrolabyrinthine vestibular nerve section or cochlear nerve section, or both (Anaes. 17733 = 12B + 21T)

$1,254.70

 

 

 

41599

Internal auditory meatus, exploration by middle cranial fossa approach with cranial nerve decompression (Anaes. 17729 = 12B + 17T)

$1,254.70

 

 

 

41602

Fenestration operation—each ear (Anaes. 17711 = 5B + 6T)

  $861.35

 

 

 

41605

Venous graft to fenestration cavity  (Anaes. 17712 = 5B + 7T)

  $423.80

 

 

 

41608

Stapedectomy (Anaes. 17711 = 5B + 6T)

  $786.15

 

 

 

41611

Stapes mobilisation  (Anaes. 17710 = 5B + 5T)

  $505.85

 

 

 

41614

Round window surgery including repair of cochleotomy (Anaes. 17711 = 5B + 6T)

  $786.15

 

 

 

41615

Oval window surgery, including repair of fistula, not being a service associated with a service to which any other item in this Group applies (Anaes. 17711 = 5B + 6T)

  $786.15

 

 

 

41617

Cochlear implant, insertion of, including mastoidectomy   (Anaes. 17722 = 5B + 17T)

$1,366.95

 

 

 

41620

Glomus tumour, transtympanic removal of (Anaes. 17712 = 5B + 7T)

  $594.75

 

 

 

41623

Glomus tumour, transmastoid removal of, including mastoidectomy  (Anaes. 17713 = 5B + 8T)

  $861.35

 

 

 

41626

Abscess or inflammation of middle ear, operation for (excluding after-care)  (Anaes. 17707 = 5B + 2T)

  $103.90

 

 

 

41629

Middle ear, exploration of (Anaes. 17710 = 5B + 5T)

  $375.95

 

 

 

41632

Middle ear, insertion of tube for drainage of (including myringotomy) (Anaes. 17706 = 5B + 1T)

  $172.25

 

 

 

41635

Clearance of middle ear for granuloma, cholesteatoma and polyp, 1 or more, with or without myringoplasty  (Anaes. 17713 = 5B + 8T)

  $825.45

 

 

 

41638

Clearance of middle ear for granuloma, cholesteatoma and polyp, 1 or more, with or without myringoplasty with ossicular chain reconstruction (Anaes. 17715 = 5B + 10T)

$1,030.15

 

 

 

41641

Perforation of tympanum, cauterisation or diathermy of  (Anaes. 17707 = 5B + 2T)

   $34.20

 

 

 

41644

Excision of rim of eardrum perforation, not being a service associated with myringoplasty  (Anaes. 17707 = 5B + 2T)

  $103.00

 

 

 

41647

Ear toilet requiring use of operating microscope and microinspection of tympanic membrane with or without general anaesthesia  (Anaes. 17706 = 4B + 2T)

   $79.30

 

 

 

41650

Tympanic membrane, microinspection of 1 or both ears under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes. 17706 = 4B + 2T)

   $79.30

 

 

 

41653

Examination of nasal cavity or post-nasal space or nasal cavity and post-nasal space, under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes. 17707 = 5B + 2T)

   $51.95

 

 

 

41656

Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after-care) (Anaes. 17709 = 5B + 4T)

   $88.50

 

 

 

41659

Nose, removal of foreign body in, other than by simple probing (Anaes. 17707 = 5B + 2T)

   $56.05

 

 

 

41662

Nasal polyp or polypi (simple), removal of

   $59.50

 

 

 

41665

Nasal polyp or polypi (requiring admission to hospital), removal of  (G) (Anaes. 17707 = 5B + 2T)

  $124.40

 

 

 

41668

Nasal polyp or polypi (requiring admission to hospital), removal of (S) (Anaes. 17707 = 5B + 2T)

  $158.60

 

 

 

41671

Nasal septum, septoplasty, submucous resection or closure of septal perforation (Anaes. 17708 = 5B + 3T)

  $348.60

 

 

 

41674

Cauterisation (other than by chemical means) or cauterisation by chemical means when performed under general anaesthesia or diathermy of septum, turbinates or pharynx—1 or more of these procedures (including any consultation on the same occasion) not being a service associated with any other operation on the nose (Anaes. 17707 = 5B + 2T)

   $72.45

 

 

 

41677

Nasal haemorrhage, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes. 17709 = 5B + 4T)

   $64.95

 

 

 

41680

Cryotherapy to nose in the treatment of nasal haemorrhage (Anaes. 17708 = 5B + 3T)

  $117.55

 

 

 

41683

Division of nasal adhesions, with or without stenting not being a service associated with any other operation on the nose and not performed during the post-operative period of a nasal operation (Anaes. 17708 = 5B + 3T)

   $84.50

 

 

 

41686

Dislocation of turbinate or turbinates, 1 or both sides, not being a service associated with a service to which another item in this Group applies (Anaes. 17707 = 5B + 2T)

   $51.95

 

 

 

41689

Turbinectomy or turbinectomies, partial or total, unilateral (Anaes. 17707 = 5B + 2T)

   $98.45

 

 

 

41692

Turbinates, submucous resection of, unilateral (Anaes. 17707 = 5B + 2T)

  $128.50

 

 

 

41695

Nasal turbinates, cryotherapy to (Anaes. 17707 = 5B + 2T)

   $72.10

 

 

 

41698

Maxillary antrum, proof puncture and lavage of (Anaes. 17707 = 5B + 2T)

   $23.50

 

 

 

41701

Maxillary antrum, proof puncture and lavage of—under general anaesthesia (requiring admission to hospital), not being a service associated with a service to which another item in this Group applies (Anaes. 17707 = 5B + 2T)

   $66.35

 

 

 

41704

Maxillary antrum, lavage of—each attendance at which the procedure is performed, including any associated consultation (Anaes. 17707 = 5B + 2T)

   $19.70

 

 

 

41707

Maxillary artery, transantral ligation of (Anaes. 17712 = 7B + 5T)

  $323.55

 

 

 

41710

Antrostomy (radical) (Anaes. 17710 = 5B + 5T)

  $375.95

 

 

 

41713

Antrostomy (radical) with transantral ethmoidectomy or transantral vidian neurectomy  (Anaes. 17711 = 5B + 6T)

  $437.50

 

 

 

41716

Antrum, intranasal operation on or removal of foreign body from (Anaes. 17709 = 5B + 4T)

  $213.25

 

 

 

41719

Antrum, drainage of, through tooth socket (Anaes. 17708 = 5B + 3T)

   $84.75

 

 

 

41722

Oro-antral fistula, plastic closure of (Anaes. 17712 = 5B + 7T)

  $423.80

 

 

 

41725

Ethmoidal artery or arteries, transorbital ligation of (unilateral)  (Anaes. 17711 = 5B + 6T)

  $323.55

 

 

 

41728

Lateral rhinotomy with removal of tumour  (Anaes. 17713 = 5B + 8T)

  $647.15

 

 

 

41729

Dermoid of nose, excision of, with intranasal extension (Anaes. 17709 = 5B + 4T)

  $410.15

 

 

 

41731

Fronto-nasal ethmoidectomy by external approach with or without sphenoidectomy (Anaes. 17710 = 5B + 5T)

  $560.55

 

 

 

41734

Radical fronto-ethmoidectomy with osteoplastic flap  (Anaes. 17718 = 10B + 8T)

  $731.45

 

 

 

41737

Frontal sinus or ethmoidal sinuses, intranasal operation on  (Anaes. 17709 = 5B + 4T)

  $348.60

 

 

 

41740

Frontal sinus, catheterisation of (Anaes. 17707 = 5B + 2T)

   $42.40

 

 

 

41743

Frontal sinus, trephine of (Anaes. 17707 = 5B + 2T)

  $243.35

 

 

 

41746

Frontal sinus, radical obliteration of (Anaes. 17716 = 10B + 6T)

  $560.55

 

 

 

41749

Ethmoidal sinuses, external operation on  (Anaes. 17711 = 5B + 6T)

  $437.50

 

 

 

41752

Sphenoidal sinus, intranasal operation on  (Anaes. 17709 = 5B + 4T)

  $213.25

 

 

 

41755

Eustachian tube, catheterisation of (Anaes. 17708 = 5B + 3T)

   $33.50

 

 

 

41758

Division of pharyngeal adhesions  (Anaes. 17708 = 5B + 3T)

   $84.75

 

 

 

41761

Post nasal space, direct examination of, with or without biopsy (Anaes. 17707 = 5B + 2T)

   $88.50

 

 

 

41764

Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx and larynx, 1 or more of these procedures  (Anaes. 17707 = 5B + 2T)

   $88.50

 

 

 

41767

Nasopharyngeal angiofibroma, transpalatal removal (Anaes. 17717 = 10B + 7T)

  $531.55

 

 

 

41770

Pharyngeal pouch, removal of, with or without cricopharyngeal myotomy (Anaes. 17717 = 6B + 11T)

  $505.85

 

 

 

41773

Pharyngeal pouch, endoscopic resection of (Dohlman's operation) (Anaes. 17714 = 5B + 9T)

  $423.80

 

 

 

41776

Cricopharyngeal myotomy with or without inversion of pharyngeal pouch (Anaes. 17711 = 6B + 5T)

  $422.65

 

 

 

41779

Pharyngotomy (lateral), with or without total excision of tongue (Anaes. 17719 = 10B + 9T)

  $505.85

 

 

 

41782

Partial pharyngectomy via pharyngotomy (Anaes. 17717 = 10B + 7T)

  $686.75

 

 

 

41785

Partial pharyngectomy via pharyngotomy with partial or total glossectomy (Anaes. 17719 = 10B + 9T)

  $851.90

 

 

 

41786

Uvulopalatopharyngoplasty, with or without tonsillectomy, by any means (Anaes. 17712 = 6B + 6T)

  $531.55

 

 

 

41787

Uvulectomy and partial palatectomy with laser incision of the palate, with or without tonsillectomy, 1 or more stages, including any revision procedures within 12 months (Anaes. 17713 = 5B + 8T)

  $410.15

 

 

 

41788

Tonsils or tonsils and adenoids, removal of, in a person aged less than 12 years  (G) (Anaes. 17708 = 5B + 3T)

  $158.60

 

 

 

41789

Tonsils or tonsils and adenoids, removal of, in a person aged less than 12 years (S) (Anaes. 17708 = 5B + 3T)

  $213.25

 

 

 

41792

Tonsils or tonsils and adenoids, removal of, in a person 12 years of age or over (G) (Anaes. 17708 = 5B + 3T)

  $199.60

 

 

 

41793

Tonsils or tonsils and adenoids, removal of, in a person 12 years of age or over (S) (Anaes. 17708 = 5B + 3T)

  $267.95

 

 

 

41796

Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (G) (Anaes. 17709 = 5B + 4T)

   $82.05

 

 

 

41797

Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (S) (Anaes. 17709 = 5B + 4T)

  $103.90

 

 

 

41800

Adenoids, removal of (G) (Anaes. 17707 = 5B + 2T)

   $84.75

 

 

 

41801

Adenoids, removal of (S) (Anaes. 17707 = 5B + 2T)

  $117.55

 

 

 

41804

Lingual tonsil or lateral pharyngeal bands, removal of (Anaes. 17708 = 5B + 3T)

   $64.95

 

 

 

41807

Peritonsillar abscess (quinsy), incision of  (Anaes. 17708 = 5B + 3T)

   $50.60

 

 

 

41810

Uvulotomy or uvulectomy (Anaes. 17708 = 5B + 3T)

   $25.70

 

 

 

41813

Vallecular or pharyngeal cysts, removal of  (Anaes. 17709 = 5B + 4T)

  $257.00

 

 

 

41816

Oesophagoscopy (with rigid oesophagoscope) (Anaes. 17708 = 6B + 2T)

  $134.00

 

 

 

41819

Oesophageal and anastomic stricture, endoscopic dilatation of (Anaes. 17708 = 5B + 2T)

  $251.75

 

 

 

41822

Oesophagoscopy (with rigid oesophagoscope) with biopsy (Anaes. 17708 = 6B + 2T)

  $172.25

 

 

 

41825

Oesophagoscopy (with rigid oesophagoscope) with removal of foreign body  (Anaes. 17709 = 6B + 3T)

  $257.00

 

 

 

41828

Oesophageal stricture, dilatation of, without oesophagoscopy (Anaes. 17708 = 6B + 2T)

   $37.60

 

 

 

41831

Oesophagus, endoscopic pneumatic dilatation of (Anaes. 17709 = 6B + 3T)

  $257.50

 

 

 

41834

Laryngectomy (total)  (Anaes. 17725 = 10B + 15T)

  $929.70

 

 

 

41837

Vertical hemi-laryngectomy including tracheostomy (Anaes. 17722 = 10B + 12T)

  $891.50

 

 

 

41840

Supraglottic laryngectomy including tracheostomy (Anaes. 17726 = 10B + 16T)

$1,096.20

 

 

 

41843

Laryngopharyngectomy or primary restoration of alimentary continuity after laryngopharyngectomy using stomach or bowel (Anaes. 17725 = 10B + 15T)

  $963.90

 

 

 

41846

Larynx, direct examination of the supraglottic, glottic and subglottic regions, not being a service associated with any other procedure on the larynx or with the administration of a general anaesthetic  (Anaes. 17708 = 6B + 2T)

  $134.00

 

 

 

41849

Larynx, direct examination of, with biopsy (Anaes. 17708 = 6B + 2T)

  $196.85

 

 

 

41852

Larynx, direct examination of, with removal of tumour  (Anaes. 17709 = 6B + 3T)

  $213.25

 

 

 

41855

Microlaryngoscopy (Anaes. 17708 = 6B + 2T)

  $207.80

 

 

 

41858

Microlaryngoscopy with removal of juvenile papillomata (Anaes. 17709 = 6B + 3T)

  $356.55

 

 

 

41861

Microlaryngoscopy with removal of papillomata by laser surgery (Anaes. 17711 = 6B + 5T)

  $435.80

 

 

 

41864

Microlaryngoscopy with removal of tumour (Anaes. 17708 = 6B + 2T)

  $293.95

 

 

 

41867

Microlaryngoscopy with arytenoidectomy (Anaes. 17714 = 6B + 8T)

  $442.45

 

 

 

41870

Teflon injection into vocal cord (Anaes. 17709 = 6B + 3T)

  $328.10

 

 

 

41873

Larynx, fractured, operation for (Anaes. 17716 = 6B + 10T)

  $423.80

 

 

 

41876

Larynx, external operation on, or laryngofissure, with or without cordectomy (Anaes. 17714 = 6B + 8T)

  $423.80

 

 

 

41879

Laryngoplasty or tracheoplasty, including tracheostomy (Anaes. 17718 = 6B + 12T)

  $686.75

 

 

 

41883

Tracheostomy (Anaes. 17710 = 6B + 4T)

  $183.30

 

 

 

41886

Trachea, removal of foreign body in (Anaes. 17708 = 6B + 2T)

  $128.50

 

 

 

41889

Bronchoscopy, as an independent procedure (Anaes. 17708 = 6B + 2T)

  $128.50

 

 

 

41892

Bronchoscopy with 1 or more endobronchial biopsies or other diagnostic or therapeutic procedures (Anaes. 17708 = 6B + 2T)

  $169.55

 

 

 

41895

Bronchus, removal of foreign body in (Anaes. 17709 = 6B + 3T)

  $265.25

 

 

 

41898

Fibreoptic bronchoscopy with 1 or more transbronchial lung biopsies, with or without bronchial or broncho-alveolar lavage, with or without the use of interventional imaging (Anaes. 17709 = 6B + 3T)

  $185.35

 

 

 

41901

Endoscopic laser resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures (Anaes. 17716 = 6B + 10T)

  $435.80

 

 

 

41904

Bronchoscopy with dilatation of tracheal stricture (Anaes. 17708 = 6B + 2T)

  $177.75

 

 

 

41907

Nasal septum button, insertion of  (Anaes. 17707 = 5B + 2T)

   $88.50

 

 

 

41910

Duct of major salivary gland, transposition of (Anaes. 17713 = 5B + 8T)

  $281.55

 

 

 

 

Subgroup 9—Ophthalmology

 

 

 

 

42503

Ophthalmological examination under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes. 17706 = 4B + 2T)

   $73.80

 

 

 

42506

Eye, enucleation of, with or without sphere implant (Anaes. 17709 = 5B + 4T)

  $347.15

 

 

 

42509

Eye, enucleation of, with insertion of integrated implant (Anaes. 17710 = 5B + 5T)

  $439.35

 

 

 

42510

Eye, enucleation of, with insertion of hydroxy apatite implant (coral implant), by 1 or more stages (Anaes. 17711 = 5B + 6T)

  $506.35

 

 

 

42512

Globe, evisceration of (Anaes. 17709 = 5B + 4T)

  $347.15

 

 

 

42515

Globe, evisceration of, and insertion of intrascleral ball or cartilage (Anaes. 17710 = 5B + 5T)

  $439.35

 

 

 

42518

Anophthalmic orbit, insertion of cartilage or artificial implant as a delayed procedure, or removal of implant from socket (Anaes. 17710 = 5B + 5T)

  $254.95

 

 

 

42521

Anophthalmic socket, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure (Anaes. 17717 = 5B + 12T)

  $867.85

 

 

 

42524

Orbit, skin graft to, as a delayed procedure (Anaes. 17708 = 5B + 3T)

  $147.55

 

 

 

42527

Contracted socket, reconstruction including mucous membrane grafting and stent mould (Anaes. 17712 = 5B + 7T)

  $292.85

 

 

 

42530

Orbit, exploration with or without biopsy, requiring removal of bone (Anaes. 17710 = 5B + 5T)

  $455.60

 

 

 

42533

Orbit, exploration of, with drainage or biopsy not requiring removal of bone (Anaes. 17709 = 5B + 4T)

  $292.85

 

 

 

42536

Orbit, exenteration of, with or without skin graft and with or without temporalis muscle transplant (Anaes. 17712 = 5B + 7T)

  $602.05

 

 

 

42539

Orbit, exploration of, with removal of tumour or foreign body, requiring removal of bone  (Anaes. 17713 = 5B + 8T)

  $857.00

 

 

 

42542

Orbit, exploration of, with removal of tumour or of foreign body (Anaes. 17711 = 5B + 6T)

  $363.40

 

 

 

42545

Orbit, decompression of, for dysthyroid eye disease, 2 or more walls, 1 eye (Anaes. 17717 = 5B + 12T)

  $922.05

 

 

 

42548

Optic nerve meninges, incision of (Anaes. 17717 = 5B + 12T)

  $547.80

 

 

 

42551

Eyeball, perforating wound of, not involving intraocular structures—repair involving suture of cornea or sclera, or both, not being a service to which item 42632 applies (Anaes. 17711 = 5B + 6T)

  $455.60

 

 

 

42554

Eyeball, perforating wound of, with incarceration or prolapse of uveal tissue—repair   (Anaes. 17713 = 5B + 8T)

  $531.55

 

 

 

42557

Eyeball, perforating wound of, with incarceration of lens or vitreous—repair   (Anaes. 17713 = 5B + 8T)

  $743.05

 

 

 

42560

Intraocular foreign body, magnetic removal from anterior segment  (Anaes. 17710 = 5B + 5T)

  $292.85

 

 

 

42563

Intraocular foreign body, nonmagnetic removal from anterior segment  (Anaes. 17712 = 5B + 7T)

  $374.25

 

 

 

42566

Intraocular foreign body, magnetic removal from posterior segment  (Anaes. 17711 = 5B + 6T)

  $531.55

 

 

 

42569

Intraocular foreign body, nonmagnetic removal from posterior segment (Anaes. 17713 = 5B + 8T)

  $743.05

 

 

 

42572

Orbital abscess or cyst, drainage of (Anaes. 17707 = 5B + 2T)

   $84.60

 

 

 

42573

Dermoid, periorbital, excision of (Anaes. 17709 = 5B + 4T)

  $164.05

 

 

 

42574

Dermoid, orbital, excision of (Anaes. 17709 = 5B + 4T)

  $348.60

 

 

 

42575

Tarsal cyst, extirpation of (Anaes. 17706 = 5B + 1T)

   $59.65

 

 

 

42578

Tarsal cartilage, excision of  (Anaes. 17709 = 5B + 4T)

  $336.25

 

 

 

42581

Ectropion or entropion, tarsal cauterisation of

   $84.60

 

 

 

42584

Tarsorrhaphy  (Anaes. 17709 = 5B + 4T)

  $199.60

 

 

 

42587

Trichiasis, treatment of by cryotherapy, laser or electrolysis—each eyelid (Anaes. 17707 = 5B + 2T)

   $37.40

 

 

 

42590

Canthoplasty, medial or lateral (Anaes. 17710 = 5B + 5T)

  $244.05

 

 

 

42593

Lacrimal gland, excision of palpebral lobe  (Anaes. 17709 = 5B + 4T)

  $147.55

 

 

 

42596

Lacrimal sac, excision of, or operation on  (Anaes. 17709 = 5B + 4T)

  $363.40

 

 

 

42599

Lacrimal canalicular system, establishment of patency by closed operation using silicone tubes or similar, 1 eye (Anaes. 17711 = 5B + 6T)

  $455.60

 

 

 

42602

Lacrimal canalicular system, establishment of patency by open operation, 1 eye (Anaes. 17709 = 5B + 4T)

  $455.60

 

 

 

42605

Lacrimal canaliculus, immediate repair of (Anaes. 17709 = 5B + 4T)

  $336.25

 

 

 

42608

Lacrimal drainage by insertion of glass tube, as an independent procedure (Anaes. 17711 = 5B + 6T)

  $216.95

 

 

 

42610

Nasolacrimal tube (unilateral) replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage—under general anaesthesia (Anaes. 17706 = 5B + 1T)

   $69.35

 

 

 

42611

Nasolacrimal tube (bilateral) replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage—under general anaesthesia  (Anaes. 17707 = 5B + 2T)

  $104.15

 

 

 

42614

Nasolacrimal tube (unilateral) replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage, not being a service associated with a service to which item 42610 applies (excluding after-care)

   $34.75

 

 

 

42615

Nasolacrimal tube (bilateral) replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage, not being a service associated with a service to which item 42611 applies (excluding after-care)

   $52.10

 

 

 

42617

Punctum snip operation (Anaes. 17706 = 5B + 1T)

   $98.75

 

 

 

42620

Punctum, occlusion of, by use of a plug (Anaes. 17706 = 5B + 1T)

   $38.00

 

 

 

42623

Dacryocystorhinostomy  (Anaes. 17715 = 5B + 10T)

  $504.45

 

 

 

42626

Dacryocystorhinostomy where a previous dacryocystorhinostomy has been performed (Anaes. 17717 = 5B + 12T)

  $813.60

 

 

 

42629

Conjunctivorhinostomy including dacryocystorhinostomy and fashioning of conjunctival flaps (Anaes. 17716 = 5B + 11T)

  $612.90

 

 

 

42632

Conjunctival peritomy or repair of corneal laceration by conjunctival flap (Anaes. 17707 = 5B + 2T)

   $84.60

 

 

 

42635

Corneal perforations, sealing of, with tissue adhesive (Anaes. 17709 = 5B + 4T)

  $216.95

 

 

 

42638

Conjunctival graft over cornea  (Anaes. 17709 = 5B + 4T)

  $271.20

 

 

 

42641

Autoconjunctival transplant, or mucous membrane graft (Anaes. 17712 = 5B + 7T)

  $352.55

 

 

 

42644

Cornea or sclera, removal of imbedded foreign body from (excluding after-care) (Anaes. 17710 = 5B + 5T)

   $52.05

 

 

 

42647

Corneal scars, removal of, by partial keratectomy, not being a service associated with a service to which item 42686 applies (Anaes. 17709 = 5B + 4T)

  $147.55

 

 

 

42650

Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after-care) (Anaes. 17709 = 5B + 4T)

   $52.05

 

 

 

42653

Cornea, transplantation of, full thickness (Anaes. 17713 = 8B + 5T)

  $965.45

 

 

 

42656

Cornea, transplantation of, where there have been 2 previous graft operations (Anaes. 17714 = 8B + 6T)

$1,204.10

 

 

 

42659

Cornea, transplantation of, superficial or lamellar (Anaes. 17712 = 8B + 4T)

  $650.85

 

 

 

42662

Sclera, transplantation of, full thickness, including collection of donor material (Anaes. 17715 = 5B + 10T)

  $650.85

 

 

 

42665

Sclera, transplantation of, superficial or lamellar, including collection of donor material (Anaes. 17714 = 5B + 9T)

  $433.90

 

 

 

42668

Corneal sutures, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes. 17707 = 5B + 2T)

   $54.25

 

 

 

42671

Refractive keratoplasty with penetrating incisions (excluding radial keratotomy) following corneal grafting or intraocular operation including any measurements and calculations associated with the procedure (Anaes. 17710 = 5B + 5T)

  $650.85

 

 

 

42674

Corneal incisions, non penetrating, for the correction of astigmatism following surgery of anterior chamber or corneal grafting, and including associated ultrasound pachymetry of corneal thickness, with or without compression sutures (Anaes. 17710 = 5B + 5T)

  $325.45

 

 

 

42677

Conjunctiva, cautery of, including treatment of pannus—each attendance at which treatment is given including any associated consultation (Anaes. 17706 = 5B + 1T)

   $43.95

 

 

 

42680

Conjunctiva, cryotherapy to, for melanotic lesions or similar using CO_ or N_0 (Anaes. 17707 = 5B + 2T)

  $216.95

 

 

 

42683

Conjunctival cysts, removal of, requiring admission to hospital or approved day hospital facility (Anaes. 17707 = 5B + 2T)

   $86.80

 

 

 

42686

Pterygium, removal of (Anaes. 17707 = 5B + 2T)

  $197.45

 

 

 

42689

Pinguecula, removal of, not being a service associated with the fitting of contact lenses (Anaes. 17707 = 5B + 2T)

   $84.60

 

 

 

42692

Limbic tumour, removal of (Anaes. 17708 = 5B + 3T)

  $199.60

 

 

 

42695

Limbic tumour, excision of, requiring keratectomy or sclerectomy (Anaes. 17712 = 4B + 8T)

  $325.45

 

 

 

42698

Lens extraction  (Anaes. 17710 = 6B + 4T)

  $564.05

 

 

 

42701

Artificial lens, insertion of  (Anaes. 17710 = 6B + 4T)

  $314.60

 

 

 

42704

Artificial lens, removal or repositioning of by open operation—not being a service associated with a service to which item 42701 applies (Anaes. 17709 = 6B + 3T)

  $336.25

 

 

 

42707

Artificial lens, removal of and replacement with a different lens  (Anaes. 17710 = 6B + 4T)

  $574.90

 

 

 

42710

Artificial lens, removal of, and replacement with a lens inserted into the posterior chamber and sutured to the iris or sclera (Anaes. 17712 = 6B + 6T)

  $650.85

 

 

 

42713

Intraocular lenses, repositioning of, by the use of a McCannell suture or similar (Anaes. 17710 = 6B + 4T)

  $271.20

 

 

 

42716

Cataract, juvenile, removal of, including subsequent needlings  (Anaes. 17710 = 6B + 4T)

  $862.40

 

 

 

42719

Capsulectomy or removal of vitreous via the anterior chamber by any method, not being a service associated with any other intraocular operation on that eye  (Anaes. 17712 = 8B + 4T)

  $374.25

 

 

 

42722

Capsulectomy by posterior chamber sclerotomy or removal of vitreous or vitreous bands from the anterior chamber by posterior chamber sclerotomy, by cutting and suction and replacement by saline, Hartmann's or similar solution, not being a service associated with any other intraocular operation on that eye—1 or both procedures  (Anaes. 17714 = 8B + 6T)

  $409.45

 

 

 

42725

Vitrectomy by posterior chamber sclerotomy—including the removal of vitreous, division of bands or removal of pre-retinal membranes by cutting and suction and replacement by saline, Hartmann's or similar solution, not being a service associated with any other intraocular operation on that eye, other than a service to which item 42728 applies (Anaes. 17715 = 8B + 7T)

  $965.45

 

 

 

42728

Cryotherapy of retina or other intraocular structures with an internal probe, being a service associated with a service to which item 42725 applies (Anaes. 17709 = 5B + 4T)

  $162.75

 

 

 

42731

Capsulectomy or lensectomy by posterior chamber sclerotomy in conjunction with the removal of vitreous or division of vitreous bands or removal of pre-retinal membrane from the posterior chamber by cutting and suction and replacement by saline, Hartmann's or similar solution, not being a service associated with any other intraocular operation (Anaes. 17716 = 8B + 8T)

$1,095.65

 

 

 

42734

Capsulotomy, other than by laser (Anaes. 17709 = 5B + 4T)

  $216.95

 

 

 

42737

Needling of posterior capsule (Anaes. 17709 = 5B + 4T)

  $216.95

 

 

 

42740

Paracentesis of anterior or posterior chamber or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous for diagnostic purposes, 1 or more of (Anaes. 17709 = 5B + 4T)

  $216.95

 

 

 

42743

Anterior chamber, irrigation of blood from, as an independent procedure (Anaes. 17708 = 5B + 3T)

  $455.60

 

 

 

42746

Glaucoma, filtering operation for (Anaes. 17709 = 5B + 4T)

  $688.85

 

 

 

42749

Glaucoma, filtering operation for, where previous filtering operation has been performed (Anaes. 17710 = 5B + 5T)

  $862.40

 

 

 

42752

Glaucoma, insertion of Molteno valve for, 1 or more stages (Anaes. 17715 = 5B + 10T)

  $965.45

 

 

 

42755

Glaucoma, removal of Molteno valve (Anaes. 17709 = 5B + 4T)

  $119.35

 

 

 

42758

Goniotomy  (Anaes. 17711 = 5B + 6T)

  $504.45

 

 

 

42761

Division of anterior or posterior synechiae, as an independent procedure, other than by laser (Anaes. 17709 = 5B + 4T)

  $374.25

 

 

 

42764

Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (Anaes. 17710 = 5B + 5T)

  $374.25

 

 

 

42767

Tumour, involving ciliary body or ciliary body and iris, excision of (Anaes. 17711 = 5B + 6T)

  $786.45

 

 

 

42770

Cyclodiathermy or cyclocryotherapy  (Anaes. 17709 = 5B + 4T)

  $212.65

 

 

 

42773

Detached retina, diathermy or cryotherapy for, not being a service associated with a service to which item 42776 applies (Anaes. 17710 = 6B + 4T)

  $650.85

 

 

 

42776

Detached retina, buckling or resection operation for (Anaes. 17713 = 6B + 7T)

  $965.45

 

 

 

42779

Detached retina, revision operation for (Anaes. 17714 = 6B + 8T)

$1,204.10

 

 

 

42782

Laser trabeculoplasty—each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes. 17707 = 5B + 2T)

  $325.45

 

 

 

42785

Laser iridotomy—each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes. 17707 = 5B + 2T)

  $254.95

 

 

 

42788

Laser capsulotomy—each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes. 17707 = 5B + 2T)

  $254.95

 

 

 

42791

Laser vitreolysis or corticolysis of lens material or fibrinolysis—each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes. 17707 = 5B + 2T)

  $254.95

 

 

 

42794

Division of suture by laser following trabeculoplasty, each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes. 17707 = 5B + 2T)

   $48.80

 

 

 

42797

Laser coagulation of corneal or scleral blood vessels—each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes. 17707 = 5B + 2T)

   $48.80

 

 

 

42800

Pterygium, removal by laser in 1 or more stages (Anaes. 17707 = 5B + 2T)

  $197.45

 

 

 

42803

Pinguecula, removal of by laser in 1 or more stages (not for contact lenses) (Anaes. 17707 = 5B + 2T)

   $84.60

 

 

 

42806

Iris tumour, laser photocoagulation of (Anaes. 17709 = 5B + 4T)

  $254.95

 

 

 

42809

Retina, photocoagulation of (Anaes. 17710 = 6B + 4T)

  $325.45

 

 

 

42812

Detached retina, removal of encircling silicone band from  (Anaes. 17710 = 6B + 4T)

  $119.35

 

 

 

42815

Posterior chamber, removal of silicone oil from (Anaes. 17710 = 5B + 5T)

  $455.60

 

 

 

42818

Retina, cryotherapy to, as an independent procedure, with external probe (Anaes. 17709 = 6B + 3T)

  $423.05

 

 

 

42821

Retrobulbar transillumination, as an independent procedure  (Anaes. 17705 = 4B + 1T)

   $65.05

 

 

 

42824

Retrobulbar injection of alcohol or other drug, as an independent procedure

   $50.45

 

 

 

42827

Botulinus toxin, injection of, for blepharospasm, including all such injections on any 1 day  (Anaes. 17706 = 5B + 1T)

   $32.55

 

 

 

42830

Botulinus toxin, injection of, for strabismus including all such injections on any 1 day and associated electromyography (Anaes. 17707 = 5B + 2T)

  $112.80

 

 

 

42833

Squint, operation for, on 1 or both eyes, the operation involving a total of 1 or 2 muscles (Anaes. 17709 = 5B + 4T)

  $423.05

 

 

 

42836

Squint, operation for, on 1 or both eyes, the operation involving a total of 1 or 2 muscles where there have been 2 or more previous squint operations on the eye or eyes (Anaes. 17710 = 5B + 5T)

  $526.10

 

 

 

42839

Squint, operation for, on 1 or both eyes, the operation involving a total of 3 or more muscles  (Anaes. 17709 = 5B + 4T)

  $504.45

 

 

 

42842

Squint, operation for, on 1 or both eyes, the operation involving a total of 3 or more muscles where there have been 2 or more previous squint operations on the eye or eyes (Anaes. 17711 = 5B + 6T)

  $629.20

 

 

 

42845

Readjustment of adjustable sutures, 1 or both eyes, as an independent procedure following an operation for correction of squint (Anaes. 17707 = 5B + 2T)

  $136.65

 

 

 

42848

Squint, muscle transplant for (Hummelsheim type, or similar operation) (Anaes. 17710 = 5B + 5T)

  $504.45

 

 

 

42851

Squint, muscle transplant for (Hummelsheim type, or similar operation) where there have been 2 or more previous squint operations on the eye or eyes (Anaes. 17711 = 5B + 6T)

  $629.20

 

 

 

42854

Ruptured medial palpebral ligament or ruptured extra-ocular muscle, repair of (Anaes. 17710 = 5B + 5T)

  $292.85

 

 

 

42857

Resuturing of wound following intraocular procedures with or without excision of prolapsed iris  (Anaes. 17709 = 5B + 4T)

  $292.85

 

 

 

42860

Lid, upper or lower, scleral graft to, with recession of the lid retractors (Anaes. 17714 = 5B + 9T)

  $650.85

 

 

 

42863

Eyelid upper, recession of (Anaes. 17713 = 5B + 8T)

  $558.65

 

 

 

42866

Entropion, repair of, by tightening, shortening or repair of inferior retractors by open operation (Anaes. 17713 = 5B + 8T)

  $542.40

 

 

 

42869

Eyelid closure in facial nerve paralysis, insertion of foreign implant for (Anaes. 17712 = 5B + 7T)

  $395.95

 

 

 

42872

Eyebrow, elevation of, for paretic states (Anaes. 17710 = 5B + 5T)

  $173.60


 

Subgroup 10—Operations for

 

 

Osteomyelitis

 

 

 

 

43500

Operation on phalanx (for acute osteomyelitis) (Anaes. 17706 = 3B + 3T)

   $88.95

 

 

 

43503

Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, skull, mandible or maxilla (other than alveolar margins) (for acute osteomyelitis)—1 bone  (Anaes. 17710 = 5B + 5T)

  $147.65

 

 

 

43506

Operation on humerus or femur (for acute osteomyelitis)—1 bone (Anaes. 17711 = 5B + 6T)

  $257.00

 

 

 

43509

Operation on spine or pelvic bones (for acute osteomyelitis)—1 bone (Anaes. 17715 = 8B + 7T)

  $257.00

 

 

 

43512

Operation on scapula, sternum, clavicle, rib, ulna, radius, metacarpus, carpus, phalanx, tibia, fibula, metatarsus, tarsus, mandible or maxilla (other than alveolar margins) (for chronic osteomyelitis)—1 bone or any combination of adjoining bones (Anaes. 17707 = 4B + 3T)

  $257.00

 

 

 

43515

Operation on humerus or femur (for chronic osteomyelitis)—1 bone (Anaes. 17710 = 4B + 6T)

  $257.00

 

 

 

43518

Operation on spine or pelvic bones (for chronic osteomyelitis)—1 bone (Anaes. 17715 = 8B + 7T)

  $423.80

 

 

 

43521

Operation on skull (for chronic osteomyelitis) (Anaes. 17719 = 12B + 7T)

  $334.95

 

 

 

43524

Operation on any combination of adjoining bones, being bones referred to in item 43515, 43518 or 43521 (for chronic osteomyelitis) (Anaes. 17715 = 8B + 7T)

  $423.80

 

 

 

 

Subgroup 11—Paediatric

 

 

 

 

43801

Intestinal malrotation with or without volvulus, laparotomy for, not involving bowel resection (Anaes. 17715 = 7B + 8T)

  $690.45

 

 

 

43804

Intestinal malrotation with or without volvulus, laparotomy for, with bowel resection and anastomosis, with or without formation of stoma (Anaes. 17717 = 7B + 10T)

  $735.20

 

 

 

43807

Duodenal atresia or stenosis, duodenoduodenostomy or duodenojejunostomy for (Anaes. 17719 = 7B + 12T)

  $802.05

 

 

 

43810

Jejunal atresia, bowel resection and anastomosis for, with or without tapering (Anaes. 17719 = 7B + 12T)

  $935.75

 

 

 

43813

Meconium ileus, laparotomy for, complicated by 1 or more of associated volvulus, atresia, intestinal perforation with or without meconium peritonitis (Anaes. 17720 = 8B + 12T)

  $935.75

 

 

 

43816

Ileal atresia, colonic atresia or meconium ileus not being a service to which item 43813 applies, laparotomy for (Anaes. 17719 = 8B + 11T)

  $868.90

 

 

 

43819

Hirschsprung's disease, laparotomy for, with or without frozen section biopsies and formation of stoma (Anaes. 17716 = 7B + 9T)

  $701.80

 

 

 

43822

Anorectal malformation, laparotomy and colostomy for (Anaes. 17714 = 6B + 8T)

  $701.80

 

 

 

43825

Neonatal alimentary obstruction, laparotomy for, not being a service to which any other item in this Subgroup applies (Anaes. 17718 = 8B + 10T)

  $802.05

 

 

 

43828

Acute neonatal necrotising enterocolitis, laparotomy for, with resection, including any anastomoses or stoma formation (Anaes. 17720 = 8B + 12T)

  $886.10

 

 

 

43831

Acute neonatal necrotising enterocolitis where no definitive procedure is possible, laparotomy for (Anaes. 17714 = 8B + 6T)

  $690.45

 

 

 

43834

Bowel resection for necrotising enterocolitis stricture or strictures, including any anastomoses or stoma formation (Anaes. 17719 = 7B + 12T)

  $802.05

 

 

 

43837

Congenital diaphragmatic hernia, repair by thoracic or abdominal approach, with diagnosis confirmed in the first 24 hours of life (Anaes. 17720 = 10B + 10T)

$1,002.55

 

 

 

43840

Congenital diaphragmatic hernia, repair by thoracic or abdominal approach, diagnosed after the first day of life and before 20 days of age (Anaes. 17720 = 10B + 10T)

  $868.90

 

 

 

43843

Oesophageal atresia (with or without repair of tracheo-oesophageal fistula), complete correction of, not being a service to which item 43846 applies (Anaes. 17728 = 16B + 12T)

$1,336.75

 

 

 

43846

Oesophageal atresia (with or without repair of tracheo-oesophageal fistula), complete correction of, in infant of birth weight less than 1500 grams (Anaes. 17728 = 16B + 12T)

$1,437.00

 

 

 

43849

Oesophageal atresia, gastrostomy for (Anaes. 17714 = 8B + 6T)

  $367.60

 

 

 

43852

Oesophageal atresia, thoracotomy for, and division of tracheo-oesophageal fistula without anastomosis (Anaes. 17726 = 16B + 10T)

$1,169.65

 

 

 

43855

Oesophageal atresia, delayed primary anastomosis for (Anaes. 17728 = 16B + 12T)

$1,236.50

 

 

 

43858

Oesophageal atresia, cervical oesophagostomy for (Anaes. 17722 = 16B + 6T)

  $434.45

 

 

 

43861

Congenital cystadenomatoid malformation or congenital lobar emphysema, thoracotomy and lung resection for (Anaes. 17724 = 14B + 10T)

$1,203.10

 

 

 

43864

Gastroschisis, operation for (Anaes. 17718 = 8B + 10T)

  $902.30

 

 

 

43867

Gastroschisis, secondary operation for, with removal of silo and closure of abdominal wall (Anaes. 17716 = 8B + 8T)

  $501.30

 

 

 

43870

Exomphalos containing small bowel only, operation for (Anaes. 17716 = 8B + 8T)

  $701.80

 

 

 

43873

Exomphalos containing small bowel and other viscera, operation for (Anaes. 17720 = 8B + 12T)

  $935.75

 

 

 

43876

Sacrococcygeal teratoma, excision of, by posterior approach (Anaes. 17721 = 11B + 10T)

  $802.05

 

 

 

43879

Sacrococcygeal teratoma, excision of, by combined posterior and abdominal approach (Anaes. 17723 = 11B + 12T)

  $935.75

 

 

 

43882

Cloacal exstrophy, operation for (Anaes. 17726 = 10B + 16T)

$1,203.10

 

 

 

43900

Tracheo-oesophageal fistula without atresia, division and repair of (Anaes. 17726 = 16B + 10T)

  $802.05

 

 

 

43903

Oesophageal atresia or corrosive oesophageal stricture, oesophageal replacement for, utilizing gastric tube, jejunum or colon (Anaes. 17732 = 16B + 16T)

$1,336.75

 

 

 

43906

Oesophagus, resection of congenital, anastomic or corrosive stricture and anastomosis, not being a service to which item 43903 applies (Anaes. 17728 = 16B + 12T)

$1,169.65

 

 

 

43909

Tracheomalacia, aortopexy for (Anaes. 17726 = 16B + 10T)

$1,169.65

 

 

 

43912

Thoracotomy and excision of 1 or more of bronchogenic or enterogenous cyst or mediastinal teratoma (Anaes. 17725 = 13B + 12T)

$1,105.00

 

 

 

43915

Eventration, plication of diaphragm for (Anaes. 17723 = 13B + 10T)

  $835.50

 

 

 

43930

Hypertrophic pyloric stenosis, pyloromyotomy for (Anaes. 17712 = 8B + 4T)

  $321.30

 

 

 

43933

Idiopathic intussusception, laparotomy and manipulative reduction of (Anaes. 17714 = 7B + 7T)

  $376.05

 

 

 

43936

Intussusception, laparotomy and resection with anastomosis (Anaes. 17717 = 7B + 10T)

  $701.80

 

 

 

43939

Ventral hernia following neonatal closure of exomphalos or gastroschisis, repair of (Anaes. 17714 = 6B + 8T)

  $534.70

 

 

 

43942

Abdominal wall vitello intestinal remnant, excision of (Anaes. 17706 = 4B + 2T)

  $167.10

 

 

 

43945

Patent vitello intestinal duct, excision of (Anaes. 17715 = 7B + 8T)

  $701.80

 

 

 

43948

Umbilical granuloma, excision of, under general anaesthesia (Anaes. 17705 = 3B + 2T)

  $100.25

 

 

 

43951

Gastro-oesophageal reflux with or without hiatus hernia, laparotomy and fundoplication for, without gastrostomy (Anaes. 17720 = 7B + 13T)

  $628.45

 

 

 

43954

Gastro-oesophageal reflux with or without hiatus hernia, laparotomy and fundoplication for, with gastrostomy (Anaes. 17720 = 7B + 13T)

  $768.65

 

 

 

43957

Gastro-oesophageal reflux, laparotomy and fundoplication for, with or without hiatus hernia, in child with neurological disease, with gastrostomy (Anaes. 17721 = 7B + 14T)

  $835.50

 

 

 

43960

Anorectal malformation, perineal anoplasty of (Anaes. 17709 = 5B + 4T)

  $293.95

 

 

 

43963

Anorectal malformation, posterior sagittal anorectoplasty of (Anaes. 17724 = 8B + 16T)

$1,169.65

 

 

 

43966

Anorectal malformation, posterior sagittal anorectoplasty of, with laparotomy (Anaes. 17726 = 8B + 18T)

$1,336.75

 

 

 

43969

Persistent cloaca, total correction of, with genital repair using posterior sagittal approach, with or without laparotomy (Anaes. 17734 = 10B + 24T)

$1,838.05

 

 

 

43972

Choledochal cyst, resection of, with 1 duct anastomosis (Anaes. 17720 = 8B + 12T)

$1,336.75

 

 

 

43975

Choledochal cyst, resection of, with 2 duct anastomoses (Anaes. 17722 = 8B + 14T)

$1,570.70

 

 

 

43978

Biliary atresia, portoenterostomy for (Anaes. 17724 = 8B + 16T)

$1,336.75

 

 

 

43981

Nephroblastoma, neuroblastoma or other malignant tumour, laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (Anaes. 17713 = 7B + 6T)

  $367.60

 

 

 

43984

Nephroblastoma, radical nephrectomy for (Anaes. 17719 = 7B + 12T)

  $935.75

 

 

 

43987

Neuroblastoma, radical excision of (Anaes. 17721 = 7B + 14T)

$1,036.00

 

 

 

43990

Hirschsprung's disease, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends to sigmoid colon (Anaes. 17728 = 10B + 18T)

$1,269.95

 

 

 

43993

Hirschsprung's disease, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends into descending or transverse colon with or without resiting of stoma (Anaes. 17730 = 10B + 20T)

$1,370.20

 

 

 

43996

Hirschsprung's disease, total colectomy for total colonic aganglionosis with ileoanal pull-through, with or without side to side ileocolonic anastomosis (Anaes. 17730 = 10B + 20T)

$1,537.30

 

 

 

43999

Hirschsprung's disease, anal sphincterotomy as an independent procedure for (Anaes. 17706 = 4B + 2T)

  $192.25

 

 

 

44102

Rectum, examination of, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes. 17707 = 4B + 3T)

  $185.35

 

 

 

44105

Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia (Anaes. 17706 = 4B + 2T)

   $32.60

 

 

 

44108

Inguinal hernia repair at age less than 3 months (Anaes. 17710 = 5B + 5T)

  $354.45

 

 

 

44111

Obstructed or strangulated inguinal hernia, repair of, at age less than 3 months, including orchidopexy when performed (Anaes. 17711 = 5B + 6T)

  $415.20

 

 

 

44114

Inguinal hernia repair at age less than 3 months when orchidopexy also required (Anaes. 17711 = 5B + 6T)

  $415.20

 

 

 

44130

Lymphadenectomy, for atypical mycobacterial infection or other granulomatous disease (Anaes. 17711 = 6B + 5T)

  $334.20

 

 

 

44133

Torticollis, open division of sternomastoid muscle for (Anaes. 17708 = 5B + 3T)

  $265.25

 

 

 

44136

Ingrown toe nail, operation for, under general anaesthesia (Anaes. 17706 = 3B + 3T)

  $122.25


 

Subgroup 12—Amputations

 

 

 

 

44324

Hand, midcarpal or transmetacarpal   (G) (Anaes. 17707 = 3B + 4T)

  $164.05

 

 

 

44325

Hand, midcarpal or transmetacarpal   (S) (Anaes. 17707 = 3B + 4T)

  $213.25

 

 

 

44328

Hand, forearm or through arm   (Anaes. 17709 = 4B + 5T)

  $257.00

 

 

 

44331

At shoulder   (Anaes. 17717 = 9B + 8T)

  $423.80

 

 

 

44334

Interscapulothoracic  (Anaes. 17725 = 15B + 10T)

  $861.35

 

 

 

44337

1 digit of foot  (G) (Anaes. 17705 = 3B + 2T)

   $84.75

 

 

 

44338

1 digit of foot  (S) (Anaes. 17705 = 3B + 2T)

  $103.90

 

 

 

44341

2 digits of 1 foot  (G) (Anaes. 17706 = 3B + 3T)

  $128.50

 

 

 

44342

2 digits of 1 foot  (S) (Anaes. 17706 = 3B + 3T)

  $158.60

 

 

 

44345

3 digits of 1 foot  (G) (Anaes. 17707 = 3B + 4T)

  $147.65

 

 

 

44346

3 digits of 1 foot  (S) (Anaes. 17707 = 3B + 4T)

  $183.20

 

 

 

44349

4 digits of 1 foot  (G) (Anaes. 17708 = 3B + 5T)

  $169.55

 

 

 

44350

4 digits of 1 foot  (S) (Anaes. 17708 = 3B + 5T)

  $207.80

 

 

 

44353

5 digits of 1 foot   (G) (Anaes. 17709 = 3B + 6T)

  $191.40

 

 

 

44354

5 digits of 1 foot  (S) (Anaes. 17709 = 3B + 6T)

  $237.90

 

 

 

44357

Toe, including metatarsal or part of metatarsal—each toe  (G) (Anaes. 17707 = 3B + 4T)

  $103.90

 

 

 

44358

Toe, including metatarsal or part of metatarsal—each toe (S) (Anaes. 17707 = 3B + 4T)

  $132.60

 

 

 

44361

Foot at ankle (Syme, Pirogoff types)   (Anaes. 17708 = 3B + 5T)

  $257.00

 

 

 

44364

Foot, midtarsal or transmetatarsal   (Anaes. 17708 = 3B + 5T)

  $213.25

 

 

 

44367

Through thigh, at knee or below knee  (Anaes. 17711 = 5B + 6T)

  $376.40

 

 

 

44370

At hip (Anaes. 17720 = 10B + 10T)

  $519.50

 

 

 

44373

Hindquarter  (Anaes. 17727 = 15B + 12T)

$1,066.40

 

 

 

44376

Amputation stump, reamputation of, to provide adequate skin and muscle cover

Amount under rule 19

 

 

 

 

Subgroup 13—Plastic and

 

 

Reconstructive Surgery

 

 

 

 

45000

Single stage local muscle flap repair, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (Anaes. 17708 = 5B + 3T)

  $390.50

 

 

 

45003

Single stage local myocutaneous flap repair to 1 defect, simple and small (Anaes. 17710 = 3B + 7T)

  $433.90

 

 

 

45006

Single stage large myocutaneous flap repair to 1 defect, (pectoralis major, latissimus dorsi, or similar large muscle) (Anaes. 17717 = 5B + 12T)

  $748.50

 

 

 

45009

Single stage local muscle flap repair to 1 defect, simple and small (Anaes. 17710 = 3B + 7T)

  $273.45

 

 

 

45012

Single stage large muscle flap repair to 1 defect, (pectoralis major, gastrocnemius, gracilis or similar large muscle)  (Anaes. 17716 = 3B + 13T)

  $458.00

 

 

 

45015

Muscle or myocutaneous flap, delay of (Anaes. 17708 = 3B + 5T)

  $216.95

 

 

 

45018

Dermis, dermofat or fascia graft (excluding transfer of fat by injection) (Anaes. 17709 = 3B + 6T)

  $341.70

 

 

 

45021

Abrasive therapy, limited to 1 aesthetic area (Anaes. 17705 = 3B + 2T)

  $128.00

 

 

 

45024

Abrasive therapy to more than 1 aesthetic area (Anaes. 17706 = 3B + 3T)

  $287.45

 

 

 

45027

Angioma, cauterisation of or injection into, where undertaken in the operating theatre of a hospital or approved day-hospital facility  (Anaes. 17706 = 3B + 3T)

   $86.80

 

 

 

45030

Angioma (haemangioma or lymphangioma or both) of skin and subcutaneous tissue (excluding facial muscle or breast) or mucous surface, small, excision and suture of (Anaes. 17706 = 3B + 3T)

   $93.25

 

 

 

45033

Angioma (haemangioma or lymphangioma or both), large or involving deeper tissue including facial muscle or breast, excision and suture of (Anaes. 17710 = 5B + 5T)

  $173.60

 

 

 

45035

Angioma (haemangioma or lymphangioma or both) large and deep, involving muscles or nerves, excision of (Anaes. 17710 = 5B + 5T)

  $506.35

 

 

 

45036

Angioma (haemangioma or lymphangioma or both) of neck, deep, excision of (Anaes. 17710 = 5B + 5T)

  $813.60

 

 

 

45039

Arteriovenous malformation (3 cms or less) of superficial tissue, excision of  (Anaes. 17707 = 3B + 4T)

  $173.60

 

 

 

45042

Arteriovenous malformation, (greater than 3 cms), excision of (Anaes. 17709 = 3B + 6T)

  $222.40

 

 

 

45045

Arteriovenous malformation on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of (Anaes. 17711 = 5B + 6T)

  $222.40

 

 

 

45048

Lymphoedematous tissue or lymphangiectasis, of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of  (Anaes. 17709 = 3B + 6T)

  $558.65

 

 

 

45051

Contour reconstruction for pathological deformity, insertion of foreign implant (non biological but excluding injection of liquid or semisolid material) by open operation (Anaes. 17711 = 5B + 6T)

  $341.80

 

 

 

45200

Single stage local flap, where indicated to repair 1 defect, simple and small, excluding flap for male pattern baldness (Anaes. 17706 = 3B + 3T)

  $205.05

 

 

 

45203

Single stage local flap, where indicated to repair 1 defect, complicated or large, excluding flap for male pattern baldness (Anaes. 17709 = 3B + 6T)

  $292.85

 

 

 

45206

Single stage local flap where indicated to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals (Anaes. 17711 = 5B + 6T)

  $276.60

 

 

 

45209

Direct flap repair (cross arm, abdominal or similar), first stage (Anaes. 17710 = 3B + 7T)

  $341.80

 

 

 

45212

Direct flap repair (cross arm, abdominal or similar), second stage (Anaes. 17708 = 3B + 5T)

  $169.55

 

 

 

45215

Direct flap repair, cross leg, first stage  (Anaes. 17712 = 3B + 9T)

  $731.45

 

 

 

45218

Direct flap repair, cross leg, second stage  (Anaes. 17709 = 3B + 6T)

  $328.10

 

 

 

45221

Direct flap repair, small (cross finger or similar), first stage  (Anaes. 17706 = 3B + 3T)

  $188.65

 

 

 

45224

Direct flap repair, small (cross finger or similar), second stage  (Anaes. 17706 = 3B + 3T)

   $84.75

 

 

 

45227

Indirect flap or tubed pedicle, formation of  (Anaes. 17709 = 3B + 6T)

  $321.30

 

 

 

45230

Direct or indirect flap or tubed pedicle, delay of  (Anaes. 17707 = 3B + 4T)

  $160.55

 

 

 

45233

Indirect flap or tubed pedicle, preparation of intermediate or final site and attachment to the site  (Anaes. 17709 = 3B + 6T)

  $341.80

 

 

 

45236

Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure (Anaes. 17708 = 3B + 5T)

  $267.95

 

 

 

45239

Direct, indirect or local flap, revision of  (Anaes. 17707 = 3B + 4T)

  $188.65

 

 

 

45400

Free grafting (split skin) of a granulating area, small  (Anaes. 17706 = 3B + 3T)

  $147.65

 

 

 

45403

Free grafting (split skin) of a granulating area, extensive  (Anaes. 17707 = 3B + 4T)

  $293.95

 

 

 

45406

Free grafting (split skin) to burns, including excision of burnt tissue—involving not more than 3% of total body surface (Anaes. 17707 = 3B + 4T)

  $325.45

 

 

 

45409

Free grafting (split skin) to burns, including excision of burnt tissue—involving 3% or more but less than 6% of total body surface (Anaes. 17709 = 3B + 6T)

  $433.90

 

 

 

45412

Free grafting (split skin) to burns, including excision of burnt tissue—involving 6% or more but less than 9% of total body surface (Anaes. 17711 = 3B + 8T)

  $596.65

 

 

 

45415

Free grafting (split skin) to burns, including excision of burnt tissue—involving 9% or more but less than 12% of total body surface (Anaes. 17713 = 3B + 10T)

  $650.85

 

 

 

45418

Free grafting (split skin) to burns, including excision of burnt tissue—involving 12% or more of total body surface (Anaes. 17715 = 3B + 12T)

  $705.10

 

 

 

45421

Free grafting (split skin) to burns, including excision of burnt tissue, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (Anaes. 17719 = 5B + 14T)

  $292.85

 

 

 

45424

Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving not more than 3% of total body surface (Anaes. 17712 = 3B + 9T)

  $238.65

 

 

 

45427

Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving 3% or more but less than 6% of total body surface (Anaes. 17714 = 3B + 11T)

  $347.15

 

 

 

45430

Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving 6% or more but less than 9% of total body surface (Anaes. 17716 = 3B + 13T)

  $509.85

 

 

 

45433

Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving 9% or more but less than 12% of total body surface (Anaes. 17718 = 3B + 15T)

  $564.05

 

 

 

45436

Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving 12% or more of total body surface (Anaes. 17720 = 3B + 17T)

  $629.20

 

 

 

45439

Free grafting (split skin) to 1 defect, including elective dissection, small (Anaes. 17706 = 3B + 3T)

  $205.05

 

 

 

45442

Free grafting (split skin) to 1 defect, including elective dissection, extensive (Anaes. 17707 = 3B + 4T)

  $423.05

 

 

 

45445

Free grafting (split skin) as inlay graft to 1 defect including elective dissection using a mould (including insertion of and removal of mould) (Anaes. 17710 = 3B + 7T)

  $401.40

 

 

 

45448

Free grafting (split skin) to 1 defect, including elective dissection on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, not being a service to which item 45442 or 45445 applies (Anaes. 17709 = 5B + 4T)

  $271.20

 

 

 

45451

Free grafting (full thickness) to 1 defect, excluding grafts for male pattern baldness (Anaes. 17706 = 3B + 3T)

  $341.80

 

 

 

45500

Microvascular repair using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit  (Anaes. 17715 = 5B + 10T)

  $786.45

 

 

 

45502

Microvascular anastomosis of artery or vein using microsurgical techniques, for reimplantation of limb or digit or free transfer of tissue (Anaes. 17743 = 10B + 33T)

$1,280.05

 

 

 

45503

Micro-arterial or micro-venous graft using microsurgical techniques (Anaes. 17726 = 8B + 18T)

$1,464.45

 

 

 

45506

Scar, of face or neck, not more than 3 cm in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her specialty (Anaes. 17708 = 5B + 3T)

  $158.60

 

 

 

45512

Scar, of face or neck, more than 3 cm in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her specialty (Anaes. 17709 = 5B + 4T)

  $213.25

 

 

 

45515

Scar, other than on face or neck, not more than 7 cms in length, revision of, as an independent procedure, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her specialty (Anaes. 17708 = 3B + 5T)

  $134.55

 

 

 

45518

Scar, other than on face or neck, more than 7 cms in length, revision of, as an independent procedure, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her speciality (Anaes. 17708 = 3B + 5T)

  $162.75

 

 

 

45521

Mammaplasty, reduction (unilateral), with or without repositioning of nipple  (Anaes. 17711 = 5B + 6T)

  $649.45

 

 

 

45524

Mammaplasty, augmentation, for significant breast asymmetry where the augmentation is limited to 1 breast (Anaes. 17711 = 5B + 6T)

  $534.90

 

 

 

45527

Mammaplasty, augmentation, (unilateral), following mastectomy  (Anaes. 17711 = 5B + 6T)

  $534.90

 

 

 

45530

Breast reconstruction (unilateral), using a latissimus dorsi or other large myocutaneous flap, including repair of secondary skin defect, excluding repair of muscular aponeurotic layer (Anaes. 17721 = 5B + 16T)

  $793.00

 

 

 

45533

Breast reconstruction using breast sharing technique (first stage) including breast reduction, transfer of complex skin and breast tissue flap, split skin graft to pedicle of flap or other similar procedure  (Anaes. 17716 = 5B + 11T)

  $898.05

 

 

 

45536

Breast reconstruction using breast sharing technique (second stage) including division of pedicle, insetting of breast flap, with closure of donor site or other similar procedure  (Anaes. 17713 = 5B + 8T)

  $330.20

 

 

 

45539

Breast reconstruction (unilateral), following mastectomy, using tissue expansion—insertion of tissue expansion unit and all attendances for subsequent expansion injections (Anaes. 17710 = 5B + 5T)

  $772.65

 

 

 

45542

Breast reconstruction (unilateral), following mastectomy, using tissue expansion—removal of tissue expansion unit and insertion of permanent prosthesis (Anaes. 17710 = 5B + 5T)

  $442.45

 

 

 

45545

Nipple or areola or both, reconstruction of by any technique  (Anaes. 17710 = 5B + 5T)

  $449.05

 

 

 

45548

Breast prosthesis, removal of, as an independent procedure (Anaes. 17708 = 5B + 3T)

  $199.60

 

 

 

45551

Breast prosthesis, removal of, with complete excision of fibrous capsule as an independent procedure (Anaes. 17719 = 5B + 4T)

  $320.00

 

 

 

45552

Breast prosthesis, removal of, with complete excision of fibrous capsule and replacement of prosthesis (Anaes. 17712 = 5B + 7T)

  $460.70

 

 

 

45554

Breast prosthesis, replacement of, following medical complications (such as rupture, migration of prosthetic material, or capsule formation), where new pocket is formed, including excision of fibrous capsule (Anaes. 17714 = 5B + 9T)

  $504.45

 

 

 

45560

Hair transplantation for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not being a service to which another item in this Group applies (Anaes. 17712 = 5B + 7T)

  $341.70

 

 

 

45563

Neurovascular island flap, or free transfer of tissue with vascular or neurovascular pedicle, including repair of secondary defect excluding flap for male pattern baldness  (Anaes. 17714 = 4B + 10T)

  $793.00

 

 

 

45566

Tissue expansion not being a service to which item 45539 or 45542 applies—insertion of tissue expansion unit and all attendances for subsequent expansion injections (Anaes. 17709 = 3B + 6T)

  $772.65

 

 

 

45572

Intra-operative tissue expansion performed during an operation when combined with a service to which another item in Group T8 applies including expansion injections and excluding treatment of male pattern baldness (Anaes. 17709 = 3B + 6T)

  $210.45

 

 

 

45575

Facial nerve paralysis, free fascia graft for  (Anaes. 17713 = 5B + 8T)

  $519.50

 

 

 

45578

Facial nerve paralysis, muscle transfer for (Anaes. 17714 = 5B + 9T)

  $601.60

 

 

 

45581

Facial nerve palsy, excision of tissue for (Anaes. 17709 = 5B + 4T)

  $199.60

 

 

 

45584

Liposuction (suction assisted lipolysis) to 1 regional area (thigh, buttock, or similar), for treatment of post-traumatic pseudolipoma (Anaes. 17713 = 5B + 8T)

  $455.60

 

 

 

45587

Meloplasty for correction of facial asymmetry due to soft tissue abnormality where the meloplasty is limited to 1 side of the face  (Anaes. 17714 = 5B + 9T)

  $642.60

 

 

 

45590

Orbital cavity, reconstruction of a wall or floor, with or without foreign implant  (Anaes. 17713 = 5B + 8T)

  $348.60

 

 

 

45593

Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents  (Anaes. 17715 = 5B + 10T)

  $409.45

 

 

 

45596

Maxilla, total resection of  (Anaes. 17726 = 10B + 16T)

  $649.45

 

 

 

45597

Maxilla, total resection of both maxillae (Anaes. 17735 = 10B + 25T)

  $869.35

 

 

 

45599

Mandible, total resection of both sides, including condylectomies where performed  (Anaes. 17735 = 10B + 25T)

  $675.55

 

 

 

45602

Mandible, including lower border, or maxilla, sub-total resection of (Anaes. 17720 = 10B + 10T)

  $504.45

 

 

 

45605

Mandible or maxilla, segmental resection of, for tumours or cysts (Anaes. 17713 = 5B + 8T)

  $423.80

 

 

 

45608

Mandible, hemi-mandibular reconstruction with bone graft, not being a service associated with a service to which item 45599 applies (Anaes. 17722 = 10B + 12T)

  $596.65

 

 

 

45611

Mandible, condylectomy (Anaes. 17712 = 5B + 7T)

  $341.80

 

 

 

45614

Eyelid, whole thickness reconstruction of, other than by direct suture only (Anaes. 17711 = 5B + 6T)

  $423.80

 

 

 

45617

Upper eyelid, reduction of, for skin redundancy obscuring vision, herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring, or, in respect of 1 of these conditions, the restoration of symmetry of the contralateral upper eyelid (Anaes. 17708 = 5B + 3T)

  $169.55

 

 

 

45620

Lower eyelid, reduction of, for herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring, or, in respect of 1 of these conditions, the restoration of symmetry of the contralateral lower eyelid (Anaes. 17709 = 5B + 4T)

  $235.15

 

 

 

45623

Ptosis of eyelid (unilateral), correction of  (Anaes. 17709 = 5B + 4T)

  $560.55

 

 

 

45626

Ectropion or entropion, correction of (unilateral) (Anaes. 17709 = 5B + 4T)

  $235.15

 

 

 

45629

Symblepharon, grafting for (Anaes. 17709 = 5B + 4T)

  $341.80

 

 

 

45632

Rhinoplasty, correction of lateral or alar cartilages   (Anaes. 17710 = 5B + 5T)

  $369.15

 

 

 

45635

Rhinoplasty, correction of bony vault only (Anaes. 17710 = 5B + 5T)

  $423.80

 

 

 

45638

Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose (Anaes. 17712 = 5B + 7T)

  $731.45

 

 

 

45641

Rhinoplasty involving nasal or septal cartilage graft (Anaes. 17711 = 5B + 6T)

  $781.05

 

 

 

45644

Rhinoplasty involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft   (Anaes. 17713 = 5B + 8T)

  $922.85

 

 

 

45645

Choanal atresia, repair of by puncture and dilatation (Anaes. 17711 = 5B + 6T)

  $161.30

 

 

 

45646

Choanal atresia, correction by open operation with bone removal (Anaes. 17716 = 5B + 11T)

  $649.45

 

 

 

45647

Face, contour restoration of 1 region, using autogenous bone or cartilage graft (not being a service to which item 45644 applies) (Anaes. 17713 = 5B + 8T)

  $922.85

 

 

 

45650

Rhinoplasty, secondary revision of  (Anaes. 17710 = 5B + 5T)

  $106.65

 

 

 

45653

Rhinophyma, shaving of  (Anaes. 17710 = 5B + 5T)

  $257.00

 

 

 

45656

Composite graft (chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid  (Anaes. 17712 = 5B + 7T)

  $362.30

 

 

 

45659

Lop ear, bat ear or similar deformity, correction of (Anaes. 17709 = 5B + 4T)

  $375.95

 

 

 

45662

Congenital atresia, reconstruction of external auditory canal (Anaes. 17712 = 5B + 7T)

  $505.85

 

 

 

45665

Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures  (Anaes. 17707 = 5B + 2T)

  $235.15

 

 

 

45668

Vermilionectomy (Anaes. 17709 = 5B + 4T)

  $235.15

 

 

 

45671

Lip or eyelid reconstruction using full thickness flap (Abbe or similar), first stage  (Anaes. 17712 = 5B + 7T)

  $601.60

 

 

 

45674

Lip or eyelid reconstruction using full thickness flap (Abbe or similar), second stage  (Anaes. 17717 = 5B + 2T)

  $175.00

 

 

 

45675

Macrocheilia or macroglossia, operation for (Anaes. 17716 = 5B + 11T)

  $348.60

 

 

 

45676

Macrostomia, operation for (Anaes. 17713 = 5B + 8T)

  $414.95

 

 

 

45677

Cleft lip, unilateral—primary repair, 1 stage, without anterior palate repair (Anaes. 17712 = 6B + 6T)

  $390.50

 

 

 

45680

Cleft lip, unilateral—primary repair, 1 stage, with anterior palate repair (Anaes. 17716 = 7B + 9T)

  $488.15

 

 

 

45683

Cleft lip, bilateral—primary repair, 1 stage, without anterior palate repair  (Anaes. 17714 = 6B + 8T)

  $542.40

 

 

 

45686

Cleft lip, bilateral—primary repair, 1 stage, with anterior palate repair (Anaes. 17718 = 7B + 11T)

  $640.05

 

 

 

45689

Cleft lip, lip adhesion procedure, unilateral or bilateral (Anaes. 17711 = 6B + 5T)

  $188.75

 

 

 

45692

Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (Anaes. 17711 = 6B + 5T)

  $216.95

 

 

 

45695

Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes. 17713 = 6B + 7T)

  $352.55

 

 

 

45698

Cleft lip, primary columella lengthening procedure, bilateral (Anaes. 17711 = 6B + 5T)

  $330.85

 

 

 

45701

Cleft lip reconstruction using full thickness flap (Abbe or similar), first stage  (Anaes. 17712 = 6B + 6T)

  $596.65

 

 

 

45704

Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (Anaes. 17708 = 6B + 2T)

  $216.95

 

 

 

45707

Cleft palate, primary repair   (Anaes. 17715 = 7B + 8T)

  $564.05

 

 

 

45710

Cleft palate, secondary repair, closure of fistula using local flaps (Anaes. 17714 = 7B + 7T)

  $352.55

 

 

 

45713

Cleft palate, secondary repair, lengthening procedure  (Anaes. 17713 = 7B + 6T)

  $401.40

 

 

 

45716

Velo-pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (Anaes. 17711 = 5B + 6T)

  $564.05

 

 

 

45719

Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17720 = 10B + 10T)

  $786.45

 

 

 

45722

Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17729 = 10B + 19T)

  $998.00

 

 

 

45725

Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17718 = 10B + 8T)

  $697.30

 

 

 

45728

Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17725 = 10B + 15T)

  $888.70

 

 

 

45731

Mandible or maxilla, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17729 = 10B + 19T)

$1,011.75

 

 

 

45734

Mandible or maxilla, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site  (Anaes. 17726 = 10B + 16T)

$1,162.10

 

 

 

45737

Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17753 = 10B + 43T)

$1,278.35

 

 

 

45740

Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17758 = 10B + 48T)

$1,394.55

 

 

 

45743

Mandible or maxilla, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17732 = 10B + 22T)

$1,139.05

 

 

 

45746

Mandible or maxilla, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17732 = 10B + 22T)

$1,307.15

 

 

 

45749

Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17758 = 10B + 48T)

$1,437.35

 

 

 

45752

Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17771 = 10B + 61T)

$1,562.10

 

 

 

45753

Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17758 = 10B + 48T)

$1,571.45

 

 

 

45754

Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III(Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17764 = 10B + 54T)

$1,883.65

 

 

 

45755

Temporo-mandibular meniscectomy (Anaes. 17710 = 5B + 5T)

  $265.25

 

 

 

45758

Temporo-mandibular joint, arthroplasty (Anaes. 17710 = 5B + 5T)

  $474.65

 

 

 

45761

Genioplasty, including transposition of nerves and bone grafts taken from the site (Anaes. 17713 = 5B + 8T)

  $540.00

 

 

 

45764

Genioplasty being a service associated with a service to which item 45719, 45722, 45725, 45728, 45731, 45734, 45743 or 45746 applies (Anaes. 17709 = 5B + 4T)

  $314.45

 

 

 

45767

Hypertelorism, correction of, intra-cranial (Anaes. 17760 = 12B + 48T)

$1,811.55

 

 

 

45770

Hypertelorism, correction of, sub-cranial (Anaes. 17730 = 10B + 20T)

$1,387.70

 

 

 

45773

Treacher Collins Syndrome, periorbital correction of, with rib and iliac bone grafts (Anaes. 17735 = 10B + 25T)

$1,264.65

 

 

 

45776

Orbital dystopia (unilateral), correction of, with total repositioning of 1 orbit, intra-cranial (Anaes. 17745 = 12B + 33T)

$1,264.65

 

 

 

45779

Orbital dystopia (unilateral), correction of, with total repositioning of 1 orbit, extra-cranial (Anaes. 17725 = 12B + 13T)

  $929.70

 

 

 

45782

Fronto-orbital advancement, unilateral   (Anaes. 17726 = 12B + 14T)

  $710.95

 

 

 

45785

Cranial vault reconstruction for oxycephaly, brachycephaly, turricephaly or similar condition—(bilateral fronto-orbital advancement)  (Anaes. 17751 = 12B + 39T)

$1,203.15

 

 

 

45788

Glenoid fossa, zygomatic arch and temporal bone, reconstruction of, (Obwegeser technique)  (Anaes. 17724 = 10B + 14T)

$1,189.45

 

 

 

45791

Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material   (Anaes. 17720 = 10B + 10T)

  $642.60

 

 

 

45794

Osseo-integration procedure—extra-oral, implantation of titanium fixture (Anaes. 17713 = 5B + 8T)

  $363.40

 

 

 

45797

Osseo-integration procedure, fixation of transcutaneous abutment (Anaes. 17709 = 5B + 4T)

  $134.55


 

Subgroup 14—Hand Surgery

 

 

 

 

46300

Inter-phalangeal joint or metacarpophalangeal joint, arthrodesis of (Anaes. 17706 = 3B + 3T)

  $244.10

 

 

 

46303

Carpometacarpal joint, arthrodesis of (Anaes. 17707 = 3B + 4T)

  $271.25

 

 

 

46306

Inter-phalangeal joint or metacarpophalangeal joint—interposition arthroplasty of and including tendon transfers or realignment on the 1 ray (Anaes. 17709 = 3B + 6T)

  $379.75

 

 

 

46307

Interphalangeal joint or metacarpophalangeal joint—volar plate arthroplasty for traumatic deformity including tendon transfers or realignment on the 1 ray (Anaes. 17709 = 3B + 6T)

  $379.75

 

 

 

46309

Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—1 joint (Anaes. 17709 = 3B + 6T)

  $379.75

 

 

 

46312

Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—2 joints (Anaes. 17710 = 3B + 7T)

  $488.25

 

 

 

46315

Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—3 joints (Anaes. 17712 = 3B + 9T)

  $651.00

 

 

 

46318

Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—4 joints (Anaes. 17713 = 3B + 10T)

  $813.75

 

 

 

46321

Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—5 or more joints (Anaes. 17715 = 3B + 12T)

  $976.55

 

 

 

46324

Carpal bone replacement arthroplasty including associated tendon transfer or realignment when performed (Anaes. 17711 = 3B + 8T)

  $582.30

 

 

 

46325

Carpal bone replacement arthroplasty using adjacent tendon or other soft tissue including associated tendon transfer or realignment when performed (Anaes. 17713 = 3B + 10T)

  $607.60

 

 

 

46327

Inter-phalangeal joint or metacarpophalangeal joint, arthrotomy of (Anaes. 17706 = 3B + 3T)

  $146.50

 

 

 

46330

Inter-phalangeal joint or metacarpophalangeal joint, arthrotomy of, with ligamentous or capsular repair (Anaes. 17709 = 3B + 6T)

  $249.60

 

 

 

46333

Inter-phalangeal joint or metacarpophalangeal joint, ligamentous repair of, using free tissue graft or implant (Anaes. 17707 = 3B + 4T)

  $406.90

 

 

 

46336

Inter-phalangeal joint or metacarpophalangeal joint, synovectomy, capsulectomy or debridement of, not being a service associated with any other procedure related to that joint (Anaes. 17707 = 3B + 4T)

  $189.90

 

 

 

46339

Extensor tendons or flexor tendons of hand or wrist, synovectomy of (Anaes. 17707 = 3B + 3T)

  $336.35

 

 

 

46342

Distal radioulnar joint or carpometacarpal joint or joints, synovectomy of (Anaes. 17708 = 3B + 5T)

  $336.35

 

 

 

46345

Reconstruction of distal radioulnar joint (Anaes. 17709 = 3B + 6T)

  $406.90

 

 

 

46348

Digit, synovectomy of flexor tendon or tendons—1 digit (Anaes. 17706 = 3B + 3T)

  $176.30

 

 

 

46351

Digit, synovectomy of flexor tendon or tendons—2 digits (Anaes. 17707 = 3B + 4T)

  $263.10

 

 

 

46354

Digit, synovectomy of flexor tendon or tendons—3 digits (Anaes. 17708 = 3B + 5T)

  $352.60

 

 

 

46357

Digit, synovectomy of flexor tendon or tendons—4 digits (Anaes. 17709 = 3B + 6T)

  $439.45

 

 

 

46360

Digit, synovectomy of flexor tendon or tendons—5 digits (Anaes. 17710 = 3B + 7T)

  $528.95

 

 

 

46363

Tendon sheath of hand or wrist, open operation on, for stenosing tenovaginitis  (Anaes. 17705 = 3B + 2T)

  $151.90

 

 

 

46366

Dupuytren's contracture, subcutaneous fasciotomy for—each band (Anaes. 17706 = 3B + 3T)

   $92.20

 

 

 

46369

Dupuytren's contracture, palmar fasciectomy for—1 hand (Anaes. 17707 = 3B + 4T)

  $151.90

 

 

 

46372

Dupuytren's contracture, fasciectomy for, from 1 ray, including dissection of nerves—1 hand (Anaes. 17710 = 3B + 7T)

  $308.65

 

 

 

46375

Dupuytren's contracture, fasciectomy for, from 2 rays, including dissection of nerves—1 hand (Anaes. 17711 = 3B + 8T)

  $366.20

 

 

 

46378

Dupuytren's contracture, fasciectomy for, from 3 or more rays, including dissection of nerves—1 hand (Anaes. 17713 = 3B + 10T)

  $488.25

 

 

 

46381

Inter-phalangeal joint, joint capsule release when performed in conjunction with operation for Dupuytren's contracture—each procedure (Anaes. 17706 = 3B + 3T)

  $217.00

 

 

 

46384

Z plasty (or similar local flap procedure) when performed in conjunction with operation for Dupuytren's contracture—1 such procedure (Anaes. 17706 = 3B + 3T)

  $217.00

 

 

 

46387

Dupuytren's contracture, fasciectomy for, from 1 ray, including dissection of nerves—operation for recurrence in that ray (Anaes. 17710 = 3B + 7T)

  $447.55

 

 

 

46390

Dupuytren's contracture, fasciectomy for, from 2 rays, including dissection of nerves—operation for recurrence in those rays (Anaes. 17712 = 3B + 9T)

  $596.80

 

 

 

46393

Dupuytren's contracture, fasciectomy for, from 3 or more rays, including dissection of nerves—operation for recurrence in those rays (Anaes. 17714 = 3B + 11T)

  $691.70

 

 

 

46396

Phalanx or metacarpal of the hand, osteotomy or osteectomy of (Anaes. 17706 = 3B + 3T)

  $237.70

 

 

 

46399

Phalanx or metacarpal of the hand, osteotomy of, with internal fixation (Anaes. 17707 = 3B + 4T)

  $373.50

 

 

 

46402

Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non-union), including obtaining of graft material (Anaes. 17708 = 3B + 5T)

  $373.50

 

 

 

46405

Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non-union), involving internal fixation and including obtaining of graft material (Anaes. 17709 = 3B + 6T)

  $455.70

 

 

 

46408

Tendon, reconstruction of, by tendon graft (Anaes. 17710 = 3B + 7T)

  $499.10

 

 

 

46411

Flexor tendon pulley, reconstruction of, by graft (Anaes. 17708 = 3B + 5T)

  $292.95

 

 

 

46414

Artificial tendon prosthesis, insertion of in preparation for tendon grafting (Anaes. 17709 = 3B + 6T)

  $379.65

 

 

 

46417

Tendon transfer for restoration of hand function, each transfer (Anaes. 17708 = 3B + 5T)

  $352.60

 

 

 

46420

Extensor tendon of hand or wrist, primary repair of, each tendon  (Anaes. 17707 = 3B + 4T)

  $147.55

 

 

 

46423

Extensor tendon of hand or wrist, secondary repair of, each tendon (Anaes. 17708 = 3B + 5T)

  $236.00

 

 

 

46426

Flexor tendon of hand or wrist, primary repair of, proximal to A1 pulley, each tendon (Anaes. 17707 = 3B + 4T)

  $244.10

 

 

 

46429

Flexor tendon of hand or wrist, secondary repair of, proximal to A1 pulley, each tendon (Anaes. 17708 = 3B + 5T)

  $298.40

 

 

 

46432

Flexor tendon of hand, primary repair of, distal to A1 pulley, each tendon (Anaes. 17708 = 3B + 5T)

  $325.55

 

 

 

46435

Flexor tendon of hand, secondary repair of, distal to A1 pulley, each tendon (Anaes. 17709 = 3B + 6T)

  $379.75

 

 

 

46438

Mallet finger, closed pin fixation of (Anaes. 17706 = 3B + 3T)

   $97.65

 

 

 

46441

Mallet finger, open repair of, including pin fixation when performed (Anaes. 17707 = 3B + 4T)

  $236.00

 

 

 

46442

Mallet finger with intra-articular fracture involving more than one-third of base of terminal phalanx—open reduction (Anaes. 17707 = 3B + 4T)

  $202.55

 

 

 

46444

Boutonniere deformity without joint contracture, reconstruction of (Anaes. 17708 = 3B + 5T)

  $352.60

 

 

 

46447

Boutonniere deformity with joint contracture, reconstruction of (Anaes. 17709 = 3B + 6T)

  $439.45

 

 

 

46450

Extensor tendon, tenolysis of, following tendon injury, repair or graft  (Anaes. 17708 = 3B + 5T)

  $162.75

 

 

 

46453

Flexor tendon, tenolysis of, following tendon injury, repair or graft (Anaes. 17709 = 3B + 6T)

  $271.25

 

 

 

46456

Finger, percutaneous tenotomy of (Anaes. 17704 = 3B + 1T)

   $70.55

 

 

 

46459

Operation for osteomyelitis on distal phalanx (Anaes. 17706 = 3B + 3T)

  $135.65

 

 

 

46462

Operation for osteomyelitis on middle or proximal phalanx, metacarpal or carpus (Anaes. 17707 = 3B + 4T)

  $217.00

 

 

 

46464

Amputation of a supernumerary complete digit (Anaes. 17706 = 3B + 3T)

  $162.75

 

 

 

46465

Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes. 17705 = 3B + 2T)

  $162.75

 

 

 

46468

Amputation of 2 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes. 17706 = 3B + 3T)

  $284.80

 

 

 

46471

Amputation of 3 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes. 17707 = 3B + 4T)

  $406.90

 

 

 

46474

Amputation of 4 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes. 17708 = 3B + 5T)

  $528.95

 

 

 

46477

Amputation of 5 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Anaes. 17709 = 3B + 6T)

  $651.00

 

 

 

46480

Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover, including metacarpal (Anaes. 17707 = 3B + 4T)

  $271.25

 

 

 

46483

Revision of amputation stump to provide adequate soft tissue cover (Anaes. 17705 = 3B + 2T)

  $217.00

 

 

 

46486

Nail bed, accurate reconstruction of nail bed laceration using magnification, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes. 17708 = 3B + 5T)

  $162.75

 

 

 

46489

Nail bed, secondary exploration and accurate repair of nail bed deformity using magnification, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes. 17709 = 3B + 6T)

  $189.90

 

 

 

46492

Flexion contracture of hand or digit, correction of, involving tissues deeper than skin and subcutaneous tissue (Anaes. 17708 = 3B + 5T)

  $260.40

 

 

 

46495

Ganglion or mucous cyst of distal digit, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes. 17705 = 3B + 2T)

  $146.50

 

 

 

46498

Ganglion of flexor tendon sheath, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes. 17705 = 3B + 2T)

  $158.60

 

 

 

46500

Ganglion of dorsal wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes. 17706 = 3B + 3T)

  $189.90

 

 

 

46501

Ganglion of volar wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes. 17707 = 3B + 4T)

  $237.40

 

 

 

46502

Recurrent ganglion of dorsal wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes. 17707 = 3B + 4T)

  $218.40

 

 

 

46503

Recurrent ganglion of volar wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Anaes. 17708 = 3B + 5T)

  $272.95

 

 

 

46504

Neurovascular island flap, for pulp innervation (Anaes. 17719 = 8B + 11T)

  $797.50

 

 

 

46507

Digit, transposition of, complete procedure (Anaes. 17722 = 8B + 14T)

  $927.70

 

 

 

46510

Macrodactyly, surgical reduction of enlarged elements—each digit (Anaes. 17707 = 3B + 4T)

  $253.15

 

 

 

46513

Digital nail of finger or thumb, removal of, not being a service to which item 46516 applies (Anaes. 17704 = 3B + 1T)

   $40.75

 

 

 

46516

Digital nail of finger or thumb, removal of, in the operating theatre of a hospital or approved day hospital facility (Anaes. 17704 = 3B + 1T)

   $81.45

 

 

 

46519

Middle palmar, thenar or hypothenar spaces of hand, drainage of (excluding aftercare) (Anaes. 17705 = 3B + 2T)

  $101.90

 

 

 

46522

Flexor tendon sheath of finger or thumb—open operation and drainage for infection (Anaes. 17706 = 3B + 3T)

  $303.80

 

 

 

46525

Pulp space infection, paronychia of hand, incision for, not being a service to which another item in this Group applies (excluding after-care) (Anaes. 17704 = 3B + 1T)

   $40.75

 

 

 

46528

Ingrowing nail of finger or thumb, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed (Anaes. 17705 = 3B + 2T)

  $122.25

 

 

 

46531

Ingrowing nail of finger or thumb, partial resection of nail, including phenolisation but not including excision of nail bed (Anaes. 17705 = 3B + 2T)

   $61.40

 

 

 

46534

Nail plate injury or deformity, radical excision of nail germinal matrix (Anaes. 17706 = 3B + 3T)

  $169.80

 

 

 

 

Subgroup 15—Orthopaedic

 

 

 

 

47000

Mandible, treatment of dislocation of, by closed reduction (Anaes. 17706 = 5B + 1T)

   $50.95

 

 

 

47003

Clavicle, treatment of dislocation of, by closed reduction (Anaes. 17706 = 4B + 2T)

   $61.10

 

 

 

47006

Clavicle, treatment of dislocation of, by open reduction (Anaes. 17709 = 5B + 4T)

  $122.85

 

 

 

47009

Shoulder, treatment of dislocation of, requiring general anaesthesia, not being a service to which item 47012 applies (Anaes. 17706 = 4B + 2T)

  $122.25

 

 

 

47012

Shoulder, treatment of dislocation of, requiring general anaesthesia, open reduction (Anaes. 17710 = 5B + 5T)

  $244.45

 

 

 

47015

Shoulder, treatment of dislocation of, not requiring general anaesthesia

   $61.10

 

 

 

47018

Elbow, treatment of dislocation of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $142.60

 

 

 

47021

Elbow, treatment of dislocation of, by open reduction (Anaes. 17709 = 4B + 5T)

  $190.15

 

 

 

47024

Radioulnar joint, distal or proximal, treatment of dislocation of, by closed reduction, not being a service associated with fracture or dislocation in the same region (Anaes. 17705 = 3B + 2T)

  $142.60

 

 

 

47027

Radioulnar joint, distal or proximal, treatment of dislocation of, by open reduction, not being a service associated with fracture or dislocation in the same region (Anaes. 17708 = 3B + 5T)

  $190.15

 

 

 

47030

Carpus, or carpus on radius and ulna, or carpometacarpal joint, treatment of dislocation of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $142.60

 

 

 

47033

Carpus, or carpus on radius and ulna, or carpometacarpal joint, treatment of dislocation of, by open reduction (Anaes. 17708 = 3B + 5T)

  $190.15

 

 

 

47036

Interphalangeal joint, treatment of dislocation of, by closed reduction (Anaes. 17704 = 3B + 1T)

   $61.10

 

 

 

47039

Interphalangeal joint, treatment of dislocation of, by open reduction (Anaes. 17706 = 3B + 3T)

   $81.45

 

 

 

47042

Metacarpophalangeal joint, treatment of dislocation of, by closed reduction (Anaes. 17704 = 3B + 1T)

   $81.45

 

 

 

47045

Metacarpophalangeal joint, treatment of dislocation of, by open reduction (Anaes. 17706 = 3B + 3T)

  $108.65

 

 

 

47048

Hip, treatment of dislocation of, by closed reduction (Anaes. 17706 = 4B + 2T)

  $234.30

 

 

 

47051

Hip, treatment of dislocation of, by open reduction (Anaes. 17711 = 6B + 5T)

  $312.35

 

 

 

47054

Knee, treatment of dislocation of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $234.30

 

 

 

47057

Patella, treatment of dislocation of, by closed reduction (Anaes. 17704 = 3B + 1T)

   $91.65

 

 

 

47060

Patella, treatment of dislocation of, by open reduction (Anaes. 17708 = 4B + 4T)

  $122.25

 

 

 

47063

Ankle or tarsus, treatment of dislocation of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $183.35

 

 

 

47066

Ankle or tarsus, treatment of dislocation of, by open reduction (Anaes. 17710 = 3B + 7T)

  $244.45

 

 

 

47069

Toe, treatment of dislocation of, by closed reduction (Anaes. 17704 = 3B + 1T)

   $50.95

 

 

 

47072

Toe, treatment of dislocation of, by open reduction (Anaes. 17706 = 3B + 3T)

   $67.90

 

 

 

47300

Distal phalanx of finger or thumb, treatment of fracture of, by closed reduction, including percutaneous fixation where used (Anaes. 17705 = 3B + 2T)

   $61.10

 

 

 

47303

Distal phalanx of finger or thumb, treatment of intra-articular fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

   $71.30

 

 

 

47306

Distal phalanx of finger or thumb, treatment of fracture of, by open reduction (Anaes. 17707 = 3B + 4T)

   $81.45

 

 

 

47309

Distal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction (Anaes. 17707 = 3B + 4T)

  $101.90

 

 

 

47312

Middle phalanx of finger, treatment of fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

   $91.65

 

 

 

47315

Middle phalanx of finger, treatment of intra-articular fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $105.25

 

 

 

47318

Middle phalanx of finger, treatment of fracture of, by open reduction (Anaes. 17707 = 3B + 4T)

  $122.25

 

 

 

47321

Middle phalanx of finger, treatment of intra-articular fracture of, by open reduction (Anaes. 17707 = 3B + 4T)

  $152.75

 

 

 

47324

Proximal phalanx of finger or thumb, treatment of fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $122.25

 

 

 

47327

Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $142.60

 

 

 

47330

Proximal phalanx of finger or thumb, treatment of fracture of, by open reduction (Anaes. 17707 = 3B + 4T)

  $163.00

 

 

 

47333

Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction (Anaes. 17707 = 3B + 4T)

  $203.70

 

 

 

47336

Metacarpal, treatment of fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $122.25

 

 

 

47339

Metacarpal, treatment of intra-articular fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $142.60

 

 

 

47342

Metacarpal, treatment of fracture of, by open reduction (Anaes. 17707 = 3B + 4T)

  $163.00

 

 

 

47345

Metacarpal, treatment of intra-articular fracture of, by open reduction (Anaes. 17708 = 3B + 5T)

  $203.70

 

 

 

47348

Carpus (excluding scaphoid), treatment of fracture of, not being a service to which item 47351 applies (Anaes. 17705 = 3B + 2T)

   $67.90

 

 

 

47351

Carpus (excluding scaphoid), treatment of fracture of, by open reduction (Anaes. 17709 = 3B + 6T)

  $169.80

 

 

 

47354

Carpal scaphoid, treatment of fracture of, not being a service to which item 47357 applies (Anaes. 17705 = 3B + 2T)

  $122.25

 

 

 

47357

Carpal scaphoid, treatment of fracture of, by open reduction (Anaes. 17710 = 3B + 7T)

  $271.60

 

 

 

47360

Radius or ulna, distal end of, treatment of fracture of, by cast immobilisation, not being a service to which item 47363 or 47366 applies (Anaes. 17705 = 3B + 2T)

   $95.10

 

 

 

47363

Radius or ulna, distal end of, treatment of fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $142.60

 

 

 

47366

Radius or ulna, distal end of, treatment of fracture of, by open reduction (Anaes. 17708 = 3B + 5T)

  $190.15

 

 

 

47369

Radius, distal end of, treatment of Colles', Smith's or Barton's fracture of, by cast immobilisation, not being a service to which item 47372 or 47375 applies (Anaes. 17705 = 3B + 2T)

  $122.25

 

 

 

47372

Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by closed reduction (Anaes. 17705 = 3B + 2T)

  $203.70

 

 

 

47375

Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by open reduction (Anaes. 17708 = 3B + 5T)

  $271.60

 

 

 

47378

Radius or ulna, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47381, 47384, 47385 or 47386 applies (Anaes. 17705 = 3B + 2T)

  $122.25

 

 

 

47381

Radius or ulna, shaft of, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes. 17705 = 3B + 2T)

  $183.35

 

 

 

47384

Radius or ulna, shaft of, treatment of fracture of, by open reduction (Anaes. 17708 = 3B + 5T)

  $244.45

 

 

 

47385

Radius or ulna, shaft of, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed reduction undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes. 17707 = 3B + 4T)

  $210.50

 

 

 

47386

Radius or ulna, shaft of, treatment of fracture of, in conjunction with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by open reduction or internal fixation (Anaes. 17711 = 3B + 8T)

  $339.50

 

 

 

47387

Radius and ulna, shafts of, treatment of fracture of, by cast immobilisation, not being a service to which item 47390 or 47393 applies (Anaes. 17706 = 3B + 3T)

  $196.90

 

 

 

47390

Radius and ulna, shafts of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes. 17706 = 3B + 3T)

  $295.40

 

 

 

47393

Radius and ulna, shafts of, treatment of fracture of, by open reduction (Anaes. 17709 = 3B + 6T)

  $393.85

 

 

 

47396

Olecranon, treatment of fracture of, not being a service to which item 47399 applies (Anaes. 17706 = 3B + 3T)

  $135.80

 

 

 

47399

Olecranon, treatment of fracture of, by open reduction (Anaes. 17709 = 3B + 6T)

  $271.60

 

 

 

47402

Olecranon, treatment of fracture of, involving excision of olecranon fragment and reimplantation of tendon (Anaes. 17709 = 3B + 6T)

  $203.70

 

 

 

47405

Radius, treatment of fracture of head or neck of, closed management of (Anaes. 17706 = 3B + 3T)

  $135.80

 

 

 

47408

Radius, treatment of fracture of head or neck of, open management of, including internal fixation and excision where performed (Anaes. 17710 = 3B + 7T)

  $271.60

 

 

 

47411

Humerus, treatment of fracture of tuberosity of, not being a service to which item 47417 applies (Anaes. 17705 = 3B + 2T)

   $81.45

 

 

 

47414

Humerus, treatment of fracture of tuberosity of, by open reduction (Anaes. 17710 = 4B + 6T)

  $163.00

 

 

 

47417

Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by closed reduction (Anaes. 17707 = 4B + 3T)

  $190.15

 

 

 

47420

Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by open reduction (Anaes. 17713 = 5B + 8T)

  $373.50

 

 

 

47423

Humerus, proximal, treatment of fracture of, not being a service to which item 47426, 47429 or 47432 applies (Anaes. 17706 = 3B + 3T)

  $156.15

 

 

 

47426

Humerus, proximal, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes. 17706 = 3B + 3T)

  $234.30

 

 

 

47429

Humerus, proximal, treatment of fracture of, by open reduction (Anaes. 17712 = 4B + 8T)

  $312.35

 

 

 

47432

Humerus, proximal, treatment of intra-articular fracture of, by open reduction (Anaes. 17714 = 4B + 10T)

  $390.45

 

 

 

47435

Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by closed reduction (Anaes. 17707 = 4B + 3T)

  $298.80

 

 

 

47438

Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by open reduction (Anaes. 17715 = 5B + 10T)

  $475.35

 

 

 

47441

Humerus, proximal, treatment of intra-articular fracture of, and associated dislocation of shoulder, by open reduction (Anaes. 17715 = 5B + 10T)

  $594.15

 

 

 

47444

Humerus, shaft of, treatment of fracture of, not being a service to which item 47447 or 47450 applies (Anaes. 17706 = 3B + 3T)

  $163.00

 

 

 

47447

Humerus, shaft of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes. 17706 = 3B + 3T)

  $244.45

 

 

 

47450

Humerus, shaft of, treatment of fracture of, by open reduction (Anaes. 17712 = 4B + 8T)

  $325.95

 

 

 

47453

Humerus, distal, (supracondylar or condylar), treatment of fracture of, not being a service to which item 47456 or 47459 applies (Anaes. 17706 = 3B + 3T)

  $190.15

 

 

 

47456

Humerus, distal (supracondylar or condylar), treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes. 17706 = 3B + 3T)

  $285.25

 

 

 

47459

Humerus, distal (supracondylar or condylar), treatment of fracture of, by open reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (Anaes. 17710 = 4B + 6T)

  $380.25

 

 

 

47462

Clavicle, treatment of fracture of, not being a service to which item 47465 applies (Anaes. 17706 = 4B + 2T)

   $81.45

 

 

 

47465

Clavicle, treatment of fracture of, by open reduction (Anaes. 17710 = 5B + 5T)

  $163.00

 

 

 

47466

Sternum, treatment of fracture of, not being a service to which item 47467 applies (Anaes. 17707 = 5B + 2T)

   $81.45

 

 

 

47467

Sternum, treatment of fracture of, by open reduction (Anaes. 17711 = 5B + 6T)

  $163.00

 

 

 

47468

Scapula, neck or glenoid region of, treatment of fracture of, by open reduction (Anaes. 17713 = 5B + 8T)

  $312.35

 

 

 

47471

Ribs (1 or more), treatment of fracture of—each attendance

   $30.95

 

 

 

47474

Pelvic ring, treatment of fracture of, not involving disruption of pelvic ring or acetabulum

  $135.80

 

 

 

47477

Pelvic ring, treatment of fracture of, with disruption of pelvic ring or acetabulum

  $169.80

 

 

 

47480

Pelvic ring, treatment of fracture of, requiring traction (Anaes. 17708 = 6B + 2T)

  $339.50

 

 

 

47483

Pelvic ring, treatment of fracture of, requiring control by external fixation (Anaes. 17712 = 6B + 6T)

  $407.40

 

 

 

47486

Pelvic ring, treatment of fracture of, by open reduction and involving internal fixation of anterior segment, including diastasis of pubic symphysis (Anaes. 17722 = 8B + 14T)

  $679.05

 

 

 

47489

Pelvic ring, treatment of fracture of, by open reduction and involving internal fixation of posterior segment (including sacro-iliac joint), with or without fixation of anterior segment (Anaes. 17726 = 8B + 18T)

$1,018.55

 

 

 

47492

Acetabulum, treatment of fracture of, and associated dislocation of hip (Anaes. 17708 = 6B + 2T)

  $169.80

 

 

 

47495

Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring traction (Anaes. 17709 = 6B + 3T)

  $339.50

 

 

 

47498

Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring internal fixation, with or without traction (Anaes. 17716 = 6B + 10T)

  $509.30

 

 

 

47501

Acetabulum, treatment of single column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (Anaes. 17720 = 6B + 14T)

  $679.05

 

 

 

47504

Acetabulum, treatment of T-shape fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (Anaes. 17724 = 6B + 18T)

$1,018.55

 

 

 

47507

Acetabulum, treatment of transverse fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (Anaes. 17724 = 6B + 18T)

$1,018.55

 

 

 

47510

Acetabulum, treatment of double column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (Anaes. 17724 = 6B + 18T)

$1,018.55

 

 

 

47513

Sacro-iliac joint disruption, treatment of, requiring internal fixation, being a service associated with a service to which items 47501 to 47510 apply (Anaes. 17718 = 8B + 10T)

  $271.60

 

 

 

47516

Femur, treatment of fracture of, by closed reduction or traction (Anaes. 17708 = 4B + 4T)

  $312.35

 

 

 

47519

Femur, treatment of trochanteric or subcapital fracture of, by internal fixation (Anaes. 17712 = 6B + 6T)

  $624.75

 

 

 

47522

Femur, treatment of subcapital fracture of, by hemi-arthroplasty (Anaes. 17712 = 6B + 6T)

  $543.25

 

 

 

47525

Femur, treatment of fracture of, for slipped capital femoral epiphysis (Anaes. 17712 = 6B + 6T)

  $624.75

 

 

 

47528

Femur, treatment of fracture of, by internal fixation or external fixation (Anaes. 17712 = 6B + 6T)

  $543.25

 

 

 

47531

Femur, treatment of fracture of shaft, by intramedullary fixation and cross fixation (Anaes. 17714 = 6B + 8T)

  $692.65

 

 

 

47534

Femur, condylar region of, treatment of intra-articular (T-shaped condylar) fracture of, requiring internal fixation, with or without internal fixation of 1 or more osteochondral fragments (Anaes. 17717 = 5B + 12T)

  $780.90

 

 

 

47537

Femur, condylar region of, treatment of fracture of, requiring internal fixation of 1 or more osteochondral fragments, not being a service associated with a service to which item 47534 applies (Anaes. 17714 = 5B + 9T)

  $312.35

 

 

 

47540

Hip spica or shoulder spica, application of, as an independent procedure (Anaes. 17708 = 4B + 4T)

  $156.15

 

 

 

47543

Tibia, plateau of, treatment of medial or lateral fracture of, not being a service to which item 47546 or 47549 applies (Anaes. 17706 = 3B + 3T)

  $163.00

 

 

 

47546

Tibia, plateau of, treatment of medial or lateral fracture of, by closed reduction (Anaes. 17706 = 3B + 3T)

  $244.45

 

 

 

47549

Tibia, plateau of, treatment of medial or lateral fracture of, by open reduction (Anaes. 17710 = 4B + 6T)

  $325.95

 

 

 

47552

Tibia, plateau of, treatment of both medial and lateral fractures of, not being a service to which item 47555 or 47558 applies (Anaes. 17706 = 3B + 3T)

  $271.60

 

 

 

47555

Tibia, plateau of, treatment of both medial and lateral fractures of, by closed reduction (Anaes. 17707 = 3B + 4T)

  $407.40

 

 

 

47558

Tibia, plateau of, treatment of both medial and lateral fractures of, by open reduction (Anaes. 17712 = 4B + 8T)

  $543.25

 

 

 

47561

Tibia, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47564, 47567, 47570 or 47573 applies (Anaes. 17706 = 3B + 3T)

  $196.90

 

 

 

47564

Tibia, shaft of, treatment of fracture of, by closed reduction, with or without treatment of fibular fracture (Anaes. 17705 = 3B + 2T)

  $295.40

 

 

 

47565

Tibia, shaft of, treatment of fracture of, by internal fixation or external fixation (Anaes. 17710 = 3B + 7T)

  $513.75

 

 

 

47566

Tibia, shaft of, treatment of fracture of, by intramedullary fixation and cross fixation (Anaes. 17711 = 3B + 8T)

  $655.00

 

 

 

47567

Tibia, shaft of, treatment of intra-articular fracture of, by closed reduction, with or without treatment of fibular fracture (Anaes. 17706 = 3B + 3T)

  $342.90

 

 

 

47570

Tibia, shaft of, treatment of fracture of, by open reduction, with or without treatment of fibular fracture (Anaes. 17709 = 3B + 6T)

  $393.85

 

 

 

47573

Tibia, shaft of, treatment of intra-articular fracture of, by open reduction, with or without treatment of fibular fracture (Anaes. 17710 = 3B + 7T)

  $492.30

 

 

 

47576

Fibula, treatment of fracture of (Anaes. 17705 = 3B + 2T)

   $81.45

 

 

 

47579

Patella, treatment of fracture of, not being a service to which item 47582 or 47585 applies (Anaes. 17705 = 3B + 2T)

  $115.45

 

 

 

47582

Patella, treatment of fracture of, by excision of patella or pole with reattachment of tendon (Anaes. 17709 = 4B + 5T)

  $237.70

 

 

 

47585

Patella, treatment of fracture of, by internal fixation (Anaes. 17710 = 4B + 6T)

  $305.60

 

 

 

47588

Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar or tibial articular surfaces and requiring repair or reconstruction of 1 or more ligaments (Anaes. 17717 = 5B + 12T)

  $950.65

 

 

 

47591

Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar and tibial articular surfaces and requiring repair or reconstruction of 1 or more ligaments (Anaes. 17720 = 5B + 15T)

$1,154.40

 

 

 

47594

Ankle joint, treatment of fracture of, not being a service to which item 47597 applies (Anaes. 17705 = 3B + 2T)

  $156.15

 

 

 

47597

Ankle joint, treatment of fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $234.30

 

 

 

47600

Ankle joint, treatment of fracture of, by internal fixation of 1 of malleolus, fibula or diastasis (Anaes. 17707 = 3B + 4T)

  $312.35

 

 

 

47603

Ankle joint, treatment of fracture of, by internal fixation of more than 1 of malleolus, fibula or diastasis (Anaes. 17709 = 3B + 6T)

  $407.40

 

 

 

47606

Calcaneum or talus, treatment of fracture of, not being a service to which item 47609, 47612, 47615 or 47618 applies, with or without dislocation (Anaes. 17706 = 3B + 3T)

  $169.80

 

 

 

47609

Calcaneum or talus, treatment of fracture of, by closed reduction, with or without dislocation (Anaes. 17706 = 3B + 3T)

  $254.65

 

 

 

47612

Calcaneum or talus, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (Anaes. 17706 = 3B + 3T)

  $295.40

 

 

 

47615

Calcaneum or talus, treatment of fracture of, by open reduction, with or without dislocation (Anaes. 17709 = 3B + 6T)

  $339.50

 

 

 

47618

Calcaneum or talus, treatment of intra-articular fracture of, by open reduction, with or without dislocation (Anaes. 17709 = 3B + 6T)

  $424.40

 

 

 

47621

Tarso-metatarsal, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (Anaes. 17705 = 3B + 2T)

  $295.40

 

 

 

47624

Tarso-metatarsal, treatment of fracture of, by open reduction, with or without dislocation (Anaes. 17708 = 3B + 5T)

  $407.40

 

 

 

47627

Tarsus (excluding calcaneum or talus), treatment of fracture of (Anaes. 17705 = 3B + 2T)

  $115.45

 

 

 

47630

Tarsus (excluding calcaneum or talus), treatment of fracture of, by open reduction, with or without dislocation (Anaes. 17708 = 3B + 5T)

  $244.45

 

 

 

47633

Metatarsal, 1 of, treatment of fracture of (Anaes. 17705 = 3B + 2T)

   $81.45

 

 

 

47636

Metatarsal, 1 of, treatment of fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $122.25

 

 

 

47639

Metatarsal, 1 of, treatment of fracture of, by open reduction (Anaes. 17707 = 3B + 4T)

  $163.00

 

 

 

47642

Metatarsals, 2 of, treatment of fracture of (Anaes. 17705 = 3B + 2T)

  $108.65

 

 

 

47645

Metatarsals, 2 of, treatment of fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $163.00

 

 

 

47648

Metatarsals, 2 of, treatment of fracture of, by open reduction (Anaes. 17708 = 3B + 5T)

  $217.25

 

 

 

47651

Metatarsals, 3 or more of, treatment of fracture of (Anaes. 17705 = 3B + 2T)

  $169.80

 

 

 

47654

Metatarsals, 3 or more of, treatment of fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $254.65

 

 

 

47657

Metatarsals, 3 or more of, treatment of fracture of, by open reduction (Anaes. 17709 = 3B + 6T)

  $339.50

 

 

 

47663

Phalanx of great toe, treatment of fracture of, by closed reduction (Anaes. 17705 = 3B + 2T)

  $101.90

 

 

 

47666

Phalanx of great toe, treatment of fracture of, by open reduction (Anaes. 17707 = 3B + 4T)

  $169.80

 

 

 

47672

Phalanx of toe (other than great toe), 1 of, treatment of fracture of, by open reduction (Anaes. 17706 = 3B + 3T)

   $81.45

 

 

 

47678

Phalanx of toe (other than great toe), more than 1 of, treatment of fracture of, by open reduction (Anaes. 17709 = 3B + 6T)

  $122.25

 

 

 

47681

Spine (excluding sacrum), treatment of fracture of transverse process, vertebral body, or posterior elements—each attendance

   $30.95

 

 

 

47684

Spine, treatment of fracture, dislocation or fracture-dislocation, without spinal cord involvement, including immobilisation by calipers (Anaes. 17714 = 10B + 4T)

  $543.25

 

 

 

47687

Spine, treatment of fracture, dislocation or fracture-dislocation, with spinal cord involvement, including immobilisation by calipers, and including up to 14 days post-operative care

  $950.65

 

 

 

47690

Spine, treatment of fracture, dislocation or fracture-dislocation, without cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation (Anaes. 17714 = 10B + 4T)

  $746.95

 

 

 

47693

Spine, treatment of fracture, dislocation or fracture-dislocation, with cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation, including up to 14 days post-operative care

  $950.65

 

 

 

47696

Spine, reduction of fracture or dislocation of, without cord involvement, undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes. 17714 = 10B + 4T)

  $271.60

 

 

 

47699

Spine, treatment of fracture, dislocation or fracture-dislocation without cord involvement requiring open reduction with or without internal fixation (Anaes. 17722 = 10B + 12T)

$1,086.50

 

 

 

47702

Spine, treatment of fracture, dislocation or fracture-dislocation with cord involvement requiring open reduction with or without internal fixation, including up to 14 days post-operative care (Anaes. 17722 = 10B + 12T)

$1,358.15

 

 

 

47703

Skull, treatment of fracture of, each attendance

   $30.95

 

 

 

47705

Skull calipers, insertion of, as an independent procedure (Anaes. 17708 = 5B + 3T)

  $203.70

 

 

 

47708

Plaster jacket, application of, as an independent procedure (Anaes. 17707 = 3B + 4T)

  $156.15

 

 

 

47711

Halo, application of, as an independent procedure (Anaes. 17709 = 5B + 4T)

  $230.90

 

 

 

47714

Halo, application of, in addition to spinal fusion for scoliosis, or other conditions (Anaes. 17709 = 5B + 4T)

  $173.15

 

 

 

47717

Halo-thoracic traction—application of both halo and thoracic jacket (Anaes. 17711 = 5B + 6T)

  $305.60

 

 

 

47720

Halo-femoral traction, as an independent procedure (Anaes. 17711 = 6B + 5T)

  $305.60

 

 

 

47723

Halo-femoral traction in conjunction with a major spine operation (Anaes. 17711 = 6B + 5T)

  $305.60

 

 

 

47726

Bone graft, harvesting of, via separate incision, in conjunction with another service—autogenous—small quantity (Anaes. 17707 = 5B + 2T)

  $101.90

 

 

 

47729

Bone graft, harvesting of, via separate incision, in conjunction with another service—autogenous—large quantity (Anaes. 17708 = 5B + 3T)

  $169.80

 

 

 

47732

Vascularised pedicle bone graft, harvesting of, in conjunction with another service  (Anaes. 17710 = 6B + 4T)

  $271.60

 

 

 

47735

Nasal bones, treatment of fracture of, not being a service to which item 47738 or 47741 applies—each attendance

   $30.95

 

 

 

47738

Nasal bones, treatment of fracture of, by reduction (Anaes. 17707 = 5B + 2T)

  $169.80

 

 

 

47741

Nasal bones, treatment of fracture of, by open reduction involving osteotomies (Anaes. 17710 = 5B + 5T)

  $346.35

 

 

 

47753

Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes. 17714 = 5B + 9T)

  $293.30

 

 

 

47756

Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes. 17714 = 5B + 9T)

  $293.30

 

 

 

47762

Zygomatic bone, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach (Anaes. 17707 = 5B + 2T)

  $172.25

 

 

 

47765

Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (Anaes. 17709 = 5B + 4T)

  $282.80

 

 

 

47768

Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (Anaes. 17710 = 5B + 5T)

  $346.35

 

 

 

47771

Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (Anaes. 17711 = 5B + 6T)

  $398.00

 

 

 

47774

Maxilla, treatment of fracture of, requiring open operation (Anaes. 17709 = 5B + 4T)

  $314.25

 

 

 

47777

Mandible, treatment of fracture of, requiring open reduction (Anaes. 17709 = 5B + 4T)

  $314.25

 

 

 

47780

Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes. 17711 = 5B + 6T)

  $408.45

 

 

 

47783

Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes. 17711 = 5B + 6T)

  $408.45

 

 

 

47786

Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes. 17712 = 5B + 7T)

  $518.45

 

 

 

47789

Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes. 17712 = 5B + 7T)

  $518.45

 

 

 

47900

Bone cyst, injection into or aspiration of (Anaes. 17706 = 4B + 2T)

  $122.25

 

 

 

47903

Epicondylitis, open operation for (Anaes. 17706 = 4B + 2T)

  $169.80

 

 

 

47904

Digital nail of toe, removal of, not being a service to which item 47906 applies (Anaes. 17704 = 3B + 1T)

   $40.75

 

 

 

47906

Digital nail of toe, removal of, in the operating theatre of a hospital or approved day hospital facility (Anaes. 17704 = 3B + 1T)

   $81.45

 

 

 

47912

Pulp space infection, paronychia of foot, incision for, not being a service to which another item in this Group applies (excluding after-care) (Anaes. 17705 = 3B + 2T)

   $40.75

 

 

 

47915

Ingrowing nail of toe, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed (Anaes. 17705 = 3B + 2T)

  $122.25

 

 

 

47916

Ingrowing nail of toe, partial resection of nail, including phenolisation but not including excision of nail bed (Anaes. 17705 = 3B + 2T)

   $61.40

 

 

 

47918

Ingrowing toenail, radical excision of nailbed (Anaes. 17705 = 3B + 2T)

  $169.80

 

 

 

47921

Orthopaedic pin or wire, insertion of, as an independent procedure (Anaes. 17706 = 4B + 2T)

   $81.45

 

 

 

47924

Buried wire, pin or screw, 1 or more of, which were inserted for internal fixation purposes, removal of requiring incision and suture, not being a service to which item 47927 or 47930 applies—per bone (Anaes. 17706 = 4B + 2T)

   $27.15

 

 

 

47927

Buried wire, pin or screw, 1 or more of, which were inserted for internal fixation purposes, removal of, in the operating theatre of a hospital or approved day hospital facility—per bone (Anaes. 17706 = 4B + 2T)

  $101.90

 

 

 

47930

Plate, rod or nail and associated wires, pins or screws, 1 or more of, all of which were inserted for internal fixation purposes, removal of, not being a service associated with a service to which item 47924 or 47927 applies—per bone (Anaes. 17707 = 4B + 3T)

  $190.15

 

 

 

47933

Exostosis of small bone, excision of, including simple removal of bunion and any associated bursa (Anaes. 17706 = 4B + 2T)

  $149.35

 

 

 

47936

Exostosis of large bone, excision of (Anaes. 17706 = 4B + 2T)

  $183.35

 

 

 

47939

Limb lengthening (first stage) osteotomy for, including application of distracting apparatus (Anaes. 17712 = 5B + 7T)

  $577.20

 

 

 

47942

Limb lengthening (second stage) internal fixation with bone grafting, including removal of distracting apparatus (Anaes. 17712 = 5B + 7T)

  $577.20

 

 

 

47943

Limb lengthening requiring slow distraction and application of ring fixator, not being a service to which item 47939 applies (Anaes. 17726 = 5B + 21T)

  $921.35

 

 

 

47945

Distracting apparatus, removal of, without internal fixation (Anaes. 17706 = 4B + 2T)

  $169.80

 

 

 

47948

External fixation, removal of, in the operating theatre of a hospital or approved day hospital facility (Anaes. 17706 = 4B + 2T)

  $115.45

 

 

 

47951

External fixation, removal of, in conjunction with operations involving internal fixation or bone grafting or both (Anaes. 17706 = 4B + 2T)

  $135.80

 

 

 

47954

Tendon, large rupture, repair of, not being a service to which another item in this Group applies (Anaes. 17709 = 3B + 6T)

  $271.60

 

 

 

47957

Tendon, large, lengthening of, not being a service to which another item in this Group applies (Anaes. 17709 = 3B + 6T)

  $203.70

 

 

 

47960

Tenotomy, subcutaneous, not being a service to which another item in this Group applies (Anaes. 17704 = 3B + 1T)

   $95.10

 

 

 

47963

Tenotomy, open, with or without tenoplasty, not being a service to which another item in this Group applies (Anaes. 17706 = 4B + 2T)

  $156.15

 

 

 

47966

Tendon or ligament transfer, not being a service to which another item in this Group applies (Anaes. 17709 = 4B + 5T)

  $312.35

 

 

 

47969

Tenosynovectomy, not being a service to which another item in this Group applies (Anaes. 17708 = 4B + 4T)

  $190.15

 

 

 

47972

Tendon sheath, open operation for teno-vaginitis, not being a service to which another item in this Group applies (Anaes. 17707 = 4B + 3T)

  $151.90

 

 

 

47975

Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (Anaes. 17708 = 3B + 5T)

  $266.20

 

 

 

47978

Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue (Anaes. 17708 = 3B + 5T)

  $161.75

 

 

 

47981

Forearm, calf or interosseous muscle space of hand, decompression fasciotomy of, not being a service to which another item applies (Anaes. 17706 = 3B + 3T)

  $108.50

 

 

 

48200

Femur, bone graft to (Anaes. 17714 = 6B + 8T)

  $543.25

 

 

 

48203

Femur, bone graft to, with internal fixation (Anaes. 17716 = 6B + 10T)

  $658.65

 

 

 

48206

Tibia, bone graft to (Anaes. 17709 = 3B + 6T)

  $407.80

 

 

 

48209

Tibia, bone graft to, with internal fixation (Anaes. 17711 = 3B + 8T)

  $522.85

 

 

 

48212

Humerus, bone graft to (Anaes. 17710 = 4B + 6T)

  $407.80

 

 

 

48215

Humerus, bone graft to, with internal fixation (Anaes. 17712 = 4B + 8T)

  $522.85

 

 

 

48218

Radius or ulna, bone graft to  (Anaes. 17710 = 3B + 7T)

  $407.80

 

 

 

48221

Radius and ulna, bone graft to, with internal fixation of 1 or both bones (Anaes. 17712 = 3B + 9T)

  $543.25

 

 

 

48224

Radius or ulna, bone graft to (Anaes. 17709 = 3B + 6T)

  $271.60

 

 

 

48227

Radius or ulna, bone graft to, with internal fixation of 1 or both bones (Anaes. 17711 = 3B + 8T)

  $353.15

 

 

 

48230

Scaphoid, bone graft to, for non-union (Anaes. 17708 = 3B + 5T)

  $305.60

 

 

 

48233

Scaphoid, bone graft to, for non-union, with internal fixation (Anaes. 17710 = 3B + 7T)

  $441.40

 

 

 

48236

Scaphoid, bone graft to, for mal-union, including osteotomy, bone graft and internal fixation (Anaes. 17711 = 3B + 8T)

  $577.20

 

 

 

48239

Bone graft, not being a service to which another item in this Group applies (Anaes. 17710 = 5B + 5T)

  $319.15

 

 

 

48242

Bone graft, with internal fixation, not being a service to which another item in this Group applies (Anaes. 17711 = 5B + 6T)

  $441.40

 

 

 

48400

Phalanx, metatarsal, accessory bone or sesamoid bone, osteotomy or osteectomy of, excluding services to which item 49848 or 49851 applies (Anaes. 17706 = 3B + 3T)

  $237.70

 

 

 

48403

Phalanx or metatarsal, osteotomy or osteectomy of, with internal fixation (Anaes. 17707 = 3B + 4T)

  $373.50

 

 

 

48406

Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy of (Anaes. 17708 = 4B + 4T)

  $237.70

 

 

 

48409

Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy, with internal fixation (Anaes. 17709 = 4B + 5T)

  $373.50

 

 

 

48412

Humerus, osteotomy or osteectomy of (Anaes. 17709 = 4B + 5T)

  $454.95

 

 

 

48415

Humerus, osteotomy or osteectomy of, with internal fixation (Anaes. 17712 = 4B + 8T)

  $577.20

 

 

 

48418

Tibia, osteotomy or osteectomy of (Anaes. 17708 = 4B + 4T)

  $454.95

 

 

 

48421

Tibia, osteotomy or osteectomy of, with internal fixation (Anaes. 17709 = 4B + 5T)

  $577.20

 

 

 

48424

Femur or pelvis, osteotomy or osteectomy of (Anaes. 17715 = 6B + 9T)

  $543.25

 

 

 

48427

Femur or pelvis, osteotomy or osteectomy of, with internal fixation (Anaes. 17717 = 6B + 11T)

  $658.65

 

 

 

48500

Femur, epiphysiodesis of (Anaes. 17712 = 6B + 6T)

  $237.70

 

 

 

48503

Tibia and fibula, epiphysiodesis of (Anaes. 17710 = 4B + 6T)

  $237.70

 

 

 

48506

Femur, tibia and fibula, epiphysiodesis of (Anaes. 17715 = 5B + 10T)

  $353.15

 

 

 

48509

Epiphysiodesis, staple arrest of hemi-epiphysis (Anaes. 17709 = 4B + 5T)

  $169.80

 

 

 

48512

Epiphysiolysis, operation to prevent closure of plate (Anaes. 17716 = 4B + 12T)

  $645.10

 

 

 

48600

Spine, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility (Anaes. 17704 = 3B + 1T)

   $67.90

 

 

 

48603

Spine, manipulation of, under epidural anaesthesia, with or without steroid injection, where the manipulation and the administration of the epidural anaesthetic are performed by the same medical practitioner in the operating theatre of a hospital or approved day hospital facility, not being a service associated with a service to which item 48600 or 50115 applies (Anaes. 17707 = 5B + 2T)

  $101.90

 

 

 

48606

Scoliosis or Kyphosis, spinal fusion for (without instrumentation) (Anaes. 17732 = 13B + 19T)

  $950.65

 

 

 

48609

Scoliosis or Kyphosis, spinal fusion for, using Harrington or other nonsegmental fixation (Anaes. 17732 = 13B + 19T)

$1,188.35

 

 

 

48612

Scoliosis, spinal fusion for, using segmental instrumentation (C D, Zielke, Luque, or similar) (Anaes. 17738 = 13B + 25T)

$1,765.55

 

 

 

48615

Scoliosis, re-exploration for, involving adjustment or removal of instrumentation or simple bone grafting procedure (Anaes. 17723 = 13B + 10T)

  $319.15

 

 

 

48618

Scoliosis, revision of failed scoliosis surgery, involving more than 1 of multiple osteotomy, fusion or instrumentation (Anaes. 17734 = 13B + 21T)

$1,765.55

 

 

 

48621

Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke, or similar)—not more than 4 levels (Anaes. 17734 = 13B + 21T)

$1,154.40

 

 

 

48624

Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar)—more than 4 levels (Anaes. 17738 = 13B + 25T)

$1,426.05

 

 

 

48627

Scoliosis, spinal fusion for, combined with segmental instrumentation (C D, Zielke or similar) down to and including pelvis (Anaes. 17738 = 13B + 25T)

$1,833.45

 

 

 

48630

Scoliosis, requiring anterior decompression of spinal cord with resection of vertebrae including bone graft and instrumentation in the presence of spinal cord involvement (Anaes. 17738 = 13B + 25T)

$2,037.15

 

 

 

48632

Scoliosis, congenital, vertebral resection and fusion for (Anaes. 17738 = 13B + 25T)

$1,126.10

 

 

 

48636

Percutaneous lumbar discectomy, 1 or more levels (Anaes. 17711 = 5B + 6T)

  $583.95

 

 

 

48639

Vertebral body, total or sub-total excision of, including bone grafting or other form of fixation (Anaes. 17733 = 10B + 23T)

  $984.65

 

 

 

48642

Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies—1 or 2 levels (Anaes. 17721 = 10B + 11T)

  $577.20

 

 

 

48645

Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies—more than 2 levels (Anaes. 17723 = 10B + 13T)

  $780.90

 

 

 

48648

Spine, bone graft to, (postero-lateral fusion)—1 or 2 levels (Anaes. 17720 = 10B + 10T)

  $780.90

 

 

 

48651

Spine, bone graft to, (postero-lateral fusion)—more than 2 levels (Anaes. 17722 = 10B + 12T)

$1,086.50

 

 

 

48654

Spinal fusion (posterior interbody), with laminectomy, 1 level (Anaes. 17722 = 10B + 12T)

  $780.90

 

 

 

48657

Spinal fusion (posterior interbody), with laminectomy, more than 1 level (Anaes. 17725 = 10B + 15T)

$1,086.50

 

 

 

48660

Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—1 level (Anaes. 17724 = 12B + 12T)

  $780.90

 

 

 

48663

Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—1 level (where an assisting surgeon performs the approach)—principal surgeon (Anaes. 17724 = 12B + 12T)

  $583.95

 

 

 

48666

Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—1 level (where an assisting surgeon performs the approach)—assisting surgeon

  $353.15

 

 

 

48669

Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—more than 1 level (Anaes. 17726 = 12B + 14T)

$1,052.55

 

 

 

48672

Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—more than 1 level (where an assisting surgeon performs the approach)—principal surgeon (Anaes. 17726 = 12B + 14T)

  $787.75

 

 

 

48675

Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—more than 1 level (where an assisting surgeon performs the approach)—assisting surgeon

  $475.35

 

 

 

48678

Spine, simple internal fixation of, involving 1 or more of facetal screw, wire loop or similar, being a service associated with a service to which items 48642 to 48675 apply (Anaes. 17721 = 10B + 11T)

  $407.80

 

 

 

48681

Spine, non-segmental internal fixation of (Harrington or similar), other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies (Anaes. 17721 = 10B + 11T)

  $679.05

 

 

 

48684

Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies—1 or 2 levels (Anaes. 17721 = 10B + 11T)

  $679.05

 

 

 

48687

Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply—3 or 4 levels (Anaes. 17725 = 10B + 15T)

  $950.65

 

 

 

48690

Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply—more than 4 levels (Anaes. 17727 = 10B + 17T)

$1,086.50

 

 

 

48900

Shoulder, excision of coraco-acromial ligament or removal of calcium deposit from cuff or both (Anaes. 17710 = 5B + 5T)

  $203.70

 

 

 

48903

Shoulder, decompression of subacromial space by acromionectomy, excision of coraco-acromial ligament and distal clavicle, or any combination (Anaes. 17712 = 5B + 7T)

  $407.40

 

 

 

48906

Shoulder, repair of rotator cuff, including excision of coraco-acromial ligament or removal of calcium deposit from cuff, or both—not being a service associated with a service to which item 48900 applies (Anaes. 17712 = 5B + 7T)

  $407.40

 

 

 

48909

Shoulder, repair of rotator cuff, including decompression of subacromial space by acromionectomy, excision of coraco-acromial ligament and distal clavicle, or any combination, not being a service associated with a service to which item 48903 applies (Anaes. 17713 = 5B + 8T)

  $543.25

 

 

 

48912

Shoulder, arthrotomy of (Anaes. 17708 = 5B + 3T)

  $237.70

 

 

 

48915

Shoulder, hemi-arthroplasty of (Anaes. 17713 = 5B + 8T)

  $543.25

 

 

 

48918

Shoulder, total replacement arthroplasty of, including any associated rotator cuff repair (Anaes. 17720 = 10B + 10T)

$1,086.50

 

 

 

48921

Shoulder, total replacement arthroplasty, revision of (Anaes. 17722 = 10B + 12T)

$1,120.45

 

 

 

48924

Shoulder, total replacement arthroplasty, revision of, requiring bone graft to scapula or humerus, or both (Anaes. 17724 = 10B + 14T)

$1,290.25

 

 

 

48927

Shoulder prosthesis, removal of (Anaes. 17715 = 9B + 6T)

  $264.80

 

 

 

48930

Shoulder, anterior stabilisation procedure for recurrent dislocation (Anaes. 17712 = 5B + 7T)

  $543.25

 

 

 

48933

Shoulder, stabilisation procedure for multi-directional instability (Anaes. 17713 = 5B + 8T)

  $713.00

 

 

 

48936

Shoulder, synovectomy of, as an independent procedure (Anaes. 17712 = 5B + 7T)

  $543.25

 

 

 

48939

Shoulder, arthrodesis of (Anaes. 17715 = 5B + 10T)

  $780.90

 

 

 

48942

Shoulder, arthrodesis of, including removal of prosthesis, requiring bone grafting or internal fixation (Anaes. 17725 = 9B + 16T)

$1,018.55

 

 

 

48945

Shoulder, diagnostic arthroscopy of (including biopsy)—not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes. 17708 = 5B + 3T)

  $196.90

 

 

 

48948

Shoulder, arthroscopic surgery of, involving any 1 or more of: removal of loose bodies; debridement of labrum, synovium or rotator cuff; or chondroplasty—not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes. 17710 = 5B + 5T)

  $441.40

 

 

 

48951

Shoulder, arthroscopic division of coraco-acromial ligament including acromionplasty—not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes. 17711 = 5B + 6T)

  $645.10

 

 

 

48954

Shoulder, arthroscopic total synovectomy of—not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes. 17713 = 5B + 8T)

  $679.05

 

 

 

48957

Shoulder, arthroscopic stabilisation of, for recurrent instability—not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes. 17715 = 5B + 10T)

  $780.90

 

 

 

48960

Shoulder, arthroscopic reconstruction of, including repair of rotator cuff—not being a service associated with any other arthroscopic procedure of the shoulder region (Anaes. 17715 = 5B + 10T)

  $679.05

 

 

 

49100

Elbow, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture (Anaes. 17708 = 4B + 4T)

  $237.70

 

 

 

49103

Elbow, ligamentous stabilisation of (Anaes. 17709 = 4B + 5T)

  $509.30

 

 

 

49106

Elbow, arthrodesis of (Anaes. 17710 = 4B + 6T)

  $679.05

 

 

 

49109

Elbow, total synovectomy of (Anaes. 17711 = 4B + 7T)

  $509.30

 

 

 

49112

Elbow, silastic or other replacement of radial head (Anaes. 17713 = 4B + 9T)

  $509.30

 

 

 

49115

Elbow, total joint replacement of (Anaes. 17721 = 7B + 14T)

  $814.85

 

 

 

49118

Elbow, diagnostic arthroscopy of, including biopsy (Anaes. 17708 = 4B + 4T)

  $196.90

 

 

 

49121

Elbow, arthroscopic surgery involving any 1 or more of drilling of defect, removal of loose body or chondroplasty—not being a service associated with any other arthroscopic procedure of the elbow joint (Anaes. 17709 = 4B + 5T)

  $441.40

 

 

 

49200

Wrist, arthrodesis of, including bone graft, with or without internal fixation of the radiocarpal joint (Anaes. 17709 = 3B + 6T)

  $590.75

 

 

 

49203

Wrist, limited arthrodesis of the intercarpal joint, including bone graft (Anaes. 17709 = 3B + 6T)

  $441.40

 

 

 

49206

Wrist, excision arthroplasty of, with radial styloidectomy and proximal carpectomy (Anaes. 17709 = 3B + 6T)

  $407.40

 

 

 

49209

Wrist, total replacement arthroplasty of (Anaes. 17721 = 7B + 14T)

  $543.25

 

 

 

49212

Wrist, arthrotomy of (Anaes. 17707 = 3B + 4T)

  $169.80

 

 

 

49215

Wrist, reconstruction of, including repair of single or multiple ligaments or capsules, including associated arthrotomy (Anaes. 17712 = 3B + 9T)

  $468.55

 

 

 

49218

Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy)—not being a service associated with any other arthroscopic procedure of the wrist joint (Anaes. 17707 = 3B + 4T)

  $196.90

 

 

 

49221

Wrist, arthroscopic surgery of, involving any 1 or more of drilling of defect, removal of loose body, local synovectomy or debridement—not being a service associated with any other arthroscopic procedure of the wrist joint (Anaes. 17708 = 3B + 5T)

  $441.40

 

 

 

49224

Wrist, arthroscopic debridement of or total synovectomy of—not being a service associated with any other arthroscopic procedure of the wrist joint (Anaes. 17709 = 3B + 6T)

  $509.30

 

 

 

49227

Wrist, arthroscopic pinning of osteochondral fragment—not being a service associated with any other arthroscopic procedure of the wrist joint (Anaes. 17709 = 3B + 6T)

  $509.30

 

 

 

49300

Sacro-iliac joint—arthrodesis of (Anaes. 17718 = 8B + 10T)

  $375.95

 

 

 

49303

Hip, arthrotomy of, including lavage, drainage or biopsy when performed (Anaes. 17710 = 6B + 4T)

  $393.85

 

 

 

49306

Hip—arthrodesis of (Anaes. 17716 = 6B + 10T)

  $780.90

 

 

 

49309

Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (Austin Moore or similar (non cement)) (Anaes. 17714 = 6B + 8T)

  $543.25

 

 

 

49312

Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (cemented, porous coated or similar) (Anaes. 17716 = 6B + 10T)

  $679.05

 

 

 

49315

Hip, arthroplasty of, unipolar or bipolar (Anaes. 17712 = 6B + 6T)

  $611.15

 

 

 

49318

Hip, total replacement arthroplasty of, including minor bone grafting (Anaes. 17720 = 10B + 10T)

  $950.65

 

 

 

49321

Hip, total replacement arthroplasty of, including major bone grafting, including obtaining of graft (Anaes. 17721 = 10B + 11T)

$1,154.40

 

 

 

49324

Hip, total replacement arthroplasty of, revision procedure including removal of prosthesis (Anaes. 17724 = 10B + 14T)

$1,358.15

 

 

 

49327

Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to acetabulum, including obtaining of graft (Anaes. 17725 = 10B + 15T)

$1,561.85

 

 

 

49330

Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to femur, including obtaining of graft (Anaes. 17725 = 10B + 15T)

$1,561.85

 

 

 

49333

Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to both acetabulum and femur, including obtaining of graft (Anaes. 17727 = 10B + 17T)

$1,765.55

 

 

 

49336

Hip, treatment of a fracture of the femur where revision total hip replacement is required as part of the treatment of the fracture (not including intra-operative fracture), being a service associated with a service to which items 49324 to 49333 apply (Anaes. 17725 = 10B + 15T)

  $258.05

 

 

 

49339

Hip, revision total replacement of, requiring anatomic specific allograft of proximal femur greater than 5 cm in length (Anaes. 17728 = 10B + 18T)

$2,003.20

 

 

 

49342

Hip, revision total replacement of, requiring anatomic specific allograft of acetabulum (Anaes. 17728 = 10B + 18T)

$2,003.20

 

 

 

49345

Hip, revision total replacement of, requiring anatomic specific allograft of both femur and acetabulum (Anaes. 17732 = 10B + 22T)

$2,376.70

 

 

 

49346

Hip, revision arthroplasty with replacement of acetabular liner or ceramic head, not requiring removal of femoral component or acetabular shell (Anaes. 17718 = 10B + 8T)

  $611.15

 

 

 

49348

Hip, congenital dislocation of, treatment of, by closed reduction (Anaes. 17707 = 4B + 3T)

  $115.45

 

 

 

49351

Hip, congenital dislocation of, treatment of, involving supervision of splint, harness or cast—each attendance (Anaes. 17707 = 4B + 3T)

   $40.75

 

 

 

49354

Hip, congenital dislocation of, open reduction of (Anaes. 17710 = 5B + 5T)

  $611.15

 

 

 

49357

Hip spica, initial application of, for congenital dislocation of hip (excluding aftercare) (Anaes. 17707 = 4B + 3T)

  $255.90

 

 

 

49360

Hip, diagnostic arthroscopy of (Anaes. 17708 = 4B + 4T)

  $248.10

 

 

 

49363

Hip, diagnostic arthroscopy of, with synovial biopsy (Anaes. 17709 = 4B + 5T)

  $298.75

 

 

 

49366

Hip, arthroscopic surgery of (Anaes. 17710 = 4B + 6T)

  $441.40

 

 

 

49500

Knee, arthrotomy of, involving 1 or more of; capsular release, biopsy or lavage, or removal of loose body or foreign body (Anaes. 17707 = 4B + 3T)

  $271.60

 

 

 

49503

Knee, meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patello-femoral stabilisation or single transfer of ligament or tendon or any other single procedure (not being a service to which another item in this Group applies)—any 1 procedure (Anaes. 17710 = 4B + 6T)

  $353.15

 

 

 

49506

Knee, meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patello-femoral stabilisation or single transfer of ligament or tendon or any other single procedure (not being a service to which another item in this Group applies)—any 2 or more procedures (Anaes. 17712 = 4B + 8T)

  $529.65

 

 

 

49509

Knee, total synovectomy or arthrodesis of (Anaes. 17712 = 4B + 8T)

  $543.25

 

 

 

49512

Knee, arthrodesis of, with removal of prosthesis (Anaes. 17716 = 4B + 12T)

  $780.90

 

 

 

49515

Knee, removal of prosthesis, cemented or uncemented, including associated cement, as the first stage of a 2 stage procedure (Anaes. 17714 = 4B + 10T)

  $611.15

 

 

 

49517

Knee, hemiarthroplasty of (Anaes. 17715 = 7B + 8T)

  $870.15

 

 

 

49518

Knee, total replacement arthroplasty of (Anaes. 17717 = 7B + 10T)

  $950.65

 

 

 

49521

Knee, total replacement arthroplasty of, requiring major bone grafting to femur or tibia, including obtaining of graft (Anaes. 17718 = 7B + 11T)

$1,154.40

 

 

 

49524

Knee, total replacement arthroplasty of, requiring major bone grafting to femur and tibia, including obtaining of graft (Anaes. 17719 = 7B + 12T)

$1,358.15

 

 

 

49527

Knee, total replacement arthroplasty of, revision procedure, including removal of prosthesis (Anaes. 17721 = 7B + 14T)

$1,154.40

 

 

 

49530

Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to femur or tibia, including obtaining of graft and including removal of prosthesis (Anaes. 17723 = 7B + 16T)

$1,426.05

 

 

 

49533

Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to both femur and tibia, including obtaining of graft and including removal of prosthesis (Anaes. 17725 = 7B + 18T)

$1,629.75

 

 

 

49536

Knee, repair or reconstruction of, for chronic instability involving either cruciate or collateral ligaments (Anaes. 17712 = 4B + 8T)

  $679.05

 

 

 

49539

Knee, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including surgery to other internal derangements, not being a service to which another item in this Group applies (Anaes. 17713 = 4B + 9T)

  $679.05

 

 

 

49542

Knee, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including meniscus repair, extracapsular procedure and debridement when performed (Anaes. 17714 = 4B + 10T)

  $950.65

 

 

 

49545

Knee, revision arthrodesis of (Anaes. 17714 = 4B + 10T)

  $543.25

 

 

 

49548

Knee, revision of patello-femoral stabilisation (Anaes. 17711 = 4B + 7T)

  $679.05

 

 

 

49551

Knee, revision of procedures to which item 49536, 49539 or 49542 applies (Anaes. 17716 = 4B + 12T)

  $950.65

 

 

 

49554

Knee, revision of total replacement of, by anatomic specific allograft of tibia or femur (Anaes. 17721 = 7B + 14T)

$1,358.15

 

 

 

49557

Knee, diagnostic arthroscopy of (including biopsy, simple trimming of meniscal margin or plica)—not being a service associated with any other arthroscopic procedure of the knee region (Anaes. 17707 = 4B + 3T)

  $196.90

 

 

 

49560

Knee, arthroscopic surgery of, involving any 1 or more of: meniscectomy, removal of loose body, lateral release, or chondroplasty—not being a service associated with any other arthroscopic procedure of the knee region (Anaes. 17709 = 4B + 5T)

  $441.40

 

 

 

49563

Knee, arthroscopic surgery of, involving meniscus repair or osteoplasty, or both (Anaes. 17709 = 4B + 5T)

  $645.10

 

 

 

49566

Knee, arthroscopic total synovectomy of (Anaes. 17712 = 4B + 8T)

  $543.25

 

 

 

49569

Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (Anaes. 17712 = 4B + 8T)

  $543.25

 

 

 

49700

Ankle, diagnostic arthroscopy of, including biopsy (Anaes. 17707 = 4B + 3T)

  $196.90

 

 

 

49703

Ankle, arthroscopic surgery of (Anaes. 17708 = 4B + 4T)

  $441.40

 

 

 

49706

Ankle, arthrotomy of, involving 1 or more of: lavage, removal of loose body or division of contracture (Anaes. 17706 = 3B + 3T)

  $237.70

 

 

 

49709

Ankle, ligamentous stabilisation of (Anaes. 17708 = 3B + 5T)

  $509.30

 

 

 

49712

Ankle, arthrodesis of (Anaes. 17710 = 3B + 7T)

  $543.25

 

 

 

49715

Ankle, total joint replacement of (Anaes. 17721 = 7B + 14T)

  $814.85

 

 

 

49718

Ankle, Achilles' tendon or other major tendon, repair of (Anaes. 17711 = 5B + 6T)

  $271.60

 

 

 

49721

Ankle, Achilles' tendon rupture managed by non-operative treatment

  $169.80

 

 

 

49724

Ankle, Achilles' tendon, secondary repair or reconstruction of (Anaes. 17713 = 5B + 8T)

  $475.35

 

 

 

49727

Ankle, Achilles' tendon, operation for lengthening (Anaes. 17711 = 5B + 6T)

  $203.70

 

 

 

49800

Foot, flexor or extensor tendon, primary repair of (Anaes. 17707 = 3B + 4T)

   $95.10

 

 

 

49803

Foot, flexor or extensor tendon, secondary repair of (Anaes. 17708 = 3B + 5T)

  $122.25

 

 

 

49806

Foot, subcutaneous tenotomy of, 1 or more tendons (Anaes. 17704 = 3B + 1T)

   $95.10

 

 

 

49809

Foot, open tenotomy of, with or without tenoplasty (Anaes. 17706 = 3B + 3T)

  $156.15

 

 

 

49812

Foot, tendon or ligament transplantation of, not being a service to which another item in this Group applies (Anaes. 17709 = 3B + 6T)

  $312.35

 

 

 

49815

Foot, triple arthrodesis of (Anaes. 17712 = 3B + 9T)

  $543.25

 

 

 

49818

Foot, excision of calcaneal spur (Anaes. 17706 = 3B + 3T)

  $196.90

 

 

 

49821

Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure)—unilateral (Anaes. 17707 = 3B + 4T)

  $312.35

 

 

 

49824

Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure)—bilateral (Anaes. 11709 = 3B + 6T)

  $546.65

 

 

 

49827

Foot, correction of hallux valgus and transfer of adductor hallucis tendon—unilateral (Anaes. 17708 = 3B + 5T)

  $339.50

 

 

 

49830

Foot, correction of hallux valgus and transfer of adductor hallucis tendon—bilateral (Anaes. 17710 = 3B + 7T)

  $594.15

 

 

 

49833

Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed—unilateral (Anaes. 17707 = 3B + 4T)

  $373.50

 

 

 

49836

Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed—bilateral (Anaes. 17710 = 3B + 7T)

  $645.10

 

 

 

49839

Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty—unilateral (Anaes. 17709 = 3B + 6T)

  $373.50

 

 

 

49842

Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty—bilateral (Anaes. 17711 = 3B + 8T)

  $645.10

 

 

 

49845

Foot, arthrodesis of, first metatarso-phalangeal joint (Anaes. 17707 = 3B + 4T)

  $339.50

 

 

 

49848

Foot, correction of claw or hammer toe (Anaes. 17706 = 3B + 3T)

  $115.45

 

 

 

49851

Foot, correction of claw or hammer toe with internal fixation (Anaes. 17706 = 3B + 3T)

  $149.35

 

 

 

49854

Foot, radical plantar fasciotomy or fasciectomy of (Anaes. 17708 = 3B + 5T)

  $271.60

 

 

 

49857

Foot, metatarso-phalangeal joint replacement (Anaes. 17709 = 3B + 6T)

  $251.25

 

 

 

49860

Foot, synovectomy of metatarso-phalangeal joint, single joint (Anaes. 17707 = 3B + 4T)

  $203.70

 

 

 

49863

Foot, synovectomy of metatarso-phalangeal joint, 2 or more joints (Anaes. 17708 = 3B + 5T)

  $305.60

 

 

 

49866

Foot, neurectomy for plantar or digital neuritis (Morton's or Bett's syndrome) (Anaes. 17707 = 3B + 4T)

  $217.25

 

 

 

49869

Talipes equinovarus, posterior release of (Anaes. 17707 = 3B + 4T)

  $271.60

 

 

 

49872

Talipes equinovarus, medial release of (Anaes. 17707 = 3B + 4T)

  $271.60

 

 

 

49875

Talipes equinovarus, combined postero-medial release of (Anaes. 17709 = 3B + 6T)

  $407.40

 

 

 

49878

Talipes equinovarus, calcaneo valgus or metatarsus varus, treatment by cast, splint or manipulation—each attendance (Anaes. 17705 = 3B + 2T)

   $40.75

 

 

 

50100

Joint, diagnostic arthroscopy of (including biopsy), not being a service to which another item in this Group applies and not being a service associated with any other arthroscopic procedure (Anaes. 17708 = 4B + 4T)

  $196.90

 

 

 

50103

Joint, arthrotomy of, not being a service to which another item in this Group applies (Anaes. 17709 = 4B + 5T)

  $237.70

 

 

 

50104

Joint, synovectomy of, not being a service to which another item in this Group applies (Anaes. 17709 = 4B + 5T)

  $225.20

 

 

 

50106

Joint, stabilisation of, involving 1 or more of: repair of capsule, repair of ligament or internal fixation, not being a service to which another item in this Group applies (Anaes. 17707 = 4B + 3T)

  $339.50

 

 

 

50109

Joint, arthrodesis of, not being a service to which another item in this Group applies (Anaes. 17710 = 4B + 6T)

  $339.50

 

 

 

50112

Cicatricial flexion contracture of joint, correction of, involving tissues deeper than skin and subcutaneous tissue  (Anaes. 17710 = 4B + 6T)

  $260.40

 

 

 

50115

Joint or joints, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility, not being a service associated with a service to which another item in this Group applies (Anaes. 17706 = 4B + 2T)

  $101.90

 

 

 

50118

Subtalar joint, arthrodesis of (Anaes. 17711 = 3B + 8T)

  $312.35

 

 

 

50121

Greater Trochanter, transplantation of ileopsoas tendon to (Anaes. 17713 = 4B + 9T)

  $611.15

 

 

 

50124

Joint or other synovial cavity, aspiration of, injection into, or both of these procedures; payable on not more than 25 occasions in any 12 month period (Anaes. 17705 = 4B + 1T)

   $21.35

 

 

 

50127

Joint or joints, arthroplasty of, by any technique not being a service to which another item applies (Anaes. 17715 = 4B + 11T)

  $506.75

 

 

 

50130

Joint or joints, application of external fixator to, other than for treatment of fractures (Anaes. 17709 = 4B + 5T)

  $225.20

 

 

 

50200

Aggressive or potentially malignant bone or deep soft tissue tumour, biopsy of (not including aftercare) (Anaes. 17706 = 4B + 2T)

  $135.80

 

 

 

50203

Bone or malignant deep soft tissue tumour, lesional or marginal excision of (Anaes. 17709 = 4B + 5T)

  $298.80

 

 

 

50206

Bone tumour, lesional or marginal excision of, combined with any 1 of: liquid nitrogen freezing, autograft, allograft or cementation (Anaes. 17710 = 4B + 6T)

  $441.40

 

 

 

50209

Bone tumour, lesional or marginal excision of, combined with any 2 or more of: liquid nitrogen freezing, autograft, allograft or cementation (Anaes. 17711 = 4B + 7T)

  $543.25

 

 

 

50212

Malignant or aggressive soft tissue tumour affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, without reconstruction (Anaes. 17719 = 8B + 11T)

$1,188.35

 

 

 

50215

Malignant or aggressive soft tissue tumour affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, with intercalary reconstruction (prosthesis, allograft or autograft) (Anaes. 17722 = 8B + 14T)

$1,493.95

 

 

 

50218

Malignant tumour of long bone, enbloc resection of, with replacement or arthrodesis of adjacent joint (Anaes. 17724 = 8B + 16T)

$1,969.25

 

 

 

50221

Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of (Anaes. 17724 = 8B + 16T)

$1,833.45

 

 

 

50224

Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of, with reconstruction by prosthesis, allograft or autograft (Anaes. 17727 = 8B + 19T)

$2,037.15

 

 

 

50227

Malignant bone tumour, enbloc resection of, with massive anatomic specific allograft or autograft, with or without prosthetic replacement (Anaes. 17732 = 8B + 24T)

$2,376.70

 

 

 

50230

Benign tumour, resection of, requiring anatomic specific allograft, with or without internal fixation (Anaes. 17719 = 7B + 12T)

$1,222.30

 

 

 

50233

Malignant tumour, amputation for, hemipelvectomy or interscapulo-thoracic (Anaes. 17739 = 15B + 24T)

$1,561.85

 

 

 

50236

Malignant tumour, amputation for, hip disarticulation, shoulder disarticulation or proximal third femur (Anaes. 17729 = 9B + 20T)

$1,222.30

 

 

 

50239

Malignant tumour, amputation for, not being a service to which another item in this Group applies (Anaes. 17714 = 4B + 10T)

  $814.85

 

 

 

 

GROUP T9—ASSISTANCE AT OPERATIONS

 

 

 

 

51300

Assistance at any operation for which the fee exceeds $183.20 but does not exceed $325.45 or at a series or a combination of operations where the fee for at least 1 of the operations exceeds $183.20 but where the fee for the series or combination of operations does not exceed $325.45

   $62.25

 

 

 

51303

Assistance at any operation for which the fee exceeds $325.45 or at a combination of operations for which the aggregate fee exceeds $325.45 provided that the fee for at least 1 of the operations exceeds $183.20

Amount under rule 34

 

 

 

51306

Assistance at a delivery involving Caesarean section

   $90.00

 

 

 

51309

Assistance at a series or combination of operations, 1 of which is a delivery involving Caesarean section

Amount under rule 35


 

ORAL AND MAXILLOFACIAL SERVICES

 

 

 

 

 

GROUP O1—CONSULTATIONS

 

 

 

 

51700

Professional attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner where the patient is referred to the approved dental practitioner—being an attendance related to a subsequent operative procedure described in an item in Groups O3 to O9 where that attendance is at consulting rooms, hospital or nursing home

   $61.75

 

 

 

51703

Professional attendance by an approved dental practitioner where the patient is referred to the approved dental practitioner—each attendance related to an operative procedure described in an item in Groups O3 to O9 subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home

   $30.90


 

 

 

 

GROUP O2—ASSISTANCE AT OPERATION

 

 

 

 

51800

Assistance by an approved dental practitioner at any operation for which the fee exceeds $183.20 but does not exceed $325.45 or at a series or a combination of operations where the fee for 1 of the operations exceeds $183.20 but where the fee for the series or combination of operations does not exceed $325.45

   $62.25

 

 

 

51803

Assistance by an approved dental practitioner at any operation for which the fee exceeds $325.45 or at a combination of operations for which the aggregate fee exceeds $325.45 provided that the fee for at least 1 of the operations exceeds $183.20

Amount under rule 34

 

 

 

 

GROUP O3—GENERAL SURGERY

 

 

 

 

52000

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 cm long), superficial   (Anaes. 17709 = 4B + 5T)

   $59.50

 

 

 

52001

Operative procedure on tissue, organ or region, not being a service to which another item in Groups O3 to O9 applies, including any consultation on the same occasion

    $5.20

 

 

 

52003

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 cm long), involving deeper tissue (Anaes. 17709 = 4B + 5T)

   $84.75

 

 

 

52006

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), superficial  (Anaes. 17709 = 4B + 5T)

   $84.75

 

 

 

52009

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), involving deeper tissue  (Anaes. 17709 = 4B + 5T)

  $134.00

 

 

 

52012

Superficial foreign body, removal of, as an independent procedure (Anaes. 17706 = 4B + 2T)

   $16.95

 

 

 

52015

Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (Anaes. 17707 = 4B + 3T)

   $79.30

 

 

 

52018

Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure  (Anaes. 17706 = 4B + 2T)

  $199.60

 

 

 

52021

Aspiration biopsy of 1 or more jaw cysts as an independent procedure to obtain material for diagnostic purposes and not being a service associated with an operative procedure on the same day (Anaes. 17707 = 5B + 2T)

   $21.25

 

 

 

52024

Biopsy of skin or mucous membrane, as an independent procedure (Anaes. 17706 = 4B + 2T)

   $37.60

 

 

 

52027

Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (Anaes. 17706 = 4B + 2T)

  $108.00

 

 

 

52030

Sinus, excision of, involving superficial tissue only  (Anaes. 17706 = 4B + 2T)

   $64.95

 

 

 

52033

Sinus, excision of, involving muscle and deep tissue (Anaes. 17706 = 4B + 2T)

  $132.60

 

 

 

52036

Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 52039 applies (Anaes. 17706 = 4B + 2T)

   $91.60

 

 

 

52039

Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions  (Anaes. 17707 = 4B + 3T)

  $235.15

 

 

 

52042

Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (Anaes. 17706 = 4B + 2T)

  $124.40

 

 

 

52045

Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in Groups O3 to O9 applies, involving muscle, bone, or other deep tissue (Anaes. 17707 = 4B + 3T)

  $177.75

 

 

 

52048

Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, not being a service to which another item in Groups O3 to O9 applies (Anaes. 17706 = 4B + 2T)

  $267.95

 

 

 

52051

Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (Anaes. 17708 = 4B + 4T)

  $362.30

 

 

 

52054

Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (Anaes. 17709 = 4B + 5T)

  $423.80

 

 

 

52055

Haematoma, abscess or cellulitis not requiring a general anaesthesia, incision with drainage of (excluding after-care)

   $19.70

 

 

 

52057

Large haematoma, large abscess, carbuncle, cellulitis or similar lesion, incision with drainage of (excluding after-care), where undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes. 17706 = 4B + 2T)

  $117.55

 

 

 

52060

Muscle, excision of (Anaes. 17708 = 5B + 3T)

  $136.65

 

 

 

52063

Bone tumour, innocent, excision of, not being a service to which another item in Groups O3 to O9 applies (Anaes. 17708 = 5B + 3T)

  $257.00

 

 

 

52066

Submandibular gland, extirpation of (Anaes. 17713 = 5B + 8T)

  $321.30

 

 

 

52069

Sublingual gland, extirpation of (Anaes. 17707 = 5B + 2T)

  $143.20

 

 

 

52072

Salivary gland, dilatation or diathermy of duct (Anaes. 17706 = 5B + 1T)

   $42.40

 

 

 

52075

Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (Anaes. 17707 = 5B + 2T)

  $108.00

 

 

 

52078

Tongue, partial excision of (Anaes. 17707 = 5B + 2T)

  $213.25

 

 

 

52081

Tongue tie, division or excision of frenulum (Anaes. 17707 = 5B + 2T)

   $33.50

 

 

 

52084

Tongue tie, mandibular frenulum or maxillary frenulum, division or excision of frenulum, in a person aged not less than 2 years (Anaes. 17707 = 5B + 2T)

   $86.15

 

 

 

52087

Ranula or mucous cyst of mouth, removal of (Anaes. 17709 = 5B + 4T)

  $147.65

 

 

 

52090

Operation on mandible or maxilla (other than alveolar margins) for osteomyelitis—1 bone (Anaes. 17711 = 5B + 6T)

  $257.00

 

 

 

52092

Operation on skull for osteomyelitis (Anaes. 17719 = 12B + 7T)

  $334.95

 

 

 

52096

Orthopaedic pin or wire, insertion of, into maxilla or mandible or zygoma, as an independent procedure (Anaes. 17707 = 5B + 2T)

   $81.45

 

 

 

52099

Buried wire, pin or screw, 1 or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not being a service associated with a service to which item 52102 or 52105 applies (Anaes. 17708 = 5B + 3T)

  $101.90

 

 

 

52102

Buried wire, pin or screw, 1 or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring  anaesthesia, incision, dissection and suturing, where undertaken in the operating theatre of a hospital or approved day-hospital facility, per bone (Anaes. 17708 = 5B + 3T)

  $101.90

 

 

 

52105

Plate, 1 or more of, and associated screw and wire which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not being a service associated with a service to which item 52099 or 52102 applies (Anaes. 17708 = 5B + 3T)

  $190.15

 

 

 

52108

Lip, full thickness wedge excision of, with repair by direct sutures (Anaes. 17707 = 5B + 2T)

  $235.15

 

 

 

52111

Vermilionectomy (Anaes. 17709 = 5B + 4T)

  $235.15

 

 

 

52114

Mandible or maxilla, segmental resection of, for tumours or cysts (Anaes. 17713 = 5B + 8T)

  $423.80

 

 

 

52117

Mandible, including lower border, or maxilla, sub-total resection of (Anaes. 17720 = 10B + 10T)

  $504.45

 

 

 

52120

Mandible, hemimandiblectomy of, including condylectomy where performed (Anaes. 17729 = 10B + 19T)

  $594.75

 

 

 

52122

Mandible, hemi-mandibular reconstruction with bone graft, not being a service associated with a service to which item 52123 applies (Anaes. 17722 = 10B + 12T)

  $594.75

 

 

 

52123

Mandible, total resection of both sides, including condylectomies where performed (Anaes. 17735 = 10B + 25T)

  $675.55

 

 

 

52126

Maxilla, total resection of (Anaes. 17726 = 10B + 16T)

  $649.45

 

 

 

52129

Maxilla, total resection of both maxillae (Anaes. 17735 = 10B + 25T)

  $869.35

 

 

 

52132

Tracheostomy (Anaes. 17710 = 6B + 4T)

  $172.25

 

 

 

52135

Post-operative or post-nasal haemorrhage, or both, control of, where undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes. 17707 = 5B + 2T)

  $104.15

 

 

 

52138

Maxillary artery, ligation of (Anaes. 17712 = 7B + 5T)

  $321.30

 

 

 

52141

Facial, mandibular or lingual artery or vein or artery and vein, ligation of, not being a service to which item 52138 applies (Anaes. 17712 = 7B + 5T)

  $320.00

 

 

 

52144

Foreign body, deep, removal of using interventional imaging techniques (Anaes. 17707 = 5B + 2T)

  $298.30

 

 

 

52147

Duct of major salivary gland, transposition of (Anaes. 17713 = 5B + 8T)

  $281.55

 

 

 

52148

Parotid duct, repair of, using micro-surgical techniques (Anaes. 17714 = 5B + 9T)

  $497.50

 

 

 

 

GROUP O4—PLASTIC AND RECONSTRUCTIVE

 

 

 

 

52300

Single-stage local flap, where indicated, repair to 1 defect, with skin or mucosa (Anaes. 17708 = 5B + 3T)

  $205.05

 

 

 

52303

Single-stage local flap, where indicated, repair to 1 defect, with buccal pad of fat (Anaes. 17711 = 5B + 6T)

  $292.85

 

 

 

52306

Single-stage local flap, where indicated, repair to 1 defect, using temporalis muscle (Anaes. 17711 = 5B + 6T)

  $434.65

 

 

 

52309

Free grafting (mucosa or split skin) of a granulating area (Anaes. 17707 = 5B + 2T)

  $147.65

 

 

 

52312

Free grafting (mucosa or split skin) to 1 defect, including elective dissection (Anaes. 17708 = 5B + 3T)

  $205.05

 

 

 

52315

Free grafting, full thickness, to 1 defect (mucosa or skin) (Anaes. 17708 = 5B + 3T)

  $341.80

 

 

 

52318

Bone graft, harvesting of, via separate incision, being a service associated with a service to which another item in Groups O3 to O9 applies—Autogenous -small quantity (Anaes. 17707 = 5B + 2T)

  $101.90

 

 

 

52319

Bone graft, harvesting of, via separate incision, being a service associated with a service to which another item in Groups O3 to O9 applies—Autogenous—large quantity (Anaes. 17708 = 5B + 3T)

  $169.55

 

 

 

52321

Foreign implant (non-biological), insertion of, for contour reconstruction of pathological deformity, not being a service associated with a service to which item 52624 applies (Anaes. 17711 = 5B + 6T)

  $341.80

 

 

 

52324

Direct flap repair, using tongue, first stage (Anaes. 17711 = 5B + 6T)

  $341.80

 

 

 

52327

Direct flap repair, using tongue, second stage (Anaes. 17711 = 5B + 6T)

  $169.55

 

 

 

52330

Palatal defect (oro-nasal fistula), plastic closure of, including services to which item 52300, 52303, 52306 or 52324 applies (Anaes. 17716 = 7B + 9T)

  $564.05

 

 

 

52333

Cleft palate, primary repair (Anaes. 17715 = 7B + 8T)

  $564.05

 

 

 

52336

Cleft palate, secondary repair, closure of fistula using local flaps (Anaes. 17714 = 7B + 7T)

  $352.55

 

 

 

52339

Cleft palate, secondary repair, lengthening procedure (Anaes. 17713 = 7B + 6T)

  $401.40

 

 

 

52342

Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17718 = 10B + 8T)

  $697.30

 

 

 

52345

Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17720 = 10B + 10T)

  $786.45

 

 

 

52348

Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17725 = 10B + 15T)

  $888.70

 

 

 

52351

Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17729 = 10B + 19T)

  $998.00

 

 

 

52354

Mandible or maxilla, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17729 = 10B + 19T)

$1,011.75

 

 

 

52357

Mandible or maxilla, osteotomies or osteectomies of, involving 3 or more such procedures on the 1 jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17732 = 10B + 22T)

$1,139.05

 

 

 

52360

Mandible or maxilla, osteotomies or osteectomies of, involving 2 such procedures of each jaw including transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17726 = 10B + 16T)

$1,162.10

 

 

 

52363

Mandible or maxilla, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17732 = 10B + 22T)

$1,307.15

 

 

 

52366

Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site  (Anaes. 17753 = 10B + 43T)

$1,278.35

 

 

 

52369

Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17758 = 10B + 48T)

$1,437.35

 

 

 

52372

Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17758 = 10B + 48T)

$1,394.55

 

 

 

52375

Mandible or maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17771 = 10B + 61T)

$1,562.10

 

 

 

52378

Genioplasty including transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17713 = 5B + 8T)

  $540.00

 

 

 

52379

Face, contour reconstruction of 1 region, using autogenous bone or cartilage graft (Anaes. 17713 = 5B + 8T)

  $922.05

 

 

 

52380

Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17758 = 10B + 48T)

$1,571.45

 

 

 

52382

Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17764 = 10B + 54T)

$1,883.65

 

 

 

52420

Mandible, fixation by intermaxillary wiring, excluding wiring for obesity

  $173.90

 

 

 

 

GROUP O5—PREPROSTHETIC

 

 

 

 

52600

Mandibular or palatal exostosis, excision of (Anaes. 17710 = 5B + 5T)

  $244.05

 

 

 

52603

Mylohyoid ridge, reduction of (Anaes. 17711 = 5B + 6T)

  $233.20

 

 

 

52606

Maxillary tuberosity, reduction of (Anaes. 17711 = 5B + 6T)

  $177.90

 

 

 

52609

Papillary hyperplasia of the palate, removal of—less than 5 lesions (Anaes. 17709 = 5B + 4T)

  $233.20

 

 

 

52612

Papillary hyperplasia of the palate, removal of—5 to 20 lesions (Anaes. 17711 = 5B + 6T)

  $292.85

 

 

 

52615

Papillary hyperplasia of the palate, removal of—more than 20 lesions (Anaes. 17712 = 5B + 7T)

  $363.40

 

 

 

52618

Vestibuloplasty, submucosal or open, including excision of muscle and skin or mucosal graft when performed—unilateral or bilateral (Anaes. 17713 = 5B + 8T)

  $423.05

 

 

 

52621

Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed—unilateral (Anaes. 17719 = 5B + 14T)

  $423.05

 

 

 

52624

Alveolar ridge augmentation with bone or alloplast or both—unilateral (Anaes. 17713 = 5B + 8T)

  $341.70

 

 

 

52626

Alveolar ridge augmentation—unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (Anaes. 17713 = 5B + 8T)

  $209.50

 

 

 

52627

Osseo-integration procedure—extra oral implantation of titanium fixture (Anaes. 17711 = 5B + 6T)

  $363.40

 

 

 

52630

Osseo-integration procedure—fixation of transcutaneous abutment (Anaes. 17707 = 5B + 2T)

  $134.55

 

 

 

 

GROUP O6—NEUROSURGICAL

 

 

 

 

52800

Neurolysis by open operation, without transposition, not being a service associated with a service to which item 52803 applies (Anaes. 17707 = 5B + 2T)

  $199.60

 

 

 

52803

Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques (Anaes. 17713 = 5B + 8T)

  $287.45

 

 

 

52806

Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (Anaes. 17708 = 5B + 3T)

  $199.60

 

 

 

52809

Neurectomy, neurotomy or removal of tumour from deep peripheral nerve (Anaes. 17709 = 5B + 4T)

  $341.80

 

 

 

52812

Nerve trunk, primary repair of, using microsurgical techniques (Anaes. 17713 = 5B + 8T)

  $488.15

 

 

 

52815

Nerve trunk, secondary repair of, using microsurgical techniques (Anaes. 17713 = 4B + 9T)

  $515.25

 

 

 

52818

Nerve, transposition of (Anaes. 17709 = 5B + 4T)

  $341.80

 

 

 

52821

Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques (Anaes. 17718 = 5B + 13T)

  $743.05

 

 

 

52824

Peripheral branches of the trigeminal nerve, cryosurgery of, for pain relief (Anaes. 17709 = 5B + 4T)

  $320.00

 

 

 

 

GROUP O7—EAR, NOSE AND THROAT

 

 

 

 

53000

Maxillary antrum, proof puncture and lavage of (Anaes. 17707 = 5B + 2T)

   $23.50

 

 

 

53003

Maxillary antrum, proof puncture and lavage of, where undertaken in the operating theatre of a hospital or approved day-hospital facility—not being a service associated with a service to which another item in this Group applies (Anaes. 17707 = 5B + 2T)

   $66.35

 

 

 

53006

Antrostomy (radical) (Anaes. 17710 = 5B + 5T)

  $375.95

 

 

 

53009

Antrum, intranasal operation on or removal of foreign body from (Anaes. 17709 = 5B + 4T)

  $213.25

 

 

 

53012

Antrum, drainage of, through tooth socket (Anaes. 17708 = 5B + 3T)

   $84.75

 

 

 

53015

Oro-antral fistula, plastic closure of  (Anaes. 17712 = 5B + 7T)

  $423.80

 

 

 

53018

Turbinectomy or turbinectomies, partial or total, unilateral (Anaes. 17707 = 5B + 2T)

   $98.45

 

 

 

53019

Maxillary sinus, bone graft to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), (unilateral) (Anaes. 17717 = 5B + 12T)

  $418.95

 

 

 

 

GROUP O8—TEMPOROMANDIBULAR JOINT

 

 

 

 

53200

Mandible, treatment of a dislocation of, not requiring open reduction (Anaes. 17706 = 5B + 1T)

   $34.20

 

 

 

53203

Mandible, treatment of a dislocation of, requiring open reduction (Anaes. 17707 = 5B + 2T)

   $85.65

 

 

 

53206

Temporomandibular joint, manipulation of, performed in the operating theatre of a hospital or approved day-hospital facility, not being a service associated with a service to which another item in Groups O3 to O9 applies (Anaes. 17706 = 5B + 1T)

  $103.05

 

 

 

53209

Glenoid fossa, zygomatic arch and temporal bone, reconstruction of (Obwegeser technique) (Anaes. 17719 = 5B + 14T)

$1,189.45

 

 

 

53212

Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (Anaes. 17716 = 5B + 11T)

  $642.60

 

 

 

53215

Temporomandibular joint, arthroscopy of, with or without biopsy, not being a service associated with any other arthroscopic procedure of that joint (Anaes. 17709 = 5B + 4T)

  $233.20

 

 

 

53218

Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions—1 or more of such procedures (Anaes. 17713 = 5B + 8T)

  $474.65

 

 

 

53221

Temporomandibular joint, open surgical exploration of, with or without microsurgical techniques (Anaes. 17713 = 5B + 8T)

  $629.20

 

 

 

53224

Temporomandibular joint, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (Anaes. 17715 = 5B + 10T)

  $699.65

 

 

 

53225

Arthrocentesis, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes. 17709 = 5B + 4T)

  $209.50

 

 

 

53227

Temporomandibular joint, open surgical exploration of, with or without meniscus or capsular surgery, including meniscectomy when performed, with or without microsurgical techniques (Anaes. 17717 = 5B + 12T)

  $857.00

 

 

 

53230

Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (Anaes. 17721 = 5B + 16T)

  $965.45

 

 

 

53233

Temporomandibular joint, surgery of, involving procedures to which items 53224, 53227 and 53230 apply and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (Anaes. 17725 = 5B + 20T)

$1,084.75

 

 

 

 

GROUP O9—TREATMENT OF FRACTURES

 

 

 

 

53400

Maxilla, unilateral or bilateral, treatment of fracture of, not requiring splinting

   $93.20

 

 

 

53403

Mandible, treatment of fracture of, not requiring splinting

  $113.90

 

 

 

53406

Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes. 17714 = 5B + 9T)

  $293.30

 

 

 

53409

Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes. 17714 = 5B + 9T)

  $293.30

 

 

 

53410

Zygomatic bone, treatment of fracture of, not requiring surgical reduction

   $61.85

 

 

 

53411

Zygomatic bone, treatment of fracture of, requiring surgical reduction, by temporal, intra-oral or other approach (Anaes. 17707 = 5B + 2T)

  $172.25

 

 

 

53412

Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (Anaes. 17709 = 5B + 4T)

  $282.80

 

 

 

53413

Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (Anaes. 17710 = 5B + 5T)

  $345.65

 

 

 

53414

Zygomatic bone, treatment of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (Anaes. 17711 = 5B + 6T)

  $398.00

 

 

 

53415

Maxilla, treatment of fracture of, requiring open reduction (Anaes. 17709 = 5B + 4T)

  $314.25

 

 

 

53416

Mandible, treatment of fracture of, requiring open reduction (Anaes. 17709 = 5B + 4T)

  $314.25

 

 

 

53418

Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes. 17711 = 5B + 6T)

  $408.45

 

 

 

53419

Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes. 17711 = 5B + 6T)

  $408.45

 

 

 

53422

Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes. 17712 = 5B + 7T)

  $518.45

 

 

 

53423

Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes. 17712 = 5B + 7T)

  $518.45

 

 

 

53424

Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes. 17712 = 5B + 7T)

  $444.80

 

 

 

53425

Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes. 17712 = 5B + 7T)

  $444.80

 

 

 

53427

Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (Anaes. 17714 = 5B + 9T)

  $607.45

 

 

 

53429

Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (Anaes. 17714 = 5B + 9T)

  $607.45

 

 

 

53439

Mandible, treatment of a closed fracture of, involving a joint surface (Anaes. 17707 = 5B + 2T)

  $172.25

 

 

 

53453

Orbital cavity, reconstruction of a wall or floor with or without foreign implant (Anaes. 17713 = 5B + 8T)

  $348.60

 

 

 

53455

Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (Anaes. 17715 = 5B + 10T)

  $409.45

 

 

 

 

TREATMENT OF CLEFT LIP AND CLEFT PALATE CONDITIONS

 

 

 

 

 

GROUP C1—ORTHODONTIC SERVICES

 

 

 

 

75000

Professional attendance not being a service to which item 75003 applies (AO)

   $29.35

 

 

 

75003

Professional attendance and treatment planning where treatment is deferred  (AO)

   $59.45

 

 

 

75006

Production of dental study models not being a service associated with a service to which item 75003 applies or not being a service to which item 75024, 75027, 75030, 75033, 75036, 75039, 75042, 75045, 75048, or 75051 applies (AO)

   $29.35

 

 

 

75009

Orthodontic radiography—orthopantomography (panoramic radiography) (AO)

   $49.15

 

 

 

75012

Orthodontic radiography—anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings (AO)

   $77.85

 

 

 

75015

Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings (AO)

  $107.15

 

 

 

75018

Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography (AO)

  $136.50

 

 

 

75021

Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings, orthopantomography and hand-wrist studies (including growth prediction) (AO)

  $167.35

 

 

 

75024

Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations—where 1 appliance is used (AO)

  $396.35

 

 

 

75027

Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations—where 2 appliances are used (AO)

  $469.80

 

 

 

75030

Deciduous dentition treatment—maxillary arch expansion, including supply of appliances and all associated consultations, treatment planning and retention services beyond the period of active treatment (AO)

  $528.50

 

 

 

75033

Deciduous and permanent dentition treatment-incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment (AO)

  $866.15

 

 

 

75036

Deciduous and permanent dentition treatment (not being treatment associated with treatment to which item 75033 applies)—lateral arch expansion and incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated attendances, treatment-planning and retention services beyond the period of active treatment  (AO)

$1,196.45

 

 

 

75039

Permanent dentition treatment (not being treatment associated with treatment to which item 75045 or 75048 applies)—single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—initial 3 months of active treatment  (AO)

  $396.35

 

 

 

75042

Permanent dentition treatment (not being treatment associated with treatment to which item 75045 or 75048 applies)—single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—each 3 months of active treatment after the first for a maximum of a further 33 months  (AO)

  $149.75

 

 

 

75045

Permanent dentition treatment (not being treatment associated with treatment to which item 75039 or 75042 applies)—2-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—initial 3 months of active treatment  (AO)

  $778.05

 

 

 

75048

Permanent dentition treatment (not being treatment associated with treatment to which item 75039 or 75042 applies)—2-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—each 3 months of active treatment after the first for a maximum of a further 33 months  (AO)

  $205.55

 

 

 

75051

Pre-surgical or post-surgical jaw growth guidance using removable appliances, including supply of appliances and all associated consultations and treatment-planning  (AO)

  $528.50

 

 

 

 

GROUP C2—ORAL AND MAXILLOFACIAL SURGICAL SERVICES

 

 

 

 

75200

Removal of tooth or tooth fragment (not being treatment to which item 75400, 75403, 75406, 75409, 75412 or 75415 applies), where the patient is referred by an accredited orthodontist (AD)

   $39.65


 

 

 

75203

Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by an accredited orthodontist  (AD)

   $59.45

 

 

 

75206

Removal of each additional tooth or tooth fragment at the same attendance at which a service to which item 75200 or 75203 applies is rendered  (AD)

   $19.70

 

 

 

75400

Surgical removal of erupted tooth, where the patient is referred by an accredited orthodontist  (AOS)

  $118.90

 

 

 

75403

Surgical removal of tooth with soft tissue impaction, where the patient is referred by an accredited orthodontist  (AOS)

  $136.50

 

 

 

75406

Surgical removal of tooth with partial bone impaction, where the patient is referred by an accredited orthodontist  (AOS)

  $155.60

 

 

 

75409

Surgical removal of tooth with complete bone impaction, where the patient is referred by an accredited orthodontist (AOS)

  $176.15

 

 

 


75412

Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by an accredited orthodontist (AOS)

   $98.40

 

 

 

75415

Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by an accredited orthodontist  (AOS)

  $118.90

 

 

 

75600

Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by an accredited orthodontist (AOS)

  $167.35

 

 

 

75603

Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by an accredited orthodontist (AOS)

  $196.70

 

 

 

75606

Surgical repositioning of unerupted tooth, where the patient is referred by an accredited orthodontist (AOS)

  $196.70

 

 

 

75609

Transplantation of tooth bud, where the patient is referred by an accredited orthodontist  (AOS)

  $293.65


 

 

 

 

GROUP C3—GENERAL AND

 

 

PROSTHODONTIC SERVICES

 

 

 

 

75800

Attendance comprising consultation, preventive treatment and prophylaxis, of not less than 30 minutes' duration—each attendance to a maximum of 3 attendances in any period of 12 months  (AD)

   $59.45

 

 

 

75803

Provision and fitting of acrylic base partial denture, including retainers—1 tooth  (AD)

  $237.85

 

 

 

75806

Provision and fitting of acrylic base partial denture, including retainers—2 teeth (AD)

  $278.95

 

 

 

75809

Provision and fitting of acrylic base partial denture, including retainers—3 teeth (AD)

  $330.30

 

 

 

75812

Provision and fitting of acrylic base partial denture, including retainers—4 teeth  (AD)

  $367.00

 

 

 

75815

Provision and fitting of acrylic base partial denture, including retainers—5 to 9 teeth  (AD)

  $447.75

 

 

 

75818

Provision and fitting of acrylic base partial denture, including retainers—10 to 12 teeth  (AD)

  $528.50

 

 

 

75821

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—1 tooth  (AD)

  $425.75

 

 

 

75824

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—2 teeth (AD)

  $491.80

 

 

 

75827

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—3 teeth (AD)

  $565.20

 

 

 

75830

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—4 teeth (AD)

  $623.90

 

 

 

75833

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—5 to 9 teeth  (AD)

  $763.35

 

 

 

75836

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—10 to 12 teeth (AD)

  $873.50

 

 

 

75839

Provision and fitting of retainers (not being treatment associated with treatment to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies)—each retainer  (AD)

   $19.70

 

 

 

75842

Adjustment of partial denture (not being treatment associated with treatment to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies) (AD)

   $29.35

 

 

 

75845

Relining of partial denture by laboratory process and associated fitting  (AD)

  $146.80

 

 

 

75848

Remodelling and fitting of partial denture of more than 4 teeth (AD)

  $176.15

 

 

 

75851

Repair to cast metal base of partial denture—1 or more points (AD)

   $88.10

 

 

 

75854

Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression  (AD)

   $88.10

 

 

 

 

NOTE

1. Notified in the Commonwealth of Australia Gazette on 31 October 1994.