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.   Commencement

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

 

 

 (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
(both occurrences)

$410.00

51303

$331.30
(both occurrences)

$410.00

51800

$331.30
(both occurrences)

$410.00

51803

$331.30
(both occurrences)

$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

 

 

(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”.

 

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.