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Health Insurance Act 1973

  • - C2004A00101
  • In force - Superseded Version
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Act No. 42 of 1974 as made
An Act providing for Payments by way of Medical Benefits and Payments for Hospital Services and for other purposes
Administered by: Health
Date of Assent 08 Aug 1974
 

HEALTH INSURANCE ACT 1973 No. 42, 1974

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - TABLE OF PROVISIONS


HEALTH INSURANCE ACT 1973

No. 42 of 1974

TABLE OF PROVISIONS

PART I-PRELIMINARY
Section
1. Short title
2. Commencement
3. Interpretation
4. Variations and alterations of table of medical services
5. Health insurance cards
6. Persons in Australia may apply for application of Act to them
7. Agreement for reciprocal treatment of visitors to Australia and
other countries

PART II-MEDICAL BENEFITS

8. Interpretation
9. Medical benefits calculated by reference to fees
10. Entitlement to medical benefits
11. Increased fee in complex cases
12. Appeal from decision on increased fee
13. Spectacle lenses
14. Medical benefit not to exceed medical expenses incurred
15. Calculation of medical benefit payable where two or more operations
are performed
16. Administration of anaesthetic and assistance at operation
17. Medical benefit not payable in respect of certain medical expenses
18. Medical benefit not payable in respect of certain diagnostic
services
19. Medical benefit not payable in respect of certain professional
services
20. Persons entitled to medical benefits
21. Medical service outside Australia
22. Claims for medical benefits
23. Undertakings with respect to pensioners

PART III-PAYMENTS FOR HOSPITAL SERVICES

24. Approval of premises as hospital
25. Issue of certificate of approval of premises as hospital
26. Display of certificate of approval
27. Inspection of hospitals
28. Notice of person ceasing to be proprietor of hospital
29. Revocation or variation of approval of premises as hospital
30. Agreements with States for provision of hospital services
31. Daily bed payments to recognized hospitals
32. Payments to recognized hospitals in internal Territories
33. Daily bed payments to private hospitals
34. Supplementary daily bed payments to private hospitals
35. Claims by proprietors of private hospitals
36. Power to call for returns from proprietors of private hospitals
37. Access to premises
38. Advances

PART IV-HEALTH PROGRAM GRANTS

39. Definitions
40. Approval of organizations
41. Approval of health services
42. Entitlement to health program grant
43. Conditions of payment of grant
44. Minister to consult with Commission
45. Claims for health program grants
46. Advances

PART V-COMMITTEES AND REVIEW TRIBUNALS

Division 1-Specialist Recognition Advisory Committees and the
Specialist Recognition Appeal Committee

47. Definitions
48. Establishment of Specialist Recognition Advisory Committees
49. Establishment of Specialist Recognition Appeal Committee

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50. Panels for appointments to Committees
51. Members of Committees under the National Health Act may be deemed to
be members of Committees under this Division
52. Election of Chairman of Committee
53. Appointment of persons to act in place of member
54. Termination of appointment
55. Resignation
56. Appointment to vacant office
57. Irregularities in nomination of members
58. Remuneration and allowances
59. Meetings of Committees
60. Proceedings at meetings
61. Recognition of consultant physician, &c.
62. Appeal against refusal of recognition as consultant physician, &c.
63. Committee may inform itself in any manner
64. Chairman may engage consultants

Division 2-Medical Benefits Advisory Committee

65. Definitions
66. Establishment of Medical Benefits Advisory Committee
67. Functions of Committee
68. Election of Chairman and Deputy Chairman
69. Exercise of powers and functions of Chairman by Deputy Chairman
70. Appointment of person to act in place of member
71. Termination of appointment
72. Resignation of members
73. Appointment to vacant office
74. Remuneration and allowances
75. Meetings of Committee
76. Proceedings at meetings
77. Committee may inform itself in any manner
78. Chairman may engage consultants

Division 3-Medical Services Committees of Inquiry

79. Interpretation
80. Establishment of Medical Services Committees of Inquiry
81. Members of Committees under the National Health Act may be deemed to
be members of Committees under this Division
82. Function of Committees
83. Election of Chairman and Deputy Chairman
84. Exercise of powers and functions of Chairman by Deputy Chairman
85. Appointment of person to act in place of member
86. Termination of appointment
87. Resignation
88. Appointment to vacant office
89. Remuneration and allowances
90. Meetings of Committee
91. Proceedings at meetings
92. Committee may inform itself in any manner
93. Chairman may engage consultants
94. Hearing by Committee
95. Notice to practitioner of hearing
96. Rights of practitioner at hearing
97. Conduct of hearing
98. Evidence at hearing
99. Summons to give evidence, &c.
100. Allowances for witnesses at hearings
101. Failure to attend
102. Refusal to be sworn or give evidence
103. Protection of members' representatives and witnesses at hearing
104. Report by Committee
105. Recommendation by Committee
106. Determination by Minister

Division 4-Medical Services Review Tribunals

107. Definitions
108. Establishment of Medical Services Review Tribunals
109. Termination of appointment
110. Resignation of members
111. Appointment to vacant office
112. Irregularities in nomination of members
113. Remuneration and allowances
114. Request for review of determination
115. Request for review to be forwarded to Tribunal

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116. Review to be arranged
117. Rights of parties at proceedings on review
118. Procedure of Tribunals
119. Proceedings on review
120. Costs of proceedings before Tribunal
121. Protection of members of Tribunal, &c.
122. Appeals
123. Exercise of jurisdiction of Australian Industrial Court

Division 5-Other Committees

124. Other Committees

PART VI-FINANCE

125. Payments to be made by Commission
126. Health Insurance Fund

PART VII-MISCELLANEOUS

127. Use of health insurance cards
128. Offences in relation to returns
129. False statements, &c.
130. Officers to observe secrecy
131. Delegation
132. Evidence
133. Regulations

SCHEDULE 1

Table of Medical Services

SCHEDULE 2

Heads of Agreement

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 1.
Short title.

HEALTH INSURANCE ACT 1973

No. 42 of 1974
An Act providing for Payments by way of Medical Benefits and Payments for Hospital Services and for other purposes.

BE IT ENACTED by the Queen, the Senate and the House of Representatives of Australia, as follows:-

PART I-PRELIMINARY
1. This Act may be cited as the Health Insurance Act 1973.*

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 2.
Commencement.

2. This Act shall come into operation on the day on which it receives the Royal Assent.*

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 3.
Interpretation.

3. (1) In this Act, unless the contrary intention appears-

"agreement" means an agreement under section 30;

"amendment alleviating the operation of the means test", in relation to a person, means an amendment of the Social Services Act 1947-1967, or the Repatriation Act 1920-1966, that operates to diminish or eliminate any reduction that would otherwise be made in the rate of pension or allowance payable to or in respect of a person by reason of his means as assessed as defined by-

(a) section 18 or 59 of the Social Services Act 1947-1967 or of that Act as amended at any time; or

(b) section 83 of the Repatriation Act 1920-1966 or of that Act as amended at any time,

as the case may be;

"approved bed", in relation to a hospital, means a bed included in the number of beds at the hospital to which the approval under section 24 in relation to the hospital relates;

"Australian resident" means a person who is residing in Australia and includes-


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(a) a person whose domicile is in Australia, other than a person in respect of whom the Commission is satisfied that the person's permanent place of abode is outside Australia; and

(b) a person who has been in Australia, whether continuously or intermittently, during more than one-half of the year ending on the day on which the question whether he is or is not an Australian resident arises, other than a person in respect of whom the Commission is satisfied that-

(i) the person's usual place of abode is outside Australia; and

(ii) the person does not intend to take up residence in Australia,

but does not include-

(c) the head of a diplomatic mission established in Australia;

(d) a member of the staff (not being an Australian citizen) of a diplomatic mission established in Australia; or

(e) a member of the family of a person referred to in paragraph (c) or (d) who forms part of the household of that person and is not an Australian citizen;

"Commission" means the Health Insurance Commission established by the Health Insurance Commission Act 1973;

"dental practitioner" means a person registered or licensed as a dental practitioner or dentist under a law of a State or Territory that provides for the registration or licensing of dental practitioners or dentists;

"dependant", in relation to an eligible pensioner, means-

(a) the wife of the pensioner;

(b) a woman who is living with the pensioner as his wife on a permanent and bona fide domestic basis, although not legally married to him;

(c) a child under the age of 16 years in the custody, care and control of the pensioner or of the wife or husband of the pensioner; or

(d) a person wholly or substantially dependent on the pensioner or on the wife or husband of the pensioner, being a person who-

(i) has attained the age of 16 years;

(ii) is receiving full-time education at a school, college or university;

(iii) is not in receipt of an invalid pension under Part III of the Social Services Act 1947-1973; and

(iv) except where the pensioner is a person to whom, or in respect of whom, there is being paid a service pension under the Repatriation Act 1920-1973-is wholly or substantially dependent on the pensioner;

"diagnostic service" means a professional service covered by-

(a) unless the regulations otherwise provide, item 631, 632, 641, 651 or 661 or an item in Part VII or Part VIII of the table; or

(b) any other prescribed item,

and includes any professional service given for health-screening purposes;

"eligible pensioner" means-

(a) a person to whom or in respect of whom-

(i) there is being paid an age pension, an invalid pension, a widow's pension or a sheltered employment allowance under the Social Services Act 1947-1973; or

(ii) such a pension or allowance would be payable if the person were not receiving vocational training under Part VIII of that Act,

other than such a person to whom or in respect of whom such a pension or allowance would not be payable if any amendment of that Act, being-


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(iii) an amendment alleviating the operation of the means test in relation to that person made after the date on which the Social Services Act 1967 received the Royal Assent; or

(iv) an amendment of a rate of pension, allowance or benefit made after the date of commencement of the Social Services Act (No. 4) 1973,

had not been made;

(b) a person to whom or in respect of whom there is being paid a service pension under the Repatriation Act 1920-1973, other than such a person to whom or in respect of whom such a pension would not be payable if-

(i) any amendment of that Act, being-

(A) an amendment alleviating the operation of the means test in relation to that person made after the date of commencement of the Repatriation Act 1966; or

(B) an amendment of a rate of pension, allowance or benefit under Division 5 of Part III made after the date of commencement of the Repatriation Act (No. 3) 1973,

had not been made; or

(ii) any amendment of the Social Services Act 1947-1967, being-

(A) an amendment alleviating the operation of the means test in relation to that person made after the date on which the Social Services Act 1967 received the Royal Assent; or

(B) an amendment of a rate of pension, allowance or benefit made after the date of commencement of the Social Services Act (No. 4) 1973,

had not been made; and

(c) a person to whom or in respect of whom there is being paid an allowance under the Tuberculosis Act 1948;

"eligible person" means an Australian resident and, except as otherwise prescribed, includes any other person in Australia;

"friendly society" means a society registered under a State Act or a law of a Territory providing for the registration of friendly or benefit societies;

"hospital" means premises approved as a hospital by the Minister under section 24;

"hospital patient", in relation to a hospital, means an in-patient in respect of whom the hospital provides comprehensive care, including all necessary medical, nursing and diagnostic services and, if they are available at the hospital, dental and paramedical services, by means of its own staff or by other agreed arrangements;

"hospital treatment" means accommodation and nursing care for the purpose of permitting the provision of professional attention;

"in-patient", in relation to a hospital, means a person who occupies an approved bed in a hospital for the purpose of hospital treatment but does not include-

(a) a member of the staff of the hospital who is receiving treatment in his or her own quarters; or

(b) except as provided by sub-section (2), a newly-born child whose mother also occupies a bed in the hospital;

"item" means an item in the table;

"medical benefit" means a medical benefit under Part II;

"medical expenses" means an amount payable in respect of a professional service;

"medical practitioner" means a person registered or licensed as a medical practitioner under a law of a State or Territory that provides for the registration or licensing of medical practitioners;

"net operating costs" means-


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(a) in relation to all recognized hospitals in a State-net operating costs as defined by the agreement with that State; or

(b) in relation to a recognized hospital in an internal Territory-net operating costs as prescribed;

"nursing care" means nursing care given by or under the supervision of a registered nurse;

"organization" means a society, body or group of persons, whether corporate or unincorporate;

"out-patient service", in relation to a hospital, means a health service or procedure provided by the hospital to an eligible person other than an in-patient of the hospital;

"practitioner" means a medical practitioner or a dental practitioner;

"private hospital" means a hospital that is not a recognized hospital;

"private patient", in relation to a hospital, means an in-patient of the hospital who is not a hospital patient;

"professional attention" means-

(a) medical or surgical treatment by or under the supervision of a medical practitioner;

(b) obstetric treatment by or under the supervision of a medical practitioner or a registered nurse with obstetric qualifications; or

(c) dental treatment by or under the supervision of a dental practitioner;

"professional service" means-

(a) a medical service specified in an item that is rendered by or on behalf of a medical practitioner; or

(b) a prescribed medical service specified in an item that is rendered in an operating theatre of a hospital by a dental practitioner approved by the Minister for the purposes of this definition;

"proprietor", in relation to premises, includes an authority or body of persons that has lawful control of the premises;

"recognized hospital" means a hospital that is a recognized hospital for the purposes of an agreement or for the purposes of
section 32;

"registered nurse" means-

(a) a person registered under a law of a State or Territory (other than the State of South Australia) as a general nurse; or

(b) a person registered under a law of the State of South Australia as a nurse;

"table" means the table of medical services set out in Schedule 1.

(2) For the purposes of this Act-

(a) a newly-born child who occupies an approved bed in an intensive care facility in a hospital, being a facility approved by the Minister for the purposes of this sub-section, for the purpose of the provision of special care shall be deemed to be an in-patient of the hospital; and

(b) where there are two or more newly-born children of the same mother in a hospital-each such child in excess of one shall be deemed to be an in-patient of the hospital.

(3) Where an anaesthetic is administered to a patient-

(a) pre-medication of the patient in preparation for the administration of the anaesthetic; and

(b) pre-operative examination of the patient in preparation for the administration of the anaesthetic, being an examination carried out during the attendance at which the anaesthetic is administered,
shall, for the purposes of this Act, be deemed to form part of the professional service constituted by the administration of the anaesthetic.

(4) A reference in this Act to a professional attendance or to an attendance

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is a reference to an attendance by a medical practitioner on a patient, including an attendance at the medical practitioner's rooms or surgery.

(5) Unless the Minister otherwise directs, a professional service, not being a service specified in an item in Part I of the table, shall be deemed to include all professional attendances necessary for the purposes of post-operative treatment of the person to whom the professional service is rendered.

(6) Where a professional service rendered to a person includes a medical procedure that would, but for this sub-section, itself be a professional service, that procedure shall, in respect of that person, be deemed not to be a professional service.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 4.
Variations and alterations of table of medical services.

4. (1) The regulations may provide that this Act shall have effect as if the table were varied-

(a) by omitting an item or rule of interpretation from the table;

(b) by inserting an item or rule of interpretation in the table; or

(c) by substituting another amount for an amount set out in an item in the table.

(2) The regulations may prescribe a table of medical services in accordance with the form of table set out in Schedule 1.

(3) On the commencement of a regulation prescribing a table of medical services-

(a) the table so prescribed has effect as if it were set out in Schedule 1 in the place of the table (in this sub-section referred to as "the superseded table") in that Schedule; and

(b) the superseded table or, if another table has effect, by virtue of this section, in the place of the superseded table, that other table ceases to have effect.

(4) The regulations may amend a table that has effect by virtue of paragraph (3) (a) and, on the commencement of the amendment, the table as so amended has effect in the place of the first-mentioned table.

(5) In this section, a reference to a table of medical services shall be read as including a reference to rules for the interpretation of that table.

(6) Regulations under this section shall, unless sooner repealed, cease to be in force on the day next following the fifteenth sitting day of the House of Representatives after the expiration of a period of 12 months commencing on the day on which the regulations are notified in the Gazette, and shall be deemed to have been repealed on that first-mentioned day.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 5.
Health insurance cards.

5. (1) The Commission may, for the purpose of facilitating the handling of claims under this Act, issue to an eligible person a health insurance card setting out-

(a) the name of the eligible person and the number allotted to him by the Commission; and

(b) if the Commission thinks fit, the name or names of any child or children of whom the eligible person is a parent or guardian and the number allotted to that child or to each of those children.

(2) A health insurance card shall not contain any personal particulars other than those specified in sub-section (1).

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 6.
Persons in Australia may apply for application of Act to them.

6. (1) A person who is in Australia but is not an eligible person may apply to the Commission for the application to him, during his stay in Australia, and to any child or children living with him in Australia, during the stay in Australia of that child or of those children, of this Act as if he or he and that child or each of those children were an eligible person or eligible persons.

(2) The Commission may approve an application under sub-section (1) subject to such conditions as it determines, including the payment of a premium by the applicant.

(3) An approval under sub-section (2) shall be expressed to relate to a specified period, which may commence on a date earlier than the date of the approval.

(4) Where an application under sub-section (1) has been approved, a person to whom the application relates shall, subject to any condition imposed under sub-section (2) and to sub-section (5), be treated as an eligible person for the purposes of this Act during the period to which the approval relates.

(5) A person to whom an application referred to in sub-section (4) relates shall not be treated as an eligible person for the purposes of this Act during any period during which he is outside Australia.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 7.

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Agreement for reciprocal treatment of visitors to Australia and other countries.


7. (1) The Government of Australia may enter into an agreement with the Government of another country under which each Government agrees to arrange for visitors to the country of that Government from the country of that other Government to be treated, for the purpose of the provision of medical and hospital care, as if they were residents or citizens of the country of that Government.

(2) A visitor to Australia to whom an agreement under sub-section (1) relates shall, subject to the agreement, be treated as an eligible person for the purposes of this Act during his stay in Australia.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 8.
Interpretation.

PART II-MEDICAL BENEFITS
8. For the purposes of this Part, an internal Territory shall be deemed to form part of the State of New South Wales.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 9.
Medical benefits calculated by reference to fees.

9. Medical benefits under this Part shall be calculated by reference to the fees for medical services set out in the table.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 10.
Entitlement to medical benefits.

10. (1) Where, on or after a date to be fixed by Proclamation for the purposes of this section, medical expenses are incurred in respect of a professional service rendered in Australia to an eligible person, a medical benefit calculated in accordance with sub-section (2) is payable, subject to and in accordance with this Act, in respect of that professional service.

(2) A medical benefit under sub-section (1) in respect of a professional service is an amount equal to-

(a) 85 per centum of the fee specified in respect of that professional service in the table in relation to the State in which the service was rendered; or

(b) if the amount calculated under paragraph (a) is less by more than $5 than the fee from which it is calculated-an amount that is less by $5 than that fee.

(3) Where an amount calculated in accordance with sub-section (2) is not a multiple of 5 cents, the amount of cents shall be increased to the nearest higher amount that is a multiple of 5 cents.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 11.
Increased fee in complex cases.

11. (1) Where-
(a) a claim for a medical benefit in respect of a professional service is received by the Commission; and

(b) the claimant-

(i) being the practitioner who rendered the service, states in the claim that the service was of unusual length or complexity; or

(ii) not being the practitioner who rendered the service, forwards with the claim a statement by the practitioner who rendered the service that the service was of unusual length or complexity,
the Commission shall deal with the claim in accordance with the succeeding provisions of this section.

(2) Where the Commission considers that the professional service referred to in the claim is of unusual length or complexity, the Commission shall-

(a) if the Commission considers that the service is of a kind in respect of which an increased fee may be fixed in accordance with principles furnished to the Commission under paragraph (b) or sub-section 12 (5)-fix an increased fee for that service, in accordance with those principles, for the purposes of that claim; or

(b) in any other case-refer to the Medical Benefits Advisory Committee for its consideration and recommendation the question whether the fee specified in the item that relates to that service should, for the purpose of calculating the medical benefit under that claim, be increased, having regard to the unusual features of that service, and, if it is to be increased, what principles are to be followed in fixing the amount of the increased fee for that service for the purposes of that claim.

(3) Where the Commission receives a recommendation of the Committee under paragraph (2) (b) in favour of an increased fee in respect of a professional service to which a claim referred to in sub-section (1) relates, the Commission may fix an increased fee for that service, in accordance with the principles set out in that recommendation, for the purposes of that claim.

(4) Where an increased fee is fixed under paragraph (2) (a) or under sub-section (3) in respect of a professional service for the purposes of a

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claim referred to in sub-section (1), the Commission shall-

(a) inform the claimant, by notice in writing, of the amount of the increased fee so fixed; and

(b) calculate the medical benefit payable in respect of that professional service for the purposes of that claim as if the increased fee so fixed were set out in the item that relates to that professional service.

(5) Where the Commission considers that a professional service referred to in a claim under sub-section (1) is not of unusual length or complexity, the Commission shall inform the claimant, by notice in writing, accordingly.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 12.
Appeal from decision on increased fee.

12. (1) Where the Commission notifies a person under sub-section 11 (4) or (5) of a decision of the Commission, the person may, within one month after the receipt of that notification, lodge with the Minister an appeal against that decision.

(2) The Minister shall refer an appeal under sub-section (1) to the Medical Benefits Advisory Committee for its consideration and recommendation whether the appeal should be allowed or dismissed and, if the appeal is to be allowed, what increased fee is to be fixed for the purposes of the claim to which the appeal relates.

(3) Where an appeal under sub-section (1) is against the amount of an increased fee fixed by the Commission and the appeal is to be allowed, the Committee shall not recommend an increased fee that is less than the amount of the increased fee to which the appeal relates.

(4) Where a recommendation of the Committee on an appeal under sub-section (1) specifies the amount of an increased fee to be fixed, the Committee may, in the recommendation, set out the principles followed by the Committee in calculating that amount.

(5) The Minister shall furnish to the Commission a statement of principles received by him in a recommendation referred to in sub- section (4).

(6) When the Minister has received the recommendation of the Medical Benefits Advisory Committee on an appeal under sub-section (1), the Minister shall, in accordance with the recommendation, either allow or dismiss the appeal and, if he allows the appeal, shall give such directions to the Commission as are necessary to give effect to the recommendation of the Committee.

(7) Where the Minister allows or dismisses an appeal under this section he shall notify the appellant, in writing, accordingly.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 13.
Spectacle lenses.

13. The regulations may provide that, where, at an attendance, an examination of the patient's eyes is made in consequence of which spectacle lenses are prescribed, the medical benefit in respect of any professional service or professional services covered by an item in Part I of the table that is, or are, rendered during that attendance is such portion as is prescribed of the medical benefit that would, but for the regulations, be payable in respect of that professional service or those professional services.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 14.
Medical benefit not to exceed medical expenses incurred.

14. A medical benefit payable in respect of a professional service shall not exceed the medical expenses incurred in respect of the professional service.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 15.
Calculation of medical benefit payable where two or more operations are performed.

15. (1) Subject to this section, for the purpose of calculating the amount of a medical benefit payable in respect of the medical expenses incurred in respect of two or more operations, each constituting a professional service covered by an item, that are performed on the one occasion on the one person-

(a) the amount specified in those items as fees, other than the greater or greatest of those amounts, shall be deemed to be reduced, as follows:-

(i) the greater or greatest of the amounts to be deemed to be reduced shall be deemed to be reduced by one-half; and

(ii) the other amount, or each of the other amounts, to be deemed to be reduced shall be deemed to be reduced by three-quarters; and

(b) the operations shall be deemed to constitute one professional service in respect of which the fee specified in the table in relation to the State in which the service was rendered is an amount equal to the aggregate of the amounts specified as fees in the items relating to those operations, being those amounts as reduced in accordance with paragraph (a).

(2) For the purposes of paragraph (1) (a)-

(a) where two or more amounts referred to in that sub-section are equal, one of those amounts shall be treated as being greater than the other or

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others of those amounts; and

(b) where, by virtue of a reduction in accordance with that sub- section, an amount is not a multiple of 5 cents, the amount of cents shall be increased to the nearest higher amount that is a multiple of 5 cents.

(3) This section does not apply in relation to an operation, being one of two or more operations performed under the one anaesthetic on the one person, if the practitioner who performed the operation-

(a) did not perform, or assist at, the other operation or any of the other operations; and

(b) did not administer the anaesthetic.

(4) In this section, "operation" does not include a medical service specified in Division 2 of Part 10 of the table.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 16.
Administration of anaesthetic and assistance at operation.

16. (1) A medical benefit is not, except with the approval of the Commission, payable in respect of the administration of an anaesthetic in connexion with a professional service unless the anaesthetic is administered by a practitioner other than the practitioner who renders the professional service in connexion with which the anaesthetic is administered.

(2) A medical benefit in respect of assistance at an operation is not payable if the assistance is rendered by the anaesthetist or a practitioner assisting the anaesthetist.

(3) Where an item relates to a professional service constituted by-

(a) assistance at an operation;

(b) the administration of an anaesthetic; or

(c) assistance in the administration of an anaesthetic,
the amount of medical benefit payable in respect of that professional service is the same whether the assistance is rendered, or the anaesthetic is administered, by one or more than one practitioner.

(4) For the purpose of calculating the amount of medical benefit payable in respect of the medical expenses incurred in respect of the administration of an anaesthetic to a person for the purposes of two or more operations performed on that person while he is under that anaesthetic-

(a) the amounts specified as fees in the items that relate to the administration of an anaesthetic for the purposes of those operations, other than the greater or greatest of those amounts, shall be deemed to be reduced as prescribed; and

(b) the administration of the anaesthetic shall be deemed to constitute one professional service in respect of which the fee specified in the table in relation to the State in which the anaesthetic was administered is an amount equal to the aggregate of the amounts specified as fees in the items relating to the administration of an anaesthetic for the purposes of those operations, being those amounts as reduced in accordance with paragraph (a).

(5) For the purposes of paragraph (4) (a)-

(a) where two or more amounts referred to in that sub-section are equal, one of those amounts shall be treated as being greater than the other or others of those amounts; and

(b) where, by virtue of a reduction in accordance with that subsection, an amount is not a multiple of 5 cents, the amount of cents shall be increased to the nearest higher amount that is a multiple of 5 cents.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 17.
Medical benefit not payable in respect of certain medical expenses.

17. (1) A medical benefit is not payable in respect of a professional service if-

(a) the medical expenses in respect of that service have been paid, or are payable, to a recognized hospital;

(b) the medical practitioner who rendered the service was acting on behalf of an organization that was, when the service was rendered, an organization prescribed for the purposes of this paragraph; or

(c) any part of the service was rendered on the premises of an organization that was, when the service was rendered, an organization referred to in paragraph (b) or an approved organization for the purposes of Part IV.

(2) Unless the Minister otherwise directs, a medical benefit is not payable in respect of a professional service if the medical expenses in respect of that service have been paid, or are payable, by an organizaton to which an approval under section 34 relates in respect of a person who was, when the service was rendered, a hospital patient occupying a bed in a hospital

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controlled by the organization that was an approved bed for the purposes of that section.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 18.
Medical benefit not payable in respect of certain diagnostic services.

18. (1) Subject to this section, a medical benefit is not payable in respect of a diagnostic service if-

(a) the medical expenses in respect of that service have been paid, or are payable, by a recognized hospital in respect of a patient of that hospital; or

(b) the diagnostic service is rendered by a medical practitioner acting on his own behalf to a private patient of a recognized hospital.

(2) Where the Minister is satisfied that-

(a) a recognized hospital cannot make satisfactory arrangements for the provision by the hospital of diagnostic services to private patients at the hospital;

(b) the hospital incurs medical expenses in respect of the provision by a medical practitioner of diagnostic services to private patients at the hospital; and

(c) the hospital does not charge private patients at the hospital, in whole or in part, for diagnostic services so provided,
the Minister may direct, in writing, that sub-section (1) does not apply, for a period specified in the direction, in relation to that hospital in respect of a diagnostic service referred to in paragraph (1) (a).

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 19.
Medical benefit not payable in respect of certain professional services.

19. A medical benefit is not payable in respect of a professional service that is a medical examination for the purposes of life insurance or admission to membership of a friendly society.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 20.
Persons entitled to medical benefits.

20. (1) Subject to this section, a medical benefit payable in respect of a professional service rendered in Australia is payable to the person who has incurred the medical expenses in respect of that professional service.

(2) Where a person to whom a medical benefit is payable under subsection (1) in respect of a professional service has not paid the medical expenses that he has incurred in respect of that professional service, he shall not be paid the medical benefit but, if he so requests, there shall be given to him, in lieu of that payment, a cheque for the amount of the medical benefit drawn in favour of the person who rendered the professional service or, if the professional service was rendered by that person on behalf of another person, in favour of that other person.

(3) A person to whom a medical benefit is payable under sub-section (1) (in this sub-section referred to as "the first party") may enter into an agreement, in accordance with the prescribed form, with the medical practitioner, or other person, by whom, or on whose behalf, the professional service was rendered (in this sub-section referred to as "the second party") under which-

(a) the first party assigns his right to the payment of the medical benefit to the second party; and

(b) the second party accepts the assignment in full payment of the medical expenses incurred by the first party in respect of that professional service.

(4) Where an agreement in respect of a medical benefit is entered into under sub-section (3), the medical benefit is payable in accordance with the agreement.

(5) A reference in sub-section (3) to a medical practitioner by whom a professional service was rendered does not include a reference to a medical practitioner who renders a professional service on behalf of another person or organization.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 21.
Medical service outside Australia.

21. (1) Subject to this section, where medical expenses are incurred in respect of a medical service specified in an item rendered outside Australia, on or after the date fixed for the purposes of section 10, to an Australian resident by, or on behalf of, a prescribed person, medical benefit is payable in respect of that medical service as if that medical service had been rendered in Australia by, or on behalf of, a medical practitioner.

(2) A medical benefit under sub-section (1) is payable to the person who has incurred the medical expenses in respect of the medical service and shall be paid to that person in such manner as the Commission determines.

(3) In this section, "prescribed person" means-

(a) a person authorized to practise as a medical practitioner under the law of the place where the medical service was rendered; or

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(b) any other person approved by the Commission for the purposes of this definition.

(4) This section does not apply in relation to a medical service rendered in a country the Government of which is, when the service is rendered, a party to an agreement with the Government of Australia under section 7.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 22.
Claims for medical benefits.

22. A claim for a medical benefit in respect of a professional service shall be made, in accordance with the prescribed form, to the Commission.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 23.
Undertakings with respect to pensioners.

23. (1) The Minister shall request every medical practitioner whom he considers is engaged in Australia in rendering professional services to persons to undertake that, where a professional service is rendered in Australia, on or after the date fixed for the purposes of section 10, by the medical practitioner on his own behalf or by a person acting on behalf of the medical practitioner to a person who identifies himself to the person rendering the service as an eligible pensioner or a dependant of an eligible pensioner, the medical practitioner will ensure that-

(a) the person who has incurred the medical expenses in respect of the professional service is asked whether he wishes to make an assignment under sub-section 20 (3) of his right to the payment of the medical benefit in respect of the professional service; and

(b) if the person indicates that he so wishes-arrangements are made for the making and acceptance of the assignment under that sub-section.

(2) An undertaking under sub-section (1) shall be in writing and shall be lodged with the Minister.

(3) An undertaking under sub-section (1) does not apply in relation to a professional service rendered by a consultant physician, or a specialist, in the practice of his specialty to a patient who has not been referred to him if the professional service would, if the patient had been referred to him, be covered by an item that specifies a fee for the service that is higher than the fee applicable to the service.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 24.
Approval of premises as hospital.

PART III-PAYMENTS FOR HOSPITAL SERVICES
24. (1) The proprietor of premises may apply, in accordance with the prescribed form, for the approval of the premises as a hospital.

(2) Where the Minister is satisfied that the premises in respect of which an application under sub-section (1) is made-

(a) are used, or to be used, for the reception and lodging of patients exclusively or principally for the purpose of hospital treatment; and

(b) are properly fitted, furnished and staffed for that purpose,
he shall, subject to sub-section (3), approve the premises as a hospital for the purposes of this Act and determine the number of beds at the hospital to which the approval relates.

(3) The Minister shall not approve premises under sub-section (2) if he is satisfied that-

(a) the premises are used, or are to be used, exclusively or principally for the care or treatment of mentally ill or mentally defective persons and are under the control of, or the subject of a grant for maintenance from, Australia or a State; or

(b) the premises are a nursing home for the purposes of the National Health Act 1953-1973.

(4) The approval of premises as a hospital under this section is subject to such conditions as are determined, from time to time, by the Minister for the purpose of ensuring that the needs and welfare of patients at the hospital are satisfactorily provided for.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 25.
Issue of certificate of approval of premises as hospital.

25. (1) Upon approval of premises as a hospital, the Minister shall cause to be issued to the proprietor of the hospital a certificate of approval in accordance with the authorized form.

(2) Where the approval of premises as a hospital has been varied under section 29 and the certificate of approval has been forwarded to the Minister, the Minister shall cause to be issued to the proprietor of the hospital a new certificate of approval, in accordance with the prescribed form, setting out the approval as so varied.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 26.
Display of certificate of approval.

26. (1) The proprietor of a hospital shall cause the certificate of approval to be displayed in a prominent position in the hospital.

(2) Where the approval of premises as a hospital is revoked or varied the

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proprietor of the premises shall forthwith forward the certificate of approval to the Minister.

Penalty: $100.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 27.
Inspection of hospitals.

27. (1) The Minister may, by writing under his hand, authorize an officer or other person to inspect hospitals or any premises in respect of which an application for approval under section 24 has been made.

(2) The proprietor of premises referred to in sub-section (1) shall permit the officer or person so authorized to inspect the premises at any reasonable time.

Penalty: $100.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 28.
Notice of person ceasing to be proprietor of hospital.

28. (1) If the proprietor of a hospital ceases to be the proprietor of the hospital, he shall, by notice in writing, notify the Minister forthwith.

(2) If the proprietor of a hospital dies, the legal personal representative of the deceased proprietor shall, by notice in writing, notify the Minister forthwith.

Penalty: $100.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 29.
Revocation or variation of approval of premises as hospital.

29. (1) Where the Minister receives an application, in writing, by the proprietor of a hospital for a variation of the approval of the premises constituting the hospital, the Minister may vary that approval in accordance with the application.

(2) Where the Minister-

(a) considers that the nature of a hospital has changed since the approval of the hospital was given;

(b) receives a notice in writing under section 28 in respect of a hospital; or

(c) is satisfied that a condition determined by the Minister under sub-section 24 (4) has not been complied with in respect of a hospital,
the Minister may revoke or vary the approval of the premises constituting the hospital.

(3) Where the Minister receives an application, in writing, by the proprietor of a hospital for revocation of the approval of the premises constituting the hospital, he shall revoke the approval accordingly.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 30.
Agreements with States for provision of hospital services.

30. (1) Australia may enter into an agreement with a State for the provision of hospital services by the State to eligible persons.

(2) An agreement referred to in sub-section (1) shall be substantially in accordance with the Heads of Agreement specified in Schedule 2 but may include provisions with respect to other matters.

(3) An agreement under this section shall not operate with respect to a period before a date to be fixed by Proclamation for the purposes of this section.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 31.
Daily bed payments to recognized hospitals.

31. (1) For the purposes of an agreement with a State or for the purposes of section 32, a daily bed payment, in relation to a recognized hospital, is a payment of $16 for each approved bed in the hospital for each day on which the bed is occupied by an eligible person who is an in-patient of the hospital.

(2) For the purposes of sub-section (1), a person shall be deemed not to occupy a bed on the day of his discharge from a hospital unless that day is also the day of his admission to the hospital.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 32.
Payments to recognized hospitals in internal Territories.

32. (1) The Minister may approve such hospitals in an internal Territory as he thinks fit as recognized hospitals for the purposes of this section.

(2) On and after the date fixed for the purposes of section 30, there is payable by Australia to each recognized hospital in an internal Territory daily bed payments in accordance with section 31.

(3) On and after the date fixed for the purposes of section 30, there is payable by Australia, in respect of each financial year or such other period as the Minister fixes, to each recognized hospital in an internal Territory, in addition to the daily bed payments under sub-section (2) in respect of that financial year or other period, an amount equal to the amount by which the aggregate of those daily bed payments is less than an amount equal to 50 per centum of the net operating costs of that hospital in respect of that financial year or other period.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 33.
Daily bed payments to private hospitals.

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33. (1) On and after the date fixed for the purposes of section 30, there is payable by Australia to a private hospital in a State that is a party to an agreement or in an internal Territory a daily bed payment of $16 for each approved bed in the hospital for each day on which the bed is occupied by an eligible person who is an in-patient at the hospital.

(2) Where the charge made by a hospital referred to in sub-section (1) in respect of the occupancy for a day of an approved bed in the hospital (other than a bed that is an approved bed for the purposes of section 34) is less than the amount of the daily bed payment specified in that sub-section, the daily bed payment in respect of that bed for that day shall not exceed the amount of that charge.

(3) Where the average cost to a hospital referred to in sub-section (1) of maintaining an approved bed in the hospital (other than a bed that is an approved bed for the purposes of section 34) for a day is less than the amount of the daily bed payment specified in that sub-section, the daily bed payment in respect of each approved bed in that hospital (other than a bed that is an approved bed for the purposes of section 34) for that day shall not exceed the amount of that average cost.

(4) For the purposes of this section, a person shall be deemed not to occupy a bed on the day of his discharge from a hospital unless that day is also the day of his admission to the hospital.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 34.
Supplementary daily bed payments to private hospitals.

34. (1) This section applies to an organization that-

(a) is carried on otherwise than for the purpose of profit or gain to its individual members; and

(b) is-

(i) a religious organization;
(ii) an organization the principal objects or purposes of which are charitable or benevolent; or

(iii) an organization approved by the Minister for the purposes of this section.

(2) An organization to which this section applies may make application to the Minister, in accordance with the prescribed form, for approval to provide care and treatment without charge for eligible persons as hospital patients at a hospital (other than a recognized hospital) controlled by the organization, being a hospital in a State that is a party to an agreement or in an internal Territory.

(3) Where the Minister approves an application under sub-section (2), he shall determine the number of beds at the hospital to which the approval relates.

(4) There is payable by Australia to an organization to which this section applies a supplementary daily bed payment, at a rate fixed by the Minister, for each approved bed in a hospital controlled by the organization to which an approval under this section relates for each day on which the bed is occupied without charge by an eligible person who is a hospital patient at the hospital.

(5) A supplementary daily bed payment under sub-section (4) is not payable in respect of any period before the date fixed for the purposes of section 30.

(6) For the purposes of sub-section (4), a person shall be deemed not to occupy a bed on the day of his discharge from a hospital unless that day is also the day of his admission to the hospital.

(7) In fixing a rate for the purposes of sub-section (4), the Minister shall have regard to the loss of revenue of, and any increased cost to, the organization resulting from the provision of care and treatment without charge to eligible persons who are hospital patients occupying approved beds at the hospital.

(8) A supplementary daily bed payment under this section is payable in addition to a daily bed payment under section 33.

(9) Nothing in this section entitles an eligible person to admission as a hospital patient to a hospital controlled by an organization to which an approval under this section relates.

(10) In this section, "approved bed", in relation to a hospital, means a bed included in the number of beds at the hospital to which the approval under this section relates.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 35.
Claims by proprietors of private hospitals.

35. A claim for a payment under this Part in respect of a private hospital-

(a) shall be made in accordance with the prescribed form to the Commission;

(b) shall relate to such period, and shall be submitted at such time, as the Commission determines; and


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(c) shall be accompanied by such information relating to the claim as is shown in the prescribed form to be required or as the Minister determines.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 36.
Power to call for returns from proprietors of private hospitals.

36. The Minister may, by notice in writing, require the proprietor of a private hospital to furnish to him, within the time specified in the notice, such return or information in relation to matters relevant to the occupation of approved beds in the hospital as is specified in the notice, including a return or information verified by statutory declaration.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 37.
Access to premises.

37. (1) An authorized person may, with the consent of the occupier of any premises, enter the premises for the purpose of exercising the functions of an authorized person under this section.

(2) Where-

(a) an occupier of premises has refused consent to the entry, at a reasonable time, on the premises, of an authorized person; and

(b) an authorized person has reason to believe that there are on the premises books, documents or papers relating to the occupation of approved beds in a hospital,
the authorized person may, within one month of the refusal, make application to a Magistrate for a warrant authorizing the authorized person who makes the application to enter the premises for the purpose of exercising the functions of an authorized person under this section.

(3) If, on an application under sub-section (2), the Magistrate is satisfied, by information on oath-

(a) that there is reasonable ground for believing that there are on the premises to which the application relates any books, documents or papers relating to the occupation of approved beds in a hospital; and

(b) that the issue of a warrant is reasonably required for the purposes of this Act,
the Magistrate may grant a warrant, in accordance with the prescribed form, authorizing the authorized person, with such assistance as he thinks necessary, to enter the premises, during such hours of the day or night as the warrant specifies or, if the warrant so specifies, at any time, if necessary by force, for the purpose of exercising the functions of an authorized person under this section.

(4) Where an authorized person has entered any premises in pursuance of sub-section (1) or in pursuance of a warrant granted under sub-section (3), he may exercise the functions of an authorized person under this section.

(5) A person shall not, without reasonable excuse, obstruct or hinder an authorized person acting in pursuance of a warrant under sub-section (3) or in pursuance of sub-section (4).

Penalty: $200.

(6) The functions of an authorized person under this section are to search for, inspect, take extracts from, or make copies of, any books, documents or papers relating to the occupation of approved beds in a hospital.

(7) In this section-

"authorized person" means a person authorized, in writing, by the Minister for the purposes of this section;

"occupier", in relation to premises, includes the person in charge of the premises.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 38.
Advances.

38. (1) The Minister may direct the Commission to make such advances in respect of amounts that may become payable under this Part as the Minister determines.

(2) Advances under sub-section (1) may be made subject to such conditions as the Minister determines.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 39.
Definitions.

PART IV-HEALTH PROGRAM GRANTS
39. In this Part, unless the contrary intention appears-

"approved health service" means a health service in respect of which an approval is in force under section 41;

"approved organization" means an organization in respect of which an approval is in force under section 40.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 40.
Approval of organizations.

40. (1) An organization may apply, in accordance with the prescribed form, to the Minister for approval as an organization under this Part.

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(2) The Minister may require an organization that makes an application under sub-section (1) to furnish to him such further information in relation to the organization as the Minister requires.

(3) The Minister may approve an organization to which an application under sub-section (1) relates and, if he does so, he shall, in the instrument of approval, fix a date (which may be a date earlier than the date of the approval) on and from which the approval has effect.

(4) An organization that was, immediately before this Act receives the Royal Assent, entitled, by virtue of an authorization under section 25 of the National Health Act 1953-1973, to payments under that section shall, on the day on which this Act receives the Royal Assent, be deemed to have been approved by the Minister under sub-section (3), but that approval may be revoked by the Minister at any time.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 41.
Approval of health services.

41. (1) An approved organization may apply, in accordance with the prescribed form, to the Minister for approval of a health service provided, or to be provided, by the organization.

(2) The Minister may require an organization that makes an application under sub-section (1) to furnish to him such further information in relation to the health service to which the application relates as he requires.

(3) The Minister may approve a health service to which an application under sub-section (1) relates and, if he does so, he shall, in the instrument of approval, fix a date (which may be a date earlier than the date of the approval) on and from which the approval has effect.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 42.
Entitlement to health program grant.

42. Subject to this Part, an approved organization is entitled to be paid an amount equal to the costs incurred by the organization in providing, on or after a date to be fixed by Proclamation for the purposes of this section, an approved health service (including such part of the management expenses of the organization as the Minister considers to be attributable to the provision of the health service) or such proportion of those costs as the Minister determines from time to time.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 43.
Conditions of payment of grant.

43. (1) A payment (including an advance) under this Part to an approved organization may be made subject to such conditions as the Minister determines, including conditions relating to the terms and conditions in accordance with which the services of practitioners providing the approved health service to which the payment relates are made available to the organization.

(2) If a condition subject to which a payment (including an advance) under this Part has been made is not complied with by an approved organization, the Minister may direct that the whole or a part of that payment be recovered from the organization and, on the service by post on that organization of a copy of that direction, the amount specified in the direction is recoverable by Australia from that organization as a debt due to Australia.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 44.
Minister to consult with Commission.

44. Before giving an approval under section 40 or 41 or making a determination under section 42 or 43, the Minister shall consult with the Australian Hospitals and Health Services Commission on the matter and shall have regard to any recommendation made to him by that Commission.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 45.
Claims for health program grants.

45. (1) A claim for a payment under this Part shall be submitted to the Commission in accordance with such form, and at such times, as the Minister directs.

(2) Where a claim has been made under sub-section (1), the Minister may require the organization that made the claim to furnish to the Minister such further information in relation to the claim as the Minister requires.

(3) Where the Minister considers that the management expenses of an approved organization that are attributable to the provision of an approved health service are excessive, he may direct that such part only of those expenses as he directs shall be taken into account in ascertaining the amount that the organization is entitled to be paid under this Part in respect of the provision of that health service.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 46.
Advances.

46. (1) The Minister may direct the Commission to make such advances in respect of amounts that may become payable under this Part as the Minister determines.

(2) Advances under sub-section (1) may be made subject to such conditions as the Minister determines.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 47.
Definitions.

PART V-COMMITTEES AND REVIEW TRIBUNALS
Division 1-Specialist Recognition Advisory Committees and the Specialist
Recognition Appeal Committee

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47. In this Division, unless the contrary intention appears-

"Committee" means a Specialist Recognition Advisory Committee or the Specialist Recognition Appeal Committee;

"member" means a member of a Committee, and includes a person appointed under section 53 to act in the place of a member.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 48.
Establishment of Specialist Recognition Advisory Committees.

48. (1) The Minister shall establish for-

(a) each State;

(b) the Australian Capital Territory; and

(c) the Northern Territory,
a Specialist Recognition Advisory Committee.

(2) Each Specialist Recognition Advisory Committee shall consist of five medical practitioners appointed by the Minister in accordance with section 50.

(3) The exercise or performance of the powers or functions of a Specialist Recognition Advisory Committee is not affected by reason only of there being a vacancy or vacancies in the membership of the Committee.

(4) A member of a Specialist Recognition Advisory Committee holds office for a period of 3 years.

(5) A member of the Specialist Recognition Appeal Committee is not eligible to be appointed under this section to a Specialist Recognition Advisory Committee.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 49.
Establishment of Specialist Recognition Appeal Committee.

49. (1) There shall be a Specialist Recognition Appeal Committee, which shall consist of five medical practitioners appointed by the Minister in accordance with section 50.

(2) The exercise or performance of the powers or functions of the Specialist Recognition Appeal Committee is not affected by reason only of there being a vacancy or vacancies in the membership of the Committee.

(3) A member of the Specialist Recognition Appeal Committee holds office for a period of 3 years.

(4) A member of a Specialist Recognition Advisory Committee is not eligible to be appointed under this section to the Specialist Recognition Appeal Committee.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 50.
Panels for appointments to Committees.

50. (1) Before making appointments to a Committee, the Minister shall request each of the following bodies to nominate a panel of not less than three medical practitioners for consideration for appointment to the Committee:-

(a) the Australian Medical Association;

(b) the Royal Australasian College of Surgeons;

(c) the Royal Australasian College of Physicians;

(d) the Australian Council of the Royal College of Obstetricians and Gynaecologists; and

(e) the Royal Australian College of General Practitioners.

(2) When, in accordance with a request under sub-section (1), each of the bodies referred to in that sub-section has nominated a panel of medical practitioners for consideration for appointment to a Committee, the Minister shall appoint to the Committee one medical practitioner from each of the panels.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 51.
Members of Committees under the National Health Act may be deemed to be members of Committees under this Division.

51. (1) The Minister may direct that a person who is a member of a Specialist Recognition Advisory Committee for a State or Territory under the National Health Act 1953-1973 shall be deemed to be a member of the Specialist Recognition Advisory Committee for that State or Territory under this Act during such period, not being a period that ends after the expiration of the period for which the person was appointed under that Act as a member of that first-mentioned Committee, as the Minister specifies in the direction.

(2) The Minister may direct that a person who is a member of the Specialist Recognition Appeal Committee under the National Health Act 1953-1973 shall be deemed to be a member of the Specialist Recognition Appeal Committee under this Act during such period, not being a period that ends after the expiration of the period for which the person was appointed under that Act as a member of that first-mentioned Committee, as the Minister specifies in the direction.

(3) Sections 54 and 55 apply in relation to a person referred to in

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sub-section (1) or (2) as if that person had been appointed a member of the relevant Committee under section 48 or 49.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 52.
Election of Chairman of Committee.

52. (1) The Minister shall convene a meeting of a Committee for the purpose of electing one of the members to be the Chairman of the Committee.

(2) Whenever a vacancy occurs in the office of Chairman of a Committee, the Minister shall convene a meeting of the Committee for the purpose of electing one of the members to be the new Chairman.

(3) The Minister shall appoint one of the members of a Committee to preside at a meeting of the Committee under this section.

(4) The quorum for a meeting of a Committee under this section is three members of the Committee.

(5) The election of a Chairman of a Committee at a meeting under this section shall be made by a majority of votes of the members of the Committee present and voting.

(6) In the event of an equality of votes on a question before a meeting of a Committee under this section, the member of the Committee presiding at the meeting shall adjourn the meeting until a time and place to be fixed by the Minister.

(7) A member of a Committee elected as a Chairman of the Committee holds that office until the expiration of the period of his appointment as a member of the Committee or, if he earlier ceases to be such a member, until he so ceases.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 53.
Appointment of persons to act in place of member.

53. (1) Subject to sub-section (2), the Minister may, if he becomes aware that a member of a Committee will be unable to attend a meeting or meetings of the Committee, appoint a person to act in the place of that member at the meeting or meetings that the member will be unable to attend.

(2) Before making an appointment under sub-section (1), the Minister shall consult with the body that nominated the panel from which the absent member was appointed.

(3) A person appointed to act in the place of a member of a Committee who is the Chairman of the Committee is not entitled to act as the Chairman of the Committee.

(4) The Minister may, at any time, terminate an appointment made by him under this section.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 54.
Termination of appointment.

54. The Minister may terminate the appointment of a member for misbehaviour or physical or mental incapacity.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 55.
Resignation.

55. A member may resign his office by writing under his hand delivered to the Minister.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 56.
Appointment to vacant office.

56. Where a vacancy occurs in the office of a member, the Minister shall request the body by whom the member was nominated to nominate a panel of not less than three medical practitioners for consideration for appointment to that office, and the Minister shall appoint one of those medical practitioners to that office.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 57.
Irregularities in nomination of members.

57. The validity of the appointment of a member from a panel of persons nominated under section 50 or 56 shall not be called into question by reason only of a defect or irregularity in connexion with the nomination of persons to that panel.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 58.
Remuneration and allowances.

58. (1) A member shall be paid such remuneration as the Parliament fixes but, until 1 January 1975, he shall be paid such remuneration as is prescribed.

(2) A member shall be paid such allowances (not including an annual allowance) as are prescribed.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 59.
Meetings of Committees.

59. (1) The Chairman of a Committee shall convene such meetings of the Committee as are necessary for the efficient conduct of its affairs.

(2) The Chairman of a Committee shall preside at all meetings of the Committee at which he is present.

(3) In the event of the absence of the Chairman of a Committee from a meeting of the Committee, the members present shall elect one of their number to preside at that meeting and the member so elected shall preside accordingly.

(4) The quorum for a meeting of a Committee is three members of the Committee.

(5) A question arising at a meeting of a Committee shall be decided by a majority of the votes of the members of the Committee present and voting and,

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for that purpose, the member presiding shall have a deliberative vote only.

(6) In the event of an equality of votes on a question before a meeting of a Committee, the question shall be deemed to be unresolved and the member presiding may direct that the question be reconsidered at a time and place fixed by him.

(7) In this section, "meeting" does not include a meeting under section 52.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 60.
Proceedings at meetings.

60. (1) Subject to this Act and the regulations, a Committee may regulate and conduct proceedings at its meetings as it thinks fit.

(2) The meetings of a Committee shall be held in private.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 61.
Recognition of consultant physician, &c.

61. (1) The Minister may refer to a Specialist Recognition Advisory Committee the question whether a particular medical practitioner who is resident, or practises medicine, in the State or Territory for which the Committee is established should, having regard to his qualifications, experience and standing in the medical profession and the nature of his practice, be recognized for the purposes of this Act as a consultant physician, or as a specialist, in a particular specialty in respect of that State or Territory.

(2) A Committee shall consider a question referred to it under sub-section (1) and may submit to the Minister-

(a) a recommendation that the medical practitioner to whom the question relates is to be recognized as a consultant physician, or as a specialist, in the specialty concerned; or

(b) a recommendation that the medical practitoner to whom the question relates is not to be recognized as a consultant physician, or as a specialist, in the specialty concerned.

(3) Subject to sub-section (4), on the receipt of a recommendation under sub-section (2), the Minister shall make a determination, for the purposes of this Act, giving effect to the recommendation.

(4) Where-

(a) a recommendation under sub-section (2) is that a medical practitioner is not to be recognized as a consultant physician, or as a specialist, in a specialty; and

(b) the specialty is one in respect of which he is registered as a consultant physician or as a specialist, as the case may be, under the law of the State or Territory for which the Committee is established,
the Minister shall not make a determination giving effect to that recommendation.

(5) Where the Minister makes a determination under sub-section (3), he shall-

(a) notify the Commission, in writing, accordingly; and

(b) where the determination is that the medical practitioner is not to be recognized-notify the medical practitioner, in writing, accordingly.

(6) A determination under sub-section (3) ceases to have effect when the medical practitioner to whom the determinaton relates ceases to be resident or to practise medicine, as the case may be, in the State or Territory for which the Committee is established.

(7) Nothing in this section prevents the recognition, for the purposes of this Act, as a consultant physician, or as a specialist, in a specialty, of a medical practitioner in relation to whom no determination under this section is in force.

(8) A determination of the Minister that a medical practitioner is not to be recognized as a consultant physician, or as a specialist, in a specialty does not affect entitlement to medical benefit in respect of a professional service rendered before the date of the determination.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 62.
Appeal against refusal of recognition as consultant physician, &c.

62. (1) Where the Minister notifies a medical practitioner that the Minister has determined that the medical practitioner is not to be recognized, for the purposes of this Act, as a consultant physician, or as a specialist, in a specialty, the medical practitioner may, within 1 month after the receipt of that notification, lodge notice of appeal with the Specialist Recognition Appeal Committee and may accompany the notice with a statement of the case in support of the appeal.

(2) The Committee shall consider an appeal so lodged and, if the Committee is of the opinion that the appeal should be allowed, the Committee shall allow the appeal, but otherwise shall dismiss the appeal.

(3) Where the Committee allows or dismisses an appeal, it shall notify the appellant and the Minister, in writing, accordingly.

(4) Where the Committee allows an appeal, the Minister shall make the appropriate determination in relation to the appellant.

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HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 63.
Committee may inform itself in any manner

63. For the purposes of the consideration of any matter the subject of a reference or an appeal, a Committee may inform itself in such manner as it thinks fit.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 64.
Chairman may engage consultants.

64. With the approval of the Minister, the Chairman of a Committee may, on behalf of Australia, engage as consultants to the Committee persons having suitable qualifications and experience.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 65.
Definitions.

Division 2-Medical Benefits Advisory Committee
65. In this Division, unless the contrary intention appears-

"Chairman" means the Chairman of the Committee;

"Committee" means the Medical Benefits Advisory Committee;

"Deputy Chairman" means the Deputy Chairman of the Committee;

"member" means a member of the Committee, and includes a person appointed under section 70 to act in the place of a member;

"reference" means a reference to the Committee under section 67.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 66.
Establishment of Medical Benefits Advisory Committee.

66. (1) The Minister may establish a Medical Benefits Advisory Committee consisting of eight members, including at least five medical practitioners.

(2) The members of the Committee shall be appointed by the Minister and four of the members who are required to be medical practitioners shall be so appointed after consultation by the Minister with the Australian Medical Association or such other associations or colleges of medical practitioners as the Minister considers appropriate.

(3) Subject to this Act, each member holds office for such period as is specified by the Minister in the instrument of his appointment and is eligible for re-appointment.

(4) An act or decision of the Committee is not affected by reason only of there being a vacancy or vacancies in the membership of the Committee.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 67.
Functions of Committee.

67. (1) The functions of the Committee are-

(a) in pursuance of a reference to it by the Minister, to consider-

(i) in what manner, and to what extent, a particular treatment or combination of treatments should be specified in an item or items and the appropriate fee or fees that should be specified in that item or those items; or

(ii) whether the scope of, or the amount of the fee set out in, an item is anomalous, having regard to the other items,

and to make recommendations, in writing, to the Minister arising out of that consideration; and

(b) in pursuance of a reference to it by the Commission under section 11, to determine whether a fee with respect to a professional service should be increased for the purposes of a particular claim and, if it is to be so increased, to formulate the principles to be followed in fixing the increased fee, and to make recommendations, in writing, to the Commission accordingly; and

(c) in pursuance of a reference to it by the Minister under section 12, to determine whether an appeal under that section should be allowed or dismissed and, if the appeal is to be allowed, to determine the amount of the increased fee to be fixed with respect to the professional service concerned and, if the Committee thinks fit, to formulate the principles followed by the Committee in fixing that increased fee.

(2) In this section, "treatment" means a medical, surgical, obstetric or dental treatment.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 68.
Election of Chairman and Deputy Chairman.

68. (1) The Minister shall convene a meeting of the Committee for the purpose of electing one of the members to be the Chairman and another of the members to be the Deputy Chairman.

(2) Whenever a vacancy occurs in the office of Chairman or Deputy Chairman, the Minister shall convene a meeting of the Committee for the purpose of electing one of the members to be the new Chairman or Deputy Chairman.

(3) The Minister shall appoint one of the members to preside at a meeting

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convened under this section.

(4) The quorum for a meeting under this section is five members, including three medical practitioners.

(5) The election of a Chairman or Deputy Chairman at a meeting convened under this section shall be made by a majority of votes of the members present and voting.

(6) In the event of an equality of votes on a question before a meeting convened under this section, the member presiding at the meeting shall adjourn the meeting until a time and place to be fixed by the Minister.

(7) The member elected as the Chairman or the Deputy Chairman holds that office until the expiration of the period of his appointment as a member or, if he earlier ceases to be a member, until he so ceases.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 69.
Exercise of powers and functions of Chairman by Deputy Chairman.

69. The Deputy Chairman may, during any period when the Chairman is absent from duty or absent from Australia or, for any other reason, is unable to perform the duties of his office, exercise the powers of the Chairman.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 70.
Apointment of person to act in place of member.

70. (1) Subject to sub-section (2), the Minister may, if he becomes aware that a member will be unable to attend a meeting or meetings of the Committee, appoint a person to act in the place of that member at the meeting or meetings that the member will be unable to attend.

(2) A person appointed to act in the place of a member who is a medical practitioner shall himself be a medical practitioner.

(3) A person appointed to act in the place of a member who is the Chairman or the Deputy Chairman is not entitled to act as the Chairman or the Deputy Chairman, as the case may be.

(4) The Minister may, at any time, terminate an appointment made by him under this section.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 71.
Termination of appointment.

71. The Minister may terminate the appointment of a member for misbehaviour or physical or mental incapacity.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 72.
Resignation of members.

72. A member may resign his office by writing under his hand delivered to the Minister.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 73.
Appointment to vacant office.

73. (1) Subject to sub-section (2), where a vacancy occurs in the office of a member, the Minister may appoint a person to that office.

(2) Where an office referred to in sub-section (1) was occupied by a medical practitioner who had been appointed after a consultation referred to in sub-section 66 (2), the Minister shall appoint a medical practitioner to that office and, before making that appointment, shall consult the Australian Medical Association or such other associations or colleges of medical practitioners as he considers appropriate.

(3) Subject to this Act, a member appointed under this section holds office for such period as is specified by the Minister in the instrument of his appointment and is eligible for re-appointment.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 74.
Remuneration and allowances.

74. (1) A member shall be paid such remuneration as the Parliament fixes but, until 1 January 1975, shall be paid such remuneration as is prescribed.

(2) A member shall be paid such allowances (not including an annual allowance) as are prescribed.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 75.
Meetings of Committee.

75. (1) The Chairman shall convene such meetings of the Committee as are necessary for the efficient conduct of its affairs.

(2) The Chairman shall preside at all meetings of the Committee at which he is present.

(3) In the event of the absence of the Chairman from a meeting the Deputy Chairman shall preside at that meeting.

(4) In the event of the absence of the Chairman and of the Deputy Chairman from a meeting, the members present shall elect one of their number to preside at that meeting.

(5) The quorum for a meeting shall be five members including three medical practitioners.

(6) A question arising at a meeting of the Committee shall be decided by a majority of the votes of the members present and voting and, for that purpose, the member presiding shall have a deliberative vote only.

(7) In the event of an equality of votes on a question before a meeting of the Committee, the question shall be deemed to be unresolved and the member presiding may direct that the question be reconsidered at a time and place fixed by him.

(8) In this section, "meeting" does not include a meeting under section 68.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 76.
Proceedings at meetings.

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76. (1) Subject to this Act and the regulations, the Committee may regulate the proceedings at its meetings as it thinks fit.

(2) The meetings of the Committee shall be held in private.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 77.
Committee may inform itself in any manner.

77. For the purposes of the consideration of any matter the subject of a reference, the Committee may inform itself in such manner as it thinks fit.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 78.
Chairman may engage consultants.

78. With the approval of the Minister, the Chairman may, on behalf of Australia, engage as consultants to the Committee persons having suitable qualifications and experience.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 79.
PART II-ESTABLISHMENT AND FUNCTIONS OF INSTITUTE

Division 3-Medical Services Committees of Inquiry
Interpretation.
79. (1) In this Division, unless the contrary intention appears-

"Chairman" means the Chairman of a Committee;

"Committee" means a Medical Services Committee of Inquiry;

"Deputy Chairman" means the Deputy Chairman of a Committee;

"excessive services" means professional services, being services in respect of which medical benefit has become or may become payable, that are not reasonably necessary for the adequate medical care of the patient;

"hearing" means a hearing conducted under section 94;

"member" means a member of a Committee, and includes a person appointed under section 85 to act in the place of a member;

"reference" means a reference by the Minister to a Committee under section 82.

(2) For the purposes of this Division-

(a) the Australian Capital Territory shall be deemed to be part of the State of New South Wales; and

(b) the Northern Territory shall be deemed to be part of the State of South Australia.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 80.
Establishment of Medical Services Committees of Inquiry.

80. (1) The Minister shall establish for each State a Committee to be called a Medical Services Committee of Inquiry for that State and may establish two or more such Committees for a State.

(2) Each Committee shall consist of five medical practitioners.

(3) The members of each Committee shall be appointed by the Minister and four of them shall be so appointed after consultation by the Minister with the Australian Medical Association or such other associations or colleges of medical practitioners as the Minister considers appropriate.

(4) Subject to this Act, each member holds office for such period as is specified by the Minister in the instrument of his appointment and is eligible for re-appointment.

(5) An act or decision of a Committee is not affected by reason only of there being a vacancy or vacancies in the membership of the Committee.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 81.
Members of Committees under the National Health Act may be deemed to be members of Committees under this Division.

81. (1) The Minister may direct that a person who is a member of a Medical Services Committee of Inquiry for a State under the National Health Act 1953-1973 shall be deemed to be a member of the Medical Services Committee of Inquiry for that State under this Act during such period, not being a period that ends after the expiration of the period for which the person was appointed under that Act as a member of that first-mentioned Committee, as the Minister specifies in the direction.

(2) Sections 86 and 87 apply in relation to a person referred to in sub-section (1) as if that person had been appointed a member of the relevant Committee under section 80.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 82.
Function of Committees.

82. (1) A Committee shall inquire into, and report to the Minister on, any matter referred to the Committee by the Minister, being a matter that is relevant to the operation or administration of this Act and arises out of or relates to-

(a) the rendering, on or after the date fixed for the purposes of section 10, in the State for which the Committee is established, of professional services to eligible pensioners or dependants of eligible pensioners; or

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(b) the rendering, on or after that date, in the State for which the Committee is established, of such other professional services as are prescribed.

(2) Before making any regulations for the purposes of paragraph (1) (b), the Governor-General shall take into consideration any recommendation with respect to the matters to be prescribed made to the Minister by the Australian Medical Association.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 83.
Election of Chairman and Deputy Chairman.

83. (1) The Minister shall convene a meeting of each Committee for the purpose of electing one of the members of the Committee to be the Chairman of the Committee and another of the members to be the Deputy Chairman of the Committee.

(2) Whenever a vacancy occurs in the office of Chairman of a Committee or Deputy Chairman of a Committee, the Minister shall convene a meeting of the Committee for the purpose of electing one of the members to be the new Chairman or Deputy Chairman.

(3) The Minister shall appoint one of the members of a Committee to preside at a meeting of the Committee convened under this section.

(4) The quorum for a meeting of a Committee under this section is three members of the Committee.

(5) The election of a Chairman of a Committee or Deputy Chairman of a Committee at a meeting convened under this section shall be made by a majority of votes of the members of the Committee present and voting.

(6) In the event of an equality of votes on a question before a meeting of a Committee convened under this section, the member of the Committee presiding at the meeting shall adjourn the meeting until a time and place to be fixed by the Minister.

(7) A member of a Committee elected as the Chairman of the Committee or the Deputy Chairman of the Committee holds that office until the expiration of the period of his appointment as a member of the Committee or, if he earlier ceases to be such a member, until he so ceases.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 84.
Exercise of powers and functions of Chairman by Deputy Chairman.

84. The Deputy Chairman of a Committee may, during any period when the Chairman of the Committee is absent from duty or absent from Australia or, for any other reason, is unable to perform the duties of his office, exercise the powers of the Chairman of the Committee.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 85.
Appointment of person to act in place of member.

85. (1) Subject to sub-section (2), the Minister may, if he becomes aware that a member of a Committee will be unable to attend a meeting or meetings of the Committee, appoint a medical practitioner to act in the place of that member at the meeting or meetings that the member will be unable to attend.

(2) A person appointed to act in the place of a member who is the Chairman or the Deputy Chairman is not entitled to act as the Chairman or the Deputy Chairman, as the case may be.

(3) The Minister may, at any time, terminate an appointment made by him under this section.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 86.
Termination of appointment.

86. The Minister may terminate the appointment of a member for misbehaviour or physical or mental incapacity.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 87.
Resignation.

87. A member may resign his office by writing under his hand delivered to the Minister.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 88.
Appointment to vacant office.

88. (1) Subject to sub-section (2), where a vacancy occurs in the office of a member, the Minister may appoint a person to that office.

(2) Where an office referred to in sub-section (1) was occupied by a medical practitioner who had been appointed after a consultation referred to in sub-section 80 (3), the Minister shall appoint a medical practitioner to that office and, before making that appointment, shall consult the Australian Medical Association or such other associations or colleges of medical practitioners as he considers appropriate.

(3) Subject to this Act, a member appointed under this section holds office for such period as is specified by the Minister in the instrument of his appointment and is eligible for re-appointment.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 89.
Remuneration and allowances.

89. (1) A member shall be paid such remuneration as the Parliament fixes but, until 1 January 1975, shall be paid such remuneration as is prescribed.

(2) A member shall be paid such allowances (not including an annual allowance) as are prescribed.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 90.
Meetings of Committee.

90. (1) The Chairman of a Committee shall convene such meetings of the
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Committee as are necessary for the efficient conduct of its affairs.

(2) The Chairman of a Committee shall preside at all meetings of the Committee at which he is present.

(3) In the event of the absence of the Chairman from a meeting of a Committee the Deputy Chairman of that Committee shall preside at that meeting.

(4) In the event of the absence of the Chairman and of the Deputy Chairman from a meeting of a Committee, the members present shall elect one of their number to preside at that meeting.

(5) The quorum for a meeting of a Committee is three members.

(6) A question arising at a meeting of a Committee shall be decided by a majority of the votes of the members present and voting and, for that purpose, the member presiding shall have a deliberative vote only.

(7) In the event of an equality of votes on a question before a meeting of a Committee, the question shall be deemed to be unresolved and the member presiding may direct that the question be reconsidered at a time and place fixed by him.

(8) In this section, "meeting" does not include a meeting under section 83.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 91.
Proceedings at meetings.

91. (1) Subject to this Act and the regulations, a Committee may regulate the proceedings at its meetings as it thinks fit.

(2) The meetings of a Committee shall be held in private.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 92.
Committee may inform itself in any manner.

92. Subject to section 94, the Committee may, for the purpose of its inquiry into a matter the subject of a reference, inform itself in such manner as it thinks fit.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 93.
Chairman may engage consultants.

93. With the approval of the Minister, the Chairman of a Committee may, on behalf of Australia, engage as consultants to the Committee persons having suitable qualifications and experience.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 94.
Hearing by Committee.

94. Where, after consideration of a matter referred to a Committee by the Minister and of any documents that accompany the reference supplied by the Minister, it appears to the Committee that a practitioner may have rendered excessive services, the Committee shall conduct a hearing into the question whether the practitioner has rendered excessive services.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 95.
Notice to practitioner of hearing.

95. (1) A Committee shall cause a notice in writing of the time and place of a proposed hearing to be given to the practitioner, or to each of the practitioners, concerned at least 10 days before the date of the proposed hearing.

(2) A notice under sub-section (1) shall give particulars of the alleged conduct to which the hearing relates.

(3) A notice under sub-section (1) may be served on a person either personally or by post.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 96.
Rights of practitioner at hearing.

96. Where a notice has been served on a practitioner under section 95-

(a) the practitioner may appear in person, or may be represented by another person, at the hearing to which the notice relates; and

(b) if the practitioner appears, or is represented, at the hearing, he or his representative shall be given the opportunity to give evidence, or to call witnesses, on behalf of the practitioner, to examine other witnesses appearing at the hearing and to address the Committee.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 97.
Conduct of hearing.

97. (1) A hearing shall be held in private.

(2) At a hearing, the Chairman or, in the absence of the Chairman, the Deputy Chairman or, in the absence of the Chairman and the Deputy Chairman, the member appointed for the purpose by the Committee shall preside.

(3) The rules of evidence do not apply in relation to a hearing and the procedure for conducting the hearing is, subject to this Act and the regulations, within the discretion of the member presiding.

(4) Where a document, book or writing is produced at a hearing-

(a) a member may inspect the document, book or writing;

(b) the member presiding at the hearing may retain the document, book or writing in his possession for such reasonable period as he thinks fit; and

(c) where the document, book or writing is so retained, a member may make copies of, or take extracts from, that document, book or writing.

(5) The member presiding at a hearing may adjourn the hearing from time to

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time as he thinks fit.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 98.
Evidence at hearing.

98. Evidence at a hearing shall be taken on oath or affirmation and, for the purposes of this Act, any member may administer an oath or affirmation.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 99.
Summons to give evidence, &c.

99. (1) For the purposes of this Act, a member may, by writing under his hand, summon a person to appear at a hearing to give evidence and to produce such document, book or writing as is referred to in the summons.

(2) A summons under sub-section (1) may be served on the person concerned personally or by post.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 100.
Allowances for witnesses at hearing.

100. A person appearing as a witness at a hearing, whether summoned under section 99 or not, shall be paid by Australia such allowances for expenses in respect of his attendance before the Committee as are prescribed.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 101.
Failure to attend.

101. A person served with a summons to appear at a hearing shall not fail, without reasonable excuse, so to appear.

Penalty: $200.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 102.
Refusal to be sworn or give evidence.

102. (1) A person appearing as a witness at a hearing (whether summoned to appear or not) shall not, without reasonable excuse-

(a) refuse or fail to be sworn or to make an affirmation;

(b) refuse or fail to answer a question that he is required by a member to answer; or

(c) refuse or fail to produce a document, book or writing that he is required under this Act to produce.

Penalty: $200.

(2) A statement or disclosure made by a witness at a hearing is not admissible in evidence against him in civil or criminal proceedings in a court except in a prosecution for giving false testimony at the hearing.

(3) It is a defence in proceedings for an offence of refusing or failing, without reasonable excuse, to produce a document, book or writing at a hearing if it is proved that the document, book or writing was not relevant to the subject matter of the hearing.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 103.
Protection of members' representatives and witnesses at hearing.

103. (1) A member has, in the performance of his duties, the same protection and immunity as a Justice of the High Court.

(2) A person appearing at a hearing on behalf of another person has the same protection and immunity as a barrister has in appearing for a party in proceedings in the High Court.

(3) A person appearing at a hearing as a witness has the same protection, and is, in addition to the penalties provided by this Act, subject to the same liabilities, as a witness in proceedings in the High Court.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 104.
Report by Committee.

104. (1) After completion by a committee of a hearing under section 94 in relation to a practitioner, the Committee shall report to the Minister its opinion on the question whether the practitioner has rendered excessive services and, if the Committee is of opinion that the practitioner has rendered excessive services, the report shall identify the excessive services.

(2) Where, under sub-section (1), the Committee reports that it is of opinion that a practitioner has rendered excessive services, the Committee shall send to the Minister with the report a transcript of the proceedings at the hearing, and shall return any documents that accompanied the reference.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 105.
Recommendation by Committee.

105. Where-

(a) a Committee has, in a report under section 104, expressed the opinion that a practitioner has rendered excessive services, and has identified those services; and

(b) medical benefit is payable, or has been paid, whether to the practitioner or to another person in respect of any of those services,
the Committee may recommend in that report that-

(c) where the medical benefit is payable, but has not been paid, to the practitioner-the medical benefit or a specified part of the medical benefit
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cease to be payable; or

(d) where the medical benefit has been paid to the practitioner, or has been paid or is payable to another person-the amount of the medical benefit be payable to Australia by the practitioner.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 106.
Determination by Minister.

106. (1) Where a Committee makes a recommendation in accordance with section 105, the Minister may make a determination, in writing, in accordance with that recommendation.

(2) Where the Minister makes a determination under sub-section (1), he shall serve on the practitioner, either personally or by post, a notification in writing setting out the determination.

(3) Where the Minister makes a determination under sub-section (1), then-

(a) if no request for review of the determination under Division 4 is lodged within the period allowed for such a request-the determination takes effect at the expiration of that period;

(b) if a request for review of the determination under Division 4 is lodged within the period allowed for such a request-then-

(i) if the determination is disallowed on the review-the determination does not take effect; or

(ii) if the determination is upheld or varied on the review and no appeal against the decision on the review is made under section 122 within the period allowed for such an appeal-the determination takes effect, or takes effect as so varied, at the expiration of that period; or

(c) if an appeal against the decision on the review is made under section 122 within the period allowed for such an appeal, the determination does not have effect until the appeal, and any further appeal to the High Court, are determined and, upon the determination of the appeal and any such further appeal, the determination takes effect as varied or does not take effect, in accordance with the judgment or order on the appeal or further appeal.

(4) Where a determination under sub-section (1) that gives effect to a recommendation that an amount of medical benefit be payable to Australia by a practitioner takes effect, that amount is recoverable by Australia from the practitioner as a debt due to Australia.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 107.
Definitions.

Division 4-Medical Services Review Tribunals
107. In this Division, unless the contrary intention appears-

"determination" means a determination under section 106;

"judicial office" means an office of judge of a Federal Court or of the Supreme Court of a State or Territory;

"member" means a member of a Tribunal, and includes the President of a Tribunal;

"Tribunal" means a Medical Services Review Tribunal.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 108.
Establishment of Medical Services Review Tribunals.

108. (1) The Governor-General may establish one or more Medical Services Review Tribunals for the purposes of this Act.

(2) A Tribunal shall consist of a President and two other members, who shall be appointed in accordance with this section.

(3) The President of a Tribunal shall be a person who-

(a) is or has been the holder of a judicial office; or

(b) is a legal practitioner of the High Court or of a Supreme Court of a State or Territory of not less than 5 years' standing.

(4) Of the members of a Tribunal other than the President-

(a) one shall be a medical practitioner nominated by the Minister after consultation with the Australian Medical Association or such other associations or colleges of medical practitioners as the Minister considers appropriate; and

(b) one shall be a medical practitioner employed in a Department of State.

(5) The members of a Tribunal shall be appointed by the Governor-General and, subject to this Act, each member holds office for such period, not exceeding 5 years, as is specified by the Governor-General in the instrument of his appointment and is eligible for re-appointment.

(6) A member of a Medical Services Committee of Inquiry shall not be eligible for appointment as a member of a Tribunal.

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HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 109.
Termination of appointment.

109. The Governor-General may terminate the appointment of a member (other than the holder of a judicial office) for misbehaviour or physical or mental incapacity.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 110.
Resignation of members.

110. A member may resign his office by writing under his hand delivered to the Governor-General.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 111.
Appointment to vacant office.

111. Where a vacancy occurs in the office of a member, the Governor-General may appoint a person to that office in accordance with section 108.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 112.
Irregularities in nomination of members.

112. The validity of the appointment of a member other than the President of a Tribunal shall not be called into question by reason only of a defect or irregularity in connexion with the nomination of that member.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 113.
Remuneration and allowances.

113. (1) A member, not being the holder of a judicial office, shall be paid such remuneration and such annual allowances (if any) as the Parliament fixes, but, until 1 January 1975, shall be paid such remuneration and annual allowance (if any) as are prescribed.

(2) A member, not being the holder of a judicial office, shall be paid such allowances (not including an annual allowance) as are prescribed.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 114.
Request for review of determination.

114. (1) A practitioner to whom a determination relates may, by notice in writing given to the Minister within a period of 30 days after the date upon which the notification of the determination is served on him, request the Minister to refer the determination to a Medical Services Review Tribunal for review.

(2) There shall be set out in the request the grounds on which the request is made.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 115.
Request for review to be forwarded to Tribunal.

115. Upon receipt by the Minister of a request under section 114 for the review of a determination, the Minister shall forward the request to the President of a Tribunal together with-

(a) a copy of the reference that gave rise to the determination;

(b) a transcript of the proceedings at the hearing conducted for the purposes of that reference;

(c) the report on that reference and any documents sent to the Minister with that report; and

(d) the determination.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 116.
Review to be arranged.

116. Where the President of a Tribunal receives from the Minister under section 115 a request for the review of a determination, the President shall-

(a) arrange for the determination to be reviewed in proceedings before the Tribunal; and

(b) serve, either personally or by post, on the Minister and on the practitioner to whom the determination relates a notification, in writing, setting out the time and place so arranged.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 117.
Rights of parties at proceedings on review.

117. (1) Where a practitioner makes a request for the review of a determination-

(a) the practitioner may appear in person, or may be represented by another person, at the proceedings on the review arranged under section 116; and

(b) if he appears, or is represented, at those proceedings-he or his representative shall be given the opportunity to address the Tribunal.

(2) The Minister may be represented at proceedings referred to in sub-section (1) and, if he is so represented, his representative shall be given the opportunity to address the Tribunal.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 118.
Procedure of Tribunals.

118. (1) Proceedings before a Tribunal-

(a) shall be in private; and


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(b) shall be conducted with as little formality and technicality as a proper consideration of the matter before the Tribunal permits.

(2) The procedure of a Tribunal is, subject to this Act and the regulations, within the discretion of the President.

(3) The parties to the proceedings are the Minister and the practitioner who requested the review.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 119.
Proceedings on review.

119. (1) A tribunal that reviews a determination in accordance with a request-

(a) shall consider the matter to which the determination relates having regard to the grounds set out in the request, the documents forwarded by the Minister with the request and any addresses made to the Tribunal during the proceedings on the review; and

(b) shall, subject to sub-section (2)-

(i) uphold the determination;

(ii) vary the determination in such manner as it thinks fit but so that the determination, as so varied, is one that the Minister could have made in giving effect to a recommendation of a Committee; or

(iii) disallow the determination.

(2) A Tribunal shall not uphold or vary a determination unless it is satisfied that the practitioner concerned has rendered the excessive services to which the determination relates.

(3) Subject to the Constitution, the decision of a Tribunal on a review is final except in so far as an appeal may be brought to the Australian Industrial Court in accordance with section 122 or an appeal may be brought to the High Court from a judgment or order of the Australian Industrial Court given or made under that section.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 120.
Costs of proceedings before Tribunal.

120. The costs incurred by a practitioner in relation to proceedings before a Tribunal shall be borne by Australia, unless the Tribunal is of opinion that the costs, or part of the costs, were unnecessarily incurred and directs that the costs, or that part of the costs, be borne by the practitioner.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 121.
Protection of members of Tribunal, &c.

121. (1) A member of a Tribunal has, in the performance of the duties of his office, the same protection and immunities as a Justice of the High Court.

(2) A person representing another person before a Tribunal has the same protection and immunities as a barrister has in appearing for a party in proceedings in the High Court.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 122.
Appeals.

122. (1) A party in proceedings before a Tribunal may, in such manner and within such time as is prescribed, appeal, on a question of law only, to the Australian Industrial Court from a decision of the Tribunal.

(2) The Australian Industrial Court has jurisdiction to hear and determine an appeal instituted in that Court in accordance with subsection (1).

(3) The Australian Industrial Court shall hear and determine the appeal and give such judgment, or make such order, as, in all the circumstances, it thinks fit, and, in particular-

(a) may uphold, vary or disallow the decision of the Tribunal; or

(b) may remit the matter the subject of the decision of the Tribunal to the Tribunal for further review in accordance with the directions of the Court.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 123.
Exercise of jurisdiction of Australian Industrial Court.

123. (1) Subject to sub-section (2), the jurisdiction of the Australian Industrial Court with respect to appeals under section 122 shall be exercised by a single judge.

(2) The Chief Judge of the Australian Industrial Court may, if in his opinion an appeal under section 122 involves the determination of a question of law of sufficient importance, direct that, for the purpose of that appeal, the Court shall be constituted by three judges.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 124.
Other Committees.

Division 5-Other Committees
124. In addition to the Committees for the establishment of which express provision is made in the preceding Divisions of this Part, the regulations may provide for the establishment of other Committees and may make provision for and in relation to the constitution, powers, functions, duties and procedure of, and the filling of vacancies on, those Committees.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 125.
Payments to be made by Commission.

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PART VI-FINANCE
125. All amounts (including advances) payable by Australia under Part II, Part III (including an agreement under that Part) or Part IV and amounts of hospital benefits payable under the regulations shall be paid, on behalf of Australia, by the Commission.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 126.
Health Insurance Fund.

126. (1) There shall be a Health Insurance Fund.

(2) The Health Insurance Fund is a Trust Account for the purposes of section 62A of the Audit Act 1901-1969.

(3) There shall be paid into the Health Insurance Fund-

(a) such amounts as are appropriated by the Parliament from time to time for the purpose;

(b) amounts recovered by Australia under sub-section 43 (2) or 106 (4); and

(c) premiums referred to in sub-section 6 (2).

(4) The time and manner of payment of the moneys referred to in paragraph (3) (a) shall be as determined by the Treasurer.

(5) There shall be paid to the Commission from time to time, out of the Health Insurance Fund, such amounts as the Treasurer thinks necessary for the purpose of enabling the Commission to make payments referred to in section 125.

(6) Interest from the investment of any moneys standing to the credit of the Health Insurance Fund shall be credited to the Fund.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 127.
Use of health insurance cards.

PART VII-MISCELLANEOUS
127. A person shall not use a health insurance card for the purpose of obtaining payment of a medical benefit payable in respect of a professional service rendered to a person other than a person whose name is on the card.

Penalty: $500.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 128.
Offences in relation to returns.

128. A person shall not fail or neglect duly to furnish a return or information that he is required under this Act or the regulations to furnish.

Penalty: $500.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 129.
False statements, &c.

129. (1) A person shall not make a statement, either orally or in writing, or issue or present a document, that is false or misleading in a material particular and is capable of being used in, in connexion with or in support of, an application for approval for the purposes of this Act or for payment of an amount under this Act.

Penalty: $500 or imprisonment for 6 months.

(2) A person shall not furnish, in pursuance of this Act or of the regulations, a return or information that is false or misleading in a material particular.

Penalty: $500 or imprisonment for 6 months.

(3) In a prosecution of a person for an offence against this section, it is a defence if the person shows that he did not know, and had no reason to suspect, that the statement, document, return or information to which the prosecution relates was false or misleading, as the case may be.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 130.
Officers to observe secrecy.

130. (1) A person shall not, directly or indirectly, except in the performance of his duties, or in the exercise of his powers or functions, under this Act, and while he is, or after he ceases to be, an officer, make a record of, or divulge or communicate to any person, any information with respect to the affairs of another person acquired by him in the performance of his duties, or in the exercise of his powers or functions, under this Act.

Penalty: $500.

(2) A person who is, or has been, an officer shall not, except for the purposes of this Act, be required-

(a) to produce in court any document that has come into his possession or under his control in the performance of his duties or functions under this Act; or

(b) to divulge or communicate to a court any matter or thing that has come under his notice in the performance of any such duties or functions.

(3) Notwithstanding anything contained in the preceding provisions of this section, an officer may-

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(a) if the Minister certifies that it is necessary in the public interest that any information acquired by the officer in the performance of his duties, or in the exercise of his powers or functions, under this Act, should be divulged, divulge that information to such person as the Minister directs;

(b) divulge any such information to any prescribed authority or person; or

(c) divulge any such information to a person who, in the opinion of the Minister, is expressly or impliedly authorized by the person to whom the information relates to obtain it.

(4) An authority or person to whom information is divulged under sub-section (3), and any person or employee under the control of that authority or person, shall, in respect of that information, be subject to the same rights, privileges, obligations and liabilities under sub-sections (1) and (2) as if he were a person performing duties under this Act and had acquired the information in the performance of those duties.

(5) Nothing in this section prohibits the publication of statistics by the Commission or by the Commonwealth Statistician but such statistics shall not be published in a manner that enables the identification of an individual patient or an individual practitioner.

(6) In this section, "officer" means a person performing duties, or exercising powers or functions, under, or in relation to, this Act.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 131.
Delegation.

131. (1) Subject to this section, the Minister may, by writing under his hand, delegate all or any of his powers and functions under this Act (except this power of delegation) to any officer of the Department of Social Security.

(2) A power or function so delegated may be exercised or performed by the delegate in accordance with the instrument of delegation.

(3) A delegation under this section is revocable at will and does not prevent the exercise of a power or the performance of a function by the Minister.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 132.
Evidence.

132. (1) The Minister may, by writing under his hand, certify that, during a period or on a date specified in the certificate-

(a) any premises were, or were not, a hospital; or

(b) a document annexed to the certificate is a true copy of a determination or direction by the Minister under this Act or of any other document made or issued under this Act.

(2) In proceedings under this Act or another Act or under regulations under this Act or another Act, a certificate purporting to have been given under this section-

(a) is evidence of the facts stated in the certificate; and

(b) shall, unless the contrary is proved, be deemed to have been given by the person purporting to give the certificate.

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SECT. 133.
Regulations.

133. (1) The Governor-General may make regulations, not inconsistent with this Act, prescribing all matters required or permitted by this Act to be prescribed, or necessary or convenient to be prescribed for carrying out or giving effect to this Act and, in particular-

(a) requiring the proprietor of a private hospital to keep records relating to, and to furnish, to such persons as are prescribed, returns or information relating to, the occupation of approved beds in the hospital; and

(b) prescribing penalties, not exceeding a fine of $200, for offences against the regulations.

(2) Where an item specifies a medical service that is to be rendered by a consultant physician, or a specialist, in the practice of his specialty to a patient who has been referred to him, the regulations may require that, for the purposes of the item, the patient be referred in a manner prescribed by the regulations.

(3) The regulations may provide for the payment by Australia of hospital benefits, at such rates and subject to such conditions as are prescribed by or under the regulations, to persons who have incurred expense in respect of the care and treatment outside Australia in hospitals, as defined by or under the regulations, of persons who are Australian residents temporarily absent from Australia.

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HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SCHEDULE 1



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SCHEDULE 1
Sections 9 and 10

RULES FOR THE INTERPRETATION OF THE TABLE OF MEDICAL SERVICES

1. Where an item in Part 1, 3 or 4 of the table includes the symbol "(S)" the item shall be taken to relate to the service specified in the item when rendered by a specialist in the practice of his specialty.

2. Where an item in Part 1, 3 or 4 of the table includes the symbol "(G)", the item shall be taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his specialty.

3. Where an item, other than an item in Part 1, 3 or 4 of the table, includes the symbol "(S)", the item shall be taken to relate to the service specified in the item when rendered by a specialist in the practice of his specialty to a patient who has been referred to him.

4. Where an item, other than an item in Part 1, 3, or 4 of the table, includes the symbol "(G)", the item shall be taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his specialty to a patient who has been referred to him.

5. A reference in rule 3 or 4 or in Part 1 of the table to the referring of a patient to a specialist shall be read as a reference to a referring by a medical practitioner and-

(a) where the specialist concerned is an ophthalmologist-shall be read as including a reference to a referring by a registered optometrist or by a registered optician; and

(b) where a referring arises out of a dental service rendered to the person who has been referred-shall be read as including a reference to a referring by a dental practitioner.

6. Where an item includes the symbol "(D)", the item shall be taken to relate to the service specified in the item when rendered in an operating theatre of a hospital in the course of dental practice by a dental practitioner approved by the Minister for the purposes of the definition of 'professional service' in sub-section 3 (1).

7. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a radiographic examination of the kind referred to in the first-mentioned item and-

(a) in the case of item 2254-$5;

(b) in the case of item 2362 or 2367-$5.50; or

(c) in the case of item 2420-$3,
and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

8. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a dislocation or fracture of the kind treated and-

(a) in the case of item 6414, 6416, 6651 or 6652-one-half of that fee;

(b) in the case of item 6647 or 6648-one-third of that fee; or

(c) in the case of item 6655 or 6656-three-quarters of that fee,
and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

9. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to-

(a) in the case of item 6659, 6660, 6663 or 6664-one-half of the fee set out in that column in the item that would, but for that first-mentioned item, relate to the reduction effected;

(b) in the case of item 6667 or 6668-the fee set out in that column in the item that would but for that first-mentioned item, relate to the reduction effected; or

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(c) in the case of item 6671-the fee set out in that column in the item that relates to a simple and uncomplicated fracture of the part treated,
and an amount equal to the amount so referred to shall be deemed to be set out in that column in the place of that reference.

TABLE OF MEDICAL SERVICES ------------------------------------------------------------------------------ --

Fees
------------------------------------------
Item No. Medical service N.S.W. Vic. Qld S.A. W.A. Tas. ------------------------------------------------------------------------------ --

$ $ $ $ $ $
PART I-PROFESSIONAL ATTENDANCES NOT COVERED BY AN ITEM IN ANY OTHER
PART OF THIS SCHEDULE
70 Professional attendance at
consulting rooms of not more
than 5 minutes duration (not
being an attendance covered
by any other item in this
Part) at a time other than a
time covered by item 72-each
attendance . . . . . . . . . 3.50 3.20 3.15 3.15 3.15 3.20
72 Professional attendance at
consulting rooms of not more
than 5 minutes duration (not
being an attendance covered
by any other item in this
Part)-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 . . . . . . . 6.00 5.70 5.65 5.65 5.65 5.70
75 Professional attendance at
consulting rooms of more
than 5 minutes duration but
not more than 25 minutes
duration (not being an
attendance covered by any
other item in this Part) at
a time other than a time
covered by item 78-each
attendance . . . . . . . . . 4.70 4.30 4.20 4.20 4.20 4.30
78 Professional attendance at
consulting rooms of more
than 5 minutes duration but
not more than 25 minutes
duration (not being an
attendance covered by any
other item in this
Part)-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 . . . . . . . 7.20 6.80 6.70 6.70 6.70 6.80
81 Professional attendance at
consulting rooms of more
than 25 minutes duration but
not more than 45 minutes
duration (not being an
attendance covered by any
other item in this Part) at
a time other than a time
covered by item 84-each

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attendance . . . . . . . . . 9.00 8.30 8.10 8.10 8.10 8.30
84 Professional attendance at
consulting rooms of more
than 25 minutes duration but
not more than 45 minutes
duration (not being an
attendance covered by any
other item in this
Part)-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 . . . . . . . 11.50 10.80 10.60 10.60 10.60 10.80
87 Professional attendance at
consulting rooms of more
than 45 minutes duration
(not being an attendance
covered by any other item in
this Part) at a time other
than a time covered by item
90-each attendance . . . . . 13.50 12.50 12.20 12.20 12.20 12.50
90 Professional attendance at
consulting rooms of more
than 45 minutes duration
(not being an attendance
covered by any other item in
this Part)-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 . . 16.00 15.00 14.70 14.70 14.70 15.00
93 Professional attendance at a
place other than consulting
rooms, hospital or nursing
home of not more than 5
minutes duration (not being
an attendance covered by any
other item in this Part) at
a time other than a time
covered by item 96-each
attendance . . . . . . . . . 5.25 4.80 4.75 4.75 4.75 4.80
96 Professional attendance at a
place other than consulting
rooms, hospital or nursing
home of not more than 5
minutes duration (not being
an attendance covered by any
other item in this
Part)-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 . . . . . . . 7.75 7.30 7.25 7.25 7.25 7.30
99 Professional attendance at a
place other than consulting
rooms, hospital or nursing
home of more than 5 minutes
duration but not more than
25 minutes duration (not
being an attendance covered
by any other item in this
Part) at a time other than a
time covered by item
102-each attendance . . . . 7.00 6.45 6.30 6.30 6.30 6.45

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102 Professional attendance at a
place other than consulting
rooms, hospital or nursing
home of more than 5 minutes
duration but not more than
25 minutes duration (not
being an attendance covered
by any other item in this
Part)-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 . . . . . . . 9.50 9.00 8.80 8.80 8.80 9.00
105 Professional attendance at a
place other than consulting
rooms, hospital or nursing
home of more than 25 minutes
duration but not more than
45 minutes duration (not
being an attendance covered
by any other item in this
Part) at a time other than a
time covered by item
108-each attendance . . . . 11.35 11.00 10.75 10.75 10.75 11.00
108 Professional attendance at a
place other than consulting
rooms, hospital or nursing
home of more than 25 minutes
duration but not more than
45 minutes duration (not
being an attendance covered
by any other item in this
Part)-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 . . . . . . . 13.85 13.50 13.25 13.25 13.25 13.50
111 Professional attendance at a
place other than consulting
rooms, hospital or nursing
home of more than 45 minutes
duration (not being an
attendance covered by any
other item in this Part) at
a time other than a time
covered by item 114-each
attendance . . . . . . . . . 15.85 15.25 15.00 15.00 15.00 15.25
114 Professional attendance at a
place other than consulting
rooms, hospital or nursing
home of more than 45 minutes
duration (not being an
attendance covered by any
other item in this
Part)-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 . . . . . . . 18.35 17.75 17.50 17.50 17.50 17.75
117 Professional attendance at a
hospital or nursing home
(not being an attendance
covered by any other item in
this Part) at a time other
than a time covered by item
120-each attendance when

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only one patient is seen . . 7.00 6.45 6.30 6.30 6.30 6.45
120 Professional attendance at a
hospital or nursing home
(not being an attendance
covered by any other item in
this Part)-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,
when only one patient is
seen . . . . . . . . . . . . 9.50 9.00 8.80 8.80 8.80 9.00
123 Professional attendance at a
hospital (not being an
attendance covered by any
other item in this Part) at
a time other than a time
covered by item 126-each
attendance on two or more
patients in the one hospital
on the one occasion-each
patient . . . . . . . . . . 4.70 4.30 4.20 4.20 4.20 4.30
126 Professional attendance at a
nursing home (not being an
attendance covered by any
other item in this
Part)-each attendance on two
or more patients in the one
nursing home on the one
occasion-each patient . . . 3.50 3.20 3.15 3.15 3.15 3.20
188 Professional attendance by a
specialist in the practice
of his specialty where the
patient is referred to
him-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 . . . . . . 12.10 11.00 11.00 11.00 9.40 8.80
189 Professional attendance by a
specialist in the practice
of his specialty where the
patient is referred to
him-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 . . . . . . . . . . . . 17.60 16.50 16.50 16.50 14.90 14.30
190 Professional attendance by a
specialist in the practice
of his specialty where the
patient is referred to
him-each attendance that is
a second or subsequent
attendance in a single
course of treatment . . . . 6.10 6.10 5.50 5.50 5.50 5.50
191 Professional attendance by a
consultant physician in the
practice of his specialty
where the patient is
referred to him by a medical
practitioner-an attendance
(other than a second or
subsequent attendance in a
single course of treatment)

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where that attendance is at
consulting rooms, hospital
or nursing home . . . . . . 22.00 19.80 19.80 19.80 19.80 16.50
192 Professional attendance by a
consultant physician in the
practice of his specialty
where the patient is
referred to him by a medical
practitioner-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 . . . . . . 27. 50 25.30 25.30 25.30 25.30 22.00
193 Professional attendance by a
consultant physician in the
practice of his specialty
where the patient is
referred to him by a medical
practitioner-each attendance
that is a second or
subsequent attendance in a
single course of treatment . 9.40 8.30 8.30 8.30 8.30 7.20
194 Prolonged professional
attendance, for not less
than 2 hours but less than 3
hours, on a patient in a
critical condition arising
from electric shock,
drowning, caisson disease,
tetanus, respiratory or
circulatory failure or
involving resuscitation of
the new born, that requires
constant attention to the
exclusion of all other
patients . . . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
195 Prolonged professional
attendance, for a period of
not less than 3 hours but
less than 4 hours, in the
circumstances referred to in
item 194 . . . . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
196 Prolonged professional
attendance, for a period of
not less than 4 hours but
less than 5 hours, in the
circumstances referred to in
item 194 . . . . . . . . . . 43.50 43.50 43.50 43.50 43.50 43.50
197 Prolonged professional
attendance, for a period of
5 hours or more, in the
circumstances referred to in
item 194 . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
198 Pre-operative examination of
a patient in preparation for
the administration of an
anaesthetic, being an
examination carried out at
an attendance other than
that at which the
anaesthetic is administered
(G) . . . . . . . . . . . . 4.40 4.00 3.90 3.80 3.90 4.00
199 Pre-operative examination of
a patient in preparation for
the administration of an
anaesthetic, being an
examination carried out at
an attendance other than
that at which the

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anaesthetic is administered
(S) . . . . . . . . . . . . 5.50 5.00 5.50 5.00 5.50 4.40


PART 2-OBSTETRICS

Division 1-General
202 Antenatal care where
attendances do not exceed
ten-each attendance . . . . 4.00 3.60 3.50 3.40 3.50 3.60
205 Antenatal care where
attendances exceed ten . . . 40.00 36.00 35.00 34.00 35.00 36.00

209 Confinement and postnatal
care for 9 days where the
medical practitioner has not
given the antenatal care (G) 33.00 30.00 30.00 25.00 25.00 25.00
210 Confinement and postnatal
care for 9 days where the
medical practitioner has not
given the antenatal care (S) 65.00 45.00 45.00 40.00 40.00 35.00
220 Confinement, including a
professional attendance that
would, but for this item, be
covered by item 188 (S) . . 30.00 25.00 25.00 25.00 25.00 20.00
221 Antenatal care, confinement
and postnatal care for 9
days (G) . . . . . . . . . . 50.00 50.00 45.00 40.00 40.00 40.00
222 Antenatal care, confinement
and postnatal care for 9
days (S) . . . . . . . . . . 100.00 80.00 70.00 80.00 70.00 60.00

Division 2-Special Services
225 Antenatal care, confinement
and postnatal care for 9
days with surgical induction
of labour (G) . . . . . . . 61.00 60.00 55.50 50.00 50.00 50.00
228 Antenatal care, confinement
and postnatal care for 9
days with surgical induction
of labour (S) . . . . . . . 111.00 90.00 80.50 90.00 80.00 70.00
232 Antenatal care, confinement
and postnatal care for 9
days with surgical induction
of labour; requiring major
regional or field block
(including abdominal;
brachial plexus; caudal;
cervical plexus; epidural
(peridural); paravertebral
(thoracic or lumbar);
pudendal; sacral; spinal)
(G) . . . . . . . . . . . . 77.50 75.00 71.50 65.00 65.00 64.00
233 Antenatal care, confinement
and postnatal care for 9
days with surgical induction
of labour; requiring major
regional or field block
(including abdominal;
brachial plexus; caudal;
cervical plexus; epidural
(peridural); paravertebral
(thoracic or lumbar);
pudendal; sacral; spinal)
(S) . . . . . . . . . . . . 127.50 105.00 96.50 105.00 95.00 84.00
235 Caesarean section and
postnatal care for 9 days
(G) . . . . . . . . . . . . 80.00 80.00 70.00 70.00 70.00 60.00
236 Caesarean section and

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postnatal care for 9 days
(S) . . . . . . . . . . . . 120.00 100.00 100.00 90.00 100.00 70.00
243 Treatment of habitual
miscarriage by injection of
hormones-each injection up
to a maximum of 12
injections . . . . . . . . . 2.80 2.00 2.10 2.35 2.40 2.10
247 Threatened abortion,
threatened miscarriage or
hyperemesis gravidarum,
requiring admission to
hospital, treatment of-each
attendance . . . . . . . . . 2.80 2.00 2.50 2.35 2.40 2.10
251 Cervix, purse string
ligation of, for threatened
miscarriage (G) . . . . . . 22.50 22.50 22.50 22.50 22.50 22.50
252 Cervix, purse string
ligation of, for threatened
miscarriage (S) . . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
255 Cervix, removal of purse
string ligature of, under
general anaesthesia (G) . . 8.00 8.00 8.00 8.00 8.00 8.00
256 Cervix, removal of purse
string ligature of, under
general anaesthesia (S) . . 11.00 11.00 11.00 11.00 11.00 11.00
259 Pre-eclampsia, eclampsia or
antepartum haemorrhage,
treatment of-each attendance 2.80 2.00 2.50 2.35 2.40 2.10
260 Amnioscopy . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
261 Amnioscopy with surgical
induction of labour . . . . 15.00 15.00 15.00 15.00 15.00 15.00
263 Amniocentesis . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
265 Version, external or
internal, under anaesthesia
(G) . . . . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
268 Version, external or
internal, under anaesthesia
(S) . . . . . . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
271 Surgical induction of labour 11.00 10.00 10.50 10.00 10.00 10.00
275 Decapitation, craniotomy,
cleidotomy or evisceration
of foetus or any two or more
of those services . . . . . 44.00 44.00 44.00 44.00 44.00 44.00
279 Evacuation by intrauterine
manual removal of the
products of conception such
as retained foetus,
placenta, membranes or mole 16.50 12.00 12.50 12.50 12.50 12.00
283 Manipulative correction of
acute inversion of uterus,
with or without incision of
cervix . . . . . . . . . . . 48.00 48.00 48.00 48.00 48.00 48.00
287 Postpartum haemorrhage
requiring special procedures
such as packing, treatment
of (G) . . . . . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
288 Postpartum haemorrhage
requiring special procedures
such as packing, treatment
of (S) . . . . . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
291 Third degree tear, repair

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of, involving anal sphincter
muscles . . . . . . . . . . 22.00 20.00 22.00 20.00 20.00 20.00

PART 3-ANAESTHETICS
Division 1-Anaesthetics other than Gaseous Anaesthetics not Covered by an Item
in any other Part of this Schedule
301 Administration of an
anaesthetic (not including
an anaesthetic referred to
in Division 2 of this Part)
in connexion with a
professional service, or a
series or combination of
professional services, for
which the fee, or the
aggregate of the fees
specified in this table,
does not exceed $25 (G) . . 6.50 8.00 7.50 6.50 7.50 7.00
302 Administration of an
anaesthetic (not including
an anaesthetic referred to
in Division 2 of this Part)
in connexion with a
professional service, or a
series or combination of
professional services, for
which the fee, or the
aggregate of the fees
specified in this table,
does not exceed $25 (S) . . 8.50 9.50 9.00 8.00 9.00 8.50
305 Administration of an
anaesthetic (not including
an anaesthetic referred to
in Division 2 of this Part)
in connexion with a
professional service, or a
series or combination of
professional services, for
which the fee, or the
aggregate of the fees
specified in this table,
exceeds $25, but does not
exceed $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania (G) . . . . . . 9.00 10.00 10.50 10.00 12.00 12.00
306 Administration of an
anaesthetic (not including
an anaesthetic referred to
in Division 2 of this Part)
in connexion with a
professional service, or a
series or combination of
professional services, for
which the fee, or the
aggregate of the fees,
specified in this table
exceeds $25, but does not
exceed $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania (S) . . . . . . 11.00 12.00 12.50 12.00 14.00 14.00
309 Administration of an
anaesthetic (not including
an anaesthetic referred to
in Division 2 of this Part)

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in connexion with a
professional service, or a
series or combination of
professional services, for
which the fee, or the
aggregate of the fees,
specified in this table
exceeds $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania, but does not
exceed $90 (G) . . . . . . . 16.50 16.00 16.00 15.00 16.00 15.00

310 Administration of an
anaesthetic (not including
an anaesthetic referred to
in Division 2 of this Part)
in connexion with a
professional service, or a
series or combination of
professional services, for
which the fee, or the
aggregate of the fees,
specified in this table
exceeds $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania, but does not
exceed $90 (S) . . . . . . . 20.00 19.00 19.00 18.00 19.00 18.00
313 Administration of an
anaesthetic (not including
an anaesthetic referred to
in Division 2 of this Part)
in connexion with a
professional service, or a
series or combination of
professional services, for
which the fee, or the
aggregate of the fees,
specified in this table
exceeds $90 but does not
exceed $140 . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
317 Administration of an
anaesthetic (not including
an anaesthetic referred to
in Division 2 of this Part)
in connexion with a
professional service, or a
series or combination of
professional services, for
which the fee, or the
aggregate of the fees,
specified in this table
exceeds $140 . . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
321 Administration of an
anaesthetic other than
gaseous, in addition to a
gaseous anaesthetic referred
to in Division 2 of this
part . . . . . . . . . . . . 3.50 3.00 3.00 2.50 2.50 3.00
323 Administration of
neuroleptal analgesia . . . 12.00 12.00 12.00 12.00 12.00 12.00

Division 2-Gaseous Anaesthetics
341 Administration of an
anaesthetic in connexion
with a professional service,

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or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table,
does not exceed $25 (G) . . 10.00 10.00 10.50 9.00 10.00 10.00
342 Administration of an
anaesthetic in connexion
with a professional service,
or a series or combination
of professional services for
which the fee, or the
aggregate of the fees
specified in this table,
does not exceed $25 (S) . . 12.00 12.00 12.50 11.00 12.50 12.00
344 Administration of an
anaesthetic in connexion
with a professional service,
or a series or combination
of professional services for
which the fee, or the
aggregate of the fees
specified in this table,
exceeds $25, but does not
exceed $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania (G) . . . . . . 13.00 12.50 12.50 12.00 12.00 12.50
345 Administration of an
anaesthetic in connexion
with a professional service,
or a series or combination
of professional services for
which the fee, or the
aggregate of the fees
specified in this table,
exceeds $25, but does not
exceed $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania (S) . . . . . . 16.00 15.00 15.00 15.00 15.00 15.00
347 Administration of an
anaesthetic in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania, but does not
exceed $90 (G) . . . . . . . 19.00 20.00 19.00 18.00 18.00 18.00
348 Administration of an
anaesthetic in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $45 where the

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anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania, but does not
exceed $90 (S) . . . . . . . 23.00 24.00 23.00 22.00 22.00 22.00
351 Administration of an
anaesthetic in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $90 but does not
exceed $140 (G) . . . . . . 20.00 22.00 22.00 20.00 22.00 22.00
352 Administration of an
anaesthetic in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $90 but does not
exceed $140 (S) . . . . . . 24.00 26.00 26.00 24.00 26.00 26.00
355 Administration of an
anaesthetic in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $140 but does not
exceed $200 . . . . . . . . 33.00 35.00 33.00 33.00 33.00 33.00
357 Administration of an
anaesthetic in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $200 . . . . . . . . 45.00 45.00 45.00 45.00 45.00 45.00

Division 3-Groupings of Anaesthetics and Related Procedures
370 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table does
not exceed $25 (G) . . . . . 13.50 13.00 13.50 11.50 12.50 13.00
371 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table does
not exceed $25 (S) . . . . . 15.50 15.00 15.50 13.50 15.00 15.00

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375 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $25, but does not
exceed $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44.00 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania (G) . . . . . . 16.50 15.50 15.50 14.50 14.50 15.50

376 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $25, but does not
exceed $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania (S) . . . . . . 19.50 18.00 18.00 17.50 17.50 18.00

378 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania, but does not
exceed $90 (G) . . . . . . . 22.50 23.00 22.00 20.50 20.50 21.00
379 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South

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Australia, Western Australia
or Tasmania, but does not
exceed $90 (S) . . . . . . . 26.50 27.00 26.00 24.50 24.50 25.00
381 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $90 but does not
exceed $140 (G) . . . . . . 23.50 25.00 25.00 22.50 24.50 25.00
382 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $90 but does not
exceed $140 (S) . . . . . . 27.50 29.00 29.00 26.50 28.50 29.00
384 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $140 but does not
exceed $200 . . . . . . . . 36.50 38.00 36.00 35.50 35.50 36.00
386 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $200 . . . . . . . . 48.50 48.00 48.00 47.50 47.50 48.00
388 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania, but does not
exceed $90; and intravenous
or subcutaneous infusion or

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injection of
fluids-percutaneous (G) . . 28.00 28.00 27.00 25.50 25.50 26.00
389 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania, but does not
exceed $90; and intravenous
or subcutaneous infusion or
injection of
fluids-percutaneous (S) . . 32.00 32.00 31.00 29.50 29.50 30.00
391 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $90 but does not
exceed $140; and intravenous
or subcutaneous infusion or
injection of
fluids-percutaneous (G) . . 29.00 30.00 30.00 27.50 29.50 30.00
392 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $90 but does not
exceed $140; and intravenous
or subcutaneous infusion or
injection of
fluids-percutaneous (S) . . 33.00 34.00 34.00 31.50 33.50 34.00
394 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $140 but does not
exceed $200; and intravenous
or subcutaneous infusion or
injection of
fluids-percutaneous . . . . 42.00 43.00 41.00 40.50 40.50 41.00
396 Administration of an
anaesthetic other than

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gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania, but does not
exceed $90; and blood
transfusion, using blood
already collected (G) . . . 33.50 35.00 32.50 31.50 31.50 31.00
397 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania, but does not
exceed $90; and blood
transfusion, using blood
already collected (S) . . . 37.50 39.00 36.50 35.50 35.50 35.00

399 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table,
exceeds $90 but does not
exceed $140; and blood
transfusion using blood
already collected (G) . . . 34.50 37.00 35.50 33.50 35.50 35.00
400 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous
anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table
exceeds $90 but does not
exceed $140; and blood
transfusion, using blood
already collected (S) . . . 38.50 41.00 39.50 37.50 39.50 39.00
402 Administration of an
anaesthetic other than
gaseous, in addition to the
administration of a gaseous

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anaesthetic, in connexion
with a professional service,
or a series or combination
of professional services,
for which the fee, or the
aggregate of the fees,
specified in this table,
exceeds $140 but does not
exceed $200; and blood
transfusion, using blood
already collected . . . . . 47.50 50.00 46.50 46.50 46.50 46.00

Division 4-Dental Anaesthetics
430 Administration by a medical
practitioner of an
anaesthetic, other than an
endotracheal anaesthetic, in
connection with a dental
operation . . . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
435 Administration by a medical
practitioner of an
endotracheal anaesthetic in
connection with a dental
operation (G) . . . . . . . 13.00 15.00 15.00 12.00 12.00 12.00
436 Administration by a medical
practitioner of an
endotracheal anaesthetic in
connection with a dental
operation (S) . . . . . . . 15.50 18.00 18.00 14.50 14.50 14.50

PART 4-REGIONAL NERVE OR FIELD BLOCK
451 Initial major regional or
field block, including
abdominal; brachial plex-
us; caudal; cervical plexus;
epidural (peridural);
paravertebral (thoracic or
lumbar); pudendal; sacral;
spinal . . . . . . . . . . . 16.50 15.00 16.00 15.00 15.00 14.00
452 Subsequent major regional or
field block, including
abdominal; brachial plexus;
caudal; cervical plexus;
epidural (peridural);
paravertebral (thoracic or
lumbar); pudendal; sacral;
spinal . . . . . . . . . . . 11.50 10.00 11.00 10.00 10.00 9.00
455 Intravenous regional
anaesthesia of limb by
retrograde perfusion (G) . . 11.50 11.50 11.50 11.50 11.50 11.50
456 Intravenous regional
anaesthesia of limb by
retrograde perfusion (S) . . 15.00 15.00 15.00 15.00 15.00 15.00

PART 5-ASSISTANCE IN ADMINISTRATION OF AN ANAESTHETIC
501 Assistance in the
administration of an
anaesthetic in connexion
with a professional service,
or a series of combination
of professional services,
for which the fee, or the
aggregate of the fees
specified in this table
exceeds $165 . . . . . . . . 12.00 12.00 12.00 12.00 12.00 12.00

PART 6-MISCELLANEOUS PROCEDURES
601 Electrocardiography,
phonocardiography,
stethography or
ballistocardiography . . . . 7.00 8.00 7.80 6.00 6.00
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6.00
611 Continuous
electrocardiographic
monitoring during
anaesthesia . . . . . . . . 8.80 8.50 7.80 7.50 7.50 7.50
616 Restoration of cardiac
rhythm by electrical
stimulation, other than in
the course of cardiac
surgery . . . . . . . . . . 14.00 14.00 14.00 14.00 14.00 14.00
621 Intracardiac pressure
recording at operation . . . 33.00 33.00 33.00 33.00 33.00 33.00
625 Blood pressure recording by
intravenous cannula . . . . 30.00 30.00 30.00 30.00 30.00 30.00
631 Ultrasonic echography,
unidimensional (including
echoencephalography) . . . . 11.00 11.00 11.00 11.00 11.00 11.00
632 Ultrasonic cross-sectional
echography bidimensional . . 30.00 30.00 30.00 30.00 30.00 30.00
641 Electroencephalography, not
covered by item 631, 632,
651 or 661 . . . . . . . . . 16.50 16.00 17.00 17.00 14.00 13.00
651 Electroencephalography,
temporosphenoidal . . . . . 24.00 24.00 24.00 24.00 24.00 24.00
661 Electrocorticography . . . . 33.00 33.00 33.00 33.00 33.00 33.00
681 Electromyography-involving
estimation of nerve
conduction times or
stimulating response
recording . . . . . . . . . 8.20 8.20 8.20 8.20 8.20 8.20
691 Electromyography-involving
sampling of muscle
activity-each attendance at
which procedure is performed 6.60 6.60 6.60 6.60 6.60 6.60
698 Retinal angiography-one eye 15.00 15.00 15.00 15.00 15.00 15.00
699 Retinal angiography-both
eyes . . . . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
701 Tonography, in the
management of glaucoma . . . 10.00 7.00 10.50 10.00 8.00 8.00
703 Provocative test or tests
for glaucoma, including
water drinking . . . . . . . 6.00 6.00 6.00 6.00 6.00 6.00
705 Electroretinography . . . . 18.00 18.00 18.00 18.00 18.00 18.00
711 Audiogram, air conduction . 4.50 4.50 4.50 4.50 4.50 4.50
712 Audiogram, air conduction
and bone conduction . . . . 6.50 6.50 6.50 6.50 6.50 6.50
713 Audiogram, air conduction,
bone conduction and speech . 8.50 8.50 8.50 8.50 8.50 8.50
714 Audiogram, air conduction,
bone conduction and speech,
with other cochlear tests . 10.50 10.50 10.50 10.50 10.50 10.50
723 Caloric tests of labyrinth
or labyrinths . . . . . . . 7.50 7.50 7.50 7.50 7.50 7.50
725 Electronystagmography . . . 7.50 7.50 7.50 7.50 7.50 7.50
731 Bronchospirometry, including
gas analysis . . . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
741 Estimation of respiratory

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function by spirometer or
other simple techniques-each
attendance at which one or
more tests are performed . . 11.00 10.00 10.50 9.00 9.00 8.50
751 Estimation of respiratory
function requiring
complicated techniques-each
attendance at which one or
more tests are performed . . 15.50 15.50 15.50 15.50 15.50 15.50
753 Hyperbaric oxygen therapy
where the medical
practitioner is not in the
chamber . . . . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
755 Hyperbaric oxygen therapy
where the medical
practitioner is in the
chamber . . . . . . . . . . 40.00 40.00 40.00 40.00 40.00 40.00
756 Topical application of
oxygen in hyperbaric
chamber-as an independent
procedure . . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
757 Administration of general
anaesthesia (including
oxygen administration)
during hyperbaric therapy
where the medical
practitioner is in the
chamber . . . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
761 Perfusion of limb or organ
using heart-lung machine or
equivalent . . . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
771 Whole body perfusion,
cardiac by-pass, using
heart-lung machine or
equivalent . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
782 Haemodialysis in hospital
(where prolonged and
constant medical supervision
of the dialysis is required
for the duration of the
dialysis) . . . . . . . . . 60.00 60.00 60.00 60.00 60.00 60.00

784 Haemodialysis in hospital
(where intermittent medical
supervision of the dialysis
is required) . . . . . . . . 30.00 30.00 30.00 30.00 30.00 30.00

786 Haemodialysis in hospital
(stabilised maintenance
dialysis for chronic renal
failure where a separate
account for an attendance is
not rendered under Part 1 of
this Schedule) . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
791 Dialysis, peritoneal . . . . 22.00 22.00 22.00 22.00 22.00 22.00

801 Induced controlled
hypothermia-total body . . . 18.50 18.50 18.50 18.50 18.50 18.50
831 Fluids, intravenous infusion
of-Percutaneous . . . . . . 5.50 5.00 5.00 5.00 5.00 5.00
841 Fluids, intravenous infusion
of-by open exposure . . . . 9.00 8.00 8.50 8.00 8.00 8.00
843 Umbilical vein
catheterisation with or
without infusion . . . . . . 7.50 7.50 7.50 7.50 7.50 7.50
845 Umbilical artery
catheterisation with or

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without infusion . . . . . . 12.00 12.00 12.00 12.00 12.00 12.00 847 Scalp vein catheterisation
with or without infusion . . 7.50 7.50 7.50 7.50 7.50 7.50
851 Intravenous infusion or
injection of a substance
incorporating a cytotoxic
agent . . . . . . . . . . . 8.50 8.50 8.50 8.50 8.50 8.50
861 Intra-arterial infusion or
injection of a substance
incorporating a cytotoxic
agent, preparation for . . . 14.00 14.00 14.00 14.00 14.00 14.00
866 Intralymphatic infusion or
injection of a fluid
containing a cytotoxic
agent, with or without the
incorporation of an opaque
medium . . . . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
868 Intralymphatic insertion of
needle or cannula for the
purpose of introduction of
radio-active material . . . 22.00 22.00 22.00 22.00 22.00 22.00
871 Blood transfusion, including
collection from donor . . . 16.50 16.50 16.50 16.50 16.50 16.50
881 Blood transfusion, using
blood already collected . . 11.00 12.00 10.50 11.00 11.00 10.00
891 Blood transfusion with
venesection and complete
replacement of blood,
including collection from
donor . . . . . . . . . . . 39.00 39.00 39.00 39.00 39.00 39.00
901 Blood transfusion with
venesection and complete
replacement of blood, using
blood already collected . . 33.00 33.00 33.00 33.00 33.00 33.00
906 Intrauterine foetal blood
transfusion using blood
already collected, including
necessary amniocentesis . . 39.00 39.00 39.00 39.00 39.00 39.00
911 Blood for purposes of
transfusion, collection of,
not covered by item 871 or
891 . . . . . . . . . . . . 8.20 8.20 8.20 8.20 8.20 8.20
915 Blood dye-dilution indicator
test . . . . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
921 Venesection, not covered by
item 891 or 901-each
attendance at which
venesection is performed . . 3.10 3.10 3.10 3.10 3.10 3.10
931 Blood specimen for pathology
test, intravenous collection
of, for forwarding to
another medical practitioner 2.20 2.50 2.10 2.00 2.00 2.00
941 Blood for pathology test,
collection of, by arterial
puncture . . . . . . . . . . 3.30 3.30 3.30 3.30 3.30 3.30
943 Blood for pathology test,
collection of, by femoral or
external jugular vein
puncture in infants . . . . 4.00 4.00 4.00 4.00 4.00 4.00
945 Collection of specimen of
sweat by iontophoresis . . . 6.00 6.00 6.00 6.00 6.00 6.00
951 Hormone or living tissue
implantation-by incision . . 8.80 8.80 8.80 8.80 8.80
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8.80
961 Hormone or living tissue
implantation-by cannula . . 5.60 5.60 5.60 5.60 5.60 5.60
965 Oesophageal motility test,
manometric . . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
972 Gastric hypothermia by
closed circuit circulation
of refrigerant in the
absence of gastrointestinal
haemorrhage . . . . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
975 Gastric hypothermia by
closed circuit circulation
of refrigerant for upper
gastrointestinal haemorrhage 60.00 60.00 60.00 60.00 60.00 60.00
977 Gastric lavage in the
treatment of ingested poison 7.50 7.50 7.50 7.50 7.50 7.50
981 Electroconvulsive
therapy-each attendance at
which treatment is given . . 10.00 10.00 8.00 9.00 9.00 9.00
985 Narcotherapy or similar
psychiatric procedure
involving intravenous
injection-each attendance at
which treatment is given . . 12.00 12.00 12.00 12.00 12.00 12.00
988 Psychotherapy (including
associated consultation) by
a consultant physician in
the practice of his
recognised specialty of
psychiatry where the patient
is referred to him by a
medical practitioner, any
session of not less than 45
minutes duration subsequent
to the first attendance in a
single course of treatment . 13.50 13.50 13.50 13.50 13.50 13.50
990 Group psychotherapy
(including associated
consultation) of not less
than one hour's duration
given under the continuous
direct supervision of a
consultant physician in the
practice of his recognised
specialty of psychiatry, on
a group of not more than
four patients where each
patient is referred to him
by a medical
practitioner-each patient . 5.00 5.00 5.00 5.00 5.00 5.00
992 Group psychotherapy
(including associated
consultation) of not less
than one hour's duration
given under the continuous
direct supervision of a
consultant physician in the
practice of his recognised
specialty of psychiatry, on
a group of not less than
five patients but less than
ten patients where each
patient is referred to him
by a medical
practitioner-each patient . 3.50 3.50 3.50 3.50 3.50 3.50
994 Group psychotherapy
(including associated
consultation) of not less
than one hour's duration
given under the continuous

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direct supervision of a
consultant physician in the
practice of his recognised
specialty of psychiatry, on
a group of not less than ten
patients where each patient
is referred to him by a
medical practitioner-each
patient . . . . . . . . . . 2.00 2.00 2.00 2.00 2.00 2.00

PART 7-PATHOLOGY SERVICES

Division 1-Blood

Haematology-Erythrocytes
1000 Blood film, examination of . 2.50 3.00 2.00 2.00 2.00 2.00
1002 Blood film, examination by
special stains to
demonstrate; basophilic
stippling, foetal
haemoglobin, haemoglobin H,
Heinz bodies, reticulocytes,
siderocytes or similar . . . 3.00 3.00 3.00 2.00 2.50 2.50
1004 Malarial or other parasites,
examination of blood for . . 4.00 4.00 3.00 2.50 2.50 2.50
1006 Sickling, examination of
blood for . . . . . . . . . 3.00 3.00 3.00 3.00 3.00 3.00
1008 Haemoglobin estimation
(where patient is referred
by another medical
practitioner for this
service) . . . . . . . . . . 2.50 2.50 2.00 2.00 2.00 2.00
1010 Haemoglobin estimation and
examination of blood film . 4.50 5.00 3.50 3.50 3.50 3.50
1012 Haemoglobin estimation and
examination of blood film
and blood grouping A, B, O
and Rh . . . . . . . . . . . 10.00 11.00 9.00 8.50 8.50 8.50
1014 Haemoglobin estimation,
leucocyte count, and
differential leucocyte count 7.50 7.00 5.50 5.00 6.00 5.50
1016 Haemoglobin estimation,
haematocrit (packed cell
volume) estimation,
leucocyte count and
differential leucocyte count 8.00 8.50 7.50 7.00 8.50 8.00
1018 Haemoglobin estimation,
haemotocrit (packed cell
volume) estimation,
leucocyte count and
differential leucocyte
count, and erythrocyte
sedimentation rate . . . . . 12.00 13.00 10.50 9.00 11.00 11.00

1019 Haemoglobin estimation,
erythrocyte count,
haematocrit (packed cell
volume) estimation,
leucocyte count; one or more
of these estimations or
counts, when performed on a
single specimen of blood
simultaneously or
consecutively on an
automated haematology system 2.50 2.50 2.50 2.50 2.50 2.50

1020 Haemoglobin estimation,
blood grouping, A, B, O and
Rh, indirect Coombs' test,
total bilirubin and

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compatibility testing . . . 23.50 20.00 20.50 19.00 21.00 21.00
1022 Erythrocyte count . . . . . 2.50 2.50 2.00 2.00 2.00 2.00
1024 Erythrocyte sedimentation
rate (where patient is
referred by another medical
practitioner for this
service) . . . . . . . . . . 4.00 4.00 3.00 2.00 2.50 2.50
1026 Haematocrit (packed cell
volume) estimation . . . . . 3.00 2.50 3.00 2.00 2.50 2.50
1028 Erythrocyte fragility test,
to hypotonic saline . . . . 8.00 8.00 7.50 5.00 6.50 6.00
1030 Erythrocyte fragility test,
mechanical fragility . . . . 8.00 8.00 7.50 5.00 6.50 6.00
1032 Erythrocyte, autohaemolysis
test . . . . . . . . . . . . 8.00 8.00 7.50 5.00 6.50 6.00
1034 Erythrocytes, estimation of
mean cell diameter . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1036 Erythrocytes, tests for
enzymes, acid phosphatase or
similar, each enzyme . . . . 7.00 7.00 7.00 7.00 7.00 7.00
1038 Erythrocytes, estimation of
glutathione . . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
1040 Erythrocytes, glutathione
stability test . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
1042 Erythrocytes,
glucose-6-phosphate
dehydrogenase, pyruvate
kinase deficiency, or
similar, screening test . . 7.00 7.50 5.00 5.00 4.50 4.50
1044 Erythrocytes,
glucose-6-phosphate
dehydrogenase, pyruvate
kinase deficiency, or
similar, quantitative
estimation . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
1046 Erythrocytes, test for
paroxysmal nocturnal
haemoglobinuria-screening
test (sucrose water test) . 4.00 4.00 4.00 4.00 4.00 4.00
1048 Erythrocytes, test for
paroxysmal nocturnal
haemoglobinuria-acid
haemolysin test . . . . . . 14.00 14.00 14.00 14.00 14.00 14.00
1050 Erythrocytes, folate
estimation of . . . . . . . 10.00 10.00 10.00 7.50 6.50 7.00
1054 Erythrocytes, direct Coombs'
test . . . . . . . . . . . . 4.00 3.00 3.00 2.50 2.50 2.50

Haematology-Leucocytes
1060 Leucocyte count . . . . . . 2.50 3.00 2.00 2.00 2.00 2.00
1062 Leucocyte count and
differential count . . . . . 4.50 4.50 3.50 3.00 4.00 3.50
1063 Differential leucocyte count 2.00 2.00 2.00 2.00 2.00 2.00
1064 Eosinophil count, wet . . . 2.50 3.00 2.50 2.50 2.50 2.50
1066 Leucocyte agglutinins,
detection of . . . . . . . . 6.00 6.00 6.00 6.00 6.00 6.00
1068 Lupus erythematosus cells,
examination of blood film

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for . . . . . . . . . . . . 6.50 6.50 6.00 5.00 5.00 5.00 1070 Cytological sex
determination from blood
film . . . . . . . . . . . . 6.00 6.00 5.00 5.00 5.00 5.00
1072 Leucocyte (neutrophil)
alkaline phosphatase
determination . . . . . . . 7.00 7.00 7.00 7.00 7.00 7.00
1074 Leucocyte tests for
phagocytic activity . . . . 22.00 22.00 22.00 22.00 22.00 22.00
1076 Blood film examination using
special stains (P.A.S.,
Sudan black or similar) for
leucocytes . . . . . . . . . 3.00 3.00 3.00 3.00 3.00 3.00

Haematology-Platelets
1080 Platelet count . . . . . . . 3.00 3.00 3.00 2.00 2.50 2.50
1082 Platelet agglutinin test . . 6.00 6.00 6.00 6.00 6.00 6.00
1084 Platelet survival or
life-radio-active technique 25.00 25.00 25.00 25.00 20.00 20.00

Haematology-Blood Transfusion Procedures
1090 Blood grouping, A, B, O and
Rh (D antigen) . . . . . . . 5.00 5.00 5.00 4.50 4.50 4.50
1091 Blood grouping, Rh
phenotyping, examination for
C, D, E, c,e and other Rh
antigens (five or more
antigens) . . . . . . . . . 7.00 7.00 7.00 7.00 7.00 7.00
1092 Blood grouping, MN or other,
each system, not covered by
item 1090 or 1091 . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1094 Compatability testing-for
each bottle tested up to
five bottles . . . . . . . . 5.00 4.50 5.00 4.50 5.00 5.00
1096 Compatability testing-for
each subsequent bottle
tested in excess of five . . 4.00 3.50 3.50 3.50 3.50 3.50
1098 Examination of serum for Rh
or other blood group
antibodies-screening test . 5.50 4.50 4.50 4.50 4.50 4.50
1100 Examination of serum for Rh
or other blood group
antibodies-quantitative
estimation . . . . . . . . . 6.50 5.50 5.50 5.50 5.50 5.50
1102 Examination of serum for Rh
or other blood group
antibodies-screening and
quantitative estimation . . 10.00 9.00 9.00 9.00 9.00 9.00
1104 Coombs' test-direct . . . . 4.00 3.00 3.00 2.50 2.50 2.50
1106 Coombs' test-indirect (if
not part of Items 1094,
1096, 1098, 1100 or 1102) . 5.00 3.50 3.50 3.50 4.50 4.00
1108 Examination of serum for
blood group haemolysins . . 6.50 5.50 5.50 5.50 5.50 5.50

Haematology-Haemostasis
1110 Antihaemophilic globulin,
assay of, or other blood
coagulation
factor-quantitative . . . . 15.00 15.00 15.00 12.00 12.00 12.00
1112 Bleeding time . . . . . . . 2.50 2.50 2.50 2.00 2.00
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2.00
1114 Coagulation time (including
qualitative clot retraction) 3.00 3.00 2.50 2.00 2.00 2.00
1116 Bleeding time, coagulation
time (including qualitative
clot retraction),
prothrombin estimation and
platelet count . . . . . . . 14.00 13.00 12.50 10.00 11.00 11.00
1118 Clot retraction,
quantitative . . . . . . . . 5.00 5.00 5.00 3.50 4.00 4.00
1120 Euglobulinlysis time, or
similar . . . . . . . . . . 12.00 12.00 12.00 12.00 12.00 12.00
1122 Fibrinogen estimation . . . 7.00 7.00 5.50 5.00 4.50 5.00
1124 Fibrinogen titre,
determination of . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1126 Kaolin clotting time . . . . 6.00 6.00 6.00 6.00 6.00 6.00
1128 Platelet count . . . . . . . 3.00 3.20 3.00 2.00 2.50 2.50
1130 Platelet adhesion test . . . 8.00 8.00 8.00 8.00 8.00 8.00
1132 Platelet aggregation test,
qualitative . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1134 Platelet aggregation test,
quantitative . . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
1136 Platelet factor III
availability . . . . . . . . 12.00 12.00 12.00 12.00 12.00 12.00
1138 Prothrombin estimation . . . 5.00 4.50 5.00 4.00 4.50 4.50
1140 Prothrombin estimation-two
stage . . . . . . . . . . . 7.00 7.50 6.60 6.00 6.00 6.00
1142 Prothrombin consumption test 7.50 6.00 6.00 6.00 6.00 6.00
1144 Recalcified plasma clotting
time . . . . . . . . . . . . 5.00 5.00 5.00 5.00 4.00 4.50
1146 Thrombin clotting time . . . 5.00 5.00 5.00 5.00 4.00 4.50
1148 Thromboplastin generation
screening test . . . . . . . 7.00 7.00 7.00 6.00 6.00 6.00
1150 Thromboplastin generation
test (full) . . . . . . . . 12.00 12.00 12.00 10.00 10.00 10.00
1152 Thrombin time; determination
of (including test for
presence of an inhibitor) . 7.00 7.00 7.00 7.00 7.00 7.00
1154 Thrombin time serial test
for fibrinogenolysis . . . . 6.00 6.00 6.00 6.00 6.00 6.00
1156 Thromboplastin time
(partial) with or without
kaolin . . . . . . . . . . . 6.00 6.00 6.00 6.00 6.00 6.00

Haematology-Miscellaneous Procedures
1160 Blood culture . . . . . . . 7.00 8.00 5.00 5.00 5.00 5.00
1162 Blood volume (dye method) . 8.00 8.00 7.50 6.00 5.50 6.00
1164 Folic acid, estimation of,
in serum or plasma . . . . . 9.00 10.00 8.50 8.50 7.50 8.00
1166 Vitamin B12, estimation of,
in serum or plasma . . . . . 9.00 10.00 8.50 8.50 7.50 8.00
1168 Marrow, examination of films
made from aspirate . . . . . 10.00 11.00 7.00 9.00 6.00 8.00

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1170 Marrow
examination-histopathological
examination of aspirate or
trephine . . . . . . . . . . 11.00 11.00 9.50 10.00 10.00 9.00
1172 Marrow, examination of films
of by special staining, e.g.
iron, P.A.S., peroxidase,
Sudan black or similar . . . 3.00 3.00 3.00 3.00 3.00 3.00
1174 Spectroscopic examination of
blood . . . . . . . . . . . 5.00 5.50 5.00 5.00 4.50 4.50
1178 Assay of concentration of
antibiotic or
chemotherapeutic agents in
serum or plasma . . . . . . 6.00 6.00 5.50 5.00 4.50 4.50

Haematology-Serology
1180 Agglutination tests,
including agglutination
tests for enteric fever,
Brucella infection, one
antigen . . . . . . . . . . 5.00 5.00 3.50 3.00 3.00 3.00
1182 Agglutination tests,
including agglutination
tests for enteric fever,
Brucella infection, more
than one antigen, each
additional antigen . . . . . 4.00 4.00 2.50 2.00 2.00 2.00
1184 Antistreptolysin titre,
determination of . . . . . . 7.00 8.00 6.00 6.00 6.00 6.00
1186 Cold agglutinins,
qualitative test . . . . . . 2.50 2.50 2.50 2.50 2.50 2.50
1188 Cold agglutinins,
quantitative test . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1190 Complement, estimation of,
in serum . . . . . . . . . . 7.00 7.00 7.00 7.00 7.00 7.00
1192 Complement fixation tests
for the diagnosis of
gonorrhoea, hydatid
infestation, or similar,
each antigen . . . . . . . . 7.00 7.00 5.00 5.00 5.00 5.00
1194 Complement fixation tests
for the diagnosis of
toxoplasmosis . . . . . . . 7.00 7.50 5.50 5.00 5.00 5.00
1196 Complement fixation tests to
detect antibodies to other
bacterial, viral, fungal or
parasitic infection not
covered by any other item in
this Part . . . . . . . . . 7.00 7.00 7.00 7.00 7.00 7.00
1198 Haemagglutination or
haemagglutination-inhibition
test for the diagnosis of a
virus infection . . . . . . 7.00 6.00 5.50 5.00 5.00 5.00
1200 Latex flocculation test, or
similar test, for rheumatoid
arthritis or other
conditions-each test . . . . 4.50 3.50 3.00 2.50 2.50 2.50
1202 Methylene blue dye test for
toxoplasmosis . . . . . . . 7.50 7.50 5.50 5.00 5.00 5.00
1204 Paul Bunnell test-screening 4.50 3.50 3.00 3.50 3.50 3.50
1206 Paul Bunnell test-titre with
absorptions . . . . . . . . 8.00 8.00 6.00 7.00 7.00 7.00

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1208 Rose Waaler test . . . . . . 7.00 8.00 6.00 6.00 6.00 6.00
1210 Syphilis, complement
fixation tests for the
diagnosis of, one antigen . 7.00 7.00 5.50 5.00 5.00 5.00
1212 Syphilis, complement
fixation tests for the
diagnosis of, two antigens . 9.00 9.00 7.50 7.00 7.00 7.00
1214 Syphilis, flocculation test
for, Kahn, Kline, VDRL or
similar, one antigen . . . . 4.00 4.00 3.00 2.50 2.00 2.50
1216 Syphilis, flocculation test
for, Kahn, Kline, VDRL or
similar, two anti- gens . . 5.50 5.50 4.50 4.00 3.50 4.00
1218 Syphilis, fluorescent
antibody test for . . . . . 9.00 9.00 9.00 9.00 9.00 9.00

Haematology-Chemistry
1220 Alcohol, estimation of . . . 12.50 12.50 12.50 12.50 12.50 12.50
1222 Amino acids, total
estimation of . . . . . . . 12.50 12.50 12.50 12.50 12.50 12.50
1224 Amino acid pattern,
qualitative (chromatography
or high voltage
electrophoresis), estimation
of . . . . . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
1226 Amino acid pattern,
quantitative (ion exchange,
gas liquid chromatography),
estimation of . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
1228 Ammonia, estimation of . . . 9.00 9.00 9.00 9.00 9.00 9.00
1230 Barbiturates, quantitive
estimation of . . . . . . . 12.50 12.50 12.50 12.50 12.50 12.50
1232 Bicarbonate (CO2 combining
power, alkali-reserve),
estimation of . . . . . . . 7.00 7.00 7.00 5.00 4.50 4.50
1234 Carbohydrate tolerance test
(fructose, galactose,
glucose, lactose, sucrose)
not exceeding 2 hours, each 12.00 12.00 11.00 10.00 10.00 10.00
1236 Carbohydrate tolerance test
(fructose, galactose,
glucose, lactose, sucrose)
exceeding 2 hours but not
exceeding 3 hours, each . . 15.00 15.00 14.00 13.00 13.00 13.00
1238 Carbohydrate tolerance test
(fructose, galactose,
glucose, lactose, sucrose)
exceeding 3 hours, each . . 18.00 18.00 17.00 16.00 16.00 16.00
1240 Carboxyhaemoglobin (carbon
monoxide), qualitative
estimation of . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1242 Carboxyhaemoglobin (carbon
monoxide), quantitative
estimation of . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
1244 Congo red test . . . . . . . 13.00 13.00 12.00 11.00 10.00 10.50
1246 Cortisol, corticosteroids or
similar, estimation of . . . 12.50 12.50 12.50 12.50 12.50 12.50
1248 Cryoglobulins-qualitative
estimation of . . . . . . . 3.50 2.50 3.00 2.50 2.50 2.50

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1250 Electrolytes, estimation of
sodium, potassium, calcium,
magnesium, chloride or other
electrolyte-estimation of
one substance . . . . . . . 7.00 7.00 5.50 5.00 5.00 5.00
1252 Estimation of two substances
referred to in the last
preceding item . . . . . . . 12.00 12.00 10.50 10.00 10.00 10.00
1254 Estimation of three
substances referred to in
Item 1250 . . . . . . . . . 16.00 16.00 14.50 14.00 14.00 14.00
1256 Estimation of four
substances referred to in
Item 1250 . . . . . . . . . 20.00 20.00 18.50 18.00 18.00 18.00
1258 Estimation of five
substances referred to in
Item 1250 . . . . . . . . . 24.00 24.00 22.50 22.00 22.00 22.00
1260 Electrophoretic
determination of serum or
plasma for lipoprotein,
protein, abnormal
haemoglobin, haptoglobin, or
other unspecified fractions,
qualitative, each
determination . . . . . . . 7.00 7.00 7.00 7.00 7.00 7.00
1262 Electrophoretic
determination of serum or
plasma for lipoprotein,
protein, abnormal
haemoglobin, haptoglobin, or
other unspecified fractions,
quantitative, each
determination . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
1264 Enzymes (whole blood, serum
or plasma), one estimation . 7.00 7.00 5.50 5.00 5.00 5.00
1266 Enzymes (whole blood, serum
or plasma), two estimations 12.00 12.00 10.50 10.00 10.00 10.00
1268 Enzymes (whole blood, serum
or plasma), three
estimations . . . . . . . . 16.00 16.00 14.50 14.00 14.00 14.00
1270 Enzymes (whole blood, serum
or plasma), four or more
estimations . . . . . . . . 20.00 20.00 18.50 18.00 18.00 18.00
1272 Folic acid, estimation of . 9.00 10.00 8.50 8.50 7.50 8.00
1274 Gas analysis including
oxygen capacity, oxygen
saturation and partial
carbon dioxode (PC02) . . . 25.00 25.00 25.00 25.00 25.00 25.00
1277 Chemical analysis of blood
or serum, one or more tests
performed simultaneously or
consecutively on a single
specimen on one or more
multichannel analyser
systems . . . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1278 Chemical tests,
quantitative, of albumin,
bromide, cholesterol,
creatinine, globulin,
glucose, phosphorus,
salicylates, sulphonamides,
total protein, urea, urea
nitrogen, uric acid or
similar substance, not
covered by any other item,
estimation of one substance,

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other than by reagent stick,
strip, tablet or similar . . 7.00 7.00 5.50 5.00 5.00 5.00

1280 Two estimations of any
substance or substances
referred to in the last
preceding item . . . . . . . 12.00 12.00 10.50 10.00 10.00 10.00
1282 Three estimations of any
substance or substances
referred to in Item 1278 . . 16.00 16.00 14.50 14.00 14.00 14.00

1284 Four estimations of any
substance or substances
referred to in Item 1278 . . 20.00 20.00 18.50 18.00 18.00 18.00
1286 Five or more estimations of
any substance or substances
referred to in Item 1278 . . 24.00 24.00 22.50 22.00 22.00 22.00
1288 Hydrogen ion concentration
(pH), estimation of . . . . 10.00 10.00 10.00 10.00 10.00 10.00
1290 Insulin tolerance test . . . 14.00 14.00 12.50 11.50 11.50 11.50
1292 Intravenous tolbutamide test 14.00 14.00 12.50 11.50 11.50 11.50
1294 Iron, estimation of . . . . 7.00 7.00 5.50 5.00 5.00 5.00
1296 Iron-binding capacity,
estimation of . . . . . . . 5.00 5.00 5.00 5.00 4.50 4.50
1298 Iron and iron-binding
capacity, estimation of . . 12.00 12.00 10.50 10.00 9.50 9.50
1301 Liver function test
(bilirubin, total;
bilirubin, direct and
indirect; enzymes; alkaline
phosphatase, transaminase or
similar; turbidity; or other
liver function test not
covered by any other item),
any one test . . . . . . . . 7.00 7.00 5.50 5.00 5.00 5.00
1302 Two of any test or tests
referred to in the last
preceding item . . . . . . . 12.00 12.00 10.50 10.00 10.00 10.00
1304 Three of any test or tests
referred to in Item 1301 . . 16.00 16.00 14.50 14.00 14.00 14.00
1305 Four of any test or tests
referred to in Item 1301 . . 20.00 20.00 18.50 18.00 18.00 18.00
1307 Five or more of any test or
tests referred to in Item
1301 . . . . . . . . . . . . 24.00 24.00 22.50 22.00 22.00 22.00
1310 Other unspecified liver
function test not covered by
any other item . . . . . . . 7.00 7.00 5.50 5.00 5.00 5.00
1313 Methaemalbumin, qualitative
test for . . . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1314 Phenylketonuria, bacterial
inhibition assay for
(Guthrie test), when
performed as an isolated
procedure on specimens from
one patient only . . . . . . 2.00 2.00 2.00 2.00 2.00 2.00
1317 Phenylketonuria, bacterial
inhibition assay for
(Guthrie test), when
performed simultaneously on
specimens from more than one
patient-test for each
patient . . . . . . . . . . 1.00 1.00 1.00 1.00 1.00

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1.00
1319 Protein bound iodine,
estimation of . . . . . . . 11.50 12.00 10.50 10.00 10.00 10.00
1322 Proteins, chemical
estimation of, total (copper
sulphate method) . . . . . . 4.00 4.00 3.00 2.50 2.50 2.50
1325 Protamine sulphate titration 3.00 3.00 2.80 2.50 2.50 2.50
1328 Spectroscopic examination
for pigments . . . . . . . . 5.00 5.50 5.50 5.00 4.50 5.00
1331 Thyroxine, estimation of . . 12.50 12.50 10.50 10.00 9.50 10.50
1334 Triglycerides,
phospholipids, total lipids,
estimation of each substance 8.00 8.00 6.50 6.00 6.00 6.00
1337 Estimation of any two
substances referred to in
the last preceding item . . 13.00 13.00 11.50 11.00 11.00 11.00
1340 Estimation of any three or
more substances referred to
in Item 1334 . . . . . . . . 18.00 18.00 16.50 16.00 16.00 16.00
1343 Triglycerides,
phospholipids, total lipids,
estimation of one substance
and estimation of
cholesterol . . . . . . . . 13.00 13.00 10.00 9.00 9.00 9.00
1346 Thyroxine, tri-iodothyronine
or di- goxin, free plasma
estimation of . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00 1349 Trace elements (copper,
lead, mercury, zinc or other
unspecified trace elements),
estimation of . . . . . . . 8.50 8.50 8.50 8.50 8.50 8.50
1352 Vitamin A or caratenoids,
estimation of . . . . . . . 9.00 9.00 9.00 9.00 9.00 9.00
1355 Vitamin B12, estimation of . 9.00 10.00 8.50 8.50 7.50 8.00
1358 Assay of concentration of
antibiotic or
chemotherapeutic agent . . . 6.00 6.00 5.50 5.00 4.50 4.50

Division 2-Urine

Urine-Bacteriology
1380 Microscopical examination of
urine concentrate (where
patient is referred by
another medical practitioner
for this service) . . . . . 3.50 3.50 2.50 2.00 2.00 2.50
1382 Microscopical examination of
urine concentrate and
general examination for
three or more of: reaction,
specific gravity, blood,
albumin, urobilinogen,
sugar, acetone, bile
pigments (where patient is
referred by another medical
practitioner for this
service) . . . . . . . . . . 4.00 4.00 3.00 2.50 2.50 3.00
1385 Microscopical examination of
urine concentrate and
general examination for
three or more of: reaction,
specific gravity, blood,
albumin, urobilinogen,
sugar, acetone, bile
pigments and cultural

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examination of urine
specimen for isolation and
identification of organisms 7.00 7.00 5.50 5.00 5.00 5.00
1388 Microscopical examination of
urine concentrate and
general examination for
three or more of: reaction,
specific gravity, blood,
albumin, urobilinogen,
sugar, acetone, bile
pigments, cultural
examination of urine
specimen and antibiotic
sensitivity testing, of
urine organisms, up to eight
antibiotics . . . . . . . . 12.00 12.00 10.50 10.00 10.00 10.00
1389 Microscopical examination of
urine concentrate and
general examination for
three or more of: reaction,
specific gravity, blood,
albumin, urobilinogen,
sugar, acetone, bile
pigments, cultural
examination of urine
specimen and antibiotic
sensitivity test of urine
organism (each organism),
for nine or more antibiotics 15.00 15.00 13.50 13.00 13.00 13.00
1391 Microscopical examination of
urine concentrate and
general examination for
three or more of: reaction,
specific gravity, blood,
albumin, urobilinogen,
sugar, acetone, bile
pigments, bacterial count
for organisms in urine
(colony count), simplified
technique, and cultural
examination of urine
specimen for isolation and
identification of organisms 10.00 10.00 8.00 7.50 7.50 7.50
1392 Microscopical examination of
urine concentrate and
general examination for
three or more of: reaction,
specific gravity, blood,
albumin, urobilinogen,
sugar, acetone, bile
pigments, bacterial count
for organisms in urine
(colony count), simplified
technique, cultural
examination of urine
specimen and antibiotic
sensitivity of urine
organisms, up to eight
antibiotics . . . . . . . . 15.00 15.50 13.00 12.00 12.00 12.00
1394 Microscopical examination of
urine concentrate and
general examination for
three of more of: reaction,
specific gravity, blood,
albumin, urobilinogen,
sugar, acetone, bile
pigments, bacterial count
for organisms in urine
(colony count), simplified
technique, cultural
examination of urine
specimen and antibiotics
sensitivity of urine
organisms, for nine or more
antibiotics . . . . . . . . 18.00 18.50 16.00 15.00 15.00
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15.00
1395 Microscopical examination of
urine concentrate by special
stain-Ziehl Neelsen or
similar . . . . . . . . . . 3.00 3.00 2.50 2.50 2.50 2.50
1397 Microscopical examination of
urine concentrate by special
stain-Ziehl Neelsen or
similar, and cultural
examination of urine
specimen for special
pathogens, such as M. tuber-
culosis . . . . . . . . . . 7.50 7.50 7.50 6.50 6.50 6.50

1399 Bacterial count for
organisms in urine (colony
count), simplified technique 2.50 2.50 2.50 2.50 2.50 2.50
1401 Bacterial count for
organisms in urine (colony
count), poured plate
technique . . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1404 Cultural examination of

urine specimen, for
isolation and identification
of organisms . . . . . . . . 3.50 3.50 2.80 2.50 2.50 2.50
1407 Microscopical examination of
urine concentrate and
cultural examination of
urine specimen, for
isolation and identification
of organisms . . . . . . . . 7.00 7.00 5.00 4.50 4.50 5.00
1410 Cultural examination of
urine specimen for special
pathogens, such as M.
tuberculosis . . . . . . . . 5.00 5.00 5.00 4.50 4.50 4.50
1413 Antibiotic sensitivity of
urine organism (each
organism) up to eight
antibiotics . . . . . . . . 5.00 5.50 5.00 4.50 4.50 4.50
1416 Antibiotic sensitivity of
urine organism (each
organism) nine or more
antibiotics . . . . . . . . 8.00 8.50 8.00 7.50 7.50 7.50
1419 Sensitivity testing of
mycobacteria, each
antibiotic . . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1421 Sensitivity testing-tube
dilution, each antibiotic . 6.00 6.00 6.00 6.00 6.00 6.00
1423 Assay of concentration of
antibiotic or
chemotherapeutic agents in
urine . . . . . . . . . . . 6.00 6.00 5.50 5.00 4.50 4.50
1425 Examination by animal
inoculation . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
1428 Addis count or quantitative
estimation of sediments . . 6.00 6.00 5.50 5.00 5.00 5.00

Urine-Chemistry
1430 Alcohol, quantitative
estimation of . . . . . . . 12.50 12.50 12.50 12.50 12.50 12.50
1432 Aldosterone, estimation of . 25.00 25.00 25.00 25.00 25.00 25.00
1434 Amino acid, total estimation
of . . . . . . . . . . . . . 7.00 7.00 7.00 7.00 7.00 7.00
1436 Amino acids, identification

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of, screening tests, by
chromatography . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
1438 Amino acids, identification
of, qualitative pattern
(high voltage
electrophoresis or
chromatography) . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
1441 Amino-levulinic acid,
estimation of . . . . . . . 8.50 8.50 8.50 8.50 8.50 8.50
1444 Ascorbic acid, estimation of 7.00 7.00 6.50 5.00 4.50 4.50
1447 Barbiturates, estimation of,
quantitative . . . . . . . . 12.50 12.50 12.50 12.50 12.50 12.50
1450 Catecholamines or similar,
estimation of . . . . . . . 11.00 11.00 10.50 10.00 10.00 10.00
1453 Chromatography of urine for
separation and
identification of sugars and
other substances of
diagnostic significance
other than amino acids . . . 7.00 7.00 6.50 5.50 4.50 5.50
1456 Electrophoresis of urinary
protein, qualitative . . . . 9.00 9.00 8.00 8.00 8.00 8.00
1459 Chemical tests,
quantitative, not covered by
any other item (calcium,
phosphorus, protein, sugar,
urea, enzymes, uric acid or
similar substance), one
estimation, other than by
reagent stick, strip, tablet
or similar . . . . . . . . . 7.00 7.00 6.00 5.00 5.00 5.00
1461 Two estimations of any
substance or substances
referred to in the last
preceding item . . . . . . . 12.00 12.00 11.00 10.00 10.00 10.00
1463 Three estimations of any
substance or substances
referred to in Item 1459 . . 16.00 16.00 15.00 14.00 14.00 14.00
1466 Four or more estimations of
any substance or substances
referred to in Item 1459 . . 20.00 20.00 19.00 18.00 18.00 18.00
1468 Chorionic gonadotrophins
(for diagnosis of pregnancy)
using immuno-chemical
methods . . . . . . . . . . 5.00 5.00 3.50 2.50 2.50 2.50
1470 Chorionic gonadotrophins
(for diagnosis of pregnancy)
using animals . . . . . . . 7.00 6.50 6.00 6.00 6.00 6.00
1472 Chorionic gonadotrophins,
quantitative estimation of . 10.00 10.00 10.00 10.00 10.00 10.00
1474 Pituitary gonadotrophins,
quantitative estimation of . 25.00 25.00 25.00 25.00 25.00 25.00
1475 Quantitative estimation of
Luteinizing hormone using
immunochemical methods . . . 20.00 20.00 20.00 20.00 20.00 20.00
1476 Hydroxycorticosteroids,
estimation of . . . . . . . 10.50 10.50 10.00 7.50 7.50 7.50
1478 Hydroxyindole-acetic acid,
quantitative estimation of . 8.50 8.50 8.50 7.50 7.50 7.50
1481 Lead, thallium, mercury or
arsenic, estimation of . . . 8.50 8.50 8.50 8.50 8.50
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8.50
1484 Oestrogens, total,
estimation of . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
1487 Oxosteroids, estimation of . 10.50 10.50 10.00 7.50 7.50 7.50
1490 Oxogenic steroids,
estimation of . . . . . . . 10.50 10.50 10.00 7.50 7.50 7.50
1491 Porphyrins, qualitative
examination, other than by
reagent stick, strip, tablet
or similar . . . . . . . . . 5.00 5.00 2.50 2.50 2.50 2.50
1493 Porphyrins, quantitative
examination, each substance 20.00 20.00 20.00 20.00 20.00 20.00
1494 Quantitative estimation of
pregnanediol, pregnanetriol
or similar substances . . . 25.00 25.00 25.00 25.00 25.00 25.00
1495 Qualitative estimation of
substances in urine
(Bence-Jones protein,
hydroxy- indole-acetic acid,
indican, melanogen,
porphobilinogen or other
similar substances not
covered by any other item),
each substance, other than
by reagent stick, strip,
tablet or similar (where
patient is referred by
another medical practitioner
for this service) . . . . . 3.00 3.00 3.00 3.00 3.00 3.00
1496 Spectroscopic examination
for pigments . . . . . . . . 5.00 5.50 5.00 5.00 4.50 4.50
1497 Vanilmandelic acid,
estimation of . . . . . . . 11.00 11.00 10.50 10.00 10.00 10.00

Urine-Cytology
1499 Cytological examination for
malig- nancy . . . . . . . . 10.00 10.00 9.00 9.00 9.00 9.00

Division 3-Body Fluids
Exudates including Pus, Sputum, Sweat and Amniotic, Ascitic, Cerebrospinal,
Pleural, Prostatic, Seminal, Synovial and Vaginal Fluids
Body Fluids-Bacteriology and Parasitology
1500 Microscopical
examination-wet film . . . . 2.50 2.50 2.50 2.00 2.00 2.00
1502 Microscopical
examination-gram stain or
similar . . . . . . . . . . 3.00 3.00 2.50 2.00 2.00 2.00
1504 Microscopical examination,
by special stains, e.g.
Ziehl Neelsen or similar . . 3.00 3.00 2.50 2.00 2.00 2.00
1506 Microscopical examination by
dark ground illumination or
phase contrast . . . . . . . 6.00 6.00 6.00 5.00 5.00 5.00
1508 Cultural examination for,
and identification of
aerobic micro-organisms . . 4.50 4.50 4.50 3.00 3.00 3.00
1511 Cultural examination for,
and identification of
anaerobic microorganisms . . 5.00 5.00 5.00 5.00 5.00 5.00
1513 Cultural examination for
special pathogens, such as
M. tuberculosis, fungi, etc. 4.50 4.50 4.50 4.50 4.50 4.50
1515 Microscopical examination,

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gram stain or similar and
cultural examination for and
identification of aerobic
micro-organisms . . . . . . 7.50 7.50 7.00 5.00 5.00 5.00
1517 Microscopical examination,
gram stain or similar and
cultural examination for and
identification of aerobic
micro-organisms and
microscopical examination,
by special stains, e.g.
Ziehl Neelsen or similar . . 10.50 10.50 9.50 7.00 7.00 7.00
1519 Microscopical examination,
gram stain or similar;
cultural examination for and
identification of aerobic
micro-organisms and
sensitivity testing of up to
eight antibiotics . . . . . 12.50 12.50 12.00 9.50 9.50 9.50
1521 Microscopical examination,
gram stain or similar;
cultural examination for and
identification of aerobic
micro-organisms and
sensitivity testing of up to
eight antibiotics and micro-
scopical examination, by
special stains, e.g. Ziehl
Neelsen or similar . . . . . 15.50 15.50 14.50 11.50 11.50 11.50

1523 Microscopical examination,
gram stain or similar;
cultural examination for and
identification of aerobic
micro-organisms and
sensitivity testing of nine
or more antibiotics . . . . 15.50 15.50 15.00 12.50 12.50 12.50
1525 Microscopical examination by
special stains, e.g. Ziehl
Neelsen or similar; and
cultural examination for
special pathogens, such as
M. tuberculosis, fungi, etc. 7.50 7.50 7.00 6.50 6.50 6.50
1527 Examination by animal
inoculation . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
1529 Autogenous vaccines,
preparation of, for a single
organism . . . . . . . . . . 6.00 6.00 6.00 6.00 6.00 6.00
1531 Autogenous vaccines,
preparation of, for multiple
organisms . . . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
1534 Sensitivity testing-up to
eight antibiotics . . . . . 5.00 5.00 5.00 4.50 4.50 4.50
1537 Sensitivity testing-nine or
more anti- biotics . . . . . 8.00 8.00 8.00 7.50 7.50 7.50
1539 Sensitivity testing-tube
dilution, each antibiotic . 6.00 6.00 6.00 6.00 6.00 6.00
1541 Sensitivity testing of
mycobacteria, each
antibiotic . . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1543 Assay of concentration of
antibiotic or
chemotherapeutic agents in
body fluids . . . . . . . . 6.00 6.00 5.50 5.00 4.50 4.50

Body Fluids-Vaginal and Prostatic Fluids
1545 Microscopical

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examination-wet film . . . . 2.50 2.50 2.50 2.00 2.00 2.00
1546 Microscopical examination,
wet film; microscopical
examination gram stain or
similar; cultural
examination for and
identification of aerobic
micro-organisms . . . . . . 10.00 10.00 9.50 7.00 7.00 7.00
1548 Microscopical examination,
wet film; microscopical
examination gram stain or
similar; cultural
examination for and
identification of aerobic
micro-organisms and
sensitivity testing of up to
eight antibiotics . . . . . 15.00 15.00 14.50 11.50 11.50 11.50

Body Fluids-Cerebrospinal Fluid
1551 Cell count and differential;
and quantitative chemical
estimation of one substance 10.00 10.00 8.00 7.50 7.50 7.50
1554 Cell count and differential;
quantitative chemical
estimation of one substance;
and Lange colloidal gold
reaction . . . . . . . . . . 16.50 16.50 13.50 12.50 12.50 12.50
1557 Cell count and differential;
quantitative chemical
estimation of one substance;
Lange colloidal gold
reaction; and complement
fixation test for syphilis . 23.00 23.00 18.50 17.50 17.50 17.50
1560 Cell count and differential;
quantitative chemical
estimation of one substance;
and complement fixation test
for syphilis . . . . . . . . 16.50 16.50 13.00 12.50 12.50 12.50
1562 Cell count and differential;
and quantitative chemical
estimation of two substances 15.00 15.00 13.00 12.50 12.50 12.50
1564 Cell count and differential;
quantitative chemical
estimation of two
substances; and Lange
colloidal gold reaction . . 21.50 21.50 18.50 17.50 17.50 17.50
1566 Cell count and differential;
and quantitative chemical
estimation of three
substances . . . . . . . . . 19.00 19.00 17.00 16.50 16.50 16.50
1568 Cell count and differential;
quantitative chemical
estimation of three
substances; and Lange
colloidal gold reaction . . 25.50 25.50 22.50 21.50 21.50 21.50

Body Fluids-Seminal Fluid
1571 Cell count; microscopical
examination, wet film; and
microscopical examination,
gram stain or similar . . . 8.50 8.50 7.50 6.50 6.50 6.50

Body Fluids-Serological Examination
1580 Serological procedures, not
covered by any other item,
to identify organisms . . . 5.00 5.00 5.00 5.00 5.00 5.00
1582 Rh or similar blood group

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antibodies, qualitative
examination for . . . . . . 5.50 5.00 5.00 4.50 4.50 4.50
1584 Rh or similar blood group
antibodies, screening and
quantitative examination for 10.00 9.00 9.00 9.00 9.00 9.00
1586 Flocculation tests for
syphilis, rheumatoid factor
or similar . . . . . . . . . 4.50 4.00 3.00 2.50 2.50 2.50
1588 Syphilis, complement
fixation tests for . . . . . 7.00 7.00 5.50 5.00 5.00 5.00
1590 Complement, estimation of . 7.00 7.00 7.00 7.00 7.00 7.00

Body Fluids-Chemistry
1601 Quantitative chemical
estimation of one substance 7.00 7.00 5.50 5.00 5.00 5.00
1604 Quantitative chemical
estimation of two substances 12.00 12.00 10.50 10.00 10.00 10.00
1607 Quantitative chemical
estimation of three
substances . . . . . . . . . 16.00 16.00 14.50 14.00 14.00 14.00
1609 Quantitative chemical
estimation of four or more
substances . . . . . . . . . 20.00 20.00 18.50 18.00 18.00 18.00
1611 Lange colloidal gold
reaction . . . . . . . . . . 6.50 6.50 5.50 5.00 5.00 5.00
1613 Amniotic fluid,
spectroscopic examination of 8.50 8.50 8.50 8.50 8.50 8.50
1615 Electrophoresis of protein
or enzyme, qualitative . . . 9.00 9.00 8.00 8.00 8.00 8.00

Body Fluids-Cytology
1616 Cytological examination for
malignancy . . . . . . . . . 10.00 10.00 9.00 9.00 9.00 9.00

Body Fluids-Miscellaneous
1621 Cell count and differential 3.00 3.00 2.50 2.50 2.50 2.50
1622 Microscopical examination of
wet film . . . . . . . . . . 2.50 2.50 2.50 2.00 2.00 2.00
1623 Assay of concentration of
antibiotic or
chemotherapeutic agent . . . 6.00 6.00 5.50 5.00 4.50 4.50
1625 Sweat plate test . . . . . . 3.50 3.50 3.50 3.50 3.50 3.50
1627 Huhner's test . . . . . . . 7.00 7.00 7.00 7.00 7.00 7.00
1629 Milk, human, chemical
analysis of . . . . . . . . 6.00 6.00 6.00 6.00 6.00 6.00
1631 Calculi (gall stones,
urinary calculi and other
body concretions), chemical
examination of . . . . . . . 5.00 5.00 4.50 4.50 4.50 4.50

Division 4-Immunology
1640 Immunoelectrophoresis of
serum, cerebrospinal fluid,
urine or other body
fluids-qualitative . . . . . 14.00 14.00 14.00 14.00 14.00 14.00
1643 Immunodiffusion for the
detection of proteins in
serum, cerebrospinal fluid,
urine or other body

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fluids-quantitative-each
protein . . . . . . . . . . 7.50 7.50 7.50 7.50 7.50 7.50
1645 Radio-immunodiffusion
determination of protein in
serum, cerebrospinal fluid,
urine or other body
fluids-quantitative-each
protein . . . . . . . . . . 7.50 7.50 7.50 7.50 7.50 7.50
1647 Radio immune precipitation
of globulins . . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
1649 Lymphocyte (function
studies) response to
phytohaemagglutinin or
antigen, visual
transformation . . . . . . . 18.00 18.00 18.00 18.00 18.00 18.00
1651 Lymphocyte (function
studies) response to
phytohaemagglutinin or
antigen-using radio-active
techniques, estimation of . 25.00 25.00 25.00 25.00 25.00 25.00
1653 Skin sensitivity-induction
and detection of sensitivity
to chemical antigens . . . . 10.00 10.00 10.00 10.00 10.00 10.00

Immunology-Tissue Antibody Detection
1661 Flocculation tests, e.g.
latex-each antibody . . . . 4.50 3.50 3.00 2.50 2.50 2.50
1664 Agglutination immobilisation
test . . . . . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00

1667 Tanned erythrocyte
haemagglutination
technique-each antibody . . 7.00 7.00 5.00 5.00 5.00 5.00
1670 Complement fixation tests
involving human tissue
antibody-each antibody . . . 7.00 7.00 7.00 7.00 7.00 7.00

1673 Immunofluorescent detection
of tissue antibody-each
antibody . . . . . . . . . . 9.00 9.00 9.00 9.00 9.00 9.00

Division 5-Faeces

Faeces-Bacteriology and Parasitology
1680 Microscopical examination of
wet preparation . . . . . . 2.50 3.50 2.50 2.00 2.00 2.00
1682 Microscopical examination
with simple staining . . . . 3.00 3.00 2.50 2.00 2.00 2.00
1684 Microscopical examination
with special staining (iron
haematoxylin, trichrome or
similar) . . . . . . . . . . 3.00 3.00 2.50 2.50 2.50 2.50
1686 Microscopical examination
for parasites or ova after
concentration techniques . . 3.50 3.50 3.50 3.50 3.50 3.50
1688 Identification of helminths 5.00 5.00 5.00 5.00 5.00 5.00
1691 Cultural examination for
parasites . . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1694 Cultural examination for
isolation of
micro-organisms, using
selective media . . . . . . 6.00 5.00 4.50 4.50 5.00 5.00
1697 Microscopical examination of
wet preparation; and

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cultural examination for
isolation of
micro-organisms, using
selective media . . . . . . 8.50 8.50 7.00 6.50 7.00 7.00
1698 Microscopical examination of
wet preparation;
microscopical examination
for parasites or ova after
concentration techniques;
and cultural examination for
isolation of
micro-organisms, using
selective media . . . . . . 12.00 12.00 10.50 10.00 10.50 10.50
1700 Special cultural examination
for identification of
intestinal pathogenic
micro-organisms, using
biochemical reactions . . . 5.00 5.00 5.00 5.00 5.00 5.00
1701 Microscopical examination of
wet preparation;
microscopical examination
for parasites or ova after
concentration techniques;
and cultural examination for
isolation of
micro-organisms; using
selective media, and special
cultural examination for
identification of intestinal
pathogenic micro-organisms
using biochemical reactions 17.00 17.00 15.50 15.00 15.50 15.50
1703 Identification of intestinal
pathogenic micro-organisms
by specific serological
techniques . . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1706 Sensitivity testing (each
organism) using up to eight
antibiotics . . . . . . . . 5.00 5.00 5.00 4.50 4.50 4.50
1707 Sensitivity testing (each
organism) using nine or more
antibiotics . . . . . . . . 8.00 8.00 8.00 7.50 7.50 7.50

Faeces-Chemistry
1710 Bilirubin, qualitative test,
other than by reagent stick,
strip, tablet or similar . . 2.50 2.50 2.50 2.50 2.50 2.50
1712 Chloride, estimation of . . 7.00 7.00 6.00 5.00 4.50 5.00
1714 Calcium, estimation of . . . 7.00 7.00 6.00 5.00 4.50 5.00
1716 Enzyme assay for amylase,
trypsin, mucinase or similar
enzyme, qualitative, each
substance . . . . . . . . . 3.00 3.00 3.00 3.00 3.00 3.00
1718 Fat, total, quantitative
estimation of, one
estimation . . . . . . . . . 9.00 9.00 7.50 7.50 7.50 7.50
1720 Fat, total, quantitative
estimation of, two
estimations . . . . . . . . 18.00 18.00 15.00 15.00 15.00 15.00
1722 Fat, total, quantitative
estimation of, three or more
estimations . . . . . . . . 27.00 27.00 22.50 22.50 22.50 22.50
1724 Fat, differential,
quantitative estimation of,
one estimation . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1726 Fat, differential,

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quantitative estimation of,
two estimations . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
1728 Fat, differential,
quantitative estimation of,
three or more estimations . 15.00 15.00 15.00 15.00 15.00 15.00
1730 Nitrogen, total, estimation
of . . . . . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
1732 Occult blood, chemical tests
for, other than by reagent
stick, strip, tablet or
similar . . . . . . . . . . 3.00 2.50 2.00 2.00 2.00 2.00
1734 Porphyrins, qualitative
estimation of, other than by
reagent stick, strip, tablet
or similar . . . . . . . . . 5.00 5.00 2.50 2.50 2.50 2.50
1736 Porphyrins, quantitative
estimation of (each
substance) . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
1738 Reducing substances,
qualitative test other than
by reagent stick, strip,
tablet or similar . . . . . 3.00 3.00 3.00 3.00 3.00 3.00
1741 Phosphorus, estimation of . 7.00 7.00 5.50 5.00 5.00 5.00
1744 Urobilin, urobilinogen,
qualitative estimation of,
other than by reagent stick,
strip, tablet or similar . . 3.00 3.00 3.00 3.00 3.00 3.00
1746 Urobilinogen, quantitative
estimation of, other than by
reagent stick, strip, tablet
or similar . . . . . . . . . 7.00 7.00 5.50 5.00 5.00 5.00
1748 Chemical estimation,
quantitative, of any one
substance not specified
elsewhere, other than by
reagent stick, strip, tablet
or similar . . . . . . . . . 7.00 7.00 5.50 5.00 5.00 5.00

Division 6-Skin, Hair, Nails
1761 Microscopical examination
for fungi . . . . . . . . . 4.00 4.00 4.00 3.50 3.50 3.50
1764 Microscopical and cultural
examination for fungi . . . 7.00 7.00 7.00 6.00 6.00 6.00
1767 Chemical examination
(qualitative)- each
substance . . . . . . . . . 3.00 3.00 3.00 3.00 3.00 3.00
1770 Chemical examination
(quantitative)-each
substance . . . . . . . . . 7.00 7.00 6.00 5.00 5.00 5.00
1773 Skin sensitivity testing for
allergens, using one to
twenty allergens . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
1776 Skin sensitivity testing for
allergens, using more than
twenty allergens . . . . . . 12.00 12.00 12.00 12.00 12.00 12.00
1779 Skin sensitivity testing for
hydatid disease (Casoni
test) . . . . . . . . . . . 4.50 4.00 2.50 2.50 2.50 2.50
1782 Skin sensitivity testing for
mycobacterial infection
(Mantoux, Von Pirquet,
Vollmer or similar test) . . 4.50 4.00 2.50 2.50 2.50
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2.50
1785 Skin sensitivity testing for
diagnosis of disease not
otherwise listed (Schick
test, Frei test,
Schultz-Charlton test, etc.) 4.50 4.00 2.50 2.50 2.50 2.50

Division 7-Gastric and Duodenal Contents

Gastric and Duodenal Contents-Bacteriology
1790 Microscopical examination
for mycobacteria including
collection of gastric
contents . . . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
1792 Cultural examination for
mycobacteria . . . . . . . . 5.00 5.00 5.00 4.50 4.50 4.50
1794 Microscopical examination
for mycobacteria including
collection of gastric
contents and cultural
examination for mycobacteria 10.00 10.00 10.00 9.50 9.50 9.50
1796 Animal inoculation . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
1798 Sensitivity testing for
mycobacteria-each antibotic 5.00 5.00 5.00 5.00 5.00 5.00

Gastric and Duodenal Contents-Chemistry
1800 Qualitative tests for
barbiturate, blood, alcohol,
metallic poison or similar
substances-each substance . 3.50 3.50 3.50 3.50 3.50 3.50
1802 Quantitative determination
of acidity, single or
multiple specimens,
including collection
(fractional test meal) . . . 10.50 10.50 10.00 8.00 9.00 8.00
1804 Collection of gastric juice
specimens after stimulation
by histamine, synthetic
gastrin, alcohol or similar
substance and quantitative
determination of acidity . . 15.00 15.00 14.50 12.50 13.50 12.50

1806 Quantitative determination
of bicarbonate-single
determination . . . . . . . 7.00 7.00 7.00 5.00 4.50 4.50
1808 Quantitative determinations
of bicarbonate-more than one
determination . . . . . . . 15.00 15.00 15.00 11.00 10.00 10.00

1810 Quantitative determination
of other substances-each
substance . . . . . . . . . 7.00 7.00 7.00 5.00 4.50 4.50
1812 Stomach acid secretion test
by ingestion of dye . . . . 7.00 7.00 5.00 4.50 4.50 4.50

Division 8-Morbid Anatomy
1820 Histopathological
examination of biopsy
material when one or two
pieces of tissue are
separately identified,
processed and examined . . . 12.00 12.00 10.00 10.00 10.00 10.00
1822 Histopathological
examination of biopsy
material when three or four
pieces of tissue are
separately identified,
processed and examined . . . 18.00 18.00 16.00 16.00 16.00

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16.00
1824 Histopathological
examination of biopsy
material when five or more
pieces of tissue are
separately identified,
processed and examined . . . 24.00 24.00 22.00 22.00 22.00 22.00
1826 Immediate frozen section
diagnosis and
histopathological
examination of biopsy
material when one or two
pieces of tissue are
separately identified,
processed and examined . . . 24.00 24.00 20.00 20.00 20.00 20.00
1828 Immediate frozen section
diagnosis and
histopathological
examination of biopsy
material when three or more
pieces of tissue are
separately identified,
processed and examined . . . 30.00 30.00 26.00 26.00 26.00 26.00
Division 9-Special Investigations (includes Collection of Specimens,
Administration of Drugs and All Relevant Chemical Determinations)
1840 Acth stimulation procedure
(including synacthen) using
multiple plasma steroid
estimation . . . . . . . . . 35.00 35.00 35.00 35.00 35.00 35.00
1841 Acth stimulation procedure
(including synacthen) using
multiple urine steroid
estimation . . . . . . . . . 45.00 45.00 45.00 45.00 45.00 45.00
1843 Adrenaline tolerance test . 14.00 14.00 12.50 11.50 11.50 11.50
1846 Arginine infusion test . . . 10.00 10.00 10.00 10.00 10.00 10.00
1849 Basal metabolic rate
estimation . . . . . . . . . 10.00 10.00 8.00 8.00 8.00 8.00
1850 Bromsulphthalein retention
test . . . . . . . . . . . . 12.00 12.00 11.00 10.00 10.00 10.00
1852 Carbohydrate tolerance test
(e.g. glucose, fructose,
galactose, lactose, sucrose,
or similar) not exceeding 2
hours . . . . . . . . . . . 12.00 12.00 11.00 10.00 10.00 10.00
1853 Bromsulphthalein infusion
test of liver function . . . 20.00 20.00 20.00 20.00 20.00 20.00
1855 Carbohydrate tolerance test
(e.g. glucose, fructose,
galactose, lactose, sucrose,
or similar) exceeding 2
hours but not exceeding 3
hours . . . . . . . . . . . 15.00 15.00 14.00 13.00 13.00 13.00
1858 Carbohydrate tolerance test
(e.g. glucose, fructose,
galactose, lactose, sucrose,
or similar) exceeding 3
hours . . . . . . . . . . . 18.00 18.00 17.00 16.00 16.00 16.00
1861 Congo red test . . . . . . . 13.00 13.00 12.00 11.00 10.00 10.50
1863 Creatinine clearance test . 15.00 15.00 15.00 15.00 15.00 15.00
1865 Dexamethazone suppression
test . . . . . . . . . . . . 40.00 40.00 40.00 40.00 40.00 40.00
1867 Glucagon tolerance test . . 14.00 14.00 12.50 11.50 11.50 11.50
1869 Histidine loaded figlu test 12.00 12.00 12.00 12.00 12.00
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12.00
1871 Inulin clearance test . . . 20.00 20.00 20.00 20.00 20.00 20.00
1873 Metyropone suppression test 40.00 40.00 40.00 40.00 40.00 40.00
1875 Para amino hippuric
clearance test . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
1877 Phenolsulphonphthalein
excretion test . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
1879 Tolbutamide tolerance test . 14.00 14.00 12.50 11.50 11.50 11.50
1881 Urea clearance test . . . . 11.50 11.50 9.50 8.50 8.50 8.50
1884 Urea concentration test . . 10.00 10.00 8.00 7.00 7.00 7.00
1887 Urine acidification test
(ammonium chloride or
similar) . . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
1889 Vasopressin stimulation test 35.00 35.00 35.00 35.00 35.00 35.00
1891 Water elimination or
mosenthal kidney function
test . . . . . . . . . . . . 5.00 5.00 5.00 4.50 4.50 4.50
1893 Xylose absorption test . . . 11.00 11.00 10.50 10.00 10.00 10.00

Division 10-Cytology
1901 Cytological examination of
smears from cervix and
vagina, skin or mucous
membrane for pathological
change . . . . . . . . . . . 7.00 7.00 6.00 6.00 6.00 6.00
1903 Examination of sputum, urine
or body fluids including
bronchial, cerebrospinal,
pericardial, peritoneal, or
similar for malignant cells 10.00 10.00 9.00 9.00 9.00 9.00
1905 Examination of colonic or
duodenal washings for
malignant cells . . . . . . 10.00 10.00 9.00 9.00 9.00 9.00
1907 Examination of blood for
circulating malignant cells 15.00 15.00 14.00 14.00 14.00 14.00
1909 Oesophageal cytology
including collection of
specimen . . . . . . . . . . 12.50 12.50 11.50 11.50 11.50 11.50
1911 Gastric cytology including
collection of specimen . . . 18.00 18.00 17.00 17.00 17.00 17.00
1913 Hormonal assessment by
cytological examination of
vaginal epithelium . . . . . 6.00 6.00 5.00 5.00 5.00 5.00
1915 Cytological sex chromatin
studies other than from
blood film . . . . . . . . . 6.50 6.50 5.50 5.50 5.50 5.50

Division 11-Chromosome Studies
1921 Chromosome studies-including
preparation, count and
karyotyping of blood . . . . 18.00 18.00 18.00 18.00 18.00 18.00
1923 Chromosome studies-including
preparation, count and
karyotyping of marrow or
other tissue . . . . . . . . 21.00 21.00 21.00 21.00 21.00 21.00
1925 Chromosome studies-including
preparation, count and
karyotyping of skin . . . . 24.00 24.00 24.00 24.00 24.00 24.00

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Division 12-Radioisotope Studies
1941 Erythrocyte radioactive
uptake survival time . . . . 25.00 25.00 25.00 25.00 25.00 25.00
1943 Blood volume Cr51 . . . . . 10.00 10.00 10.00 10.00 9.00 10.00
1945 Radioiodine thyroid uptake . 10.00 10.00 10.00 10.00 9.00 9.00
1947 Radioactive T3 test . . . . 11.00 10.00 10.00 10.00 10.00 10.00
1948 Gastrointestinal blood loss
estimation with radioactive
chromium involving serial
examinations of stool speci-
mens . . . . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
1949 Radioiodine, urinary
estimation . . . . . . . . . 7.00 7.00 7.00 7.00 7.00 7.00
1951 Protein bound radioactive
iodine test . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
1953 Hormonal immunoassay by
radioactive techniques, each
estimation . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
1955 Radioactive B12 absorption
test (Schilling test) . . . 11.00 11.00 11.00 11.00 11.00 11.00
1956 Brain scan . . . . . . . . . 27.00 27.00 27.00 27.00 27.00 27.00
1958 Cisternal scan . . . . . . . 42.00 42.00 42.00 42.00 42.00 42.00
1959 Spinal cord scan . . . . . . 18.00 18.00 18.00 18.00 18.00 18.00
1961 Parathyroid scan . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
1963 Thyroid scan . . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
1965 Mediastinal scan . . . . . . 14.00 14.00 14.00 14.00 14.00 14.00
1966 Scan of lung or lungs . . . 28.00 28.00 28.00 28.00 28.00 28.00
1968 Scan of heart and liver . . 27.00 27.00 27.00 27.00 27.00 27.00
1969 Heart scan . . . . . . . . . 14.00 14.00 14.00 14.00 14.00 14.00
1970 Scan of liver and lungs . . 48.00 48.00 48.00 48.00 48.00 48.00
1971 Liver scan . . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
1972 Pancreas scan . . . . . . . 27.00 27.00 27.00 27.00 27.00 27.00
1974 Spleen scan . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
1977 Renal scan . . . . . . . . . 18.00 18.00 18.00 18.00 18.00 18.00
1978 Scan of liver and spleen . . 28.00 28.00 28.00 28.00 28.00 28.00
1979 Differential renal scan . . 10.00 10.00 10.00 10.00 10.00 10.00

1980 Renal scan and differential
renal scan . . . . . . . . . 28.00 28.00 28.00 28.00 28.00 28.00
1985 Placental scan . . . . . . . 27.00 27.00 27.00 27.00 27.00 27.00
1988 Scan of skull . . . . . . . 18.00 18.00 18.00 18.00 18.00 18.00

1990 Scan of vertebral column and
sacrum . . . . . . . . . . . 27.00 27.00 27.00 27.00 27.00 27.00
1992 Scan of pelvis . . . . . . . 27.00 27.00 27.00 27.00 27.00 27.00
1994 Scan of joint or long bone . 18.00 18.00 18.00 18.00 18.00 18.00
1996 Scan of bone or bones not
covered by any other item in
this Division . . . . . . . 18.00 18.00 18.00 18.00 18.00 18.00

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1999 Scan of region or organ not
covered by any other item in
this Division . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00

PART 8-RADIOLOGICAL SERVICES
Division 1-Radiographic Examination of Extremities and Report (with or without
Fluoroscopy)
2011 Digits or phalanges-all or
any of either hand or either
foot (when the service is
rendered otherwise than by a
specialist in the practice
of his specialty) . . . . . 8.00 8.00 6.00 6.00 6.00 6.00
2013 Digits or phalanges-all or
any of either hand or either
foot (when the service is
rendered by a specialist in
the practice of his
specialty) . . . . . . . . . 10.00 10.00 8.00 8.00 8.00 8.00
2015 Hand, wrist, forearm, elbow
or arm (elbow to shoulder)
(when the service is
rendered otherwise than by a
specialist in the practice
of his specialty) . . . . . 8.00 8.00 6.00 6.00 6.00 6.00
2016 Hand, wrist, forearm, elbow
or arm (elbow to shoulder)
(when the service is
rendered by a specialist in
the practice of his
specialty) . . . . . . . . . 10.00 10.00 8.00 8.00 8.00 8.00
2019 Hand, wrist and lower
forearm; upper forearm and
elbow; or elbow and arm
(elbow to shoulder) (when
the service is rendered
otherwise than by a
specialist in the practice
of his specialty) . . . . . 9.00 9.00 7.00 7.00 7.00 7.00
2020 Hand, wrist and lower
forearm; upper forearm and
elbow; or elbow and arm
(elbow to shoulder) (when
the service is rendered by a
specialist in the practice
of his specialty) . . . . . 11.00 11.00 9.00 9.00 9.00 9.00
2023 Foot, ankle, lower leg,
upper leg, knee or thigh
(femur) (when the service is
rendered otherwise than by a
specialist in the practice
of his specialty) . . . . . 8.00 8.00 7.00 7.00 7.00 7.00
2024 Foot, ankle, lower leg,
upper leg, knee or thigh
(femur) (when the service is
rendered by a specialist in
the practice of his
speciality) . . . . . . . . 11.00 11.00 9.00 9.00 9.00 9.00
2027 Foot, ankle and lower leg;
or upper leg and knee (when
the service is rendered
otherwise than by a
specialist in the practice
of his specialty) . . . . . 10.00 10.00 8.00 8.00 8.00 8.00
2028 Foot, ankle and lower leg;
or upper leg and knee (when
the service is rendered by a
specialist in the practice
of his specialty) . . . . . 14.00 14.00 10.00 10.00 10.00
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10.00

Division 2-Radiographic Examination of Shoulder or Hip Joint and Report
2041 Shoulder region, including
clavicle and scapula (when
the service is rendered
otherwise than by a
specialist in the practice
of his specialty) . . . . . 9.00 9.00 8.00 8.00 8.00 8.00
2042 Shoulder region, including
clavicle and scapula (when
the service is rendered by a
specialist in the practice
of his specialty) . . . . . 11.00 12.50 10.00 10.00 10.00 10.00
2045 Hip joint . . . . . . . . . 12.00 12.00 10.00 10.00 10.00 10.00
2049 Pelvic girdle . . . . . . . 15.00 15.00 10.00 10.00 10.00 10.00
2054 Smith-Petersen
nail-insertion or similar
procedure . . . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00

Division 3-Radiographic Examination of Head and Report
2061 Skull or mastoids . . . . . 15.00 16.00 12.50 12.50 12.50 12.50
2063 Sinuses . . . . . . . . . . 12.00 12.00 10.50 10.50 10.50 10.50
2066 Maxilla, or orbit, or both . 12.00 12.00 10.50 10.50 10.50 10.50
2069 Mandible, malar bones or
salivary calculus . . . . . 12.00 12.00 10.50 12.00 10.50 10.50
2073 Nose or eye . . . . . . . . 10.00 12.00 9.00 9.00 9.00 9.00
2076 Palate or pharynx, or palate
and pharynx, by direct
radiography with
fluoroscopic screening . . . 15.00 15.00 13.50 13.50 13.50 13.50
2081 Larynx . . . . . . . . . . . 11.00 11.00 9.00 9.00 9.50 8.50

Division 4-Radiographic Examination of Spine and Report
2090 Spine-any one region (when
the service is rendered
otherwise than by a
specialist in the practice
of his specialty) . . . . . 12.00 12.00 10.00 10.00 10.00 10.00
2092 Spine-any one region (when
the service is rendered by a
specialist in the practice
of his specialty) . . . . . 16.00 16.00 13.00 13.00 13.00 13.00
2095 Spine-two regions . . . . . 22.00 22.00 18.00 18.00 18.00 18.00
2099 Spine-three or more regions 30.00 30.00 24.00 24.00 24.00 24.00

Division 4A-Bone Age Study and Skeletal Surveys
2101 Bone age study, wrist and
knee . . . . . . . . . . . . 12.00 12.00 12.00 12.00 12.00 12.00
2104 Skeletal survey involving
four or more regions . . . . 22.00 22.00 22.00 22.00 22.00 22.00

Division 5-Radiographic Examination of Thoracic Region and Report
2111 Chest (lung fields) by
direct radiography (when the
service is rendered
otherwise than by a
specialist in the practice
of his specialty) . . . . . 9.00 10.00 8.00 8.00 8.00 8.00
2113 Chest (lung fields) by
direct radiography (when the

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service is rendered by a
specialist in the practice
of his specialty) . . . . . 11.00 12.00 10.00 10.00 10.00 10.00
2116 Chest (lung fields) by
direct radiography with
fluoroscopic screening . . . 15.00 15.00 12.00 12.00 12.00 12.00
2119 Thoracic inlet . . . . . . . 10.00 10.00 9.00 10.00 10.00 9.50
2123 Chest, by miniature
radiography . . . . . . . . 5.50 5.50 5.00 5.00 5.00 5.00
2128 Orthodiagraphy . . . . . . . 12.00 12.00 12.00 12.00 12.00 12.00
2132 Teleoroentgenography with
cardiac measurements . . . . 12.00 12.00 12.00 12.00 12.00 12.00
2137 Cardiac examination
(including barium swallow)
(when the service is
rendered otherwise than by a
specialist in the practice
of his specialty) . . . . . 12.00 12.00 10.00 10.00 10.00 10.00
2138 Cardiac examination
(including barium swallow)
(when the service is
rendered by a specialist in
the practice of his
specialty) . . . . . . . . . 15.00 15.00 13.00 13.00 13.00 13.00
2141 Sternum or one or more ribs
of any one side (when the
service is rendered
otherwise than by a
specialist in the practice
of his specialty) . . . . . 9.00 10.00 8.00 8.00 8.00 8.00
2142 Sternum or one or more ribs
of any one side (when the
service is rendered by a
specialist in the practice
of his specialty) . . . . . 11.00 12.00 10.00 10.00 10.00 10.00
2145 One or more ribs of both
sides (when the service is
rendered otherwise than by a
specialist in the practice
of his specialty) . . . . . 11.00 12.00 10.00 10.00 10.00 10.00
2146 One or more ribs of both
sides (when the service is
rendered by a specialist in
the practice of his
specialty) . . . . . . . . . 14.00 15.00 13.00 13.00 13.00 13.00

Division 6-Radiographic Examination of Urinary Tract and Report
2161 Plain renal only . . . . . . 11.00 12.00 10.00 10.00 10.00 10.00
2164 Drip-infusion pyelography . 33.00 33.00 33.00 33.00 33.00 33.00
2170 Intravenous pyelography,
including preliminary plain
film . . . . . . . . . . . . 30.00 30.00 28.00 28.00 28.00 28.00
2174 Retrograde pyelography . . . 16.00 17.00 15.00 15.00 15.00 15.00
2177 Cystography, urethrography
or vesiculography, as an
independent procedure . . . 16.50 16.50 16.00 16.00 16.00 16.00
2181 Micturating
cysto-urethrography, as an
independent procedure . . . 20.00 20.00 20.00 20.00 20.00 20.00

2185 Perirenal insufflation . . . 12.00 13.00 11.00 11.00 11.00 10.50
Division 7-Radiographic Examination of Alimentary Tract and Biliary System

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(with

or without Fluoroscopy) and Report
2202 Plain abdominal only (when
the service is rendered
otherwise than by a
specialist in the practice
of his specialty) . . . . . 9.00 10.00 8.00 8.00 8.00 8.00
2203 Plain abdominal only (when
the service is rendered by a
specialist in the practice
of his specialty) . . . . . 11.00 12.00 10.00 10.00 10.00 10.00
2205 Pneumoperitoneum . . . . . . 11.00 11.00 10.00 10.00 10.00 9.00
2211 Oesophagus, with or without
examination for foreign body
or barium swallow . . . . . 17.00 17.00 15.00 15.00 15.00 15.00
2215 Barium or other opaque meal
of oesphagus, stomach and
duodenum, with or without
screening of chest . . . . . 22.00 23.00 20.00 20.00 20.00 20.00
2219 Barium or other opaque meal
of oesphagus, stomach,
duodenum and follow through
to colon, with or without
screening of chest . . . . . 26.00 27.00 23.00 23.00 23.00 23.00
2222 Barium or other opaque meal,
small bowel series only . . 20.00 20.00 20.00 20.00 20.00 20.00
2227 Opaque enema . . . . . . . . 22.00 23.00 20.00 20.00 20.00 20.00
2231 Opaque enema, including air
contrast study (two stages) 26.00 27.00 24.00 24.00 24.00 24.00
2235 Graham's test
(cholecystography) . . . . . 17.00 20.00 16.00 16.00 16.00 16.00
2238 Cholangiography direct,
operative or post-operative 18.00 19.50 17.00 17.00 16.00 16.00
2248 Cholangiography-intravenous 26.00 27.00 24.00 24.00 24.00 24.00
Division 8-Radiographic Examination for Localisation of Foreign Bodies and
Report
2250 Foreign body in eye (special
method, Sweet's or other) . 16.50 16.50 16.50 16.50 16.50 16.50
2254 Foreign body, localisation
of and report, including a
radiographic examination of
the area concerned and
report (not being a service
covered by any other item in
this Part) . . . . . . . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 7 rule 7 rule 7 rule 7 rule 7 rule 7

Division 9-Radiographic Examination of Breasts and Report
2270 Radiographic examination of
both breasts and report . . 20.00 20.00 20.00 20.00 20.00 20.00
2274 Radiographic examination of
one breast and report . . . 12.00 12.00 12.00 12.00 12.00 12.00

Division 10-Radiographic Examination in Connection with Pregnancy and Report
2291 Pregnant uterus . . . . . . 11.00 12.50 10.00 10.00 10.00 10.00
2295 Pelvimetry or placentography 22.00 22.00 16.00 16.00 16.00 16.00
2298 Control x-rays associated
with intrauterine foetal

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blood transfusion . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
Division 11-Radiographic Examination with Opaque or Contrast Media, and Report
(not including any service covered by Division 16 of this Part)
2310 Serial angiocardiography
(rapid cassette changing) . 20.00 20.00 20.00 20.00 20.00 20.00
2314 Serial angiocardiography
(single plane-direct
roll-film method) . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
2318 Serial angiocardiography
(bi-plane-direct roll-film
method) . . . . . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
2322 Serial angiocardiography
(indirect roll-film method) 27.50 27.50 27.50 27.50 27.50 27.50
2326 Discography . . . . . . . . 16.50 18.00 15.00 15.00 18.00 16.50
2330 Dacryocystography . . . . . 12.00 12.00 12.00 12.00 12.00 12.00
2334 Encephalography . . . . . . 26.00 26.00 26.00 26.00 26.00 26.00
2338 Intracranial angiography,
one side . . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
2342 Cerebral ventriculography . 22.00 22.00 22.00 22.00 22.00 22.00
2347 Hysterosalpingography . . . 17.00 17.00 13.00 15.00 13.00 13.00
2350 Bronchography,
arteriography, phlebography,
aortography or splenography 25.00 25.00 20.00 20.00 20.00 20.00
2354 Myelography . . . . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
2359 Sialography or
vasoepididymography . . . . 17.00 17.00 17.00 17.00 17.00 17.00
2362 Sinuses and fistulae,
including a radiographic
examination of the area
concerned and report . . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 7 rule 7 rule 7 rule 7 rule 7 rule 7
2367 Pneumarthrography, including
a radiographic examination
of the area concerned and
report . . . . . . . . . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 7 rule 7 rule 7 rule 7 rule 7 rule 7
2371 Lymphangiography, including
follow up radiography . . . 16.50 16.50 16.50 16.50 16.50 16.50

Division 12-Tomography and Report
2410 Tomography, any part and
report . . . . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00

Division 13-Stereoscopic Examination and Report
2420 Stereoscopic examination and
report, including a
radiographic examination of
the area concerned and
report . . . . . . . . . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 7 rule 7 rule 7 rule 7 rule 7 rule 7


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Division 14-Fluoroscopic Examination and Report
(Fluoroscopic examination and report not covered by any other item in this
Part-where radiograph is not taken)
2440 Examination with general
anaesthesia . . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
2444 Examination without general
anaesthesia . . . . . . . . 7.00 7.00 7.00 7.00 7.00 7.00

Division 15-Radiotherapy
2458 Radiotherapy, superficial
(including treatment by
means of x-rays, or rays
emitted by radium or other
radio- active substances)
not covered by any other
item in this Part-each
attendance at which one or
two fields are irradiated . 7.50 7.00 7.00 6.50 6.50 6.50
2459 Radiotherapy, superficial
(including treatment by
means of x-rays, or rays
emitted by radium or other
radio-active substances) not
covered by any other item in
this Part-each attendance at
which more than two fields
are irradiated . . . . . . . 9.00 8.50 8.50 8.00 8.00 8.00
2463 Radiotherapy (other than
superficial) or orthovoltage
therapy (including treatment
by means of X-rays, or rays
emitted by radium or other
radio- active substances)
not covered by any other
item in this Part-each
attendance at which therapy
is given . . . . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
2465 Radiotherapy (other than
superficial), megavoltage
therapy or telecobalt
therapy not covered by any
other item in this Part-each
attendance at which
treatment is given . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
2468 Radiotherapy, orthovoltage
therapy or megavoltage
therapy under hyperbaric
conditions (including
treatment by means of
X-rays, radium rays or other
radio-active substances) not
covered by any other item in
this Part-each attendance at
which treatment is given . . 14.00 14.00 14.00 14.00 14.00 14.00

Implantation of Radio-active Substances for Tumour
2510 Globe of eye . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
2514 Retina . . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
2518 Lip . . . . . . . . . . . . 23.00 23.00 23.00 23.00 23.00 23.00
2522 Mount or tongue or both . . 39.00 39.00 39.00 39.00 39.00 39.00
2526 Bladder . . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
2530 Prostate . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
2535 Cervix or corpus uteri . . . 40.00 40.00 40.00 40.00 40.00 40.00
2538 Any region or organ not
referred to in a preceding
item under this heading, the

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implantation of which
requires a major anaesthetic 44.00 44.00 44.00 44.00 44.00 44.00
2542 Any region or organ referred
to in the last preceding
item, the implantation of
which does not require a
major anaesthetic . . . . . 16.50 16.50 16.50 16.50 16.50 16.50

Application of Moulds of Radio-active Substances

2570 Alveolus, palate or antrum,
each attendance at which a
mould is applied . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
2574 Scar following radical
mastectomy, each attendance
at which a mould is applied 16.50 16.50 16.50 16.50 16.50 16.50
2578 Hand or other skin area or
mucous membrane, each
attendance at which a mould
is applied . . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
Division 16-Preparation for Radiological Procedure, Being the Injection of Opaque or Contrast Media or the Removal of Fluid and its Replacement by Air, Oxygen or Other Contrast Media or Other Similar Preparation, including the
Administration of an Anaesthetic for Radiotherapy
2620 Encephalography . . . . . . 35.00 45.00 35.00 35.00 35.00 35.00
2624 Intracranial
angiography-percutaneous . . 30.00 30.00 30.00 30.00 30.00 30.00
2628 Intracranial
angiography-open exposure . 30.00 30.00 30.00 30.00 30.00 30.00
2632 Cerebral ventriculography . 45.00 30.00 30.00 30.00 30.00 30.00
2636 Dacryocystography . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
2640 Bronchography . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
2644 Aortography . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
2648 Arteriography-peripheral,
phlebography or splenography 12.00 12.00 12.00 12.00 12.00 12.00
2652 Perirenal insufflation . . . 12.00 12.00 12.00 12.00 12.00 12.00
2657 Renal cyst or cysts,
aspiration with injection of
radio-opaque material . . . 15.00 15.00 15.00 15.00 15.00 15.00
2661 Pneumarthrography or
radiography of
pneumoperitoneum . . . . . . 12.50 12.50 12.50 12.50 12.50 12.50
2666 Drip-infusion pyelography . 7.50 7.50 7.50 7.50 7.50 7.50
2671 Hysterosalpingography . . . 15.00 15.00 15.00 15.00 15.00 15.00
2674 Discography . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
2678 Intraosseous venography . . 10.00 10.00 10.00 10.00 10.00 10.00
2683 Myelography . . . . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
2686 Sinus or fistula, injection
into . . . . . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
2691 Lymphangiography . . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
2696 Administration of an
anaesthetic for radiotherapy
under hyperbaric conditions 16.50 16.50 16.50 16.50 16.50 16.50
2700 Intracavitary administration
of radio- active substances 14.00 14.00 14.00 14.00 14.00 14.00


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PART 9-ASSISTANCE AT OPERATIONS
2901 Assistance at any operation,
or series or combination of
operations, for which the
fee, or the aggregate of the
fees, specified in this
table does not exceed $45
where the anaesthetic is
administered in New South
Wales or Victoria or $44
where the anaesthetic is
administered in Queensland,
South Australia, Western
Australia or Tasmania . . . 12.00 12.00 12.00 12.00 12.00 12.00
2904 Assistance at any operation,
or series or combination of
operations, for which the
fee, or the aggregate of the
fees, specified in this
table exceeds $45 where the
anaesthetic is administered
in New South Wales or
Victoria or $44 where the
anaesthetic is administered
in Queensland, South
Australia, Western Australia
or Tasmania, but does not
exceed $90 . . . . . . . . . 16.00 16.00 16.00 16.00 16.00 16.00
2907 Assistance at any operation,
or series or combination of
operations, for which the
fee, or the aggregate of the
fees, specified in this
table exceeds $90 but does
not exceed $140 . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
2910 Assistance at any operation,
or series or combination of
operations, for which the
fee, or the aggregate of the
fees, specified in this
table exceeds $140 but does
not exceed $200 . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
2913 Assistance at any operation,
or series or combination of
operations, for which the
fee, or the aggregate of the
fees, specified in this
table exceeds $200 but does
not exceed $250 . . . . . . 35.00 35.00 35.00 35.00 35.00 35.00
2915 Assistance at any operation,
or series or combination of
operations, for which the
fee, or the aggregate of the
fees, specified in this
table exceeds $250 . . . . . 50.00 50.00 50.00 50.00 50.00 50.00

PART 10-OPERATIONS

Division 1-General Surgical
3001 Dressing of localised burns
(not involving
grafting)-each attendance at
which the procedure is
performed . . . . . . . . . 4.00 3.60 3.50 3.40 3.50 3.60
3004 Dressing of burns,
extensive, without
anaesthesia (not involving
grafting)-each attendance at
which the procedure is
performed (G) . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
3005 Dressing of burns,
extensive, without

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anaesthesia (not involving
grafting) each attendance at
which the procedure is
performed (S) . . . . . . . 6.60 6.60 6.60 6.60 6.60 6.60
3009 Dressing of localised burns
under general anaesthesia
(not involving
grafting)-each attendance at
which the procedure is
performed (G) . . . . . . . 8.25 8.25 8.25 8.25 8.25 8.25
3011 Dressing of localised burns
under general anaesthesia
(not involving
grafting)-each attendance at
which the procedure is
performed (S) . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
3015 Dressing of burns,
extensive, under general
anaesthesia (not involving
grafting)-each attendance at
which the procedure is
performed (G) . . . . . . . 17.50 17.50 17.50 17.50 17.50 17.50
3017 Dressing of burns,
extensive, under general
anaesthesia (not involving
grafting)-each attendance at
which the procedure is
performed (S) . . . . . . . 23.00 23.00 23.00 23.00 23.00 23.00
3021 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, other
than on face or neck, small
(not more than 7 centimetres
long), superficial, not
covered by any item in Part
2 of this Schedule . . . . . 8.80 8.00 8.00 7.50 8.50 8.00
3025 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, other
than on face or neck, small
(not more than 7 centimetres
long), involving deeper
tissue, not covered by any
item in Part 2 of this
Schedule . . . . . . . . . . 16.50 14.00 14.50 14.00 14.00 12.50
3030 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, on face
or neck, small (not more
than 7 centimetres long),
superficial . . . . . . . . 15.00 12.00 12.00 12.00 12.00 12.00
3031 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, on face
or neck, small (not more
than 7 centimetres long),
superficial (D) . . . . . . 15.00 12.00 12.00 12.00 12.00 12.00
3034 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, on face
or neck, small (not more
than 7 centimetres long),
involving deeper tissue . . 22.00 22.00 22.00 22.00 22.00 22.00
3036 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, on face
or neck, small (not more
than 7 centimetres long),
involving deeper tissue (D) 22.00 22.00 22.00 22.00 22.00 22.00

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3037 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, other
than on face or neck, large
(more than 7 centimetres
long), superficial, not
covered by any item in Part
2 of this Schedule . . . . . 16.50 15.00 12.50 12.50 14.00 12.00
3043 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, other
than on face or neck, large
(more than 7 centimetres
long), involving deeper
tissue, not covered by any
item in Part 2 of this
Schedule (G) . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00

3045 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, other
than on face or neck, large
(more than 7 centimetres
long), involving deeper
tissue, not covered by any
item in Part 2 of this
Schedule (S) . . . . . . . . 26.50 26.50 26.50 26.50 26.50 26.50
3049 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, on face
or neck, large (more than 7
centimetres long),
superficial (G) . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
3051 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, on face
or neck, large (more than 7
centimetres long),
superficial (S) . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
3052 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, on face
or neck, large (more than 7
centimetres long),
superficial (D) . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
3055 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, on face
or neck, large (more than 7
centimetres long), involving
deeper tissue (G) . . . . . 24.00 24.00 24.00 24.00 24.00 24.00
3056 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, on face
or neck, large (more than 7
centimetres long), involving
deeper tissue (S) . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
3057 Skin and subcutaneous tissue
or mucous membrane, repair
of recent wound of, on face
or neck, large (more than 7
centimetres long), involving
deeper tissue (D) . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
3061 Superficial foreign body,
removal of, not covered by
any other item in this Part 4.40 4.00 3.50 3.00 3.00 3.00
3062 Superficial foreign body,
removal of, not covered by
any other item in this Part
(D) . . . . . . . . . . . . 4.40 4.00 3.50 3.00 3.00 3.00

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3064 Subcutaneous foreign body,
removal of, not covered by
any other item in this Part
(G) . . . . . . . . . . . . 8.80 8.00 8.00 7.50 8.00 7.50
3065 Subcutaneous foreign body,
removal of, not covered by
any other item in this Part
(S) . . . . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
3067 Subcutaneous foreign body,
removal of, not covered by
any other item in this Part
(D) . . . . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
3069 Foreign body in muscle,
tendon or other deep tissue,
removal of, not covered by
any other item in this Part
(G) . . . . . . . . . . . . 27.50 27.50 26.50 25.00 25.00 25.00
3070 Foreign body in muscle,
tendon or other deep tissue,
removal of, not covered by
any other item in this Part
(S) . . . . . . . . . . . . 40.00 40.00 40.00 35.00 35.00 35.00
3071 Foreign body in muscle,
tendon or other deep tissue,
removal of, not covered by
any other item in this Part
(D) . . . . . . . . . . . . 40.00 40.00 40.00 35.00 35.00 35.00
3074 Biopsy of skin or mucous
membrane, as an independent
procedure . . . . . . . . . 10.00 9.00 10.00 9.00 7.00 8.00
3075 Biopsy of skin or mucous
membrane, as an independent
procedure (D) . . . . . . . 10.00 9.00 10.00 9.00 7.00 8.00
3078 Biopsy of lymph gland,
muscle or other deep tissue
or organ, as an independent
procedure (G) . . . . . . . 16.50 15.00 15.00 15.00 15.00 15.00
3080 Biopsy of lymph gland,
muscle or other deep tissue
or organ, as an independent
procedure (S) . . . . . . . 22.00 20.00 20.00 20.00 20.00 20.00
3081 Biopsy of lymph gland,
muscle or other deep tissue
or organ, as an independent
procedure (D) . . . . . . . 22.00 20.00 20.00 20.00 20.00 20.00
3084 Aspiration biopsy of lymph
gland, deep tissue or organ,
as an independent procedure 9.00 9.00 9.00 9.00 9.00 9.00
3089 Biopsy of bone marrow by
trephine or burr-hole . . . 20.00 20.00 20.00 20.00 20.00 20.00
3093 Biopsy of bone marrow by
aspiration . . . . . . . . . 5.50 5.50 5.50 5.50 5.50 5.50
3094 Punch biopsy of synovial
membrane or pleura . . . . . 5.50 5.50 5.50 5.50 5.50 5.50
3097 Scalene node biopsy (G) . . 20.50 20.50 20.50 20.50 20.50 20.50
3099 Scalene node biopsy (S) . . 27.50 27.50 27.50 27.50 27.50 27.50
3103 Sinus, excision of,
involving superficial
tissues only (G) . . . . . . 12.50 12.50 12.50 12.50 12.50 12.50
3104 Sinus, excision of,
involving superficial
tissues only (S) . . . . . . 16.50 16.50 16.50 16.50 16.50
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16.50
3105 Sinus, excision of,
involving superficial
tissues only (D) . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
3108 Sinus, excision of,
involving muscle and deep
tissue (G) . . . . . . . . . 20.50 20.50 20.50 20.50 20.50 20.50
3110 Sinus, excision of,
involving muscle and deep
tissue (S) . . . . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
3112 Sinus, excision of,
involving muscle and deep
tissue (D) . . . . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
3115 Bursa, incision of . . . . . 6.60 6.60 6.60 6.60 6.60 6.60
3119 Ganglion or small bursa,
excision of (G) . . . . . . 22.00 20.00 21.00 20.00 15.00 15.00
3121 Ganglion or small bursa,
excision of (S) . . . . . . 40.00 40.00 30.00 30.00 30.00 25.00
3125 Bursa (large), including
olecranon, calcaneum or
patella, excision of (G) . . 52.50 37.50 37.50 37.50 37.50 37.50
3126 Bursa (large), including
olecranon, calcaneum or
patella, excision of (S) . . 70.00 50.00 50.00 50.00 50.00 50.00
3131 Bursa, semimembranosus (or
Baker's cyst), excision of
(G) . . . . . . . . . . . . 45.00 45.00 45.00 45.00 45.00 45.00
3132 Bursa, semimembranosus (or
Baker's cyst), excision of
(S) . . . . . . . . . . . . 60.00 60.00 60.00 60.00 60.00 60.00
3137 Tumour, cyst or scar,
removal of cutaneous,
subcutaneous or in mucous
membrane, up to 3
centimetres in diameter (G) 10.00 9.00 9.00 9.00 9.00 8.00
3138 Tumour, cyst or scar,
removal of cutaneous,
subcutaneous or in mucous
membrane, up to 3
centimetres in diameter (S) 25.00 25.00 20.00 20.00 20.00 16.00
3140 Tumour, cyst or scar,
removal of cutaneous,
subcutaneous or in mucous
membrane, up to 3
centimetres in diameter (D) 25.00 25.00 20.00 20.00 20.00 16.00
3143 Tumour, cyst or scar,
removal of cutaneous,
subcutaneous or in mucous
membrane, more than 3
centimetres in diameter (G) 16.50 15.00 16.00 15.00 14.00 15.00
3144 Tumour, cyst or scar,
removal of cutaneous,
subcutaneous or in mucous
membrane, more than 3
centimetres in diameter (S) 25.00 25.00 20.00 20.00 20.00 20.00
3146 Tumour, cyst or scar removal
of cutaneous, subcutaneous
or in mucous membrane, more
than 3 centimetres in
diameter (D) . . . . . . . . 25.00 25.00 20.00 20.00 20.00 20.00
3149 Tumour, cyst or scar,
removal of, not covered by
any other item in this Part,

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involving muscle, bone or
other deep tissue (G) . . . 33.00 35.00 30.00 30.00 30.00 30.00
3150 Tumour, cyst or scar,
removal of, not covered by
any other item in this Part,
involving muscle, bone or
other deep tissue (S) . . . 45.00 45.00 40.00 35.00 35.00 35.00
3152 Tumour, cyst or scar,
removal of, not covered by
any other item in this Part,
involving muscle, bone or
other deep tissue (D) . . . 45.00 45.00 40.00 35.00 35.00 35.00
3155 Tumour or deep cyst, removal
of, not covered by any other
item in this Part, requiring
wide excision (G) . . . . . 50.00 60.00 50.00 50.00 50.00 40.00
3156 Tumour or deep cyst, removal
of, not covered by any other
item in this Part, requiring
wide excision (S) . . . . . 60.00 70.00 60.00 60.00 60.00 50.00

3161 Tumours, malignant,
operation for, not covered
by any other item in this
Part, requiring wide
excision and dissection of
glands or involving muscle,
bone or viscera (G) . . . . 90.00 90.00 90.00 90.00 90.00 90.00
3162 Tumours, malignant,
operation for, not covered
by any other item in this
Part, requiring wide
excision and dissection of
glands or involving muscle,
bone or viscera (S) . . . . 135.00 120.00 120.00 120.00 120.00 120.00
3166 Lipectomy for abdominal
apron or similar condition . 125.00 125.00 125.00 125.00 125.00 125.00
3170 Axillary hyperidrosis, wedge
excision for . . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
3174 Plantar wart, simple removal
of . . . . . . . . . . . . . 8.80 8.00 8.00 8.00 8.00 8.00
3177 Keratoses, warts or similar
lesions, electrosurgical
destruction or chemotherapy
of-each attendance at which
the procedure is performed
on not more than five
lesions (G) . . . . . . . . 6.50 5.00 5.00 5.00 6.00 5.00
3180 Keratoses, warts or similar
lesions, electrosurgical
destruction or chemotherapy
of-each attendance at which
the procedure is performed
on not more than five
lesions (S) . . . . . . . . 10.00 12.00 9.00 9.00 9.00 9.00
3181 Keratoses, warts or similar
lesions, electrosurgical
destruction or chemotherapy
of-each attendance at which
the procedure is performed
on not more than five
lesions (D) . . . . . . . . 10.00 12.00 9.00 9.00 9.00 9.00
3184 Keratoses, warts or similar
lesions, electrosurgical
destruction or chemotherapy
of-each attendance at which
the procedure is performed
on more than five but not

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more than ten lesions (G) . 8.80 8.00 7.50 7.50 8.00 8.00
3185 Keratoses, warts or similar
lesions, electrosurgical
destruction or chemotherapy
of-each attendance at which
the procedure is performed
on more than five but not
more than ten lesions (S) . 13.00 13.00 10.00 10.00 10.00 10.00
3190 Keratoses, warts or similar
lesions, electrosurgical
destruction or chemotherapy
of-each attendance at which
the procedure is performed
on more than ten but not
more than fifteen lesions
(G) . . . . . . . . . . . . 11.00 10.00 9.00 10.50 10.50 10.00
3191 Keratoses, warts or similar
lesions, electrosurgical
destruction or chemotherapy
of-each attendance at which
the procedure is performed
on more than ten but not
more than fifteen lesions
(S) . . . . . . . . . . . . 16.00 15.00 15.00 15.00 15.00 15.00
3196 Keratoses, warts or similar
lesions, electrosurgical
destruction or chemotherapy
of-each attendance at which
the procedure is performed
on more than fifteen but not
more than twenty lesions (G) 14.00 12.00 11.00 12.00 12.00 12.00
3197 Keratoses, warts or similar
lesions, electrosurgical
destruction or chemotherapy
of-each attendance at which
the procedure is performed
on more than fifteen but not
more than twenty lesions (S) 17.50 16.00 16.00 16.00 16.00 16.00
3201 Keratoses, warts or similar
lesions, electrosurgical
destruction or chemotherapy
of-each attendance at which
the procedure is performed
on more than twenty lesions
(G) . . . . . . . . . . . . 16.50 15.00 14.00 15.00 15.00 15.00
3202 Keratoses, warts or similar
lesions, electrosurgical
destruction or chemotherapy
of-each attendance at which
the procedure is performed
on more than twenty lesions
(S) . . . . . . . . . . . . 20.00 18.00 18.00 18.00 18.00 18.00
3204 Skin lesions, multiple
injections with
hydrocortisone or similar
preparation . . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
3206 Keloid, extensive, multiple
injections of hydrocortisone
or similar preparation under
general anaesthesia (G) . . 22.50 22.50 22.50 22.50 22.50 22.50
3207 Keloid, extensive, multiple
injections of hydrocortisone
or similar preparation under
general anaesthesia (S) . . 30.00 30.00 30.00 30.00 30.00 30.00
3211 Haematoma, aspiration of . . 4.40 5.00 3.50 3.50 3.00 3.50
3216 Haematoma, furuncle, small
abscess or similar lesion
not requiring a general

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anaesthetic, incision with
drainage of . . . . . . . . 4.40 5.00 3.50 3.50 3.00 3.50
3220 Large haematoma, abscess,
carbuncle, cellulitis or
similar lesion requiring a
general anaesthetic,
incision with drainage of
(G) . . . . . . . . . . . . 16.50 15.00 16.00 15.00 14.00 12.50
3221 Large haematoma, abscess,
carbuncle, cellulitis or
similar lesion requiring a
general anaesthetic,
incision with drainage of
(S) . . . . . . . . . . . . 30.00 30.00 25.00 20.00 20.00 20.00
3222 Large haematoma, abscess,
carbuncle, cellulitis or
similar lesion requiring a
general anaesthetic,
incision with drainage of
(D) . . . . . . . . . . . . 30.00 30.00 25.00 20.00 20.00 20.00
3225 Muscle, excision of
(limited) (G) . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
3226 Muscle, excision of
(limited) (S) . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
3230 Muscle, excision of
(extensive) (G) . . . . . . 29.50 29.50 29.50 29.50 29.50 29.50
3232 Muscle, excision of
(extensive) (S) . . . . . . 39.00 39.00 39.00 39.00 39.00 39.00
3236 Muscle, ruptured, repair of,
not associated with external
wound (G) . . . . . . . . . 29.50 29.50 29.50 29.50 29.50 29.50
3238 Muscle, ruptured, repair of,
not associated with external
wound (S) . . . . . . . . . 39.00 39.00 39.00 39.00 39.00 39.00
3242 Fascia, deep, repair of, for
herniated muscle (G) . . . . 16.50 16.50 16.50 16.50 16.50 16.50
3244 Fascia, deep, repair of, for
herniated muscle (S) . . . . 22.00 22.00 22.00 22.00 22.00 22.00
3248 Anatomical compartment of
extremity, extensive
exploration of, not
involving any other
procedure (G) . . . . . . . 17.50 17.50 17.50 17.50 17.50 17.50
3250 Anatomical compartment of
extremity, extensive
exploration of, not
involving any other
procedure (S) . . . . . . . 23.00 23.00 23.00 23.00 23.00 23.00
3254 Bone tumour, innocent,
excision of, not covered by
any other item in this Part
(G) . . . . . . . . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
3255 Bone tumour, innocent,
excision of, not covered by
any other item in this Part
(S) . . . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00 3256 Bone tumour, innocent,
excision of, not covered by
any other item in this Part
(D) . . . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
3259 Styloid process of temporal
bone, removal of . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
3263 Parotid gland, total

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extirpation of . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
3267 Parotid gland, removal of
tumour from (G) . . . . . . 37.50 37.50 37.50 37.50 37.50 37.50
3269 Parotid gland, removal of
tumour from (S) . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
3273 Parotid gland, superficial
lobectomy or removal of
tumour from, with exposure
of facial nerve (G) . . . . 90.00 90.00 90.00 90.00 90.00 90.00
3274 Parotid gland, superficial
lobectomy or removal of
tumour from, with exposure
of facial nerve (S) . . . . 120.00 120.00 120.00 120.00 120.00 120.00
3279 Sublingual or submandibular
gland, extirpation of (G) . 45.00 60.00 45.00 45.00 45.00 45.00
3280 Sublingual or submandibular
gland, extirpation of (S) . 60.00 80.00 60.00 60.00 60.00 60.00
3282 Sublingual or submandibular
gland, extirpation of (D) . 60.00 80.00 60.00 60.00 60.00 60.00
3285 Salivary gland, incision of,
or transoral ligation of
salivary duct (G) . . . . . 8.25 8.25 8.25 8.25 8.25 8.25

3286 Salivary gland, incision of,
or transoral ligation of
salivary duct (S) . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
3288 Salivary gland, incision of,
or transoral ligation of
salivary duct (D) . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
3291 Salivary gland, removal of
calculus from (G) . . . . . 20.50 20.50 20.50 20.50 20.50 20.50

3292 Salivary gland, removal of
calculus from (S) . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
3294 Salivary gland, removal of
calculus from (D) . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
3297 Salivary gland, dilation or
diathermy of duct (G) . . . 6.60 6.60 6.60 6.60 6.60 6.60
3298 Salivary gland, dilation or
diathermy of duct (S) . . . 8.80 8.80 8.80 8.80 8.80 8.80
3300 Salivary gland, dilation or
diathermy of duct (D) . . . 8.80 8.80 8.80 8.80 8.80 8.80
3303 Salivary gland, removal of
calculus from duct (G) . . . 16.50 16.50 16.50 16.50 16.50 16.50
3304 Salivary gland, removal of
calculus from duct (S) . . . 22.00 22.00 22.00 22.00 22.00 22.00
3306 Salivary gland, removal of
calculus from duct (D) . . . 22.00 22.00 22.00 22.00 22.00 22.00
3309 Salivary gland, repair of
cutaneous fistula of . . . . 22.00 22.00 22.00 22.00 22.00 22.00
3313 Tongue, partial or complete
excision of (G) . . . . . . 97.50 97.50 97.50 97.50 97.50 97.50
3315 Tongue, partial or complete
excision of (S) . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
3316 Tongue, partial or complete
excision of (D) . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
3319 Tongue tie, repair of . . . 6.60 6.60 6.60 6.60 6.60 6.60

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3321 Tongue tie, repair of (D) . 6.60 6.60 6.60 6.60 6.60 6.60
3323 Ranula, removal of (G) . . . 29.50 29.50 29.50 29.50 29.50 29.50
3324 Ranula, removal of (S) . . . 39.00 39.00 39.00 39.00 39.00 39.00
3325 Ranula, removal of (D) . . . 39.00 39.00 39.00 39.00 39.00 39.00
3328 Cut throat, repair of,
involving vessels or nerves,
or both (G) . . . . . . . . 37.50 37.50 37.50 37.50 37.50 37.50
3329 Cut throat, repair of,
involving vessels or nerves,
or both (S) . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
3334 Cut throat, repair of,
involving vessels and nerves
and oesophagus or trachea
(G) . . . . . . . . . . . . 71.50 71.50 71.50 71.50 71.50 71.50
3335 Cut throat, repair of,
involving vessels and nerves
and oesophagus or trachea
(S) . . . . . . . . . . . . 95.00 95.00 95.00 95.00 95.00 95.00
3340 Neck, malignant tumour of,
removal of . . . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
3344 Thymectomy . . . . . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
3350 Branchial cyst or branchial
fistula, removal of (G) . . 60.00 60.00 60.00 60.00 60.00 60.00
3351 Branchial cyst or branchial
fistula, removal of (S) . . 80.00 80.00 80.00 80.00 80.00 80.00
3353 Cystic hygroma, removal of . 110.00 110.00 110.00 110.00 110.00 110.00
3357 Thyroidectomy, total, or
removal of parathyroid
tumour . . . . . . . . . . . 160.00 160.00 160.00 160.00 160.00 160.00
3361 Thyroidectomy, sub-total (G) 100.00 100.00 100.00 100.00 100.00 100.00
3362 Thyroidectomy, sub-total (S) 120.00 140.00 120.00 120.00 120.00 120.00
3367 Thyroid, excision of
localised tumour of (G) . . 64.00 75.00 64.00 64.00 64.00 64.00
3368 Thyroid, excision of
localised tumour of (S) . . 85.00 100.00 85.00 85.00 85.00 85.00
3372 Diverticulum of pharynx or
larynx, excision of (G) . . 71.50 71.50 71.50 71.50 71.50 71.50
3373 Diverticulum of pharynx or
larynx, excision of (S) . . 95.00 95.00 95.00 95.00 95.00 95.00
3377 Thyroglossal cyst or
fistula, removal of (G) . . 90.00 67.50 67.50 67.50 67.50 67.50
3378 Thyroglossal cyst or
fistula, removal of (S) . . 120.00 90.00 90.00 90.00 90.00 90.00
3383 Cervical oesophagostomy . . 65.00 65.00 65.00 65.00 65.00 65.00
3387 Cervical oesophagostomy,
closure or plastic repair of 50.00 50.00 50.00 50.00 50.00 50.00
3392 Tuberculous or neoplastic
glands of neck, groin or
axilla, limited excision of
(G) . . . . . . . . . . . . 56.50 56.50 56.50 56.50 56.50 56.50
3393 Tuberculous or neoplastic
glands of neck, groin, or
axilla, limited excision of
(S) . . . . . . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00

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3396 Tuberculous or neoplastic
glands of neck, groin or
axilla, radical excision of 150.00 150.00 150.00 150.00 150.00 150.00
3402 Operation for lymphoedema by
extended indwelling
subcutaneous tube or tubes . 30.00 30.00 30.00 30.00 30.00 30.00
3406 Simple mastectomy with or
without biopsy and frozen
section (G) . . . . . . . . 60.00 60.00 60.00 60.00 60.00 60.00
3408 Simple mastectomy with or
without biopsy and frozen
section (S) . . . . . . . . 80.00 80.00 80.00 80.00 80.00 80.00
3412 Breast, excision of cyst,
fibro adenoma or other local
lesion or segmental
resection for any other
reason (G) . . . . . . . . . 33.00 40.00 32.00 30.00 30.00 25.00
3414 Breast, excision of cyst,
fibro adenoma or other local
lesion or segmental
resection for any other
reason (S) . . . . . . . . . 50.00 50.00 45.00 35.00 35.00 30.00
3418 Breast, excision of cyst,
fibro adenoma or other local
lesion or segmental
resection for any other
reason, where frozen section
is performed (G) . . . . . . 48.00 48.00 48.00 48.00 48.00 48.00
3419 Breast, excision of cyst,
fibro adenoma or other local
lesion or segmental
resection for any other
reason, where frozen section
is performed (S) . . . . . . 60.00 60.00 60.00 60.00 60.00 60.00
3423 Partial mastectomy involving
more than one quarter of the
breast tissue with or
without biopsy and frozen
section (G) . . . . . . . . 48.00 48.00 48.00 48.00 48.00 48.00
3424 Partial mastectomy involving
more than one quarter of the
breast tissue with or
without biopsy and frozen
section (S) . . . . . . . . 60.00 60.00 60.00 60.00 60.00 60.00
3428 Breast, radical amputation
of, with or without biopsy
and frozen section (G) . . . 120.00 120.00 120.00 120.00 120.00 120.00
3430 Breast, radical amputation
of, with or without biopsy
and frozen section (S) . . . 160.00 160.00 160.00 160.00 160.00 160.00
3434 Nipple, inverted, surgical
eversion of (G) . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
3436 Nipple, inverted, surgical
eversion of (S) . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
3443 Laparotomy (exploratory)
where no other procedure is
performed (G) . . . . . . . 65.00 65.00 60.00 65.00 60.00 60.00
3445 Laparotomy (exploratory)
where no other procedure is
performed (S) . . . . . . . 80.00 90.00 80.00 80.00 80.00 80.00
3446 Laparotomy involving
operation on abdominal
viscera, not covered by any
other item in this Part (G) 80.00 75.00 75.00 75.00 75.00
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65.00
3448 Laparotomy involving
operation on abdominal
viscera, not covered by any
other item in this Part (S) 100.00 100.00 100.00 90.00 100.00 80.00
3452 Laparotomy, exploratory,
followed by enterostomy or
colostomy (G) . . . . . . . 82.50 82.50 82.50 82.50 82.50 82.50
3454 Laparotomy, exploratory,
followed by enterostomy or
colostomy (S) . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
3458 Subphrenic abscess, drainage
or (G) . . . . . . . . . . . 64.00 64.00 64.00 64.00 64.00 64.00
3460 Subphrenic abscess, drainage
of (S) . . . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
3464 Liver tumour, removal of,
other than by biopsy . . . . 110.00 110.00 110.00 110.00 110.00 110.00
3469 Liver, massive resection of,
or lobectomy . . . . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
3473 Liver abscess, abdominal
drainage of . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
3478 Liver abscess, transpleural
drainage of . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
3482 Hydatid of liver, peritoneum
or viscus, operation for . . 110.00 110.00 110.00 110.00 110.00 110.00
3484 Operative cholangiography . 20.00 20.00 20.00 20.00 20.00 20.00
3486 Cholecystectomy (G) . . . . 110.00 100.00 100.00 100.00 85.00 80.00
3488 Cholecystectomy (S) . . . . 140.00 140.00 140.00 120.00 125.00 100.00
3491 Cholecystostomy (G) . . . . 64.00 64.00 64.00 64.00 64.00 64.00
3492 Cholecystostomy (S) . . . . 85.00 85.00 85.00 85.00 85.00 85.00
3497 Choledochotomy (with or
without cholecystectomy) (G) 130.00 130.00 110.00 110.00 100.00 100.00
3498 Choledochotomy (with or
without cholecystectomy) (S) 160.00 160.00 160.00 140.00 130.00 120.00

3501 Reconstruction of bile duct
including
choledochoduodenostomy,
cholecystoduodenostomy,
choledochoenterostomy,
choledochogastrostomy,
cholecystogastrostomy or
cholecystoenterostomy . . . 180.00 180.00 180.00 180.00 180.00 180.00
3503 Trans-duodenal
sphincterotomy with or
without removal of calculus
from common bile duct or
pancreatic duct . . . . . . 140.00 140.00 140.00 120.00 110.00 110.00
3506 Reconstruction of hepatic
duct including anastomosis
with gall-bladder or
intestine . . . . . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
3508 Gastroscopy . . . . . . . . 35.00 35.00 35.00 35.00 35.00 35.00
3511 Gastroscopy with biopsy . . 40.00 40.00 40.00 40.00 40.00 40.00
3513 Gastrostomy . . . . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
3517 Gastrostomy for fixation of
indwelling oesophageal tube 105.00 105.00 105.00 105.00 105.00 105.00

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3523 Vagotomy, including
pyloroplasty or
gastro-enterostomy . . . . . 120.00 135.00 120.00 120.00 120.00 110.00
3528 Gastro-enterostomy or
enterocolostomy (G) . . . . 75.00 90.00 75.00 75.00 75.00 75.00
3529 Gastro-enterostomy or
enterocolostomy (S) . . . . 100.00 120.00 100.00 100.00 100.00 100.00
3536 Perforated peptic ulcer,
suture of (G) . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
3537 Perforated peptic ulcer,
suture of (S) . . . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
3539 Partial gastrectomy, with or
without gastro-jejunostomy
(G) . . . . . . . . . . . . 112.50 135.00 112.50 112.50 112.50 112.50
3541 Partial gastrectomy, with or
without gastro-jejunostomy
(S) . . . . . . . . . . . . 150.00 180.00 150.00 150.00 150.00 150.00
3545 Gastrectomy, complete . . . 200.00 200.00 200.00 200.00 200.00 200.00
3553 Pyloroplasty (G) . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
3554 Pyloroplasty (S) . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
3556 Stomach, reconstruction of,
by bowel transplant . . . . 220.00 220.00 220.00 220.00 220.00 220.00
3560 Laparotomy and division of
peritoneal adhesions where
no other listed
intra-abdominal procedure is
performed (G) . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
3561 Laparotomy and division of
peritoneal adhesions where
no other listed
intra-abdominal procedure is
performed (S) . . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
3566 Enterostomy or colostomy, as
an independent procedure (G) 75.00 75.00 75.00 75.00 75.00 75.00
3567 Enterostomy or colostomy, as
an independent procedure (S) 100.00 100.00 100.00 100.00 100.00 100.00
3572 Enterostomy or colostomy,
extra-peritoneal closure of
(G) . . . . . . . . . . . . 41.50 41.50 41.50 41.50 41.50 41.50
3573 Enterostomy or colostomy,
extra-peritoneal closure of
(S) . . . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
3575 Colostomy, intra-peritoneal
closure not involving
resection . . . . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
3577 Caecostomy (G) . . . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
3578 Caecostomy (S) . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
3582 Bowel, anastomosis of (G) . 120.00 135.00 120.00 120.00 120.00 120.00
3583 Bowel, anastomosis of (S) . 160.00 180.00 160.00 160.00 160.00 160.00
3588 Intussusception, reduction
of, by fluid (G) . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
3589 Intussusception, reduction
of, by fluid (S) . . . . . . 44.00 44.00 44.00 44.00 44.00 44.00
3593 Intussusception, laparotomy
and reduction of (G) . . . . 56.50 56.50 56.50 56.50 56.50 56.50

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3594 Intussusception, laparotomy
and reduction of (S) . . . . 75.00 75.00 75.00 75.00 75.00 75.00
3598 Intussusception, laparotomy
and resection of (G) . . . . 120.00 135.00 120.00 120.00 120.00 120.00
3599 Intussusception, laparotomy
and resection of (S) . . . . 160.00 180.00 160.00 160.00 160.00 160.00
3607 Laparotomy with reduction of
volvulus (G) . . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
3608 Laparotomy with reduction of
volvulus (S) . . . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
3609 Meckel's diverticulum,
removal of (G) . . . . . . . 71.50 71.50 71.50 71.50 71.50 71.50 3610 Meckel's diverticulum,
removal of (S) . . . . . . . 95.00 95.00 95.00 95.00 95.00 95.00 3614 Bowel or viscera, resection
of, with or without
anastomosis, not covered by
any other item in this Part
(G) . . . . . . . . . . . . 120.00 135.00 120.00 120.00 120.00 120.00
3615 Bowel or viscera, resection
of, with or without
anastomosis, not covered by
any other item in this Part
(S) . . . . . . . . . . . . 160.00 180.00 160.00 160.00 160.00 160.00
3620 Enterolysis with intestinal
plication, Noble type . . . 120.00 120.00 120.00 120.00 120.00 120.00
3623 Appendicectomy, not covered
by Item 3629 (G) . . . . . . 65.00 60.00 60.00 60.00 60.00 55.00
3627 Appendicectomy, not covered
by Item 3629 (S) . . . . . . 75.00 80.00 80.00 70.00 75.00 65.00
3629 Appendicectomy, when
performed in conjunction
with any other
intraabdominal procedure
(other than that covered by
Items 3577 or 3578) through
the same incision . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
3630 Drainage of appendiceal
abscess, or for ruptured
appendix or for peritonitis
with or without
appendicectomy (G) . . . . . 67.50 67.50 67.50 67.50 67.50 67.50
3632 Drainage of appendiceal
abscess, or for ruptured
appendix or for peritonitis
with or without
appendicectomy (S) . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
3636 Small bowel intubation with
biopsy . . . . . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
3640 Small bowel intubation-as an
independent procedure . . . 16.50 16.50 16.50 16.50 16.50 16.50
3645 Pancreas, partial excision
of . . . . . . . . . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
3649 Pancreas, drainage of (G) . 56.50 56.50 56.50 56.50 56.50 56.50
3651 Pancreas, drainage of (S) . 75.00 75.00 75.00 75.00 7.500 75.00
3657 Splenectomy (G) . . . . . . 90.00 101.50 90.00 90.00 90.00 90.00
3658 Splenectomy (S) . . . . . . 120.00 135.00 120.00 120.00 120.00 120.00
3661 Ruptured viscus (including
liver, spleen or kidney),
repair of (G) . . . . . . . 82.50 82.50 82.50 82.50 82.50
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82.50
3662 Ruptured viscus (including
liver, spleen or kidney),
repair of (S) . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
3667 Retroperitoneal tumour,
removal of . . . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
3671 Retroperitoneal abscess,
drainage of, not involving
laparotomy . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
3675 Peritoneoscopy . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
3680 Paracentesis abdominis (G) . 6.00 6.00 6.00 6.00 6.00 6.00
3681 Paracentesis abdominis (S) . 8.00 8.00 8.00 8.00 8.00 8.00
3684 Total collectomy with
ileo-rectal anastomosis . . 200.00 200.00 200.00 200.00 200.00 200.00
3686 Abdomino-perineal resection
(Miles' technique) . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
3687 Abdomino-perineal resection,
combined synchronous
operation- abdominal
resection . . . . . . . . . 180.00 180.00 180.00 180.00 180.00 180.00
3688 Abdomino-perineal resection
combined synchronous
operation-perineal resection 80.00 80.00 80.00 80.00 80.00 80.00
3689 Proctocolectomy complete,
with ileostomy . . . . . . . 275.00 275.00 275.00 275.00 275.00 275.00
3692 Femoral or inguinal hernia
(other than recurrent),
repair of (G) . . . . . . . 65.00 65.00 60.00 60.00 60.00 50.00
3693 Femoral or inguinal hernia
(other than recurrent),
repair of (S) . . . . . . . 80.00 80.00 80.00 70.00 85.00 60.00
3696 Diaphragmatic hernia,
traumatic, repair of . . . . 130.00 130.00 130.00 130.00 130.00 130.00
3700 Diaphragmatic hernia, other
than traumatic, repair of . 180.00 165.00 165.00 165.00 165.00 165.00
3704 Umbilical hernia, repair of,
in person under 10 years of
age (G) . . . . . . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
3705 Umbilical hernia, repair of,
in person under 10 years of
age (S) . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00

3709 Umbilical hernia, repair of,
in person 10 years of age or
over (G) . . . . . . . . . . 56.50 56.50 56.50 56.50 56.50 56.50

3710 Umbilical hernia, repair of,
in person 10 years of age or
over (S) . . . . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
3714 Ventral, incisional, lumbar
or recurrent hernia, repair
of (G) . . . . . . . . . . . 75.00 75.00 75.00 70.00 65.00 65.00
3716 Ventral, incisional, lumbar
or recurrent hernia, repair
of (S) . . . . . . . . . . . 90.00 90.00 90.00 80.00 90.00 75.00
3720 Hydrocele, tapping of (G) . 5.00 5.00 5.00 5.00 5.00 5.00
3721 Hydrocele, tapping of (S) . 6.60 6.60 6.60 6.60 6.60 6.60
3726 Hydrocele, removal of (G) . 40.00 50.00 45.00 40.00 40.00 40.00

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3727 Hydrocele, removal of (S) . 50.00 60.00 60.00 50.00 50.00 50.00
3728 Hydrocele, operation for, by
inguinal approach with
removal of patent processus
vaginalis (G) . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
3729 Hydrocele, operation for, by
inguinal approach with
removal of patent processus
vaginalis (S) . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
3731 Varicocele, removal of (G) . 41.50 41.50 41.50 41.50 41.50 41.50
3732 Varicocele, removal of (S) . 55.00 55.00 55.00 55.00 55.00 55.00
3736 Orchidectomy (simple) (G) . 56.50 56.50 56.50 56.50 56.50 56.50
3737 Orchidectomy (simple) (S) . 75.00 75.00 75.00 75.00 75.00 75.00
3741 Undescended testis,
transplantation of, with or
without associated hernial
repair (G) . . . . . . . . . 65.00 65.00 60.00 60.00 60.00 60.00
3742 Undescended testis,
transplantation of, with or
without associated hernial
repair (S) . . . . . . . . . 85.00 85.00 75.00 70.00 75.00 70.00
3746 Secondary detachment of
testis from thigh (G) . . . 12.50 12.50 12.50 12.50 12.50 12.50
3747 Secondary detachment of
testis from thigh (S) . . . 16.50 16.50 16.50 16.50 16.50 16.50
3751 Circumcision of person under
4 weeks of age . . . . . . . 7.00 6.00 6.00 6.00 6.00 6.00
3755 Circumcision of person under
10 years of age but not less
than 4 weeks of age (G) . . 11.00 10.00 10.00 10.00 10.00 10.00
3756 Circumcision of person under
10 years of age but not less
than 4 weeks of age (S) . . 20.00 20.00 16.00 15.00 15.00 15.00
3760 Circumcision of person 10
years of age or over (G) . . 20.50 20.50 20.50 20.50 20.50 20.50
3761 Circumcision of person 10
years of age or over (S) . . 27.50 27.50 27.50 27.50 27.50 27.50
3765 Paraphimosis, reduction of,
under anaesthesia, with or
without dorsal incision . . 8.80 8.80 8.80 8.80 8.80 8.80
3767 Sigmoidoscopic examination
(G) . . . . . . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
3768 Sigmoidoscopic examination
(S) . . . . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
3771 Sigmoidoscopy with diathermy
or resection of rectal
tumour or tumours (G) . . . 27.00 27.00 27.00 27.00 27.00 27.00
3772 Sigmoidoscopy with diathermy
or resection of rectal
tumour or tumours (S) . . . 36.00 36.00 36.00 36.00 36.00 36.00
3773 Sigmoidoscopic examination
followed by removal,
ligation or cauterisation of
haemorrhoids (G) . . . . . . 59.00 64.00 53.25 43.25 38.25 38.25
3774 Sigmoidoscopic examination
followed by removal,
ligation or cauterisation of
haemorrhoids (S) . . . . . . 75.00 90.00 64.00 54.00 54.00
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44.00
3776 Full thickness rectal biopsy 22.00 22.00 22.00 22.00 22.00 22.00
3778 Colonic fibreoscopy . . . . 35.00 35.00 35.00 35.00 35.00 35.00
3779 Colonic fibreoscopy with
biopsy . . . . . . . . . . . 40.00 40.00 40.00 40.00 40.00 40.00
3780 Rectum, radical operation
for prolapse of, perineal
approach . . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
3784 Rectum, radical operation
for prolapse of, involving
laparotomy . . . . . . . . . 175.00 175.00 175.00 175.00 175.00 175.00
3788 Rectum, anterior resection
of, involving
rectosigmoidectomy, not
covered by Item 3686 or 7594 200.00 200.00 200.00 200.00 200.00 200.00
3792 Rectum, prolapse of,
injection into . . . . . . . 6.60 6.60 6.60 6.60 6.60 6.60
3796 Rectal polyp, removal of (G) 26.50 26.50 26.50 26.50 26.50 26.50
3797 Rectal polyp, removal of (S) 35.00 35.00 35.00 35.00 35.00 35.00
3801 Anus, dilatation of, as an
independent procedure . . . 7.00 7.00 7.00 7.00 7.00 7.00
3803 Anus, massive dilatation of,
under anaesthesia (Lord's
procedure) with or without
modified haemorrhoidectomy . 25.00 25.00 25.00 25.00 25.00 25.00
3805 Anal prolapse-circum-anal
suture (G) . . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
3806 Anal prolapse-circum-anal
suture (S) . . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
3808 Anal prolapse, submucosal
injection for, under general
anaesthesia . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
3811 Anal stricture, repair of
(G) . . . . . . . . . . . . 41.50 41.50 41.50 41.50 41.50 41.50
3812 Anal stricture, repair of
(S) . . . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
3814 Anal sphincterotomy as an
independent procedure . . . 25.00 25.00 25.00 25.00 25.00 25.00
3817 Haemorrhoids, injection
into-each attendance at
which an injection is given 5.00 5.00 4.00 4.00 3.50 4.00
3821 Haemorrhoids, incision of . 11.00 10.00 10.50 10.00 10.00 10.00
3823 Haemorrhoids, rubber band
litigation of . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
3826 Haemorrhoidectomy, radical
(G) . . . . . . . . . . . . 55.00 60.00 50.00 40.00 35.00 35.00
3827 Haemorrhoidectomy, radical
(S) . . . . . . . . . . . . 70.00 85.00 60.00 50.00 50.00 40.00
3832 Haemorrhoids, external, or
anal tags, one or more,
removal of . . . . . . . . . 15.00 14.00 14.00 14.00 14.00 14.00
3836 Fissure in ano, excision of
(G) . . . . . . . . . . . . 22.00 25.00 20.00 20.00 20.00 15.00
3838 Fissure in ano, excision of
(S) . . . . . . . . . . . . 45.00 60.00 45.00 35.00 30.00 30.00

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3842 Fistula in ano,
subcutaneous, excision of
(G) . . . . . . . . . . . . 41.50 41.50 41.50 41.50 41.50 41.50
3844 Fistula in ano,
subcutaneous, excision of
(S) . . . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
3848 Fistula in ano, excision of
(involving incision of
external sphincter) (G) . . 49.00 49.00 49.00 49.00 49.00 49.00
3850 Fistula in ano, excision of
(involving incision of
external sphincter) (S) . . 65.00 65.00 65.00 65.00 65.00 65.00
3853 Ischio-rectal abscess,
incision of (G) . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
3857 Ischio-rectal abscess,
incision of (S) . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
3859 Faecal fistula, repair of . 100.00 100.00 100.00 100.00 100.00 100.00
3865 Recto-vesical fistula,
repair of . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
3869 Pubo-rectalis muscle,
division of . . . . . . . . 60.00 60.00 60.00 60.00 60.00 60.00
3874 Disimpaction of faeces under
anaesthesia . . . . . . . . 13.00 13.00 13.00 13.00 13.00 13.00
3878 Coccyx, excision of (G) . . 49.00 60.00 49.00 49.00 49.00 49.00
3880 Coccyx, excision of (S) . . 65.00 80.00 65.00 65.00 65.00 65.00
3883 Pilonidal cyst or sinus,
excision of (G) . . . . . . 55.00 50.00 45.00 45.00 45.00 40.00
3884 Pilonidal cyst or sinus,
excision of (S) . . . . . . 65.00 70.00 60.00 60.00 60.00 45.00
3888 Pilonidal sinus, injection
of sclerosant fluid under
anaesthesia . . . . . . . . 18.00 17.00 17.00 17.00 17.00 17.00

Blood Vessels

3901 Varicose veins, injection of
sclerosing solution-each
attendance at which one
injection is, or two or more
injections, are made . . . . 5.00 5.00 5.00 5.00 5.00 5.00
3903 Varicose veins, multiple
simultaneous injections by
continuous compression
techniques (excluding
after-care) . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
3905 Varicose veins, high
ligation of long saphenous
vein with or without
retrograde injection or
distal interruptions of the
long saphenous vein (G) . . 41.50 41.50 41.50 41.50 41.50 41.50
3906 Varicose veins, high
ligation of long saphenous
vein with or without
retrograde injection or
distal interruptions of the
long saphenous vein (S) . . 55.00 55.00 55.00 55.00 55.00 55.00
3911 Varicose veins, ligation of
short saphenous vein at
sapheno-popliteal junction
with or without retrograde
injection or distal

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interruptions of short
saphenous vein (G) . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
3912 Varicose veins, ligation of
short saphenous vein at
sapheno-popliteal junction
with or without retrograde
injection or distal
interruptions of the short
saphenous vein (S) . . . . . 28.00 28.00 28.00 28.00 28.00 28.00
3918 Varicose veins, high
ligation and complete
stripping or excision of
long saphenous vein (G) . . 65.00 65.00 65.00 65.00 65.00 65.00
3924 Varicose veins, high
ligation and complete
stripping or excision of
long saphenous vein (S) . . 90.00 90.00 90.00 90.00 90.00 90.00
3928 Varicose veins, ligation and
complete stripping or
excision of short saphenous
vein (G) . . . . . . . . . . 40.00 40.00 40.00 40.00 40.00 40.00
3929 Varicose veins, ligation and
complete stripping or
excision of short saphenous
vein (S) . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
3934 Varicose veins, multiple
excisions or ligations of
subcutaneous veins (G) . . . 20.00 20.00 20.00 20.00 20.00 20.00
3935 Varicose veins, multiple
excisions or ligations of
subcutaneous veins (S) . . . 25.00 25.00 25.00 25.00 25.00 25.00
3939 Varicose veins, subcutaneous
or subfascial ligation of
perforating veins (G) . . . 45.00 45.00 45.00 45.00 45.00 45.00
3940 Varicose veins, subcutaneous
or subfascial ligation of
perforating veins (S) . . . 60.00 60.00 60.00 60.00 60.00 60.00
3941 Saphenous vein, crossed,
by-pass . . . . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
3945 Intra-arterial oxygen
injection . . . . . . . . . 9.00 9.00 9.00 9.00 9.00 9.00
3949 Vein or small artery,
ligation of (G) . . . . . . 5.85 5.85 5.85 5.85 5.85 5.85
3951 Vein or small artery,
ligation of (S) . . . . . . 7.80 7.80 7.80 7.80 7.80 7.80
3955 Medium artery, ligation of
(G) . . . . . . . . . . . . 14.00 14.00 14.00 14.00 14.00 14.00
3957 Medium artery, ligation of
(S) . . . . . . . . . . . . 18.50 18.50 18.50 18.50 18.50 18.50
3961 Artery or vein, ligation
of-involving deep dissection
(G) . . . . . . . . . . . . 41.50 41.50 41.50 41.50 41.50 41.50
3963 Artery or vein, ligation
of-involving deep dissection
(S) . . . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
3967 Great vessel (including
carotid, jugular,
subclavian, axillary, iliac
or femoral vessel), ligation
of, involving gradual
occlusion of vessel by
mechanical device . . . . . 75.00 75.00 75.00 75.00 75.00
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75.00
3971 Great vessel (including
carotid, jugular,
subclavian, axillary, iliac
or femoral vessel), ligation
of . . . . . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
3975 Major artery of neck or
extremity, repair of wound
of, with restoration of
continuity . . . . . . . . . 120.00 120.00 120.00 120.00 120.00 120.00
3979 Major artery of trunk,
repair of wound of, with
restoration of continuity . 150.00 150.00 150.00 150.00 150.00 150.00
3983 Arteriovenous fistula,
dissection and repair of . . 220.00 220.00 220.00 220.00 220.00 220.00
3987 Artery of neck or
extremities, endarterectomy
of . . . . . . . . . . . . . 200.00 200.00 200.00 200.00 200.00 200.00
3991 Innominate, subclavian,
carotid or any
intra-thoracic artery,
endarterectomy of . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
3995 Inferior vena cava,
plication of . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
3999 Repositioning of internal
carotid artery . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4004 Arterial or venous graft or
by-pass . . . . . . . . . . 250.00 250.00 250.00 250.00 250.00 250.00
4008 Arterial anastomosis . . . . 220.00 220.00 220.00 220.00 220.00 220.00
4013 Portal hypertension,
lienorenal anastomosis for . 220.00 220.00 220.00 220.00 220.00 220.00
4017 Portal vein anastomosis . . 220.00 220.00 220.00 220.00 220.00 220.00
4022 Embolus, removal of, from
artery of neck or
extremities . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4026 Embolus, removal of, from
artery of trunk . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
4031 Thrombus, removal of, from
femoral, iliac or other
similar large vein . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
4034 Transluminal angioplasty
including associated
radiological services and
preparation . . . . . . . . 80.00 80.00 80.00 80.00 80.00 80.00
4035 Carotid body or carotid body
tumour, removal of, without
arterial anastomosis . . . . 85.00 85.00 85.00 85.00 85.00 85.00
4040 Arteriovenous shunt,
external, insertion of . . . 45.00 45.00 45.00 45.00 45.00 45.00
4042 Arteriovenous shunt,
external, removal of . . . . 35.00 35.00 35.00 35.00 35.00 35.00
4044 Arteriovenous anastomosis,
direct, of upper or lower
limb . . . . . . . . . . . . 120.00 120.00 120.00 120.00 120.00 120.00

Operations for acute osteomyelitis
4050 Operation on terminal
phalanx of finger or toe (G) 8.00 8.00 8.00 8.00 8.00 8.00
4051 Operation on terminal

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phalanx of finger or toe (S) 11.00 11.00 11.00 11.00 11.00 11.00
4055 Operation on phalanx other
than terminal, metacarpus or
metatarsus-one bone (G) . . 17.50 17.50 17.50 17.50 17.50 17.50
4056 Operation on phalanx other
than terminal, metacarpus or
metatarsus-one bone (S) . . 23.00 23.00 23.00 23.00 23.00 23.00
4060 Operation on sternum,
clavicle, rib, ulna, radius,
carpus, tibia, fibula,
tarsus, mandible or maxilla
(other than alveolar
margins)-one bone (G) . . . 29.50 29.50 29.50 29.50 29.50 29.50
4061 Operation on sternum,
clavicle, rib, ulna, radius,
carpus, tibia, fibula,
tarsus, mandible or maxilla
(other than alveolar
margins)-one bone (S) . . . 39.00 39.00 39.00 39.00 39.00 39.00
4062 Operation on mandible or
maxilla (other than alveolar
margins)-one bone (D) . . . 39.00 39.00 39.00 39.00 39.00 39.00
4065 Operation on humerus or
femur-one bone (G) . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
4066 Operation on humerus or
femur-one bone (S) . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
4070 Operation on skull (G) . . . 41.50 41.50 41.50 41.50 41.50 41.50
4071 Operation on skull (S) . . . 55.00 55.00 55.00 55.00 55.00 55.00
4075 Operation on spine or pelvic
bones-one bone (G) . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
4076 Operation on spine or pelvic
bones-one bone (S) . . . . . 65.00 65.00 65.00 65.00 65.00 65.00

Operations for chronic osteomyelitis
4090 Operation on nasal bones (G) 17.50 17.50 17.50 17.50 17.50 17.50
4091 Operation on nasal bones (S) 23.00 23.00 23.00 23.00 23.00 23.00

4095 Operation on scapula,
sternum, clavicle, rib,
ulna, radius, metacarpus,
carpus, phalanx, tibia,
fibula, metatarsus, tarsus,
mandible or maxilla (other
than alveolar margins)-one
bone (G) . . . . . . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
4096 Operation on scapula,
sternum, clavicle, rib,
ulna, radius, metacarpus,
carpus, phalanx, tibia,
fibula, metatarsus, tarsus,
mandible or maxilla (other
than alveolar margins)-one
bone (S) . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
4097 Operation on mandible or
maxilla, or mandible and
maxilla (other than alveolar
margins) (D) . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
4101 Operation on humerus or
femur-one bone (G) . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
4102 Operation of humerus or
femur-one bone (S) . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
4107 Operation on spine or pelvic

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bones-one bone (G) . . . . . 82.50 82.50 82.50 82.50 82.50 82.50
4108 Operation on spine or pelvic
bones-one bone (S) . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4113 Operation on skull (G) . . . 64.00 64.00 64.00 64.00 64.00 64.00
4114 Operation on skull (S) . . . 85.00 85.00 85.00 85.00 85.00 85.00
4119 Operation on any combination
of bones referred to in Item
4095 (G) . . . . . . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
4120 Operation on any combination
of bones referred to in Item
4096 (S) . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
4125 Operation on any combination
of bones not covered by Item
4119 (G) . . . . . . . . . . 82.50 82.50 82.50 82.50 82.50 82.50
4126 Operation on any combination
of bones not covered by Item
4120 (S) . . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4148 One finger or thumb (G) . . 25.00 25.00 25.00 25.00 25.00 25.00
4153 One finger or thumb (S) . . 35.00 35.00 35.00 35.00 35.00 35.00
4156 Additional finger or
thumb-each (G) . . . . . . . 4.50 4.50 4.50 4.50 4.50 4.50
4157 Additional finger or
thumb-each (S) . . . . . . . 6.00 6.00 6.00 6.00 6.00 6.00
4161 Finger or thumb, including
metacarpal or part of
metacarpal-each digit (G) . 25.00 25.00 25.00 25.00 25.00 25.00
4162 Finger or thumb, including
metacarpal or part of
metacarpal-each digit (S) . 33.00 33.00 33.00 33.00 33.00 33.00
4166 Hand, midcarpal or
transmetacarpal (G) . . . . 41.50 41.50 41.50 41.50 41.50 41.50
4167 Hand, midcarpal or
transmetacarpal (S) . . . 55.00 55.00 55.00 55.00 55.00 55.00
4171 Hand, forearm or through
arm (G) . . . . . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
4172 Hand, forearm or through
arm (S) . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
4176 At shoulder (G) . . . . . 82.50 82.50 82.50 82.50 82.50 82.50
4177 At shoulder (S) . . . . . 110.00 110.00 110.00
110.00
110.00
110.00
4182 Interscapulothoracic (G) . 165.00 165.00 165.00
165.00
165.00
165.00
4183 Interscapulothoracic (S) . 220.00 220.00 220.00
220.00
220.00
220.00
4188 One toe or great toe (G) . 15.00 15.00 15.00 15.00 15.00 15.00
4189 One toe or great toe (S) . 20.00 20.00 20.00 20.00 20.00 20.00
4194 Additional toe or great
toe-each (G) . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
4195 Additional toe or great
toe-each (S) . . . . . . . 6.50 6.50 6.50 6.50 6.50 6.50
4200 Toe, including metatarsal
or part of metatarsal-each
toe (G) . . . . . . . . . 20.50 20.50 20.50 20.50 20.50 20.50
4201 Toe, including metatarsal
or part of metatarsal-each
toe (S) . . . . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
4206 Foot at ankle (Syme,
Pirogoff types) (G) . . . 49.00 49.00 49.00 49.00 49.00 49.00
4207 Foot at ankle (Syme,

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Pirogoff types) (S) . . . 65.00 65.00 65.00 65.00 65.00 65.00
4212 Foot, midtarsal or
transmetatarsal (G) . . . 41.50 41.50 41.50 41.50 41.50 41.50
4213 Foot, midtarsal or
transmetatarsal (S) . . . 55.00 55.00 55.00 55.00 55.00 55.00
4218 Through leg or at knee (G) 64.00 64.00 64.00 64.00 64.00 64.00
4219 Through leg or at knee (S) 85.00 85.00 85.00 85.00 85.00 85.00
4224 Through thigh (G) . . . . 90.00 90.00 90.00 90.00 90.00 90.00
4225 Through thigh (S) . . . . 120.00 120.00 120.00
120.00
120.00
120.00
4230 At hip (G) . . . . . . . . 101.50 101.50 101.50
101.50
101.50
101.50
4231 At hip (S) . . . . . . . . 135.00 135.00 135.00
135.00
135.00
135.00
4236 Hindquarter . . . . . . . 275.00 275.00 275.00
275.00
275.00
275.00

Division 3-Ear, Nose and Throat
4300 Ear, removal of foreign
body in, otherwise than by
simple syringing . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
4302 Ear, removal of foreign
body in, involving
incision of external
auditory canal . . . . . . 45.00 45.00 45.00 45.00 45.00 45.00
4304 Aural polyp, removal of
(G) . . . . . . . . . . . 19.00 19.00 19.00 19.00 19.00 19.00
4305 Aural polyp, removal of
(S) . . . . . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
4309 External auditory meatus,
surgical removal of
keratosis obturans from,
not covered by any other
item (G) . . . . . . . . . 22.50 22.50 22.50 22.50 22.50 22.50
4311 External auditory meatus,
surgical removal of
keratosis obturans from,
not covered by any other
item (S) . . . . . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
4315 External auditory meatus,
removal of exostoses in . 175.00 175.00 175.00
175.00
175.00
175.00
4317 Myringoplasty, trans-canal
approach (Rosen incision) 110.00 110.00 110.00
110.00
110.00
110.00
4318 Myringoplasty, post-aural
or endaural approach
involving enlargement of
bony external canal, with
or without exploration of
mastoid . . . . . . . . . 180.00 180.00 180.00
180.00
180.00
180.00
4321 Ossicular chain
reconstruction . . . . . . 200.00 200.00 200.00
200.00
200.00
200.00
4322 Ossicular chain
reconstruction and
myringoplasty . . . . . . 220.00 220.00 220.00
220.00
220.00
220.00
4324 Mastoidectomy (cortical) . 100.00 100.00 100.00
100.00
100.00

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100.00
4325 Obliteration of mastoid
cavity . . . . . . . . . . 125.00 125.00 125.00
125.00
125.00
125.00
4328 Mastoidectomy (radical or
modified radical) . . . . 200.00 200.00 200.00
200.00
200.00
200.00
4330 Mastoidectomy (radical or
modified radical) and
myringoplasty . . . . . . 220.00 220.00 220.00
220.00
220.00
220.00
4331 Mastoidectomy (radical or
modified radical),
myringoplasty and
ossicular chain
reconstruction . . . . . . 275.00 275.00 275.00
275.00
275.00
275.00
4334 Decompression of facial
nerve in its mastoid
portion . . . . . . . . . 220.00 220.00 220.00
220.00
220.00
220.00
4336 Decompression of facial
nerve in its intracranial
portion by intracranial or
intrapetrous approach . . 250.00 250.00 250.00
250.00
250.00
250.00
4337 Labyrinthotomy or
destruction of labyrinth . 195.00 195.00 195.00
195.00
195.00
195.00
4339 Endolymphatic sac,
transmastoid decompression
with or without drainage
of . . . . . . . . . . . . 220.00 220.00 220.00
220.00
220.00
220.00
4340 Internal auditory meatus,
exploration of, by middle
cranial fossa approach
with or without removal of
tumour . . . . . . . . . . 275.00 275.00 275.00
275.00
275.00
275.00
4342 Fenestration
operation-each ear . . . . 220.00 220.00 220.00
220.00
220.00
220.00
4346 Venous graft to
fenestration cavity . . . 110.00 110.00 110.00
110.00
110.00
110.00

4350 Stapedectomy . . . . . . . 200.00 200.00 200.00
200.00
200.00
200.00
4355 Stapes mobilisation . . . 130.00 130.00 130.00
130.00
130.00
130.00
4356 Glomus tumour,
transtympanic removal of . 150.00 150.00 150.00
150.00
150.00

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150.00
4358 Glomus tumour,
transmastoid removal of,
including mastoidectomy . 220.00 220.00 220.00
220.00
220.00
220.00
4359 Abscess or inflammation of
middle ear, operation for
(G) . . . . . . . . . . . 9.00 9.00 9.00 8.00 8.00 8.00
4360 Abscess or inflammation of
middle ear, operation for
(S) . . . . . . . . . . . 15.00 25.00 16.50 15.00 15.00 10.00
4364 Middle ear, exploration of 80.00 100.00 80.00 80.00 80.00 80.00
4368 Middle ear, insertion of
tube for drainage of . . . 45.00 40.00 30.00 30.00 30.00 30.00
4372 Perforation of tympanum,
cauterisation or diathermy
of . . . . . . . . . . . . 8.80 8.80 8.80 8.80 8.80 8.80
4376 Cholesteatoma, removal of,
by suction ear toilet . . 20.00 20.00 20.00 20.00 20.00 20.00
4378 Tympanic membrane,
micro-inspection of, with
or without suction removal
of cholesteatoma . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
4381 Examination of nasal cavity
or post-nasal space, or
nasal cavity and post-nasal
space, under general
anaesthesia, as an
independent procedure . . . 10.00 10.00 10.00 10.00 10.00 10.00
4384 Nasal haemorrhage,
posterior, arrest of, with
posterior nasal packing with
or without cauterisation and
with or without anterior
pack . . . . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
4385 Nose, removal of foreign
body in, other than by
simple probing . . . . . . . 14.50 14.50 14.50 14.50 14.50 14.50
4389 Nasal polyp or polypi
(simple), removal of (G) . . 11.50 11.50 11.50 11.50 11.50 11.50
4390 Nasal polyp or polypi
(simple), removal of (S) . . 15.00 15.00 15.00 15.00 15.00 15.00
4394 Nasal polyp or polypi
(requiring admission to
hospital), removal of (G) . 30.00 30.00 22.50 22.50 30.00 22.50
4395 Nasal polyp or polypi
(requiring admission to
hospital), removal of (S) . 40.00 40.00 30.00 30.00 40.00 30.00
4399 Nasal septum, septoplasty or
submucous resection of . . . 80.00 90.00 60.00 60.00 80.00 60.00
4400 Nasal septum, septoplasty or
submucous resection of, with
cauterisation or diathermy
of any one or more of septum
or turbinates or pharynx (G) 82.75 92.50 63.25 63.25 82.50 62.50
4401 Nasal septum, septoplasty or
sub- mucous resection of,
with cauterisation or
diathermy of any one or more
of septum or turbinates or
pharynx (S) . . . . . . . . 87.50 100.00 70.00 67.50 85.00 65.00
4402 Nasal septum, septoplasty or
submucous resection of, with
turbinectomy or dislocation
of turbinate . . . . . . . . 92.50 102.50 72.50 72.50 92.50 72.50
4403 Cauterisation or diathermy
of septum or turbinates or

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pharynx-any one or more-each
attendance at which the
procedure is performed (G) . 5.50 5.00 6.50 6.50 5.00 5.00
4404 Cauterisation or diathermy
of septum or turbinates or
pharynx-any one or more-each
attendance at which the
procedure is performed (S) . 15.00 20.00 20.00 15.00 10.00 10.00
4408 Cryotherapy to nose in the
treatment of nasal
haemorrhage . . . . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
4412 Turbinectomy or dislocation
of turbi- nate . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
4416 Turbinates, submucous
resection of . . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
4418 Maxillary antrum, proof
puncture and lavage of . . . 6.00 6.00 6.00 6.00 6.00 6.00
4419 Maxillary antrum, proof
puncture and lavage of (D) . 6.00 6.00 6.00 6.00 6.00 6.00
4422 Maxillary antrum, lavage
of-each attendance . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
4426 Maxillary artery,
transantral ligation of . . 80.00 80.00 80.00 80.00 80.00 80.00
4428 Antrostomy (radical) . . . . 80.00 100.00 80.00 80.00 80.00 80.00
4429 Antrostomy (radical) (D) . . 80.00 100.00 80.00 80.00 80.00 80.00
4432 Antrostomy (radical) with
transantral ethmoidectomy . 120.00 120.00 120.00 120.00 120.00 120.00
4436 Antrum, intranasal operation
on, or removal of foreign
body from . . . . . . . . . 50.00 50.00 55.00 40.00 40.00 40.00
4437 Antrum, intranasal operation
on, or removal of foreign
body from (D) . . . . . . . 50.00 50.00 55.00 40.00 40.00 40.00
4440 Antrum, drainage of, through
tooth socket . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
4441 Antrum, drainage of, through
tooth socket (D) . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
4444 Oro-antral fistula, plastic
closure of . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4445 Oro-antral fistula, plastic
closure of (D) . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4447 Fronto-nasal ethmoidectomy
with or without
sphenoidectomy . . . . . . . 140.00 140.00 140.00 140.00 140.00 140.00
4449 Radical fronto-ethmoidectomy
with osteoplastic flap . . . 180.00 180.00 180.00 180.00 180.00 180.00
4450 Frontal sinus or ethmoidal
sinuses, intranasal
operation on . . . . . . . . 70.00 90.00 70.00 70.00 70.00 70.00
4452 Frontal sinus,
catheterisation of . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
4453 Frontal sinus, trephine of . 55.00 55.00 55.00 55.00 55.00 55.00
4454 Frontal sinus, radical
obliteration of . . . . . . 140.00 140.00 140.00 140.00 140.00 140.00
4456 Ethmoidal sinuses, external
operation on . . . . . . . . 115.00 115.00 115.00 115.00 115.00
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115.00
4460 Sphenoidal sinus, proof
puncture of . . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
4464 Sphenoidal sinus, intranasal
operation on . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
4468 Transantral vidian
neurectomy . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4474 Trans-sphenoidal
hypophysectomy including
submucous resection of nasal
septum and grafting to
obliterate the pituitary
fossa (including obtaining
of graft) . . . . . . . . . 200.00 200.00 200.00 200.00 200.00 200.00
4476 Eustachian tube,
catheterisation of . . . . . 7.50 8.50 7.00 6.50 6.50 6.50
4480 Division of pharyngeal
adhesions . . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
4485 Post-nasal space, direct
examination of, with biopsy 20.00 20.00 20.00 20.00 20.00 20.00
4489 Nasopharyngeal tumour,
operation for removal of,
involving hard palate . . . 160.00 160.00 160.00 160.00 160.00 160.00
4492 Pharyngeal pouch, removal of 130.00 130.00 130.00 130.00 130.00 130.00
4494 Pharyngeal pouch, endoscopic
resection of (Dohlman's
operation) . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4496 Pharyngotomy (lateral) . . . 130.00 130.00 130.00 130.00 130.00 130.00
4498 Tonsils or tonsils and
adenoids, removal of, in a
person aged less than 12
years (G) . . . . . . . . . 23.00 25.00 23.00 23.00 20.00 23.00
4499 Tonsils or tonsils and
adenoids, removal of, in a
person aged less than 12
years (S) . . . . . . . . . 55.00 50.00 35.00 40.00 35.00 31.50
4501 Tonsils or tonsils and
adenoids in a person aged
less than 12 years, removal
of, with operation for
abscess or inflammation of
middle ear (G) . . . . . . . 27.50 29.50 27.50 27.00 24.00 27.00
4502 Tonsils or tonsils and
adenoids in a person aged
less than 12 years, removal
of, with operation for
abscess or inflammation of
middle ear (S) . . . . . . . 62.50 62.50 43.25 47.50 42.50 36.50
4504 Tonsils or tonsils and
adenoids in a person aged
less than 12 years, removal
of, with cauterisation and
diathermy of any one or more
of septum or turbinates or
pharynx (G) . . . . . . . . 25.75 27.50 26.25 26.25 22.50 25.50

4505 Tonsils or tonsils and
adenoids in a person aged
less than 12 years, removal
of, with cauterisation and
diathermy of any one or more
of septum or turbinates or
pharynx (S) . . . . . . . . 62.50 60.00 45.00 47.50 40.00 36.50

4507 Tonsils or tonsils and

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adenoids, removal of, in a
person 12 years of age or
over (G) . . . . . . . . . . 33.00 40.00 30.00 30.00 30.00 30.00
4508 Tonsils or tonsils and
adenoids, removal of, in a
person 12 years of age or
over (S) . . . . . . . . . . 70.00 70.00 50.00 50.00 50.00 45.00
4516 Tonsils or tonsils and
adenoids, arrest of
haemorrhage requiring
general anaesthesia,
following removal of (G) . . 15.00 15.00 15.00 15.00 15.00 15.00
4517 Tonsils or tonsils and
adenoids, arrest of
haemorrhage requiring
general anaesthesia,
following removal of (S) . . 20.00 20.00 20.00 20.00 20.00 20.00
4519 Adenoids, removal of (G) . . 16.50 15.00 15.00 12.00 12.00 12.00
4520 Adenoids, removal of (S) . . 30.00 25.00 25.00 25.00 25.00 20.00
4525 Adenoids, removal of, with
operation for abscess or
inflammation of middle ear
(G) . . . . . . . . . . . . 21.00 19.50 19.50 16.00 16.00 16.00
4526 Adenoids, removal of, with
operation for abscess or
inflammation of middle ear
(S) . . . . . . . . . . . . 37.50 37.50 33.25 32.50 32.50 25.00
4528 Lingual tonsil or lateral
pharyngeal bands, removal of 16.50 16.50 16.50 16.50 16.50 16.50
4529 Peritonsillar abscess
(quinsy), incision of . . . 13.00 13.00 13.00 13.00 13.00 13.00
4533 Uvulotomy . . . . . . . . . 6.60 6.60 6.60 6.60 6.60 6.60
4538 Vallecular or pharyngeal
cysts, removal of . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
4541 Oesophagoscopy . . . . . . . 35.00 35.00 35.00 35.00 35.00 35.00
4545 Oesophagoscopy, initial,
with dilatation or insertion
of prosthesis . . . . . . . 67.00 67.00 67.00 67.00 67.00 67.00
4548 Oesophagoscopy with biopsy . 40.00 40.00 40.00 40.00 40.00 40.00
4551 Oesophagus, removal of
foreign body in . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
4559 Oesophagoscopy with
dilatation or insertion of
prosthesis-subsequent
procedures in a single
course of treatment . . . . 33.00 33.00 33.00 33.00 33.00 33.00
4560 Oesophageal stricture,
dilatation of, without
oesophagoscopy . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
4562 Laryngectomy (total) . . . . 200.00 200.00 200.00 200.00 200.00 200.00
4564 Laryngopharyngectomy . . . . 250.00 250.00 250.00 250.00 250.00 250.00
4565 Primary restoration of
alimentary continuity after
laryngopharyngectomy using
stomach or bowel . . . . . . 250.00 250.00 250.00 250.00 250.00 250.00
4567 Larynx, direct examination
of, as an independent
procedure . . . . . . . . . 35.00 35.00 35.00 35.00 35.00 35.00

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4571 Larynx, direct examination
of, with biopsy . . . . . . 40.00 50.00 40.00 40.00 40.00 40.00
4575 Larynx, direct examination
of, with removal of tumour . 44.00 55.00 44.00 44.00 44.00 44.00
4580 Microlaryngoscopy . . . . . 45.00 45.00 45.00 45.00 45.00 45.00
4583 Microlaryngoscopy with
removal of tumour . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
4587 Larynx, fractured, operation
for . . . . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4591 Larynx, external operation
on, or laryngofissure . . . 110.00 110.00 110.00 110.00 110.00 110.00
4596 Arytenoid cartilage,
fixation of . . . . . . . . 160.00 160.00 160.00 160.00 160.00 160.00
4598 Arytenoid cartilage, removal
of . . . . . . . . . . . . . 135.00 135.00 135.00 135.00 135.00 135.00
4604 Tracheostomy (G) . . . . . . 34.00 34.00 34.00 34.00 34.00 34.00
4605 Tracheostomy (S) . . . . . . 45.00 45.00 45.00 45.00 45.00 45.00
4610 Trachea, removal of foreign
body in . . . . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
4614 Bronchoscopy, as an
independent procedure (G) . 25.00 25.00 25.00 25.00 25.00 25.00
4616 Bronchoscopy, as an
independent procedure (S) . 33.00 33.00 33.00 33.00 33.00 33.00
4620 Bronchoscopy with biopsy or
other diagnostic or
therapeutic procedure . . . 44.00 44.00 44.00 44.00 44.00 44.00
4625 Bronchus, removal of foreign
body in (G) . . . . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
4626 Bronchus, removal of foreign
body in (S) . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
4628 Bronchoscopy with dilatation
of tracheal
stricture-initial . . . . . 44.00 44.00 44.00 44.00 44.00 44.00
4631 Bronchoscopy with dilatation
of tracheal
stricture-subsequent
dilatation in a single
course of treatment . . . . 22.00 22.00 22.00 22.00 22.00 22.00

Division 4-Urological
4710 Adrenal gland, biopsy of . . 110.00 110.00 110.00 110.00 110.00 110.00
4713 Adrenal gland, removal of . 160.00 160.00 160.00 160.00 160.00 160.00
4719 Renal transplant . . . . . . 275.00 275.00 275.00 275.00 275.00 275.00
4723 Nephrectomy for malignant
disease, complete or partial 200.00 200.00 200.00 200.00 200.00 200.00
4725 Nephrectomy, complete, other
than for malignant disease
(G) . . . . . . . . . . . . 120.00 120.00 120.00 120.00 120.00 120.00
4726 Nephrectomy, complete, other
than for malignant disease
(S) . . . . . . . . . . . . 160.00 160.00 160.00 160.00 160.00 160.00
4729 Nephrectomy, partial, other
than for malignant disease
(G) . . . . . . . . . . . . 135.00 135.00 135.00 135.00 135.00 135.00
4730 Nephrectomy, partial, other

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than for malignant disease
(S) . . . . . . . . . . . . 180.00 180.00 180.00 180.00 180.00 180.00
4732 Nephro-ureterectomy,
complete, with bladder
repair . . . . . . . . . . . 200.00 200.00 200.00 200.00 200.00 200.00
4735 Kidney, fused, symphysiotomy
for . . . . . . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
4740 Kidney, exploration of,
together with any procedure,
not covered by any other
item . . . . . . . . . . . . 140.00 140.00 140.00 140.00 140.00 140.00
4743 Nephrolithotomy,
pyelolithotomy or
ureterolithotomy . . . . . . 175.00 175.00 150.00 150.00 120.00 100.00
4747 Nephrostomy . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4751 Nephropexy, as an
independent procedure . . . 110.00 110.00 110.00 110.00 110.00 110.00
4755 Pyonephrosis, drainage of . 65.00 65.00 65.00 65.00 65.00 65.00
4759 Perinephric abscess,
drainage of . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
4765 Pelvi-ureteric junction,
plastic procedures to . . . 160.00 160.00 160.00 160.00 160.00 160.00
4768 Divided ureter, repair of . 160.00 160.00 160.00 160.00 160.00 160.00
4771 Ureterectomy, complete, with
bladder repair, as an
independent procedure . . . 105.00 105.00 105.00 105.00 105.00 105.00
4775 Ureter, transplantation of,
into skin . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
4779 Ureter, transplantation of,
into bladder . . . . . . . . 125.00 125.00 125.00 125.00 125.00 125.00
4783 Ureter, transplantation of,
into intestine . . . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
4787 Ureter, transplantation of,
into isolated intestinal
loop . . . . . . . . . . . . 195.00 195.00 195.00 195.00 195.00 195.00

Operations on the bladder (closed)
4810 Bladder, catheterisation
of-where no other surgical
procedure is performed . . . 5.50 6.00 5.50 5.50 6.00 5.00
4814 Cystoscopy, with or without
urethral dilatation . . . . 27.50 25.00 22.00 25.00 21.00 21.00
4819 Cystoscopy, with ureteric
catheterisation, with or
without introduction of
opaque medium . . . . . . . 33.00 40.00 26.50 35.00 30.00 30.00
4820 Cystoscopy with controlled
hydrodilatation of the
bladder . . . . . . . . . . 35.00 32.50 29.50 32.50 28.50 28.50
4823 Cystometrography . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
4827 Cystoscopic removal of
foreign body . . . . . . . . 44.00 44.00 44.00 44.00 44.00 44.00
4831 Cystoscopy, with biopsy of
bladder tumours . . . . . . 40.00 40.00 40.00 40.00 40.00 40.00
4836 Cystoscopy, with diathermy
or resection of superficial
bladder tumours . . . . . . 55.00 55.00 55.00 55.00 55.00
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55.00
4837 Cystoscopy, with diathermy
or resection of invasive
bladder tumours . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00

4839 Cystoscopy, with ureteric
meatotomy . . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
4843 Cystoscopy, with diathermy
of ureteric orifices . . . . 40.00 40.00 40.00 40.00 40.00 40.00

4847 Cystoscopy, with endoscopic
bladder neck resection . . . 65.00 65.00 65.00 65.00 65.00 65.00
4851 Cystoscopy, with endoscopic
removal or manipulation of
ureteric calculus . . . . . 65.00 80.00 65.00 65.00 65.00 65.00
4855 Litholapaxy, with or without
cystoscopy . . . . . . . . . 60.00 60.00 60.00 60.00 60.00 60.00

Operations on the bladder (open)
4901 Bladder, repair of rupture
or partial excision other
than for invasive tumour (G) 75.00 75.00 75.00 75.00 75.00 75.00
4902 Bladder, repair of rupture
or partial excision other
than for invasive tumour (S) 100.00 100.00 100.00 100.00 100.00 100.00
4916 Cystostomy or cystotomy,
suprapubic (G) . . . . . . . 37.50 37.50 37.50 37.50 37.50 37.50
4917 Cystostomy or cystotomy,
suprapubic (S) . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
4919 Bladder, partial excision
of, for invasive tumour . . 140.00 140.00 140.00 140.00 140.00 140.00
4925 Bladder, total excision of . 180.00 180.00 180.00 180.00 180.00 180.00
4931 Bladder neck contracture,
operation for . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4935 Bladder tumours, suprapubic
diathermy of . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
4939 Diverticulum of bladder,
excision or obliteration of 145.00 145.00 145.00 145.00 145.00 145.00
4944 Vesical fistula, cutaneous,
operation for . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00

Operations on the prostate
5010 Prostatectomy (suprapubic,
perineal or retropubic) . . 200.00 200.00 190.00 160.00 150.00 150.00
5014 Prostatectomy (endoscopic),
with or without cystoscopy . 180.00 210.00 140.00 140.00 140.00 100.00
5019 Median bar, endoscopic
resection of, with or
without cystoscopy . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
5023 Prostate, total excision of 220.00 220.00 220.00 220.00 220.00 220.00
5028 Prostate, open perineal
biopsy of . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
5032 Prostate, biopsy of,
endoscopic, with or without
cystoscopy . . . . . . . . . 80.00 80.00 80.00 80.00 80.00 80.00
5037 Prostate, needle biopsy of,
or injection into . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
5041 Prostatic abscess, open
drainage of . . . . . . . . 55.00 55.00 55.00 55.00 55.00

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55.00

Operations on urethra, penis or scrotum
5110 Urethral sounds, passage of,
as an independent procedure 8.00 8.00 7.50 8.00 9.00 8.00
5114 Urethral stricture,
dilatation of . . . . . . . 15.00 14.00 15.00 15.00 15.00 15.00
5118 Urethra, repair of rupture
of (G) . . . . . . . . . . . 82.50 82.50 82.50 82.50 82.50 82.50
5120 Urethra, repair of rupture
of (S) . . . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
5124 Urethral fistula, closure of 27.50 27.50 27.50 27.50 27.50 27.50
5128 Urethroscopy, as an
independent procedure . . . 27.50 27.50 27.50 27.50 27.50 27.50
5132 Urethroscopy with removal of
stone or foreign body . . . 33.00 33.00 33.00 33.00 33.00 33.00
5133 Urethra, examination of,
involving the use of an
urethroscope, with
cystoscopy . . . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
5136 Urethral meatotomy, external 15.00 15.00 15.00 15.00 15.00 15.00
5140 Urethrotomy (external), with
excision of stricture . . . 110.00 110.00 110.00 110.00 110.00 110.00
5145 Urethrotomy, perineal
(external) as an independent
procedure . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
5149 Urethrotomy (internal) . . . 50.00 50.00 50.00 50.00 50.00 50.00
5153 Urethroplasty, not covered
by any other item in this
Part-each stage . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
5157 Urethrectomy, partial or
complete, for removal of
tumour . . . . . . . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
5161 Urethral stricture, plastic
repair of-each stage . . . . 130.00 130.00 130.00 130.00 130.00 130.00
5165 Hypospadias, correction of
chordee . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
5167 Hypospadias, correction of
chordee with transplantation
of prepuce . . . . . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
5170 Hypospadias, urethral
reconstruction for . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
5171 Hypospadias, urethral
reconstruction with perineal
urethrostomy . . . . . . . . 115.00 115.00 115.00 115.00 115.00 115.00
5173 Hypospadias, urethral
reconstruction and
correction of chordee,
complete, one stage
including urinary diversion 160.00 160.00 160.00 160.00 160.00 160.00
5174 Hypospadias, secondary
correction of . . . . . . . 44.00 44.00 44.00 44.00 44.00 44.00
5178 Epispadias, repair of, not
involving sphincter . . . . 110.00 110.00 110.00 110.00 110.00 110.00
5182 Epispadias, repair of,
including bladder neck
closure . . . . . . . . . . 135.00 135.00 135.00 135.00 135.00 135.00

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5186 Urethra, diathermy of . . . 30.00 30.00 30.00 30.00 30.00 30.00
5190 Priapism, decompression
operation for, under general
anaesthesia . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
5191 Priapism, vein graft for . . 100.00 100.00 100.00 100.00 100.00 100.00
5194 Penis, partial amputation of 65.00 65.00 65.00 65.00 65.00 65.00
5198 Penis, complete or radical
amputation of . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
5202 Penis, amputation of, with
excision of glands . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
5206 Scrotum, partial excision of 55.00 55.00 55.00 55.00 55.00 55.00

Operations on Testes, Vasa or Seminal Vesicles
5220 Testicular biopsy . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
5223 Spermatocele, excision of
(G) . . . . . . . . . . . . 37.50 37.50 37.50 37.50 37.50 37.50
5224 Spermatocele, excision of
(S) . . . . . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
5227 Exploration of the testis,
with or without fixation for
torsion . . . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
5232 Orchidectomy, with excision
of retroperitoneal glands or
seminal vesicles . . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
5236 Orchidoplasty . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
5240 Epididymectomy . . . . . . . 60.00 60.00 60.00 60.00 60.00 60.00
5244 Vasoepididymostomy . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
5248 Vasoepididymyography and
vasovesiculography as an
independent operative
procedure, preparation for,
by open operation . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
5256 Vasectomy (radical)
including seminal vesicles . 130.00 130.00 130.00 130.00 130.00 130.00
5260 Vasotomy or vasectomy
(unilateral or bilateral)
(G) . . . . . . . . . . . . 34.00 34.00 34.00 34.00 34.00 34.00
5261 Vasotomy or vasectomy
(unilateral or bilateral)
(S) . . . . . . . . . . . . 45.00 45.00 45.00 45.00 45.00 45.00

Division 5-Gynaecological
5310 Gynaecological examination
under anaesthesia not
performed in association
with any service covered by
any other item in this Part
(G) . . . . . . . . . . . . 8.50 10.00 8.50 8.00 6.50 6.50
5311 Gynaecological examination
under anaesthesia not
performed in association
with any service covered by
any other item in this Part
(S) . . . . . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
5313 Intra-uterine contraceptive
device, introduction or
removal of, as an
independent procedure (G) . 8.00 8.00 8.00 8.00 8.00 8.00

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5314 Intra-uterine contraceptive
device, introduction or
removal of, as an
independent procedure (S) . 10.00 10.00 10.00 10.00 10.00 10.00
5316 Simple tumour of vagina or
vulva, removal of (G) . . . 12.50 12.50 12.50 12.50 12.50 12.50
5317 Simple tumour of vagina or
vulva, removal of (S) . . . 16.50 16.50 16.50 16.50 16.50 16.50
5322 Hymenectomy (G) . . . . . . 12.50 12.50 12.50 12.50 12.50 12.50
5323 Hymenectomy (S) . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
5328 Bartholin's cyst, excision
of (G) . . . . . . . . . . . 26.50 26.50 26.50 26.50 26.50 26.50
5329 Bartholin's cyst, excision
of (S) . . . . . . . . . . . 35.00 35.00 35.00 35.00 35.00 35.00

5334 Bartholin's cyst or gland,
marsupial- isation or
cautery destruction of (G) . 20.50 20.50 20.50 20.50 20.50 20.50
5335 Bartholin's cyst or gland,
marsupial- isation or
cautery destruction of (S) . 27.50 27.50 27.50 27.50 27.50 27.50
5340 Bartholin's abscess,
incision of (G) . . . . . . 8.25 8.25 8.25 8.25 8.25 8.25
5341 Bartholin's abscess,
incision of (S) . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
5346 Skene's duct, incision of,
or removal of calculus from 16.50 16.50 16.50 16.50 16.50 16.50
5350 Urethra or urethral
caruncle, cauterisation of
(G) . . . . . . . . . . . . 8.25 8.25 8.25 8.25 8.25 8.25
5352 Urethra or urethral
caruncle, cauterisation of
(S) . . . . . . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
5356 Urethral caruncle, excision
of (G) . . . . . . . . . . . 20.50 20.50 20.50 20.50 20.50 20.50
5358 Urethral caruncle, excision
of (S) . . . . . . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
5362 Clitoris, amputation of . . 50.00 50.00 50.00 50.00 50.00 50.00
5367 Vulvectomy (simple) . . . . 65.00 65.00 65.00 65.00 65.00 65.00
5371 Vulvectomy (radical) . . . . 165.00 165.00 165.00 165.00 165.00 165.00
5376 Pelvic lymph glands,
excision of (radical) . . . 130.00 130.00 130.00 130.00 130.00 130.00
5380 Vagina, dilatation of, as an
independent procedure-each
attendance at which
dilatation is performed . . 8.20 8.20 8.20 8.20 8.20 8.20
5385 Vagina, complete removal of 130.00 130.00 130.00 130.00 130.00 130.00
5387 Vaginal reconstruction in
congenital absence of
gynatresia . . . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
5394 Vaginal septum, excision of,
for correction of double
vagina . . . . . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
5398 Plastic repair to enlarge
vaginal orifice (G) . . . . 22.50 22.50 22.50 22.50 22.50 22.50
5399 Plastic repair to enlarge

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vaginal orifice (S) . . . . 30.00 30.00 30.00 30.00 30.00 30.00
5403 Colpotomy or colporrhaphy,
not covered by any other
item in this Part (G) . . . 17.50 17.50 17.50 17.50 17.50 17.50
5404 Colpotomy or colporrhaphy,
not covered by any other
item in this Part (S) . . . 23.00 23.00 23.00 23.00 23.00 23.00
5408 Cystocele or rectocele,
repair of, not covered by
Item 5414 or 5419 (G) . . . 60.00 49.00 49.00 49.00 49.00 49.00
5410 Cystocele or rectocele,
repair of, not covered by
Item 5416 or 5420 (S) . . . 80.00 65.00 65.00 65.00 65.00 65.00
5414 Cystocele and rectocele,
repair of, not covered by
Item 5419 (G) . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
5416 Cystocele and rectocele,
repair of, not covered by
Item 5420 (S) . . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
5419 Colpoplasty,
Donald-Fothergill or
Manchester operation
(operation for genital
prolapse) (G) . . . . . . . 90.00 85.00 85.00 90.00 90.00 85.00
5420 Colpoplasty,
Donald-Fothergill or
Manchester operation
(operation for genital
prolapse) (S) . . . . . . . 110.00 110.00 110.00 120.00 125.00 100.00
5422 Colpoplasty,
Donald-Fothergill or
Manchester operation
(operation for genital
prolapse) and curettage of
uterus, with or without
dilatation (G) . . . . . . . 101.50 97.50 95.00 100.00 100.00 95.00
5423 Colpoplasty,
Donald-Fothergill or
Manchester operation
(operation for genital
prolapse) and curettage of
uterus, with or without
dilatation (S) . . . . . . . 125.00 117.50 112.50 135.00 140.00 112.50
5425 Urethrocele, operation for . 33.00 33.00 33.00 33.00 33.00 33.00
5426 Abdominal approach for
repair of enterocoele or
suspension of vaginal vault
or both (G) . . . . . . . . 80.00 80.00 80.00 80.00 80.00 80.00
5428 Abdominal approach for
repair of enterocoele or
suspension of vaginal vault
or both (S) . . . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
5429 Fistula between genital and
urinary or alimentary
tracts, repair of . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
5434 Stress incontinence, sling
operation for, as an
independent procedure . . . 125.00 125.00 125.00 125.00 125.00 125.00
5436 Cervix, cauterisation,
ionisation or diathermy of
(G) . . . . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
5437 Cervix, cauterisation,
ionisation or diathermy of

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(S) . . . . . . . . . . . . 12.00 12.00 12.00 12.00 12.00 12.00
5441 Cervix, removal of polyp
from (G) . . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
5442 Cervix, removal of polyp
from (S) . . . . . . . . . . 12.00 12.00 12.00 12.00 12.00 12.00
5448 Examination of the uterine
cervix by a magnifying
colposcope of the Hinselmann
type or similar instrument . 13.00 12.00 13.00 10.00 10.00 10.00
5451 Cervix, cone biopsy of (G) . 30.00 30.00 30.00 30.00 30.00 30.00
5452 Cervix, cone biopsy of (S) . 40.00 40.00 40.00 40.00 40.00 40.00
5453 Cone biopsy of cervix, and
curettage of uterus with or
without dilatation (G) . . . 41.50 42.50 40.00 40.00 40.00 40.00
5454 Cone biopsy of cervix, and
curettage of uterus with or
without dilatation (S) . . . 55.00 57.50 52.50 55.00 55.00 52.50
5457 Cervix, amputation or repair
of, not covered by Item 5419
(G) . . . . . . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
5458 Cervix, amputation or repair
of, not covered by Item 5420
(S) . . . . . . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
5460 Cervix, dilatation of, not
covered by Item 5471 (G) . . 12.00 12.00 12.00 12.00 12.00 12.00
5461 Cervix, dilatation of, not
covered by Item 5472 (S) . . 15.00 15.00 15.00 15.00 15.00 15.00
5467 Culdoscopy . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
5471 Uterus, curettage of, with
or without dilatation (G) . 23.00 25.00 20.00 20.00 20.00 20.00
5472 Uterus, curettage of, with
or without dilatation (S) . 30.00 35.00 25.00 30.00 30.00 25.00
5475 Uterus, curettage of, with
or without dilatation; and
cauterisation, ionisation or
diathermy of cervix (G) . . 27.00 29.00 24.00 24.00 24.00 24.00
5477 Uterus, curettage of, with
or without dilatation; and
cauterisation, ionisation or
diathermy of cervix (S) . . 35.00 40.00 30.00 35.00 35.00 30.00
5481 Uterus, curettage of, with
or without dilatation and
removal of polyp from cervix
(G) . . . . . . . . . . . . 27.50 29.50 24.50 24.50 24.50 24.50
5483 Uterus, curettage of, with
or without dilatation and
removal of polyp from cervix
(S) . . . . . . . . . . . . 35.50 40.50 30.50 35.50 35.50 30.50
5487 Uterus, curettage of, with
or without dilatation, with
removal of polyp from cervix
and cauterisation,
ionisation or diathermy of
cervix (G) . . . . . . . . . 29.50 31.50 26.50 26.50 26.50 26.50
5489 Uterus, curettage of, with
or without dilatation, with
removal of polyp from cervix
and cauterisation,
ionisation or diathermy of
cervix (S) . . . . . . . . . 38.00 43.00 33.00 38.00 38.00
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33.00
5492 Hysterotomy (G) . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
5494 Hysterotomy (S) . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
5499 Hysterectomy (other than
vaginal)-subtotal (G) . . . 90.00 90.00 90.00 90.00 90.00 90.00
5501 Hysterectomy (other than
vaginal)-subtotal (S) . . . 120.00 120.00 120.00 120.00 120.00 120.00
5505 Hysterectomy (other than
vaginal)- total (G) . . . . 90.00 90.00 90.00 100.00 100.00 90.00
5507 Hysterectomy (other than
vaginal)- total (S) . . . . 120.00 120.00 120.00 130.00 125.00 120.00
5509 Hysterectomy (other than
vaginal)- total, with
curettage of uterus, with or
without dilatation (G) . . . 101.50 102.50 100.00 110.00 110.00 100.00

5510 Hysterectomy (other than
vaginal)- total, with
curettage of uterus, with or
without dilatation (S) . . . 135.00 137.50 132.50 145.00 140.00 132.50
5513 Hysterectomy (total) with
abdominal urethroplexy . . . 140.00 140.00 140.00 140.00 140.00 140.00
5515 Hysterectomy and dissection
of pelvic glands . . . . . . 200.00 200.00 200.00 200.00 200.00 200.00

5516 Radical hysterectomy without
gland dissection . . . . . . 150.00 150.00 150.00 150.00 150.00 150.00
5523 Colpoplasty with vaginal
hysterectomy (G) . . . . . . 120.00 100.00 110.00 110.00 110.00 100.00
5525 Colpoplasty with vaginal
hysterectomy (S) . . . . . . 150.00 130.00 130.00 150.00 140.00 130.00
5529 Ectopic gestation, removal
of (G) . . . . . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
5531 Ectopic gestation, removal
of (S) . . . . . . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
5535 Myomectomy (G) . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
5537 Myomectomy (S) . . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
5541 Round ligaments, shortening
of (G) . . . . . . . . . . . 65.00 70.00 65.00 50.00 60.00 60.00
5543 Round ligaments, shortening
of (S) . . . . . . . . . . . 75.00 80.00 75.00 60.00 70.00 70.00
5547 Bicornuate uterus, plastic
reconstruction for . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
5552 Uterus, suspension or
fixation of-as an
independent procedure (G) . 65.00 65.00 60.00 65.00 60.00 60.00
5554 Uterus, suspension or
fixation of-as an
independent procedure (S) . 80.00 90.00 80.00 80.00 80.00 80.00
5557 Rubin test for patency . . . 12.00 10.50 12.50 10.00 10.00 10.00
5559 Laparoscopy and diathermy of
the Fallopian tubes . . . . 30.00 30.00 30.00 30.00 30.00 30.00
5560 Fallopian tube or tubes,
implantation of, into uterus 120.00 120.00 120.00 120.00 120.00 120.00
5565 Fallopian tubes,
hydrotubation of, as an
isolated procedure . . . . . 12.00 12.00 12.00 12.00 12.00

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12.00
5569 Fallopian tubes,
hydrotubation of, as a
repetitive post-operative
procedure . . . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
5575 Oophorectomy, salpingectomy,
salpingo-oophorectomy or
ligation of Fallopian tubes,
not associated with
hysterectomy (G) . . . . . . 65.00 65.00 60.00 65.00 60.00 60.00
5576 Oophorectomy, salpingectomy,
salpin- go-oophorectomy or
ligation of Fallopian tubes,
not associated with
hysterectomy (S) . . . . . . 80.00 90.00 80.00 80.00 80.00 80.00
5578 Oophorectomy, salpingectomy,
salpingo-oophorectomy or
ligation of Fallopian tubes,
not associated with
hysterectomy in addition to
curettage of uterus, with or
without dilatation (G) . . . 76.50 77.50 70.00 75.00 70.00 70.00
5580 Oophorectomy, salpingectomy,
salpingo-oophorectomy or
ligation of Fallopian tubes,
not associated with
hysterectomy in addition to
curettage of uterus, with or
without dilatation (S) . . . 95.00 107.50 92.50 95.00 95.00 92.50
5588 Salpingostomy or
salpingolysis, or both . . . 120.00 120.00 120.00 120.00 120.00 120.00
5593 Ovarian, parovarian,
fimbrial or broad ligament
cyst, excision of, not
covered by any other item in
this Part (G) . . . . . . . 70.00 70.00 65.00 60.00 55.00 55.00
5594 Ovarian, parovarian,
fimbrial or broad ligament
cyst, excision of, not
covered by any other item in
this Part (S) . . . . . . . 100.00 90.00 80.00 70.00 70.00 70.00
5596 Pelvic abscess, suprapubic
drainage of (G) . . . . . . 64.00 64.00 64.00 64.00 64.00 64.00
5597 Pelvic abscess, suprapubic
drainage of (S) . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00

Division 6-Ophthalmological
5610 Ophthalmological examination
under general anaesthesia as
an independent procedure . . 10.00 10.00 10.00 10.00 10.00 10.00
5614 Eye, enucleation of (G) . . 49.00 49.00 49.00 49.00 49.00 49.00
5616 Eye, enucleation of (S) . . 65.00 65.00 65.00 65.00 65.00 65.00
5620 Eye, enucleation of, and
insertion of ball . . . . . 115.00 115.00 115.00 115.00 115.00 115.00
5625 Globe, evisceration of . . . 65.00 65.00 65.00 65.00 65.00 65.00
5626 Globe, evisceration of, and
insertion of intrascleral
ball . . . . . . . . . . . . 115.00 115.00 115.00 115.00 115.00 115.00
5628 Anophthalmic orbit,
insertion of cartilage or
artificial implant as a
delayed procedure . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
5631 Orbitotomy, lateral wall,

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medial wall or inferior wall 120.00 120.00 120.00 120.00 120.00 120.00
5632 Orbitotomy, anterior . . . . 75.00 75.00 75.00 75.00 75.00 75.00
5635 Orbit, exenteration of,
including skin grafting . . 110.00 110.00 110.00 110.00 110.00 110.00
5637 Orbit, exenteration of,
including skin grafting,
with temporalis muscle
transplant . . . . . . . . . 135.00 135.00 135.00 135.00 135.00 135.00
5640 Orbital cyst or tumour,
excision of, requiring
preparation of bone flap . . 120.00 120.00 120.00 120.00 120.00 120.00
5644 Orbital cyst or tumour,
excision of, not requiring
preparation of bone flap . . 75.00 75.00 75.00 75.00 75.00 75.00
5649 Perforating wound of globe,
repair of, including
procedures involving iris,
lens, iris and lens or other
intraocular structures . . . 150.00 180.00 150.00 150.00 150.00 150.00
5655 Intraocular foreign body,
removal from anterior
segment . . . . . . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
5656 Intraocular foreign body,
magnetic, removal from
posterior segment . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
5659 Intraocular foreign body,
non- magnetic, removal from
posterior segment . . . . . 180.00 180.00 180.00 180.00 180.00 180.00
5662 Abscess (intraorbital),
drainage of . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
5667 Tarsal cyst, extirpation of
(G) . . . . . . . . . . . . 9.00 9.00 9.00 9.00 8.00 8.00
5668 Tarsal cyst, extirpation of
(S) . . . . . . . . . . . . 11.00 12.00 12.00 12.00 10.00 10.00
5673 Tarsal cartilage, excision
of . . . . . . . . . . . . . 39.00 39.00 39.00 39.00 39.00 39.00
5674 Ectropion, tarsal
cauterisation for . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
5677 Canthoplasty or tarsorrhaphy 50.00 50.00 50.00 50.00 50.00 50.00
5681 Lacrimal sac, excision of or
operation on . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
5685 Dacryocystorrhinostomy . . . 110.00 110.00 110.00 110.00 110.00 110.00
5687 Conjunctivorhinostomy . . . 110.00 110.00 110.00 110.00 110.00 110.00
5689 Parotid duct,
transplantation of, into
conjunctival sac . . . . . . 120.00 120.00 120.00 120.00 120.00 120.00
5693 Lacrimal canaliculus,
reconstruction of . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
5697 Lacrimal canaliculus,
immediate repair of . . . . 75.00 75.00 75.00 75.00 75.00 75.00
5701 Lacrimal passages, probing
or dilatation of, for
obstruction (G) . . . . . . 12.50 10.00 10.50 12.00 12.00 12.00
5702 Lacrimal passages, probing
or dilatation of, for
obstruction (S) . . . . . . 25.00 21.00 15.00 15.00 15.00 15.00

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5704 Punctum snip with dilatation
of punctum . . . . . . . . . 25.00 21.00 15.00 15.00 15.00 15.00
5706 Conjunctival peritomy . . . 22.00 22.00 22.00 22.00 22.00 22.00
5708 Conjunctival graft over
cornea . . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
5710 Trachoma, crushing operation
for . . . . . . . . . . . . 23.00 23.00 23.00 23.00 23.00 23.00
5712 Cornea or sclera, removal of
superficial foreign body
from . . . . . . . . . . . . 4.00 3.60 3.50 3.40 3.50 3.60
5718 Cornea or sclera, removal of
foreign body, involving
deeper layers (G) . . . . . 8.25 8.25 8.25 8.25 8.25 8.25
5719 Cornea or sclera, removal of
foreign body, involving
deeper layers (S) . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
5723 Corneal scars, excision of,
or partial keratectomy . . . 36.00 36.00 36.00 36.00 36.00 36.00
5727 Cornea, tattooing of . . . . 44.00 44.00 44.00 44.00 44.00 44.00
5731 Cornea, epithelial
debridement for dendritic
ulcer . . . . . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
5735 Cornea, transplantation of,
including collection of
implant . . . . . . . . . . 250.00 250.00 250.00 250.00 250.00 250.00
5739 Keratoplasty-partial
thickness . . . . . . . . . 165.00 165.00 165.00 165.00 165.00 165.00

5746 Conjunctiva, cautery of,
including treatment of
pannus-each attendance at
which treatment is given . . 11.50 11.50 11.50 11.50 11.50 11.50

5748 Pterygium, removal of . . . 45.00 50.00 40.00 35.00 40.00 35.00
5751 Pinguecula, removal of . . . 22.00 22.00 22.00 22.00 22.00 22.00
5754 Limbic tumour, removal of . 50.00 50.00 50.00 50.00 50.00 50.00
5758 Lens extraction, including
initial and subsequent
needlings . . . . . . . . . 220.00 200.00 185.00 175.00 175.00 150.00
5762 Insertion of artificial lens 110.00 110.00 110.00 110.00 110.00 110.00
5764 Artificial lens, removal of 85.00 85.00 85.00 85.00 85.00 85.00
5766 Cataract, juvenile, removal
of, including subsequent
needlings . . . . . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
5770 Capsulectomy . . . . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
5774 Secondary cataract, needling
of-each stage . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
5778 Paracentesis in relation to
eye . . . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
5782 Glaucoma, filtering and
allied operations for . . . 180.00 165.00 165.00 165.00 165.00 165.00
5786 Goniotomy . . . . . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
5790 Iridectomy or iridotomy . . 100.00 100.00 100.00 100.00 100.00 100.00
5791 Iris, light coagulation of . 65.00 65.00 65.00 65.00 65.00 65.00
5793 Tumour of iris, excision of 100.00 100.00 100.00 100.00 100.00

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100.00
5796 Tumour, involving ciliary
body or ciliary body and
iris, excision of . . . . . 200.00 200.00 200.00 200.00 200.00 200.00
5798 Cyclodiathermy . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
5800 Cyclocryotherapy . . . . . . 45.00 45.00 45.00 45.00 45.00 45.00
5802 Detached retina, diathermy
operation for . . . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
5806 Detached retina, resection
or buckling operation for . 220.00 250.00 220.00 220.00 220.00 220.00
5810 Re-attachment of retina,
revision operation for . . . 90.00 90.00 90.00 90.00 90.00 90.00
5814 Detached retina, light
coagulation for . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
5818 Detached retina, removal of
encircling silicone band
from . . . . . . . . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
5822 Detached retina, removal of
encircling silicone band
from, with excision of
sclera . . . . . . . . . . . 45.00 45.00 45.00 45.00 45.00 45.00
5826 Cryopexy, without scleral
resection or scleral
infolding, for treatment of
detached retina or
pre-detachment disease of
retina . . . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
5830 Cryopexy, with scleral
resection or scleral
infolding, for treatment of
detached retina of
pre-detachment disease of
retina . . . . . . . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
5834 Retrobulbar
transillumination . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
5838 Retrobulbar injection of
alcohol or other drug as an
independent procedure . . . 13.00 13.00 13.00 13.00 13.00 13.00
5842 Squint, operation for
correction of, involving any
number of muscles of one or
both eyes, not covered by
Item 5846 . . . . . . . . . 100.00 100.00 85.00 70.00 85.00 70.00 5846 Muscle transplant
(Hummelsheim type, etc.) for
squint . . . . . . . . . . . 120.00 120.00 105.00 90.00 105.00 90.00
5850 Re-attachment of ruptured
medial palpebral ligament . 75.00 75.00 75.00 75.00 75.00 75.00
5854 Torn ocular muscle, repair
of . . . . . . . . . . . . . 70.00 70.00 70.00 70.00 70.00 70.00
5856 Resuturing of wound
following intraocular
procedures with or without
excision of prolapsed iris . 75.00 75.00 75.00 75.00 75.00 75.00

Division 7-Thoracic
5908 Thoracic cavity, aspiration
or paracentesis of, or both
(G) . . . . . . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
5909 Thoracic cavity, aspiration
or paracentesis of, or both
(S) . . . . . . . . . . . . 12.00 12.00 12.00 12.00 12.00
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12.00
5912 Pericardium, paracentesis of 20.00 20.00 20.00 20.00 20.00 20.00
5915 Artificial
pneumothorax-induction . . . 16.00 16.00 16.00 16.00 16.00 16.00
5920 Artificial pneumothorax-each
filling subsequent to
induction . . . . . . . . . 8.20 8.20 8.20 8.20 8.20 8.20
5927 Intercostal drain, insertion
of, not involving resection
of rib (G) . . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
5928 Intercostal drain, insertion
of, not involving resection
of rib (S) . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
5930 Empyema, radical operation
for, involving resection of
rib (G) . . . . . . . . . . 64.00 64.00 64.00 64.00 64.00 64.00
5931 Empyema, radical operation
of, involving resection of
rib (S) . . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
5937 Thoracotomy, exploratory,
with or without biopsy . . . 165.00 165.00 165.00 165.00 165.00 165.00
5946 Thoracotomy with pulmonary
decortication . . . . . . . 250.00 250.00 250.00 250.00 250.00 250.00
5948 Thoracotomy with pleurectomy
or pleurodesis . . . . . . . 180.00 180.00 180.00 180.00 180.00 180.00
5951 Thoracoplasty (complete) . . 250.00 250.00 250.00 250.00 250.00 250.00
5954 Thoracoplasty (in
stages)-each stage . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
5959 Pectus excavatum or pectus
carinatum, limited
correction of . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
5960 Pectus excavatum or pectus
carinatum, radical
correction of . . . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
5969 Thoracoscopy, with or
without division of pleural
adhesions . . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
5976 Thoracic duct cannulisation 16.50 16.50 16.50 16.50 16.50 16.50
5980 Phrenic avulsion or crush . 33.00 33.00 33.00 33.00 33.00 33.00
5986 Pneumonectomy or lobectomy . 250.00 250.00 250.00 250.00 250.00 250.00
5988 Hydatid cysts of lungs,
enucleation of . . . . . . . 180.00 180.00 180.00 180.00 180.00 180.00
5992 Correction of atresia of
oesophagus . . . . . . . . . 250.00 250.00 250.00 250.00 250.00 250.00
5997 Oesophagectomy with direct
anastomosis or with stomach
transposition . . . . . . . 250.00 250.00 250.00 250.00 250.00 250.00
6000 Oesophagectomy with
interposition of small or
large bowel . . . . . . . . 300.00 300.00 300.00 300.00 300.00 300.00
6003 Mediastinal abscess,
drainage of . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
6007 Mediastinum, cervical
exploration of, with or
without biopsy . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
6012 Left ventricular puncture . 55.00 55.00 55.00 55.00 55.00
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55.00
6015 Pericardium, transthoracic
drainage of (other than for
treatment of constrictive
pericarditis) . . . . . . . 180.00 180.00 180.00 180.00 180.00 180.00
6021 Bronchoscopy with left
atrial puncture . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
6024 Hernia, hiatus or other
diaphragmatic, transthoracic
repair of . . . . . . . . . 180.00 180.00 180.00 180.00 180.00 180.00
6025 Intrathoracic operation on
heart, lungs, great vessels,
bronchial tree, oesophagus
or mediastinum, or on more
than one of those organs,
not covered by any other
item in this Part . . . . . 250.00 250.00 250.00 250.00 250.00 250.00
6029 Cardiac catheterisation with
or without fluoroscopy . . . 33.00 33.00 33.00 33.00 33.00 33.00
6034 Cardiac catheterisation with
oximetry . . . . . . . . . . 47.00 47.00 47.00 47.00 47.00 47.00
6038 Atrial balloon septostomy
including preliminary
cardiac catheterisation with
oximetry . . . . . . . . . . 105.00 105.00 105.00 105.00 105.00 105.00
6045 Insertion or replacement of
permanent internal pacemaker
and myocardial electrodes by
thoracotomy . . . . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
6048 Insertion or replacement of
permanent transvenous
electrode and pace- maker . 180.00 180.00 180.00 180.00 180.00 180.00
6050 Insertion or replacement of
permanent transvenous
electrode . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
6052 Insertion or replacement of
permanent pacemaker . . . . 70.00 70.00 70.00 70.00 70.00 70.00
6058 Open heart surgery, single
valve replacement . . . . . 350.00 350.00 350.00 350.00 350.00 350.00
6060 Open heart surgery for
congenital heart disease . . 350.00 350.00 350.00 350.00 350.00 350.00

6062 Open heart surgery on more
than one valve or involving
more than one chamber . . . 500.00 500.00 500.00 500.00 500.00 500.00
6065 Open heart surgery not
covered by any other item in
this Part . . . . . . . . . 350.00 350.00 350.00 350.00 350.00 350.00
6070 Coronary artery or arteries,
direct surgery to, employing
cardiopulmonary by-pass . . 400.00 400.00 400.00 400.00 400.00 400.00

Division 8-Neuro-Surgical
6102 Local infiltration around
nerve or in muscle with
alcohol, novocaine or
similar preparation-each
attendance at which an
injection is given . . . . . 4.00 3.60 3.50 3.40 3.50 3.60
6104 Nerve blocking with alcohol
or other agent following
localisation by electrical
stimulator . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00

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6108 Sympathetic trunk, injection
into . . . . . . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
6112 Injection of intracranial
ganglion, or primary branch
of trigeminal nerve, with
alcohol or similar substance 23.00 23.00 23.00 23.00 23.00 23.00
6116 Lumbar puncture . . . . . . 8.50 8.00 8.50 9.00 10.00 9.00
6120 Cisternal puncture . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
6124 Spinal or epidural injection
for neurological diagnosis
or for therapeutic reasons . 13.00 13.00 13.00 13.00 13.00 13.00
6128 Ventricular puncture . . . . 33.00 33.00 33.00 33.00 33.00 33.00
6132 Cutaneous or digital nerve,
primary suture of (G) . . . 20.50 20.50 20.50 20.50 20.50 20.50
6133 Cutaneous or digital nerve,
primary suture of (S) . . . 27.50 27.50 27.50 27.50 27.50 27.50
6137 Repair of divided digital
nerve to thumb or finger (G) 34.00 34.00 34.00 34.00 34.00 34.00
6138 Repair of divided digital
nerve to thumb or finger (S) 45.00 45.00 45.00 45.00 45.00 45.00
6142 Nerve trunk, primary suture
of (G) . . . . . . . . . . . 56.00 56.00 56.00 56.00 56.00 56.00
6143 Nerve trunk, primary suture
of (S) . . . . . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
6144 Nerve trunk, primary suture
of (D) . . . . . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
6147 Nerve trunk, secondary
suture of . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
6148 Nerve trunk, secondary
suture of (D) . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
6151 Nerve, graft or anastomosis
of . . . . . . . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
6155 Neuro-anastomosis, involving
cranial nerves . . . . . . . 150.00 150.00 150.00 150.00 150.00 150.00
6159 Nerve, transposition of (G) 45.00 45.00 45.00 45.00 45.00 45.00
6160 Nerve, transposition of (S) 60.00 60.00 60.00 60.00 60.00 60.00
6164 Neurectomy, neurotomy, or
removal of tumour from
peripheral nerve (G) . . . . 30.00 30.00 30.00 30.00 30.00 30.00
6165 Neurectomy, neurotomy, or
removal of tumour from
peripheral nerve (S) . . . . 40.00 40.00 40.00 40.00 40.00 40.00
6169 Neurectomy, periarterial . . 130.00 130.00 130.00 130.00 130.00 130.00
6173 Neurectomy, intracranial or
radical as in tic douloureux 165.00 165.00 165.00 165.00 165.00 165.00
6177 Exploration of brachial
plexus not covered by any
other item in this Part . . 65.00 65.00 65.00 65.00 65.00 65.00
6181 Neurolysis by open
operation, with or without
transposition (G) . . . . . 40.00 45.00 35.00 30.00 35.00 30.00
6182 Neurolysis by open
operation, with or without
transposition (S) . . . . . 60.00 60.00 45.00 40.00 45.00 40.00

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6186 Craniotomy, burr-hole (G) . 30.00 30.00 30.00 30.00 30.00 30.00
6187 Craniotomy, burr-hole (S) . 40.00 40.00 40.00 40.00 40.00 40.00
6191 Intracranial haemorrhage,
burr-hole craniotomy for (G) 49.00 49.00 49.00 49.00 49.00 49.00
6192 Intracranial haemorrhage,
burr-hole craniotomy for (S) 65.00 65.00 65.00 65.00 65.00 65.00
6196 Intracranial cyst, needling
and drainage of . . . . . . 44.00 44.00 44.00 44.00 44.00 44.00
6197 Fracture of skull, depressed
or comminuted, operation for
(G) . . . . . . . . . . . . 82.50 82.50 82.50 82.50 82.50 82.50
6198 Fracture of skull, depressed
or comminuted, operation for
(S) . . . . . . . . . . . . 110.0 110.00 110.00 110.00 110.00 110.00
6202 Compound or complicated
fracture or fractures of
skull, operation for (G) . . 112.50 112.50 112.50 112.50 112.50 112.50
6203 Compound or complicated
fracture or fractures of
skull, operation for (S) . . 150.00 150.00 150.00 150.00 150.00 150.00
6207 Reconstructive cranioplasty 165.00 165.00 165.00 165.00 165.00 165.00
6211 Chronic subdural haematoma,
operation for . . . . . . . 150.00 150.00 150.00 150.00 150.00 150.00
6215 Craniotomy involving
osteoplastic flap . . . . . 140.00 140.00 140.00 140.00 140.00 140.00
6219 Aneurysm, intracranial,
operation for . . . . . . . 275.00 275.00 275.00 275.00 275.00 275.00
6223 Craniotomy and tumour
removal . . . . . . . . . . 250.00 230.00 230.00 230.00 230.00 230.00
6225 Cerebello-pontine angle
tumour, transmastoid,
trans-labyrinthine removal
of . . . . . . . . . . . . . 275.00 275.00 275.00 275.00 275.00 275.00
6227 Transfrontal orbitotomy, for
tumours or other lesions . . 220.00 220.00 220.00 220.00 220.00 220.00
6231 Intracranial abscess,
excision of . . . . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
6235 Intracranial infection,
drainage of . . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
6239 Leucotomy or lobotomy for
psychiatric causes . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
6243 Hemispherectomy . . . . . . 275.00 275.00 275.00 275.00 275.00 275.00
6247 Temporal lobectomy . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
6251 Chemopallidectomy, or other
stereotactic procedure . . . 165.00 165.00 165.00 165.00 165.00 165.00
6255 Laminectomy for cordotomy,
removal of tumour or for
treatment or removal of
intervertebral disc lesion . 180.00 180.00 180.00 180.00 180.00 180.00
6259 Spinal rhizolysis involving
exposure of spinal nerve
roots, with or without
laminectomy . . . . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
6263 Sympathectomy (cervical,
lumbar, thoracic, sacral or
presacral) . . . . . . . . . 110.00 110.00 110.00 110.00 110.00
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110.00

Division 9-Treatment of Dislocations

Dislocations Not Requiring Open Operation
6310 Mandible-first or second
dislocation . . . . . . . . 8.80 8.80 8.80 8.80 8.80 8.80
6311 Mandible-first or second
dislocation (D) . . . . . . 8.80 8.80 8.80 8.80 8.80 8.80
6314 Mandible-third or subsequent
dislocation . . . . . . . . 5.60 5.60 5.60 5.60 5.60 5.60
6315 Mandible-third or subsequent
dislocation (D) . . . . . . 5.60 5.60 5.60 5.60 5.60 5.60
6318 Clavicle (G) . . . . . . . . 10.50 10.50 10.50 10.50 10.50 10.50
6320 Clavicle (S) . . . . . . . . 14.00 14.00 14.00 14.00 14.00 14.00
6324 Shoulder-first or second
dislocation . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
6328 Shoulder-third or subsequent
dislocation-requiring
anaesthesia . . . . . . . . 14.00 14.00 14.00 14.00 14.00 14.00
6333 Shoulder-third or subsequent
dislocation-not requiring
anaesthesia . . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
6337 Elbow (G) . . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
6338 Elbow (S) . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
6343 Carpus (G) . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
6344 Carpus (S) . . . . . . . . . 13.00 13.00 13.00 13.00 13.00 13.00
6349 Carpus on radius and ulna
(G) . . . . . . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
6350 Carpus on radius and ulna
(S) . . . . . . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
6354 Finger (G) . . . . . . . . . 4.20 4.20 4.20 4.20 4.20 4.20
6355 Finger (S) . . . . . . . . . 5.60 5.60 5.60 5.60 5.60 5.60
6359 Metacarpo-phalangeal joint
of thumb (G) . . . . . . . . 12.50 12.50 12.50 12.50 12.50 12.50
6360 Metacarpo-phalangeal joint
of thumb (S) . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
6365 Hip (G) . . . . . . . . . . 41.50 41.50 41.50 41.50 41.50 41.50
6366 Hip (S) . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00

6371 Knee (G) . . . . . . . . . . 29.50 29.50 29.50 29.50 29.50 29.50
6372 Knee (S) . . . . . . . . . . 39.00 39.00 39.00 39.00 39.00 39.00
6377 Patella (G) . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00

6378 Patella (S) . . . . . . . . 13.00 13.00 13.00 13.00 13.00 13.00
6382 Ankle (G) . . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
6383 Ankle (S) . . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
6387 Toe (G) . . . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
6388 Toe (S) . . . . . . . . . . 6.60 6.60 6.60 6.60 6.60 6.60
6392 Tarsus (G) . . . . . . . . . 12.50 12.50 12.50 12.50 12.50 12.50
6393 Tarsus (S) . . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50

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6397 Spine (cervical), without
fracture (G) . . . . . . . . 37.50 37.50 37.50 37.50 37.50 37.50
6398 Spine (cervical), without
fracture (S) . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
6402 Spine (lumbar), without
fracture (G) . . . . . . . . 37.50 37.50 37.50 37.50 37.50 37.50
6404 Spine (lumbar), without
fracture (S) . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00

Dislocations Requiring Open Operation
6414 Treatment of a dislocation
requiring open operation,
being a dislocation referred
to in an item (other than an
item that includes the
symbol "(D)") under the
last preceding heading . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 8 rule 8 rule 8 rule 8 rule 8 rule 8
6416 Treatment of a dislocation
requiring open operation,
being a dislocation referred
to in Item 6311 or Item 6315
(D) . . . . . . . . . . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 8 rule 8 rule 8 rule 8 rule 8 rule 8

Division 10-Treatment of Fractures

Simple and Uncomplicated Fractures Not Requiring Open Operation
6422 Terminal phalanx of finger
or thumb . . . . . . . . . . 8.00 8.00 8.00 8.00 8.00 8.00
6423 Proximal phalanx of finger
or thumb (G) . . . . . . . . 15.00 15.00 15.00 15.00 15.00 15.00
6426 Proximal phalanx of finger
or thumb (S) . . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
6431 Middle phalanx of finger (G) 8.80 8.80 8.80 8.80 8.80 8.80
6432 Middle phalanx of finger (S) 11.50 11.50 11.50 11.50 11.50 11.50
6437 One or more metacarpals, not
involving base of first
carpometacarpal joint (G) . 16.50 15.00 17.00 15.00 15.00 15.00
6438 One or more metacarpals, not
involving base of first
carpometarcarpal joint (S) . 35.00 35.00 35.00 35.00 35.00 30.00
6442 First metacarpal involving
carpo- metacarpal joint
(Bennett's fracture)(G) . . 20.00 20.00 20.00 20.00 20.00 20.00
6443 First metacarpal involving
carpo- metacarpal joint
(Bennett's fracture)(S) . . 40.00 40.00 40.00 40.00 40.00 40.00
6447 Carpus (excluding
navicular)(G) . . . . . . . 9.90 9.90 9.90 9.90 9.90 9.90
6448 Carpus (excluding
navicular)(S) . . . . . . . 13.00 13.00 13.00 13.00 13.00 13.00
6455 Navicular or carpal scaphoid
(G) . . . . . . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
6456 Navicular or carpal scaphoid
(S) . . . . . . . . . . . . 30.00 30.00 30.00 30.00 30.00
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30.00
6458 Colles' fracture of wrist
(G) . . . . . . . . . . . . 22.00 25.00 28.00 21.00 21.00 21.00
6459 Colles' fracture of wrist
(S) . . . . . . . . . . . . 45.00 40.00 50.00 45.00 45.00 40.00
6463 Distal end of radius or
ulna, involving wrist . . . 22.00 22.00 22.00 22.00 22.00 22.00
6467 Radius (G) . . . . . . . . . 22.00 20.00 21.00 22.50 22.50 20.00
6468 Radius (S) . . . . . . . . . 35.00 40.00 30.00 30.00 40.00 30.00
6470 Ulna (G) . . . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
6471 Ulna (S) . . . . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
6477 Both shafts of forearm (G) . 33.00 30.00 32.00 30.00 34.00 30.00
6478 Both shafts of forearm (S) . 60.00 50.00 50.00 50.00 45.00 45.00
6482 Humerus (G) . . . . . . . . 30.00 30.00 32.00 30.00 34.00 30.00
6483 Humerus (S) . . . . . . . . 60.00 50.00 50.00 50.00 45.00 45.00
6487 Clavicle or sternum (G) . . 16.50 16.00 15.00 12.50 14.00 12.50
6489 Clavicle or sternum (S) . . 25.00 24.00 25.00 20.00 20.00 20.00
6493 Scapula (G) . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
6494 Scapula (S) . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
6496 One or more ribs-each
attendance (G) . . . . . . . 4.00 3.60 3.50 3.40 3.50 3.60
6499 One or more ribs-each
attendance (S) . . . . . . . 5.50 5.50 5.00 5.00 5.00 5.00
6503 Pelvis (excluding symphysis
pubis) or sacrum (G) . . . . 33.00 33.00 33.00 33.00 33.00 33.00
6505 Pelvis (excluding symphysis
pubis) or sacrum (S) . . . . 44.00 44.00 44.00 44.00 44.00 44.00
6509 Symphysis pubis (G) . . . . 25.00 25.00 25.00 25.00 25.00 25.00
6510 Symphysis pubis (S) . . . . 33.00 33.00 33.00 33.00 33.00 33.00
6515 Femur (G) . . . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
6516 Femur (S) . . . . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
6521 Fibula or tarsus (excepting
os calcis or os talus) (G) . 16.50 17.50 16.00 15.00 15.00 15.00
6522 Fibula or tarsus (excepting
os calcis or os talus) (S) . 26.50 27.50 24.00 25.00 25.00 25.00
6524 Tibia or patella (G) . . . . 27.50 30.00 26.50 25.00 28.00 25.00
6527 Tibia or patella (S) . . . . 40.00 40.00 35.00 35.00 35.00 35.00
6531 Both shafts of leg (G) . . . 49.00 49.00 49.00 49.00 49.00 49.00
6532 Both shafts of leg (S) . . . 65.00 65.00 65.00 65.00 65.00 65.00
6537 Ankle (Pott's fracture),
with or without dislocation
of ankle (G) . . . . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
6538 Ankle (Pott's fracture),
with or without dislocation
of ankle (S) . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
6543 Os calcis (calcaneous) or os
talus (G) . . . . . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
6544 Os calcis (calcaneous) or os

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talus (S) . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
6549 Metatarsals-one or more (G) 16.50 15.00 16.00 15.00 15.00 15.00
6550 Metatarsals-one or more (S) 25.00 25.00 25.00 25.00 25.00 25.00
6552 Phalanx of toe (other than
great toe) . . . . . . . . . 7.00 7.00 7.00 7.00 7.00 7.00
6559 More than one phalanx of toe
(other than great toe) . . . 11.00 11.00 11.00 11.00 11.00 11.00
6564 Distal phalanx of great toe 9.40 9.40 9.40 9.40 9.40 9.40
6566 Proximal phalanx of great
toe (G) . . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
6569 Proximal phalanx of great
toe (S) . . . . . . . . . . 12.00 12.00 12.00 12.00 12.00 12.00
6573 Skull, not requiring
operation-each attendance
(G) . . . . . . . . . . . . 4.00 3.60 3.50 3.40 3.50 3.60
6575 Skull, not requiring
operation-each attendance
(S) . . . . . . . . . . . . 5.50 5.50 5.00 5.00 5.00 5.00
6576 Nasal bones, not requiring
reduction-each attendance
(G) . . . . . . . . . . . . 4.00 3.60 3.50 3.40 3.50 3.60
6580 Nasal bones, not requiring
reduction-each attendance
(S) . . . . . . . . . . . . 5.50 5.50 5.00 5.00 5.00 5.00
6584 Nasal bones, requiring
reduction (G) . . . . . . . 22.50 20.00 23.50 22.50 20.00 15.00
6586 Nasal bones, requiring
reduction (S) . . . . . . . 45.00 45.00 40.00 30.00 32.00 25.00
6587 Nasal bones, requiring
reduction and involving
osteotomies . . . . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
6590 Maxilla-not requiring
splinting (G) . . . . . . . 20.50 20.50 20.50 20.50 20.50 20.50
6592 Maxilla-not requiring
splinting (S) . . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
6593 Maxilla-not requiring
splinting (D) . . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
6596 Maxilla-with wiring of teeth
or internal fixation . . . . 60.00 60.00 60.00 60.00 60.00 60.00
6598 Maxilla-with wiring of teeth
or internal fixation (D) . . 60.00 60.00 60.00 60.00 60.00 60.00
6601 Maxilla-with external
fixation . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
6602 Maxilla-with external
fixation (D) . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
6605 Mandible-not requiring
splinting (G) . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
6606 Mandible-not requiring
splinting (S) . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
6607 Mandible-not requiring
splinting (D) . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00


6610 Mandible-with wiring of
teeth or internal fixation . 80.00 80.00 80.00 80.00 80.00 80.00

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6611 Mandible-with wiring of
teeth or internal fixation
(D) . . . . . . . . . . . . 80.00 80.00 80.00 80.00 80.00 80.00
6614 Mandible-skeletal pinning
with external fixation . . . 85.00 85.00 85.00 85.00 85.00 85.00

6615 Mandible-skeletal pinning
with external fixation (D) . 85.00 85.00 85.00 85.00 85.00 85.00
6618 Zygoma (G) . . . . . . . . . 22.50 22.50 22.50 22.50 22.50 22.50
6619 Zygoma (S) . . . . . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
6620 Zygoma (D) . . . . . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
6621 Spine (excluding sacrum),
transverse process or bone
other than vertebral body,
not requiring immobilization
in plaster-each attendance
(G) . . . . . . . . . . . . 4.00 3.60 3.50 3.40 3.50 3.60
6624 Spine (excluding sacrum),
transverse process or bone
other than vertebral body,
not requiring immobilization
in plaster-each attendance
(S) . . . . . . . . . . . . 5.50 5.50 5.00 5.00 5.00 5.00
6626 Spine (excluding sacrum),
vertebral body, without
involvement of cord, not
requiring immobilization in
plaster-each attendance (G) 4.00 3.60 3.50 3.40 3.50 3.60
6629 Spine (excluding sacrum),
vertebral body, without
involvement of cord, not
requiring immobilization in
plaster-each attendance (S) 5.50 5.50 5.00 5.00 5.00 5.00
6633 Spine (excluding sacrum),
transverse process or bone
other than vertebral body,
requiring immobilization in
plaster or traction by skull
calipers (G) . . . . . . . . 29.50 29.50 29.50 29.50 29.50 29.50
6634 Spine (excluding sacrum),
transverse process or bone
other than vertebral body,
requiring immobilization in
plaster or traction by skull
calipers (S) . . . . . . . . 39.00 39.00 39.00 39.00 39.00 39.00
6638 Spine (excluding sacrum),
vertebral body, without
involvement of cord,
requiring immobilization in
plaster or traction by skull
calipers (G) . . . . . . . . 49.00 49.00 49.00 49.00 49.00 49.00
6639 Spine (excluding sacrum),
vertebral body, without
involvement of cord,
requiring immobilization in
plaster or traction by skull
calipers (S) . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
6643 Spine (excluding sacrum),
vertebral body, with
involvement of cord . . . . 165.00 165.00 165.00 165.00 165.00 165.00

Simple and Uncomplicated Fractures Requiring Open Operation
6647 Treatment of a simple and
uncomplicated fracture
requiring open operation,
being a fracture referred to

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in an item (other than an
item that includes the
symbol "(D)") under the
last preceding heading . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 8 rule 8 rule 8 rule 8 rule 8 rule 8
6648 Treatment of a simple and
uncomplicated fracture
requiring open operation,
being a fracture referred to
in item 6593, 6598, 6602,
6607, 6611, 6615 or 6620 (D) Amount Amount Amount Amount Amount Amount
under under under under under under
rule 8 rule 8 rule 8 rule 8 rule 8 rule 8

Compound Fractures Requiring Open Operation
6651 Treatment of a compound
fracture requiring open
operation, being a fracture
referred to in an item
(other than an item that
includes the symbol "(D)")
under the first heading in
this Division . . . . . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 8 rule 8 rule 8 rule 8 rule 8 rule 8
6652 Treatment of a compound
fracture requiring open
operation, being a fracture
referred to in item 6593,
6598, 6602, 6607, 6611, 6615
or 6620 (D) . . . . . . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 8 rule 8 rule 8 rule 8 rule 8 rule 8

Complicated Fractures Requiring Open Operation
6655 Treatment of a complicated
fracture involving viscera,
blood vessels or nerves and
requiring open operation
being a fracture referred to
in an item (other than an
item that includes the
symbol "(D)") under the
first heading in this
Division . . . . . . . . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 8 rule 8 rule 8 rule 8 rule 8 rule 8
6656 Treatment of a complicated
fracture involving viscera,
blood vessels or nerves and
requiring open operation
being a fracture referred to
in item 6593, 6598, 6602,
6607, 6611, 6615 or 6620 (D) Amount Amount Amount Amount Amount Amount
under under under under under under
rule 8 rule 8 rule 8 rule 8 rule 8 rule 8

General
6659 Initial reduction (without
full post-operative
treatment) in a series of

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two or more reductions of a
fracture, being a reduction
that would, but for this
item, be covered by an item
under a preceding heading in
this Division . . . . . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 9 rule 9 rule 9 rule 9 rule 9 rule 9
6660 Initial reduction (without
full post-operative
treatment) in a series of
two or more reductions of a
fracture, being a reduction
that would, but for this
item, be covered by item
6593, 6598, 6602, 6607,
6611, 6615 or 6620 (D) . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 9 rule 9 rule 9 rule 9 rule 9 rule 9
6663 Each subsequent reduction
(without full post-operative
treatment) in the series
(other than the final
reduction), being a
reduction that would, but
for this item, be covered by
an item under a preceding
heading in this Division . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 9 rule 9 rule 9 rule 9 rule 9 rule 9
6664 Each subsequent reduction
(without full post-operative
treatment) in the series
(other than the final
reduction), being a
reduction that would, but
for this item, be covered by
item 6593, 6598, 6602, 6607,
6611, 6615 or 6620 (D) . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 9 rule 9 rule 9 rule 9 rule 9 rule 9
6667 Final reduction (including
full post-operative
treatment) in the series
being a reduction that
would, but for this item, be
covered by an item under a
preceding heading in this
Division . . . . . . . . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 9 rule 9 rule 9 rule 9 rule 9 rule 9
6668 Final reduction (including
full post-operative
treatment) in the series,
being a reduction that
would, but for this item, be
covered by item 6593, 6598,
6602, 6607, 6611, 6615 or
6620 (D) . . . . . . . . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 9 rule 9 rule 9 rule 9 rule 9 rule 9
6671 Treatment of avulsion of

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epiphysis of any part . . . Amount Amount Amount Amount Amount Amount
under under under under under under
rule 9 rule 9 rule 9 rule 9 rule 9 rule 9


Division 11-Orthopaedic
7010 Accessory or sesamoid bone,
removal of . . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
7014 Epicondylitis, open
operation for (G) . . . . . 26.50 26.50 26.50 26.50 26.50 26.50
7016 Epicondylitis, open
operation for (S) . . . . . 35.00 35.00 35.00 35.00 35.00 35.00

7020 Digital nail, removal of . . 6.50 6.50 5.00 5.00 5.00 5.00
7025 Incision of pulp space,
paronychia or other acute
infection of hands or feet,
not covered by any other
item in this Part . . . . . 5.60 5.60 5.60 5.60 5.60 5.60
7029 Middle palmar, thenar or
hypothenar spaces, drainage
of (G) . . . . . . . . . . . 9.90 9.90 9.90 9.90 9.90 9.90
7031 Middle palmar, thenar or
hypothenar spaces, drainage
of (S) . . . . . . . . . . . 13.00 13.00 13.00 13.00 13.00 13.00
7035 Ingrowing toenail, excision
of nail bed (G) . . . . . . 16.50 18.00 15.00 15.00 15.00 15.00
7037 Ingrowing toenail, excision
of nail bed (S) . . . . . . 40.00 30.00 30.00 25.00 30.00 20.00
7041 Insertion of orthopaedic pin
or wire where no other
surgical procedure is
performed (G) . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
7043 Insertion of orthopaedic pin
or wire where no other
surgical procedure is
performed (S) . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
7044 Insertion of orthopaedic pin
or wire where no other
surgical procedure is
performed (D) . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
7047 Osteosynthesis by
Smith-Petersen nail . . . . 180.00 180.00 180.00 180.00 180.00 180.00
7051 Temporo-mandibular
meniscectomy . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
7052 Temporo-mandibular
meniscectomy (D) . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
7055 Joint (other than spine),
manipulation of, under
general anaesthesia (G) . . 19.00 19.00 19.00 19.00 19.00 19.00
7056 Joint (other than spine),
manipulation of, under
general anaesthesia (S) . . 25.00 25.00 25.00 25.00 25.00 25.00
7060 Spine, manipulation of,
under general anaesthesia
(G) . . . . . . . . . . . . 25.00 20.00 20.00 20.00 20.00 20.00
7061 Spine, manipulation of,
under general anaesthesia
(S) . . . . . . . . . . . . 35.00 25.00 25.00 25.00 25.00 25.00
7065 Spine, application of

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plaster jacket . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
7069 Risser jacket, localiser or
turn-buckle jacket,
application of, body only . 30.00 30.00 30.00 30.00 30.00 30.00
7074 Risser jacket, localiser or
turn-buckle jacket,
application of, body and
head . . . . . . . . . . . . 36.00 36.00 36.00 36.00 36.00 36.00
7078 Scoliosis, spinal fusion for 275.00 275.00 275.00 275.00 275.00 275.00
7082 Scoliosis, re-exploration
for adjustment or removal of
Harrington rods or similar
devices . . . . . . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
7087 Application of halo for
spinal fusion in the
treatment of scoliosis, as
an independent procedure . . 60.00 60.00 60.00 60.00 60.00 60.00
7091 Bone graft to spine,
posterior, not covered by
Item 7095 or 7104 . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
7095 Bone graft to spine,
postero-lateral for
spondylolisthesis . . . . . 230.00 230.00 230.00 230.00 230.00 230.00
7097 Anterior interbody spinal
fusion to cervical spine-one
level . . . . . . . . . . . 200.00 200.00 200.00 200.00 200.00 200.00
7098 Anterior interbody spinal
fusion to cervical
spine-more than one level . 250.00 250.00 250.00 250.00 250.00 250.00
7101 Anterior interbody spinal
fusion to lumbar or thoracic
spine-one level . . . . . . 230.00 230.00 230.00 230.00 230.00 230.00
7103 Anterior interbody spinal
fusion to lumbar or thoracic
spine-more than one level . 300.00 300.00 300.00 300.00 300.00 300.00
7104 Bone graft to spine with
laminectomy and posterior
interbody fusion . . . . . . 200.00 225.00 200.00 200.00 200.00 200.00
7108 Bone graft not covered by
any other item in this Part 100.00 100.00 100.00 100.00 100.00 100.00
7109 Bone graft not covered by
any other item in this Part
(D) . . . . . . . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
7113 Shoulder-removal of calcium
deposit from cuff (G) . . . 37.50 37.50 37.50 37.50 37.50 37.50
7114 Shoulder-removal of calcium
deposit from cuff (S) . . . 50.00 50.00 50.00 50.00 50.00 50.00
7118 Shoulder-arthrotomy . . . . 55.00 55.00 55.00 55.00 55.00 55.00
7122 Shoulder-arthroplasty or
plastic reconstruction . . . 140.00 140.00 140.00 140.00 140.00 140.00
7126 Shoulder-arthrodesis or
arthrectomy . . . . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
7130 Finger or other small
joint-arthrodesis,
arthrectomy or arthroplasty 60.00 60.00 50.00 45.00 45.00 45.00
7135 Small joint-arthrotomy (G) . 12.50 12.50 12.50 12.50 12.50 12.50
7136 Small joint-arthrotomy (S) . 16.50 16.50 16.50 16.50 16.50 16.50

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7141 Zygapophyseal joints,
arthrectomy of . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
7145 Sacro-iliac
joint-arthrodesis . . . . . 95.00 95.00 95.00 95.00 95.00 95.00
7149 Other large
joint-arthrodesis,
arthrectomy, arthroplasty or
total synovectomy of . . . . 85.00 85.00 85.00 85.00 85.00 85.00
7154 Other large joint-arthrotomy
(G) . . . . . . . . . . . . 45.00 45.00 45.00 45.00 45.00 45.00
7155 Other large joint-arthrotomy
(S) . . . . . . . . . . . . 60.00 60.00 60.00 60.00 60.00 60.00
7157 Hip-arthrodesis . . . . . . 220.00 220.00 220.00 220.00 220.00 220.00
7158 Hip-arthrectomy . . . . . . 150.00 150.00 150.00 150.00 150.00 150.00
7160 Hip-arthroplasty (Austin
Moore, Girdlestone or
similar procedure) . . . . . 150.00 150.00 150.00 150.00 150.00 150.00
7161 Hip-arthroplasty, cup or
mould (Smith-Petersen or
similar procedure) . . . . . 190.00 190.00 190.00 190.00 190.00 190.00
7162 Hip-arthroplasty, total
replacement (McKee-Farrer,
Charnley or similar
procedure) . . . . . . . . . 275.00 275.00 275.00 275.00 275.00 275.00
7163 Hip-arthrotomy . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
7167 Knee-arthrodesis,
arthrectomy, arthroplasty or
total synovectomy of . . . . 150.00 150.00 150.00 150.00 150.00 150.00
7171 Knee-arthrotomy . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
7173 Knee-arthroscopy of, not
associated with any other
operative procedure on that
knee . . . . . . . . . . . . 40.00 40.00 40.00 40.00 40.00 40.00
7176 Knee-operation for internal
derange- ment . . . . . . . 85.00 90.00 85.00 100.00 85.00 65.00
7180 Knee-reconstruction of
cruciate ligaments . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
7184 Knee-reconstruction of
capsular ligaments . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
7189 Knee-excision of patella (G) 75.00 75.00 75.00 75.00 75.00 75.00
7190 Knee-excision of patella (S) 100.00 100.00 100.00 100.00 100.00 100.00
7195 Knee-operation for recurrent
dislocation of patella . . . 85.00 85.00 85.00 85.00 85.00 85.00
7199 Joint, aspiration of, or
intra-articular injection
into, or both of those
services (G) . . . . . . . . 5.00 5.00 5.00 5.00 5.00 5.00
7200 Joint, aspiration of, or
intra-articular injection
into, or both of those
services (S) . . . . . . . . 6.00 6.00 6.00 6.00 6.00 6.00
7205 Synovial cavity, aspiration
of, or intra-synovial
injection of, or both of
those services (G) . . . . . 4.50 4.50 4.50 4.50 4.50 4.50
7206 Synovial cavity, aspiration
of, or intra-synovial

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injection of, or both of
those services (S) . . . . . 6.00 6.00 6.00 6.00 6.00 6.00
7210 Joint, repair of capsule or
ligament of . . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
7214 Foot or ankle region-triple
arthrodesis . . . . . . . . 110.00 125.00 110.00 110.00 110.00 110.00
7218 Calcanean spur, removal of . 65.00 65.00 65.00 65.00 65.00 65.00
7221 Hallux valgus, correction of
(G) . . . . . . . . . . . . 55.00 50.00 45.00 45.00 45.00 35.00

7222 Hallux valgus, correction of
(S) . . . . . . . . . . . . 70.00 70.00 60.00 60.00 60.00 50.00
7224 Hallux valgus, correction
of, with osteotomy or
osteectomy of phalanx or
metatarsal (G) . . . . . . . 72.50 67.50 62.50 60.00 62.50 50.00
7225 Hallux valgus, correction
of, with osteotomy or
osteectomy of phalanx or
metatarsal (S) . . . . . . . 105.00 95.00 82.50 80.00 85.00 70.00
7226 Hallux valgus, correction
of, with osteotomy or
osteectomy of phalanx or
metatarsal and
transplantation of adductor
hallucis tendon . . . . . . 125.00 115.00 102.50 100.00 105.00 90.00

7227 Hallux valgus and hammer
toe, correction of, with
subcutaneous tenotomy, one
or more tendons (G) . . . . 78.75 73.75 68.75 68.75 68.75 60.00
7228 Hallux valgus and hammer
toe, correction of, with
subcutaneous tenotomy, one
or more tendons (S) . . . . 100.00 100.00 90.00 90.00 90.00 80.00
7230 Hallux rigidus, correction
of . . . . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
7233 Hammer toe, correction of
(G) . . . . . . . . . . . . 37.50 37.50 37.50 37.50 37.50 37.50
7234 Hammer toe, correction of
(S) . . . . . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
7238 Cervical rib, removal of . . 110.00 110.00 110.00 110.00 110.00 110.00
7242 Scalenotomy . . . . . . . . 39.00 39.00 39.00 39.00 39.00 39.00
7246 Acromion or coraco-acromion
ligament, removal of . . . . 65.00 65.00 65.00 65.00 65.00 65.00
7250 Excision of exostosis of
small bone (G) . . . . . . . 37.50 37.50 37.50 37.50 37.50 37.50
7252 Excision of exostosis of
small bone (S) . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
7253 Excision of exostosis of
small bone (D) . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
7256 Excision of exostosis of
large bone (G) . . . . . . . 45.00 45.00 45.00 45.00 45.00 45.00
7257 Excision of exostosis of
large bone (S) . . . . . . . 60.00 60.00 60.00 60.00 60.00 60.00
7261 Osteotomy or osteectomy of
phalanx, metacarpal or
metatarsal (G) . . . . . . . 35.00 35.00 35.00 30.00 35.00 30.00
7263 Osteotomy or osteectomy of

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phalanx, metacarpal or
metatarsal (S) . . . . . . . 50.00 50.00 45.00 40.00 50.00 40.00
7266 Osteotomy of phalanx,
metacarpal or metatarsal,
with internal fixation . . . 55.00 55.00 55.00 55.00 55.00 55.00
7271 Osteotomy or osteectomy of
fibula, radius, ulna,
clavicle, scapula (other
than acromion), rib, tarsus
or carpus . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
7275 Osteotomy of fibula, radius,
ulna, clavicle, scapula
(other than acromion), rib,
tarsus or carpus, with
internal fixation . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
7280 Osteotomy or osteectomy of
tibia or humerus . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
7284 Osteotomy or osteectomy of
femur or pelvic bone . . . . 120.00 120.00 120.00 120.00 120.00 120.00
7289 Osteotomy of tibia, humerus,
femur or pelvic bone, with
internal fixation . . . . . 180.00 180.00 180.00 180.00 180.00 180.00
7292 Osteotomy, bilateral iliac,
preliminary to repair of
ectopic bladder . . . . . . 100.00 100.00 100.00 100.00 100.00 100.00
7293 Osteotomy of
femur-sub-trochanteric . . . 120.00 120.00 120.00 120.00 120.00 120.00
7297 Osteectomy of vertebral
bodies . . . . . . . . . . . 115.00 115.00 115.00 115.00 115.00 115.00
7301 Osteotomy and distraction
for lengthening of limb . . 120.00 120.00 120.00 120.00 120.00 120.00
7305 Removal of distracting
apparatus from limb, without
internal fixation . . . . . 30.00 30.00 30.00 30.00 30.00 30.00
7309 Removal of distracting
apparatus from limb, with
internal fixation . . . . . 60.00 60.00 60.00 60.00 60.00 60.00
7315 Flexor tendon of hand,
primary suture of (G) . . . 31.00 31.00 31.00 31.00 31.00 31.00
7316 Flexor tendon of hand,
primary suture of (S) . . . 41.00 41.00 41.00 41.00 41.00 41.00
7318 Flexor tendon of hand,
secondary suture of (G) . . 56.50 56.50 56.50 56.50 56.50 56.50
7319 Flexor tendon of hand,
secondary suture of (S) . . 75.00 75.00 75.00 75.00 75.00 75.00
7325 Extensor tendon of hand,
primary suture of (G) . . . 25.00 25.00 25.00 25.00 25.00 25.00
7326 Extensor tendon of hand,
primary suture of (S) . . . 33.00 33.00 33.00 33.00 33.00 33.00
7328 Extensor tendon of hand,
secondary suture of (G) . . 37.50 37.50 37.50 37.50 37.50 37.50
7329 Extensor tendon of hand,
secondary suture of (S) . . 50.00 50.00 50.00 50.00 50.00 50.00
7333 Achilles tendon or other
large tendon, suture of (G) 60.00 60.00 60.00 60.00 60.00 60.00
7334 Achilles tendon or other
large tendon, suture of (S) 80.00 80.00 80.00 80.00 80.00 80.00

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7338 Tendon of foot, primary
suture of (G) . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
7339 Tendon of foot, primary
suture of (S) . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
7343 Tendon of foot, secondary
suture of (G) . . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
7344 Tendon of foot, secondary
suture of (S) . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
7348 Tenotomy, subcutaneous, one
or more tendons . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
7352 Tenotomy, open, with or
without tenoplasty . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
7356 Tendon or ligament
transplantation not covered
by any other item . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
7360 Iliopsoas tendon,
transplantation of, to
greater trochanter . . . . . 150.00 150.00 150.00 150.00 150.00 150.00
7364 Tendon graft . . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
7368 Achilles tendon or other
large tendon-operation for
lengthening . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
7372 Tendon sheath, incision of
(G) . . . . . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
7373 Tendon sheath, incision of
(S) . . . . . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
7377 Stenosing tendovaginitis,
open operation for (G) . . . 30.00 30.00 30.00 30.00 30.00 30.00
7378 Stenosing tendovaginitis,
open operation for (S) . . . 40.00 40.00 40.00 40.00 40.00 40.00
7382 Tendon sheath of finger or
thumb, synovectomy of . . . 44.00 44.00 44.00 44.00 44.00 44.00
7386 Cicatricial flexion
contracture of joint,
correction of, involving
tissues deeper than skin and
subcutaneous tissue . . . . 65.00 65.00 65.00 65.00 65.00 65.00
7390 Dupuytren's contracture,
subcutaneous fasciotomy (G) 25.00 25.00 25.00 25.00 25.00 25.00
7391 Dupuytren's contracture,
subcutaneous fasciotomy (S) 33.00 33.00 33.00 33.00 33.00 33.00
7395 Dupuytren's contracture,
radical operation for (G) . 60.00 60.00 60.00 60.00 60.00 60.00
7396 Dupuytren's contracture,
radical operation for (S) . 80.00 80.00 80.00 80.00 80.00 80.00
7400 Volkmann's contracture,
operation for . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00

Division 12-Paediatric

Manipulations and Plaster Work for Correction of Congenital Abnormalities
7450 Congenital dislocation of
hip-manipulation and plaster
(one hip) . . . . . . . . . 35.00 25.00 25.00 25.00 25.00 25.00
7454 Talipes
equinovarus-manipulation
under general anaesthesia . 8.80 8.80 8.80 8.80 8.80 8.80

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7458 Talipes
equinovarus-manipulation and
plaster under general anaes-
thesia . . . . . . . . . . . 10.00 10.00 10.00 10.00 10.00 10.00
7462 Calcaneus
valgus-manipulation under
general anaesthesia . . . . 8.80 8.80 8.80 8.80 8.80 8.80
7466 Calcaneus
valgus-manipulation and
plaster under general
anaesthesia . . . . . . . . 11.00 11.00 11.00 11.00 11.00 11.00
7470 Pes planus-manipulation
under general anaesthesia . 8.80 8.80 8.80 8.80 8.80 8.80
7474 Pes planus-manipulation and
plaster under general
anaesthesia . . . . . . . . 13.00 13.00 13.00 13.00 13.00 13.00

7478 Genu varum or genu
valgum-manipulation under
general anaes- thesia . . . 8.80 8.80 8.80 8.80 8.80 8.80
7482 Genu varum or genu
valgum-manipulation and
plaster under general
anaesthesia . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
7486 Genu varum or genu
valgum-manipulation and
plaster with osteoclasis . . 44.00 44.00 44.00 44.00 44.00 44.00
7490 Contractures, manipulation
under general anaesthesia,
not covered by any other
item in this Part . . . . . 8.80 8.80 8.80 8.80 8.80 8.80

7494 Contractures, manipulation
and plaster under general
anaesthesia, not covered by
any other item in this Part 13.00 13.00 13.00 13.00 13.00 13.00
7498 Spastic
paralysis-manipulation and
plaster (one limb) . . . . . 13.00 13.00 13.00 13.00 13.00 13.00

Operations for Correction of Congenital Abnormalities
7510 Subdural haemorrhage, tap
for, each tap . . . . . . . 8.80 8.80 8.80 8.80 8.80 8.80
7514 Subdural haemorrhage,
osteoplastic flap and
excision of . . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
7519 Hydrocephalus-suboccipital
decompression, third
ventriculostomy or
Torkildsen's operation . . . 165.00 165.00 165.00 165.00 165.00 165.00
7523 Ventriculo-jugular shunt . . 165.00 165.00 165.00 165.00 165.00 165.00
7528 Ventriculo-atrial shunt for
hydrocephalus . . . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
7532 Ventriculo-atrial shunt for
hydrocephalus, revision or
removal of . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
7537 Hydrocephalus,
spino-ureteral,
spino-peritoneal or
spino-pleural anastomosis
of, or ventricular cable
shunt for . . . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
7541 Craniostenosis, operation
for-single suture . . . . . 130.00 130.00 130.00 130.00 130.00

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130.00
7543 Craniostenosis, operation
for-more than one suture . . 180.00 180.00 180.00 180.00 180.00 180.00
7545 Arachnoidal cyst, operation
for . . . . . . . . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
7549 Hypertelorism, correction of 165.00 165.00 165.00 165.00 165.00 165.00
7554 Choanal atresia, plastic
repair of . . . . . . . . . 150.00 150.00 150.00 150.00 150.00 150.00
7557 Choanal atresia, repair of
by puncture and dilatation . 39.00 39.00 39.00 39.00 39.00 39.00
7561 Macrocheilia, macroglossia
or macro- stomia, operation
for . . . . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
7565 Torticollis, operation for . 65.00 65.00 65.00 65.00 65.00 65.00
7569 Oesophagus, radical
correction of congenital
stenosis of . . . . . . . . 195.00 195.00 195.00 195.00 195.00 195.00
7573 Tracheo-oesophageal fistula,
correction of . . . . . . . 195.00 195.00 195.00 195.00 195.00 195.00
7577 Duodenal obstruction
(congenital)-anastomosis or
resection of . . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
7581 Hypertrophic pyloric
stenosis, operation for (G) 67.50 67.50 67.50 67.50 67.50 67.50
7582 Hypertrophic pyloric
stenosis, operation for (S) 90.00 90.00 90.00 90.00 90.00 90.00
7586 Congenital volvulus of the
small intestine, correction
of . . . . . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
7590 Intestinal atresia or
stenosis-excision or
anatomosis (or both) . . . . 130.00 130.00 130.00 130.00 130.00 130.00
7594 Hirschsprung's disease,
rectosigmoidectomy for . . . 165.00 165.00 165.00 165.00 165.00 165.00
7598 Exomphalos, operation for . 85.00 85.00 85.00 85.00 85.00 85.00
7602 Exomphalos, operation for,
by plastic flap . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
7607 Imperforate anus,
abdomino-perineal correction
of . . . . . . . . . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
7611 Imperforate anus, correction
of (other than
abdomino-perineal) . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
7616 Contracted bladder neck
(congenital), wedge excision
or perurethral resection of 110.00 110.00 110.00 110.00 110.00 110.00
7620 Urachal fistula, operation
for . . . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
7625 Ectopic bladder-'turning-in'
operation . . . . . . . . . 165.00 165.00 165.00 165.00 165.00 165.00
7629 Pinhole urinary
meatus-meatotomy (G) . . . . 16.50 16.50 16.50 16.50 16.50 16.50
7631 Pinhole urinary
meatus-meatotomy (S) . . . . 22.00 22.00 22.00 22.00 22.00 22.00
7635 Urethral valves, open
removal of . . . . . . . . . 130.00 130.00 130.00 130.00 130.00
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130.00
7640 Incontinence of urine
(congenital)-plastic
operation to sphincter . . . 95.00 95.00 95.00 95.00 95.00 95.00
7644 Lymphangiectasis of limb
(Milroy's disease)-excision
of . . . . . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00

Operations for Excision of Congenital Abnormalities
7649 Abnormal limb, amputation of 50.00 50.00 50.00 50.00 50.00 50.00
7653 Extra digit, amputation of
(G) . . . . . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
7655 Extra digit, amputation of
(S) . . . . . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
7659 Dermoid, periorbital,
excision of (G) . . . . . . 19.00 19.00 19.00 19.00 19.00 19.00
7661 Dermoid, periorbital,
excision of (S) . . . . . . 25.00 25.00 25.00 25.00 25.00 25.00
7665 Dermoid, orbital, excision
of . . . . . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
7670 Dermoid of nose,
superficial, excision of (G) 16.50 16.50 16.50 16.50 16.50 16.50
7671 Dermoid of nose,
superficial, excision of (S) 22.00 22.00 22.00 22.00 22.00 22.00
7676 Dermoid of nose, excision
of, with intranasal
extension . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
7680 Sacrococcygeal dermoid or
teratoma other than
pilonidal sinus, excision of 95.00 95.00 95.00 95.00 95.00 95.00
7685 Myelomeningocele-excision of
sac . . . . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
7688 Myelomeningocele, extensive,
requiring formal repair with
skin flaps or Z plasty . . . 150.00 150.00 150.00 150.00 150.00 150.00

Operations for Acquired Conditions
7700 Megacolon, colectomy . . . . 130.00 130.00 130.00 130.00 130.00 130.00
7704 Epiphysitis (Perthes',
Calve's or Scheurermann's)
plaster for . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
7708 Epiphysitis (Sever's,
Kohler's, Kienboch's or
Schlatter's), plaster for . 10.00 10.00 10.00 10.00 10.00 10.00

Division 13-Plastic and Reconstructive
Meticulous Plastic Repair Designed to Obtain Maximal Functional or
Cosmetic Results including the Preparation of the Defect Requiring Repair
7750 Derma-fat fascia graft
(including transplant or
muscle flap) . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
7754 Abrasive therapy, limited
area . . . . . . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
7758 Abrasive therapy, extensive
area . . . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
7762 Electrolysis epilation, each
treatment . . . . . . . . . 10.00 8.00 7.50 7.50 8.00 7.50
7767 Angioma, cauterisation of or
injection into, under

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general anaesthesia . . . . 8.80 8.80 8.80 8.80 8.80 8.80
7768 Angioma, cauterisation of or
injection into, under
general anaesthesia (D) . . 8.80 8.80 8.80 8.80 8.80 8.80
7771 Angioma of skin and
subcutaneous tissue or
mucous surface, small,
excision and repair of . . . 25.00 25.00 20.00 20.00 20.00 16.00
7772 Angioma of skin and
subcutaneous tissue or
mucous surface, small,
excision and repair of (D) . 25.00 25.00 20.00 20.00 20.00 16.00
7775 Angioma of skin and
subcutaneous tissue or
mucous surface, large,
excision and repair of . . . 30.00 30.00 30.00 30.00 30.00 30.00
7776 Angioma of skin and
subcutaneous tissue or
mucous surface, large,
excision and repair of (D) . 30.00 30.00 30.00 30.00 30.00 30.00
7779 Angioma involving deeper
tissue, small, excision and
repair of . . . . . . . . . 40.00 40.00 40.00 40.00 40.00 40.00

7783 Angioma involving deeper
tissue, large, excision and
repair of . . . . . . . . . 60.00 60.00 60.00 60.00 60.00 60.00
7787 Haemangioma of neck,
deep-seated, excision of . . 105.00 105.00 105.00 105.00 105.00 105.00
7791 Major excision and grafting
for lymphoedema . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
7795 Foreign implants for contour
reconstruction . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00


Meticulous Plastic Repair of Limb (above hand or foot) or of
Trunk Designed to Obtain Maximal Functional or Cosmetic Results including the
Preparation of the Defect Requiring Repair
7850 Single stage local flap
repair, simple, small . . . 40.00 40.00 40.00 40.00 40.00 40.00
7854 Single stage local flap
repair, complicated or large 50.00 50.00 50.00 50.00 50.00 50.00
7858 Direct flap repair (cross
leg or similar), first stage 39.00 39.00 39.00 39.00 39.00 39.00
7862 Direct flap repair (cross
leg or similar), second
stage . . . . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
7866 Direct flap repair, small,
first stage . . . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
7870 Direct flap repair, small,
second stage . . . . . . . . 13.00 13.00 13.00 13.00 13.00 13.00
7874 Indirect flap or tubed
pedicle, formation of . . . 44.00 44.00 44.00 44.00 44.00 44.00 7877 Indirect flap or tubed
pedicle, delay, intermediate
transfer or detachment of . 27.50 27.50 27.50 27.50 27.50 27.50
7881 Indirect flap or tubed
pedicle, preparation of site
and attachment to site . . . 65.00 65.00 65.00 65.00 65.00 65.00
7885 Indirect flap or tubed
pedicle, spreading of
pedicle, as a separate pro-

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cedure . . . . . . . . . . . 39.00 39.00 39.00 39.00 39.00 39.00
7889 Direct, indirect or local
flap repair, revision of
graft . . . . . . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
7893 Free grafts (split skin or
pinch grafts) on granulating
areas, small . . . . . . . . 16.50 16.50 16.50 16.50 16.50 16.50
7897 Free grafts (split skin) on
granulating areas, extensive 45.00 45.00 45.00 45.00 45.00 45.00
7901 Free grafts (split skin) to
extensive burns . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
7905 Free grafts (split skin)
including elective
dissection, small . . . . . 31.00 31.00 31.00 31.00 31.00 31.00
7909 Free grafts (split skin)
including elective
dissection, extensive . . . 65.00 75.00 65.00 65.00 65.00 65.00
7913 Free full thickness grafts . 55.00 55.00 55.00 55.00 55.00 55.00
7917 Cineplasty for amputation
stump . . . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
7921 Mammaplasty, reduction or
repositioning (unilateral) . 165.00 165.00 165.00 165.00 165.00 165.00
7925 Mammaplasty, augmentation,
prosthetic (unilateral) . . 140.00 140.00 140.00 140.00 140.00 140.00
7929 Mammaplasty, derma-fat
fascia (unilateral) . . . . 165.00 165.00 165.00 165.00 165.00 165.00
Meticulous Plastic Repair of Hands, Feet, Scalp, Face or Neck Designed to Obtain Maximal Functional or Cosmetic Results including the Preparation of the Defect
Requiring Repair
7950 Single stage local flap
repair, simple, small . . . 40.00 40.00 40.00 40.00 40.00 40.00
7952 Single stage local flap
repair following removal of
tumour, cyst or scar,
cutaneous, subcutaneous or
in mucous membrane, up to 3
centimetres in diameter (G) 45.00 44.50 44.50 44.50 44.50 44.00
7953 Single stage local flap
repair following removal of
tumour, cyst or scar,
cutaneous, subcutaneous or
in mucous membrane, up to 3
centimetres in diameter (S) 52.50 52.50 50.00 50.00 50.00 48.00
7954 Single stage local flap
repair, complicated or large 65.00 65.00 65.00 65.00 65.00 65.00
7958 Direct flap repair, small
(cross finger or similar),
first stage . . . . . . . . 40.00 40.00 40.00 40.00 40.00 40.00
7962 Direct flap repair, small
(cross finger or similar),
second stage . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
7966 Indirect flap or tubed
pedicle, formation of . . . 55.00 55.00 55.00 55.00 55.00 55.00
7970 Indirect flap or tubed
pedicle, delay, intermediate
transfer or detachment of . 39.00 39.00 39.00 39.00 39.00 39.00
7974 Indirect flap or tubed
pedicle, preparation of site
and attachment to site . . . 85.00 85.00 85.00 85.00 85.00
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85.00
7978 Indirect flap or tubed
pedicle, spreading of
pedicle, as a separate pro-
cedure . . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
7982 Direct, indirect or local
flap repair, revision of
graft . . . . . . . . . . . 39.00 39.00 39.00 39.00 39.00 39.00
7987 Hair transplants, multiple
punch or similar technique,
involving not more than 40
punch grafts . . . . . . . . 20.00 20.00 20.00 20.00 20.00 20.00
7988 Hair transplants, multiple
punch or similar technique,
involving more than 40 but
not more than 100 punch
grafts . . . . . . . . . . . 40.00 40.00 40.00 40.00 40.00 40.00
7989 Hair transplants, multiple
punch or similar technique,
involving more than 100
punch grafts . . . . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
7994 Free grafts (split skin or
pinch grafts) on granulating
areas, small . . . . . . . . 22.00 22.00 22.00 22.00 22.00 22.00
7998 Free grafts (split skin) on
granulating areas, extensive 60.00 60.00 60.00 60.00 60.00 60.00
8002 Free grafts (split skin) to
extensive burns . . . . . . 95.00 95.00 95.00 95.00 95.00 95.00
8007 Free grafts (split skin)
including elective
dissection, small . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
8011 Free grafts (split skin)
including elective
dissection, extensive . . . 75.00 75.00 75.00 75.00 75.00 75.00
8015 Free full thickness grafts . 75.00 75.00 75.00 75.00 75.00 75.00
8020 Digit, transplantation
of-complete procedure . . . 130.00 130.00 130.00 130.00 130.00 130.00
8024 Macrodactyly, plastic
reduction of, each finger . 45.00 45.00 45.00 45.00 45.00 45.00
8029 Face, operations involving
supportive grafts . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
8033 Suspension operation for
facial paralysis . . . . . . 95.00 95.00 95.00 95.00 95.00 95.00
8037 Melonoplasty . . . . . . . . 250.00 250.00 250.00 250.00 250.00 250.00
8042 Orbital cavity,
reconstruction of floor or
roof of . . . . . . . . . . 90.00 90.00 90.00 90.00 90.00 90.00
8046 Maxilla, resection of . . . 165.00 165.00 165.00 165.00 165.00 165.00
8050 Mandible, resection of . . . 130.00 130.00 130.00 130.00 130.00 130.00
8051 Mandible, resection of (D) . 130.00 130.00 130.00 130.00 130.00 130.00
8054 Mandible, segmental
resection of, for tumours . 110.00 110.00 110.00 110.00 110.00 110.00
8055 Mandible, segmental
resection of, for tumours
(D) . . . . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
8058 Mandible, section-fixation
for progna- thism or
retrognathism . . . . . . . 110.00 110.00 110.00 110.00 110.00
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110.00
8059 Mandible, section-fixation
for progna- thism or
retrognathism (D) . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
8060 Mandible, hemi-mandibular
reconstruction with bone
graft, not associated with
Item 8050 . . . . . . . . . 150.00 150.00 150.00 150.00 150.00 150.00
8062 Mandible, condylectomy . . . 65.00 65.00 65.00 65.00 65.00 65.00
8063 Mandible, condylectomy (D) . 65.00 65.00 65.00 65.00 65.00 65.00
8066 Osteotomy or osteectomy of
mandible (other than
alveolar margins) for
congenital malformation not
covered by any other item in
this Part . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
8067 Osteotomy or osteectomy of
mandible (other than
alveolar margins) for
congenital malformation not
covered by any other item in
this Part (D) . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
8070 Osteotomy or Osteectomy of
Maxilla (other than alveolar
margins) for congenital
malformation not covered by
any other item in this Part 65.00 65.00 65.00 65.00 65.00 65.00
8071 Osteotomy or Osteectomy of
Maxilla (other than alveolar
margins) for congenital
malformation not covered by
any other item in this Part
(D) . . . . . . . . . . . . 65.00 65.00 65.00 65.00 65.00 65.00

Meticulous Plastic repair of Eyelids, Nose, Ears, Lips, Palate or Pharynx designed to obtain maximal functional or cosmetic results including the
preparation of the defect requiring repair
8110 Single stage local flap
repair, simple, small . . . 50.00 50.00 50.00 50.00 50.00 50.00
8111 Single stage local flap
repair, simple, small (D) . 50.00 50.00 50.00 50.00 50.00 50.00
8114 Single stage local flap
repair, complicated or large 75.00 75.00 75.00 75.00 75.00 75.00
8119 Direct flap repair, first
stage . . . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
8123 Direct flap repair, second
stage . . . . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
8128 Indirect flap or tubed
pedicle, formation of . . . 85.00 85.00 85.00 85.00 85.00 85.00

8132 Indirect flap or tubed
pedicle, delay, intermediate
transfer or detachment of . 50.00 50.00 50.00 50.00 50.00 50.00
8136 Indirect flap or tubed
pedicle, preparation of site
and attachment to site . . . 110.00 110.00 110.00 110.00 110.00 110.00
8141 Indirect flap or tubed
pedicle, spreading of
pedicle, as a separate
procedure . . . . . . . . . 85.00 85.00 85.00 85.00 85.00 85.00
8145 Direct, indirect or local
flap repair, revision of
graft . . . . . . . . . . . 55.00 55.00 55.00 55.00 55.00 55.00
8150 Free grafts (split skin or

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pinch grafts) on granulating
areas, small . . . . . . . . 33.00 33.00 33.00 33.00 33.00 33.00
8154 Free grafts (split skin) on
granulating areas, extensive 65.00 65.00 65.00 65.00 65.00 65.00
8159 Free grafts (split skin) to
extensive burns . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
8163 Free grafts (split skin)
including elective
dissection, small . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
8167 Free grafts (split skin)
including elective
dissection, extensive . . . 130.00 130.00 130.00 130.00 130.00 130.00
8172 Free full thickness grafts . 75.00 75.00 75.00 75.00 75.00 75.00
8176 Whole thickness repair of
eyelid . . . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
8180 Partial reconstruction of
eyelid or socket . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
8184 Correction of ptosis
(unilateral) . . . . . . . . 120.00 100.00 100.00 100.00 100.00 100.00
8188 Ectropion or entropion,
correction of (unilateral) . 60.00 60.00 60.00 60.00 60.00 60.00
8192 Reduction of eyelid or
eyelids of one eye . . . . . 60.00 60.00 60.00 60.00 60.00 60.00
8196 Symblepharon, grafting for . 65.00 65.00 65.00 65.00 65.00 65.00
8200 Rhinoplasty involving
correction of bony or
cartilaginous vault of the
nose . . . . . . . . . . . . 110.00 100.00 100.00 100.00 100.00 100.00
8204 Rhinoseptoplasty . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00
8208 Rhinoplasty, cosmetic, not
covered by Item 6584 or 6586 180.00 200.00 180.00 180.00 180.00 180.00
8212 Rhinoplasty, secondary
revision of . . . . . . . . 27.50 27.50 27.50 27.50 27.50 27.50
8216 Rhinophyma, correction of . 65.00 65.00 65.00 65.00 65.00 65.00
8220 Composite graft to nose or
ear . . . . . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
8224 Lop ear, bat ear or similar
deformity, correction of . . 100.00 100.00 100.00 100.00 100.00 100.00
8228 Pinna, amputation of,
complete . . . . . . . . . . 36.00 36.00 36.00 36.00 36.00 36.00
8232 Congenital atresia,
reconstruction of external
auditory canal . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
8236 Full thickness lip
reconstruction, other than
than simple suture-complete
procedure . . . . . . . . . 75.00 75.00 75.00 75.00 75.00 75.00
8240 Cleft lip, complete primary
repair, unilateral . . . . . 120.00 120.00 120.00 120.00 120.00 120.00
8244 Cleft lip, complete primary
repair, one stage, bilateral 160.00 160.00 160.00 160.00 160.00 160.00
8248 Cleft lip, incomplete
primary repair, unilateral . 65.00 65.00 65.00 65.00 65.00 65.00
8252 Cleft lip, secondary
correction, partial or

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incomplete . . . . . . . . . 50.00 50.00 50.00 50.00 50.00 50.00
8256 Cleft lip, secondary
correction, complete
revision . . . . . . . . . . 95.00 95.00 95.00 95.00 95.00 95.00
8260 Cleft lip, secondary
correction, Abbe flap . . . 220.00 220.00 220.00 220.00 220.00 220.00
8264 Cleft lip, secondary
correction of nostril or
nasal tip . . . . . . . . . 41.00 41.00 41.00 41.00 41.00 41.00
8268 Cleft palate, primary
repair, partial cleft . . . 120.00 120.00 120.00 120.00 120.00 120.00
8269 Cleft palate, primary
repair, partial cleft (D) . 120.00 120.00 120.00 120.00 120.00 120.00
8272 Cleft palate, primary
repair, complete cleft . . . 150.00 150.00 150.00 150.00 150.00 150.00
8273 Cleft palate, primary
repair, complete cleft (D) . 150.00 150.00 150.00 150.00 150.00 150.00
8276 Cleft palate, secondary
repair, incomplete . . . . . 65.00 65.00 65.00 65.00 65.00 65.00
8277 Cleft palate, secondary
repair, incomplete (D) . . . 65.00 65.00 65.00 65.00 65.00 65.00
8280 Cleft palate, secondary
repair, lengthening
procedure . . . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
8281 Cleft palate, secondary
repair, lengthening
procedure (D) . . . . . . . 110.00 110.00 110.00 110.00 110.00 110.00
8284 Cleft palate, partial
repair, complex cleft . . . 110.00 110.00 110.00 110.00 110.00 110.00
8285 Cleft palate, partial
repair, complex cleft (D) . 110.00 110.00 110.00 110.00 110.00 110.00
8288 Pharyngeal flap or
pharyngoplasty . . . . . . . 130.00 130.00 130.00 130.00 130.00 130.00 ------------------------------------------------------------------------------ --

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - SCHEDULE 2


SCHEDULE 2
Section 30

HEADS OF AGREEMENT

1. The agreement is to be in force for a specified period.

2. The agreement is to specify the hospitals in the State that are to be recognized hospitals for the purposes of the agreement.

3. Australia is to meet, in accordance with Heads 4 and 5, an amount equal to 50 per centum of the net operating costs of all the recognized hospitals in the State in respect of the period during which the agreement is in force or 50 per centum of the aggregate of the amounts paid by the State to all the recognized hospitals in the State towards meeting the costs of operating those hospitals during that period, whichever is the less.

4. Australia is to make daily bed payments, in accordance with section 31, to each recognized hospital in the State in respect of the period during which the agreement is in force.

5. Australia is to pay to the State an amount equal to the amount by which the aggregate of the daily bed payments under Head 4 is less than the amount that Australia is to meet under Head 3.

6. The State is to endeavour to ensure that care and treatment provided by recognized hospitals in the State, in accordance with Heads 7 to 10 (inclusive), are, or will be, available to all eligible persons in the State who wish to receive them.

7. An eligible person is to be entitled to receive care and treatment as a hospital patient in a recognized hospital free of charge.

8. An eligible person is to be entitled to receive free of charge out-patient services provided by a recognized hospital, but specified out-patient services may be restricted to persons who are able to satisfy a means test.

9. An eligible person who-

(a) is a private patient in a recognized hospital; or

(b) being a hospital patient in a recognized hospital, elects to pay hospital charges in respect of accommodation in a single room or small ward in the hospital,
is to be charged only in accordance with the scale of hospital charges set out in the agreement.

10. Unless the agreement otherwise provides, Heads 7 and 9 do not apply in relation to the care and treatment of an eligible person in a recognized hospital in respect of an injury or disease if the eligible person is entitled to the payment of, or has been paid, compensation or damages in respect of that injury or disease.

11. The agreement may be varied from time to time by agreement between Australia and the State.
------------------------------------------------------------------------------ --

HEALTH INSURANCE ACT 1973 No. 42 of 1974 - NOTE


NOTE
1. Act No. 42, 1974; assented to 8 August 1974.