Statutory Rules 1997 No. 881
__________________
Health Insurance (1996-97 General Medical Services Table) Regulations2 (Amendment)
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 30 April 1997.
WILLIAM DEANE
Governor-General
By His Excellency’s Command,
MICHAEL WOOLDRIDGE
Minister for Health and Family Services
____________
1.1 These Regulations commence on 1 May 1997.
2. Amendment
2.1 The Health Insurance (1996-97 General Medical Services Table) Regulations are amended as set out in these Regulations.
3. Schedule (Table of General Medical Services)
3.1 Schedule, Part 1, rule 40:
Omit “30161”, substitute “31340”.
[NOTE: The heading to rule 40 should be amended by omitting “30161” and substituting “31340”.]
3.2 Schedule, Part 1:
Add at the end:
Meaning of “Amount under rule 41” in item 17503
“41. In item 17503, ‘Amount under rule 41’, for an amount payable for assistance in the administration of an anaesthetic, means an amount equal to 30% of the fee for the services at that treatment of the anaesthetist to whom the assistance was given.
Meaning of “previous significant surgical complication” in item 51318
“42. In item 51318, ‘previous significant surgical complication’ means:
(a) vitreous loss; or
(b) rupture of posterior capsule; or
(c) loss of nuclear material into the vitreous; or
(d) intraocular haemorrhage; or
(e) intraocular infection (endophthalmitis); or
(f) cystoid macular oedema; or
(g) corneal decompensation; or
(h) retinal detachment.”.
3.3 Schedule, Part 2:
Items are amended as set out in the following table:
Item | Omit | Substitute |
160 | life saving emergency treatment (not being treatment of a counselling nature) | attendance on the patient |
160 | $89.70 | $150.00 |
161 | life saving emergency treatment (not being treatment of a counselling nature) | attendance on the patient |
161 | $146.50 | $250.00 |
162 | life saving emergency treatment (not being treatment of a counselling nature) | attendance on the patient |
162 | $203.30 | $350.00 |
163 | life saving emergency treatment (not being treatment of a counselling nature) | attendance on the patient |
163 | $260.05 | $450.00 |
164 | life saving emergency treatment (not being treatment of a counselling nature) | attendance on the patient |
164 | $313.90 | $500.00 |
12533 | (a) the monitoring of the success of eradication therapy for Helicobactor pylori; or (b) the confirmation of Helicobactor pylori colonisation | (a) the confirmation of Helicobactor pylori colonisation, where: (i) suitable biopsy material for diagnosis cannot be obtained at endoscopy in patients with peptic ulceration, or where the diagnosis of peptic ulcer has been made on barium meal; or |
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| (ii) in patients with past history of peptic ulceration, gastric ulceration or gastric lymphoma, where endoscopy is not indicated; or (b) the monitoring of the success or eradication of Helicobactor pylori in patients with peptic ulceration |
14106 | 600nm | 1064nm |
14106 | stains and haemangiomas, | stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), |
14109 | 600nm | 1064nm |
14109 | stains and haemangiomas, | stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), |
14112 | 600nm | 1064nm |
14112 | stains and haemangiomas, | stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), |
14115 | 600nm | 1064nm |
14115 | stains and haemangiomas, | stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), |
14118 | 600nm | 1064nm |
14118 | stains and haemangiomas, | stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), |
18016 | 18236, | 18236, 18242, |
35593 | 35656,35657 or 35673 (both occurrences) | 35657, 35673, 35750 or 35753 |
38253 | insertion or | insertion, removal or |
38259 | insertion | insertion, removal or replacement |
38438 | segmentectomy | segmentectomy not being a service associated with a service to which Item 38418 applies |
38470 | thoracotomy | thoracotomy or sternotomy |
42702 | 17710 = 6B + 4T | 17711 = 6B + 5T |
51300 | $331.30 | $410.00 |
51303 | $331.30 | $410.00 |
51800 | $331.30 | $410.00 |
51803 | $331.30 | $410.00 |
52018 | 17706 = 4B + 2T | 17707 = 4B + 3T |
53215 | $273.40 | $300.00 |
53218 | $483.20 | $480.00 |
53224 | $712.25 | $710.00 |
3.4 Schedule, Part 2:
Items are amended as set out in the following table:
Item | Add at the end (in “Service” column) |
13112 | (Anaes. 17708 = 6B + 2T) |
13818 | (Anaes. 17705 = 3B + 2T) |
13845 | (Anaes. 17710 = 8B + 2T) |
14203 | (Anaes. 17706 = 4B + 2T) |
30196 | (Anaes. 17706 = 4B + 2T) |
30197 | (Anaes. 17708 = 4B + 4T) |
30205 | (Anaes. 17706 = 4B + 2T) |
30207 | (Anaes. 17706 = 4B + 2T) |
30213 | (Anaes. 17707 = 5B + 2T) |
30406 | (Anaes. 17708 = 6B + 2T) |
31000 | (Anaes. 17707 = 4B + 3T) |
31001 | (Anaes. 17708 = 4B + 4T) |
31002 | (Anaes. 17712 = 4B + 8T) |
32500 | (Anaes. 17705 = 3B + 2T) |
39003 | (Anaes. 17707 = 5B + 2T) |
39006 | (Anaes. 17707 = 5B + 2T) |
42581 | (Anaes. 17707 = 5B + 2T) |
3.5 Schedule, Part 2:
In the column headed “Service”, for each of the following items, add at the end “(Assist.)”:
30023 30067 30068 30110 30111 30168
30341 30609 30612 30614 30634 30635
30638 30641 30644 32033 32036 32039
32042 32045 32046 32047 32051 32054
32057 32060 32063 32066 32096 32508
32511 32514 32517 35536 35636 36549
36645 36648 37372 37375 37438 37616
37821 37824 37827 39128 40009 45623
45644 45656 46500 46501 46502 47333
47345 47357 47375 47930 47936 48609
49366 50336 50339.
3.6 Schedule, Part 2:
In the column headed “Service”, for each of the following items, omit “(Assist.)”:
30187 30479 30481 30484 30485 30490
30491 30493 30494 30616 30617 32094
32180 34527 34528 37203 38200 38203
38206 38209 38212 38213 38256 38460
38462 38464 38606 39331 45015 45026
45045 45206 45221 45236 45239 45560
45572 45581 45652 45669 45692 45698
45704 45710 45794.
3.7 Schedule Part 2, item 13760:
Omit the material in the column headed “Service”, substitute:
“ | In vitro processing (and cryopreservation) of bone marrow or peripheral blood for autologous stem cell transplantation as an adjunct to high dose chemotherapy for: (a) chemosensitive intermediate or high grade non-Hodgkin's lymphoma at high risk of relapse following first line chemotherapy; or (b) Hodgkin's disease which has relapsed following, or is refractory to, chemotherapy; or |
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| (c) acute myelogenous leukaemia in first remission, where suitable genotypically matched sibling donor is not available for allogenic bone marrow transplant; or (d) multiple myeloma in remission (complete or partial) following standard dose chemotherapy; or (e) small round cell sarcomas; or (f) primitive neuroectodermal tumour; or (g) germ cell tumours which have relapsed following, or are refractory to, chemotherapy; or (h) germ cell tumours which have had an incomplete response to first line therapy; performed under the supervision of a consultant physician—each day”. |
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3.8 Schedule, Part 2, items 30116 to 30161, and 52122:
Omit the items, substitute:
Item | Service | Fee |
31205 | Tumour (other than viral verrucae [common warts] and seborrhoeic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies) (Anaes. 17706 = 4B + 2T) | $70.00 |
31210 | Tumour (other than viral verrucae [common warts] and seborrhoeic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), lesion size more than 10mm and up to 20mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies) (Anaes. 17706 = 4B + 2T) | $105.00 |
31215 | Tumour (other than viral verrucae [common warts] and seborrhoeic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), lesion size more than 20mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies) (Anaes. 17706 = 4B + 2T) | $122.50 |
31220 | Tumours (other than viral verrucae [common warts] and seborrhoeic keratoses), cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal of 4 to 10 lesions by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, where specimen sent for histological examination (not being a service to which item 30195 applies) (Anaes. 17707 = 4B + 3T) | $157.50 |
31225 | Tumours (other than viral verrucae [common warts] and seborrhoeic keratoses), cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), lesion size up to 10mm in diameter, removal of more than 10 lesions by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies) (Anaes. 17713 = 4B + 9T) | $280.00 |
31230 | Tumour (other than viral verrucae [common warts] and seborrhoeic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from nose, eyelid, lip, ear, digit or genitalia, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent histological examination (not being a service to which item 30195 applies) (Anaes. 17708 = 5B + 3T) | $143.50 |
31235 | Tumour (other than viral verrucae [common warts] and seborrhoeic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size up to 10mm in diameter, where specimen sent for histological examination (not being a service to which item 30195 applies) (Anaes. 17707 = 4B + 3T) | $122.50 |
31240 | Tumour (other than viral verrucae [common warts] and seborrhoeic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size more than 10mm in diameter, where specimen sent for histological examination (not being a service to which item 30195 applies) (Anaes. 17707 = 4B + 3T) | $143.50 |
31245 | Skin and subcutaneous tissue, extensive excision of, in the treatment of suppurative hydradenitis (excision from axilla, groin or natal cleft) or sycosis barbae or nuchae (excision from face or neck) (Anaes. 17710 = 4B + 6T) | $315.00 |
31250 | Giant hairy or compound naevus, excision of an area at least 1per cent of body surface where the specimen is sent for histological confirmation of diagnosis (Anaes. 17710 = 4B + 6T) | $315.00 |
31255 | Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to 10mm in diameter, where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17708 = 5B + 3T) | $189.00 |
31260 | Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter, where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17708 = 5B + 3T) | $269.50 |
31265 | Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from face, neck (anterior to the steromastoid muscles) or lower leg (mid calf to ankle), tumour size up to 10mm in diameter, where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17707 = 4B + 3T) | $157.50 |
31270 | Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from face, neck (anterior to the steromastoid muscles) or lower leg (mid calf to ankle), tumour size more than 10mm and up to 20mm in diameter, where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17707 = 4B + 3T) | $220.50 |
31275 | Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from face, neck (anterior to the steromastoid muscles) or lower leg (mid calf to ankle), tumour size more than 20mm in diameter, where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17708 = 4B + 4T) | $255.50 |
31280 | Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from areas of the body not covered by items 31255 and 31265, tumour size up to 10mm in diameter, where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17707 = 4B + 3T) | $133.00 |
31285 | Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31270, tumour size more than 10mm and up to 20mm in diameter, where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17707 = 4B + 3T) | $182.00 |
31290 | Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from areas of the body not covered by items 31260 and 31270, tumour size more than 20mm in diameter, where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17708 = 4B + 4T) | $210.00 |
31295 | Basal cell carcinoma or squamous cell carcinoma, residual or recurrent ( where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or 2 prolonged freeze and thaw cycles of liquid nitrogen therapy), performed by a specialist in the practice of his or her specialty or by a practitioner other than the practitioner who provided the previous treatment, removal from the head or neck (anterior to the sternomastoid muscles), where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17708 = 5B + 3T) | $250.00 |
31300 | Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to 10mm in diameter, where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been confirmed (Anaes. 17708 = 5B + 3T) | $273.00 |
31305 | Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10mm in diameter, where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17708 = 5B + 3T) | $336.00 |
31310 | Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size up to 10mm in diameter, where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17707 = 4B + 3T) | $238.00 |
31315 | Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 10mm and up to 20mm in diameter, where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17707 = 4B + 3T) | $301.00 |
31320 | Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal from face, neck (anterior to sternomastoid muscles) or lower leg (mid calf to ankle), tumour size more than 20mm in diameter, where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17708 = 4B + 4T) | $336.00 |
31325 | Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal from areas of the body not covered by items 31300 and 31310, tumour size up to 10mm in diameter, where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17707 = 4B + 3T) | $231.00 |
31330 | Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal from areas of the body not covered by items 31305 and 31315, tumour size more than 10mm and up to 20mm in diameter, where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17707 = 4B + 3T) | $273.00 |
31335 | Malignant melanoma, appendageal carcinoma, malignant fibrous tumour of skin, merkel cell carcinoma of skin or Hutchinson's melanotic freckle, removal from areas of the body not covered by items 31300 and 31320, tumour size more than 20mm in diameter, where removal is by definitive surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17708 = 4B + 4T) | $315.00 |
31340 | Muscle, bone or cartilage, excision of 1 or more of, where clinically indicated, performed in association with excision of malignant tumour of skin covered by item 31255, 31260, 31265, 31270, 31275, 31280, 31285, 31290, 31295, 31300, 31305, 31310, 31315, 31320, 31325, 31330, 31335 (Anaes. 17710 = 4B + 6T) | Amount under rule 41 |
52122 | Mandible, hemi-mandibular reconstruction of, or maxilla reconstruction of, with bone graft, plate, tray or alloplast, not being a service associated with a service to which item 52123 applies (Anaes. 17722 = 10B + 12T) (Assist.) | $607.40 |
3.9 Schedule, Part 2, item 17500:
Omit the item.
3.10 Schedule, Part 2:
Items are amended as set out in the following table:
Omit | Substitute |
30116 | 31205 |
30119 | 31210 |
30120 | 31215 |
30123 | 31220 |
30124 | 31225 |
30127 | 31230 |
30128 | 31235 |
30130 | 31240 |
30131 | 31245 |
30133 | 31250 |
30134 | 31255 |
30137 | 31260 |
30138 | 31265 |
30141 | 31270 |
30142 | 31275 |
30145 | 31280 |
30146 | 31285 |
30148 | 31290 |
30149 | 31300 |
30151 | 31305 |
30152 | 31310 |
30154 | 31315 |
30155 | 31320 |
30157 | 31325 |
30158 | 31330 |
30160 | 31335 |
30161 | 31340 |
3.11 Schedule, Part 2:
Insert each of the following items in its correct numerical position:
Item | Service | Fee |
319 | An attendance of more than 45 minutes duration at consulting rooms, where that attendance and any other attendance to which item 300 to 308 or 319 applies exceed 50 but not more than 160 attendances in a 12 month period and where the patient has: (a) a history of severe sexual or physical abuse which has led to psychiatric illness, or has been diagnosed as suffering from borderline personality disorder or anorexia nervosa or bulimia nervosa; and (b) been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale; and (c) a history of failed related psychiatric treatment | $128.50 |
13110 | Tenckhoff peritoneal dialysis catheter, removal of (including catheter cuffs) (Anaes. 17708 = 6B + 2T) | $167.75 |
13290 | Semen, collection of, from a patient with spinal injuries or medically induced impotence, for analysis, storage or assisted reproduction, by a medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required | $150.00 |
13292 | Semen, collection of, from a patient with spinal injuries or medically induced impotence, for analysis, storage or assisted reproduction, by a medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required, under general anaesthetic, in a hospital or approved day-hospital facility (Anaes. 17708 = 4B + 4T) | $300.00 |
13319 | Central vein catheterisation in a neonate via peripheral vein (Anaes. 17709 = 5B + 4T) | $167.00 |
13757 | Therapeutic venesection for the management of haemochromatosis or polycythemia vera | $53.60 |
16015 | Administration of Strontium 89 for painful bony metastases from carcinoma of the prostate where hormone therapy has failed and: (a) the disease is poorly controlled by conventional radiotherapy; or (b) conventional radiotherapy is inappropriate, due to the wide distribution of sites of bone pain | $3000.00 |
17503 | Assistance in the administration of an anaesthetic requiring continuous anaesthesia on a patient in imminent danger of death requiring continuous life saving emergency treatment, to the exclusion of all other patients | Amount under rule 41 |
18210 | Introduction of a regional or field nerve block peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the femoral or sciatic nerves, in conjunction with knee surgery | $32.60 |
18211 | Introduction of a regional or field nerve block peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the femoral and sciatic nerves, in conjunction with knee surgery | $39.10 |
18212 | Introduction of a regional or field nerve block peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the brachial plexus in conjunction with shoulder surgery | $32.60 |
30255 | Submandibular ducts, removal of, for surgical control of drooling (Anaes. 17715 = 5B + 10T) (Assist.) | $815.50 |
30393 | Laparoscopic 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) (Assist.) | $384.50 |
30419 | Liver tumours, destruction of, by hepatic cryotherapy (Anaes. 17720 = 7B + 13T) (Assist.) | $600.00 |
31200 | Tumour (other than viral verrucae [common warts] and seborrhoeic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach to an operation), removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, not being a service to which another item in this Group applies | $25.00 |
31295 | Basal cell carcinoma or squamous cell carcinoma, residual or recurrent (where lesion treated by previous surgery, serial cautery and curettage, radiotherapy or 2 prolonged freeze and thaw cycles of liquid nitrogen therapy), performed by a specialist in the practice of his or her specialty or by a practitioner other than the practitioner who provided the previous treatment, removal from the head or neck (anterior to the sternomastoid muscles), where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained (Anaes. 17708 = 5B + 3T) | $250.00 |
31345 | Lipoma, excision of, where lesion is subcutaneous and greater than 50mm in diameter, or is sub-fascial (Anaes. 17707 = 4B + 3T) | $180.00 |
31350 | Benign tumour of soft tissue, removal of by surgical excision, where specimen is sent for histological confirmation of diagnosis, not being a service to which another item in this Group applies (Anaes. 17708 = 4B + 4T) | $370.00 |
31355 | Malignant tumour of soft tissue, removal of by surgical excision, where histological proof of malignancy has been obtained, not being a service to which another item in this Group applies (Anaes. 17710 = 5B + 5T) | $610.00 |
32115 | Rectal stricture, dilatation of (Anaes. 17706 = 4B + 2T) | $93.20 |
32139 | Haemorrhoidectomy involving third or fourth degree haemorrhoids, including excision of anal skin tags when performed (Anaes. 17707 = 4B + 3T) | $270.00 |
32200 | Distal muscle, devascularisation of (Anaes. 17712 = 4B + 8T) (Assist.) | $217.10 |
32203 | Anal or perineal graciloplasty (Anaes. 17717 = 4B + 13T) (Assist.) | $466.25 |
32206 | Stimulator and electrodes, insertion of, following previous graciloplasty (Anaes. 17715 = 4B + 11T) (Assist.) | $421.20 |
32209 | Anal or perineal graciloplasty with insertion of stimulator and electrodes (Anaes. 17723 = 4B + 19T) (Assist.) | $676.85 |
32212 | Ano-rectal application of formalin in the treatment of radiation proctitis, where performed in the operating theatre of a hospital or approved day-hospital facility, excluding aftercare (Anaes. 17705 = 3B + 2T) | $100.00 |
35600 | Stress incontinence, vaginal procedure for (Anaes. 17709 = 3B + 6T) (Assist.) | $384.50 |
35612 | Cervix, residual stump, removal of, by abdominal approach (Anaes. 17711 = 6B + 5T) (Assist.) | $371.55 |
35613 | Cervix, residual stump, removal of, by vaginal approach (Anaes. 17711 = 6B + 5T) (Assist.) | $297.25 |
35710 | Falloposcopy, unilateral or bilateral, including hysteroscopy and tubal catheterisation (Anaes. 17710 = 4B + 6T) (Assist.) | $340.20 |
35750 | Laparoscopically assisted hysterectomy, including any associated laparoscopy (Anaes. 17718 = 6B + 12T) (Assist.) | $576.15 |
35753 | Laparoscopically assisted hysterectomy, with salpingectomy, oophorectomy or excision of ovarian cyst, 1 or both sides, including any associated laparoscopy (Anaes. 17719 = 6B + 13T) (Assist.) | $637.10 |
35756 | Laparoscopically assisted hysterectomy, when procedure is completed by open hysterectomy, including any associated laparoscopy (Anaes. 17716 = 6B + 10T) (Assist.) | $576.15 |
36604 | Ureteric stent, passage of through percutaneous nephrostomy tube, using interventional imaging techniques (Anaes. 17714 = 7B + 7T) | $196.50 |
36811 | Cystoscopy with insertion of urethral prosthesis (Anaes. 17707 = 3B + 4T) | $237.40 |
37045 | Mitrofanoff continent valve, formation of (Anaes. 17722 = 6B + 16T) (Assist.) | $1049.05 |
37223 | Prostatic coil, insertion of, under ultrasound control (Anaes. 17707 = 3B + 4T) | $151.45 |
38270 | Balloon valvuloplasty or septostomy, including cardiac catheterisations before and after balloon dilatation (Anaes. 17728 = 20B + 8T) | $669.90 |
38275 | Myocardial biopsy, by cardiac catheterisation (Anaes. 17710 = 7B + 3T) | $219.00 |
39140 | Epidural catheter, insertion of, under imaging control, with epidurogram and epidural therapeutic injection for lysis of adhesions | $215.00 |
41564 | Mastoidectomy (radical or modified radical), obliteration of the mastoid cavity, blind sac closure of external auditory canal and obliteration of eustachian tube (Anaes. 17717 = 5B + 12T) (Assist.) | $1403.85 |
41672 | Nasal septum, reconstruction of (Anaes. 17710 = 5B + 5T) (Assist.) | $442.75 |
41832 | Oesophagus, balloon dilatation of, using interventional imaging techniques (Anaes. 17708 = 6B + 2T) | $167.75 |
41868 | Laryngeal web, division of, using microlaryngoscopic techniques (Anaes. 17711 = 6B + 5T) | $285.40 |
41869 | Botulinum toxin injection into vocal cords, including associated consultation | $196.00 |
42667 | Running corneal suture, manipulation of, performed within 4 months of corneal grafting, to reduce astigmatism where a reduction of 2 dioptres of astigmatism is obtained, including any associated consultation | $104.25 |
42670 | Phototherapeutic keratectomy by excimer laser | $400.00 |
42676 | Conjunctiva, biopsy of, as an independent procedure | $85.00 |
42807 | Photomydriasis, laser | $261.20 |
42808 | Photoiridosyneresis, laser | $261.20 |
45555 | Silicone breast prosthesis, removal of and replacement with prosthesis other than silicone gel prosthesis (Anaes. 17713 = 5B + 8T) (Assist.) | $469.00 |
47920 | Bone growth stimulator, insertion of (Anaes. 17708 = 4B + 4T) (Assist.) | $279.60 |
47982 | Forage (Drill decompression), of neck or head of femur, or both (Anaes. 17710 = 6B + 4T) (Assist.) | $267.95 |
51315 | Assistance at cataract and intraocular lens surgery covered by item 42698, 42701, 42702, 42704, 42707 or 42710 when performed in association with services covered by item 42551 to 42569, 42653, 42656, 42746, 42749, 42752, 42776 or 42779 | $200.00 |
51318 | Assistance at cataract and intraocular lens surgery where patient has: (a) total loss of vision, including no potential for central vision, in the fellow eye; or (b) previous significant surgical complication in the fellow eye; or (c) pseudo exfoliation, subluxed lens, iridodonesis, phacodonesis, retinal detachment, corneal scarring, pre-existing uveitis, bound down miosed pupil, nanophthalmos, spherophakia, Marfan's syndrome, homocysteinuria or previous blunt trauma causing intraocular damage | $132.00 |
52034 | Premalignant lesions of the oral mucous, treatment by liquid nitrogen cryotherapy | $31.45 |
52106 | Arch bars, 1 or more, which were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia where undertaken in the operating theatre of a hospital or approved day-hospital facility (Anaes. 17706 = 4B + 2T) | $80.00 |
52337 | Alveolar cleft (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation (Anaes. 17714 = 7B + 7T) (Assist.) | $785.00 |
52633 | Osseo-integration procedure—intra-oral implantation of titanium fixture to facilitate restoration of the dentition following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes. 17711 = 6B + 5T) | $369.95 |
52636 | Osseo-integration procedure—fixation of transmucosal abutment to fixtures placed following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes. 17706 = 4B + 2T) | $136.95 |
53016 | Nasal septum, septoplasty, submucous resection or closure of septal perforation (Anaes. 17708 = 5B + 3T) (Assist.) | $354.85 |
53458 | Nasal bones, treatment of fracture of, not being a service to which item 53459 or 53460 applies | $31.50 |
53459 | Nasal bones, treatment of fracture of, by reduction (Anaes. 17707 = 5B + 2T) | $172.85 |
53460 | Nasal bones, treatment of fractures of, by open reduction involving osteotomies (Anaes. 17710 = 5B + 5T) (Assist.) | $352.60 |
NOTES
1. Notified in the Commonwealth of Australia Gazette on 1 May 1997.
2. Statutory Rules 1996 No. 230.