(a) is a second or subsequent attendance on the patient, in the course of a single course of treatment by the consultant physician, during which it is not necessary for the consultant physician to carry out a physical examination of the patient; and
(b) does not result in a substantial alteration to the treatment of the patient.
(a) means treatment of a dislocation or fracture by non‑operative reduction; and
(b) includes the use of percutaneous fixation, or external splintage by cast or splints.
(a) is equipped and staffed so that it is capable of providing to a patient:
(i) hyperbaric oxygen therapy at a treatment pressure of at least 2.8 atmospheric pressure absolute (180 kilopascal gauge pressure); and
(ii) mechanical ventilation and invasive cardiovascular monitoring within a multiplace chamber for the duration of the hyperbaric treatment; and
(i) at least 1 specialist anaesthetist, consultant physician or medical practitioner who holds the Diploma of Diving and Hyperbaric Medicine of the South Pacific Underwater Medicine Society, and who is rostered and immediately available to the hyperbaric facility during normal working hours; and
(ii) a registered medical practitioner who is present in the hospital and immediately available to the facility at all times when patients are being treated at the hyperbaric facility; and
(iii) a registered nurse with specific training in hyperbaric patient care to the published standards of the Hyperbaric Technicians and Nurses Association, and who is present during hyperbaric oxygen therapy; and
(c) has defined admission and discharge policies.
(a) is equipped and staffed so as to be capable of providing to a patient:
(i) mechanical ventilation for a period of several days; and
(i) at least 1 specialist or consultant physician in the specialty of intensive care who is immediately available and exclusively rostered to the intensive care unit during normal working hours; and
(ii) a registered medical practitioner who is present in the hospital and immediately available to the unit at all times; and
(iii) a registered nurse for at least 18 hours each day; and
(c) has defined admission and discharge policies.
(a) a practitioner who is vocationally registered under section 3F of the Act; or
(ii) participates in the quality assurance and continuing medical education of the RACGP; and
(iii) meets the RACGP requirements for quality assurance and continuing education; or
(c) a practitioner who is undertaking an approved placement in general practice:
(i) as part of a training program for general practice leading to the award of the Fellowship of the RACGP; or
(ii) as part of another training program recognised by the RACGP as being of an equivalent standard.
(i) physically or mentally handicapped persons.
(a) is equipped and staffed so as to be capable of providing to a patient who is a newly born child:
(i) mechanical ventilation for a period of several days; and
(i) at least 1 consultant physician in paediatric medicine who is immediately available and exclusively rostered to the intensive care unit during normal working hours; and
(ii) a registered medical practitioner who is present in the hospital and immediately available to the unit at all times; and
(iii) a registered nurse for at least 18 hours each day; and
(c) has defined admission and discharge policies.
(a) operative exposure including the use of any internal or external fixation; or
(b) non-operative (closed reduction) where intra-medullary fixation or external fixation is used.
(a) in the case of all referrals — a medical practitioner; and
(b) if the referral is made to a specialist who is an ophthalmologist — an optometrist; and
(c) if the referral arises out of a dental service provided by a dental practitioner and is made to a specialist (but not a consultant physician) — a dental practitioner; and
(d) if the referral arises out of a dental service provided by a dental practitioner who is approved by the Minister for the purposes of paragraph (b) of the definition of professional service in subsection 3 (1) of the Act and is made to a consultant physician — a dental practitioner.
(3) In this table, a reference by number to an item in the series 55028 to 63946 is a reference to the item so numbered in the diagnostic imaging services table.
(4) In this table, a reference by number in an item to a combined anaesthetic unit value is a reference to the number that is calculated using the formula:
(a) if the service in connection with which the anaesthetic is administered is a service described in another item that includes the formula described in rule 5 — the number associated with B in the formula in the other item; and
(a) if the service in connection with which the anaesthetic is administered is a service described in another item that includes the formula described in rule 5 — the number associated with T in the formula in the other item; and
(b) in any other case — the number of whole periods, commencing when the medical practitioner begins to prepare his or her patient for anaesthesia and ending when he or she ceases to attend the patient, being:
(ii) 10 minutes in any period in excess of that period.
(i) is provided to a patient who has been referred to the specialist; and
(ii) is the first service provided by the specialist in accordance with the referral; or
(i) is provided to a patient who has been referred to the specialist; and
(ii) is part of a single course of treatment given for the condition identified in the referral or, if no condition was identified in the referral, part of a single course of treatment for the condition identified by the specialist; and
(iii) is provided within the period of validity of the referral applicable under regulation 31 of the Health Insurance Regulations 1975; or
(i) is provided to a patient who has declared that a written referral completed by a named referring practitioner has been lost, stolen or destroyed before the service was provided; and
(ii) is the first service provided by the specialist in accordance with the referral; or
(i) is provided to a patient who has not been referred to the specialist; and
(ii) is a service that, in an emergency within the meaning of the Health Insurance Regulations 1975, the specialist decides is necessary in the patient’s interests to be provided as soon as practicable without a referral.
(a) the initial attendance by a specialist or consultant physician; and
(b) the continuing management or treatment up to and including the stage when the patient is referred back to the care of the referring practitioner; and
(c) any subsequent review of the patient’s condition by the specialist or consultant physician that may be necessary, whether the review is initiated by the referring practitioner or the specialist or consultant physician.
(2) For subrule (1), an unrelated illness that requires referral of the patient to the specialist’s or consultant physician’s care, initiates a new course of treatment for which a new referral is required.
(3) For subrule (1), where the patient is attended by the specialist or consultant physician after the end of the period of validity of the last referral applicable under regulation 31 of the Health Insurance Regulations 1975, the attendance initiates a new course of treatment if:
(a) a referring practitioner considers it necessary for a patient’s condition to be reviewed; and
(b) the patient was last attended by the specialist or consultant physician more than 9 months before the attendance that initiates the new course of treatment.
(a) the evaluation of the patient’s condition or conditions including, if applicable, evaluation using the health screening services mentioned in subsection 19 (5) of the Act;
(b) the formulation of a plan for the management and, if applicable, for the treatment of the patient’s condition or conditions;
(c) the provision of advice to the patient about the patient’s condition or conditions and, if applicable, about treatment;
(d) if authorised by the patient, the provision of advice to another person, or other persons, about the patient’s condition or conditions and, if applicable, about treatment;
(e) the recording of the clinical details of the service or services provided to the patient.
If a general anaesthetic is administered in connection with a service specified in an item that includes the formula:
Anaes. n = n1 B + n2 T
the service that is provided by the medical practitioner who administers the anaesthetic is the service described in item n.
(a) includes an attendance by a specialist, or consultant physician, in the practice of his or her specialty:
(i) if the patient has declared that a written referral of the patient was completed by a medical practitioner; or
(b) does not include an attendance by a specialist, or consultant physician, in the practice of his or her specialty if:
(i) the attendance forms part of a single course of treatment in which the first service was provided more than 12 months (or such other period, if any, set by the referring practitioner in, or in connection with, the referral) before the attendance; and
(ii) a later referral has not been made.
(i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $17.90 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — $1.15.
(i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $17.90 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — $1.15.
(i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $17.90 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — $1.15.
(i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $17.90 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — $1.15.
(i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $15.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — 70 cents.
(i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $17.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — 70 cents.
(i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $15.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — 70 cents.
(i) for each patient attended at a single attendance up to a maximum of 6 patients — an amount equal to $15.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6 — 70 cents.
(i) for each patient attended at a single attendance up to a maximum of 6 patients — $17.90 divided by the number of patients attended; or
(ii) for each patient attended in excess of 6 — $1.15.
Items 10809 and 10929 do not apply if the patient requires contact lenses only for 1, or more than 1, of the following reasons:
(a) because the patient does not want to wear spectacles for reasons of appearance; or
(b) because the patient wants contact lenses for work, or sporting, purposes; or
(c) because the patient has difficulty in using, or cannot use, spectacles for psychological reasons.
(2) The items are items 1 to 164, 173 to 340, 348 to 10816, 11012, 11015, 11018, 11021, 11212, 11304, 11500, 11600, 11601, 11627, 11701, 11712, 11724, 11921, 12000, 12003, 13030, 13100, 13103, 13106, 13109, 13110, 13112, 13209, 13290, 13292, 13300, 13303, 13306, 13309, 13312, 13318, 13319, 13400, 13500, 13503, 13506, 13600, 13603, 13604, 13606, 13609, 13700, 13703, 13706, 13709, 13815, 13818, 13830, 13839, 13842, 13845, 13848, 13851, 13854, 13857, 13870, 13873, 13876, 13879, 13882, 13885, 13888, 14100, 14103, 14106, 14109, 14112, 14115, 14118, 14120, 14122, 14124, 14126, 14128, 14130, 14132, 14200, 14203, 14206, 14209, 14212, 15600, 16003 to 16512 and 16515 to 51318.
(3) Items 170, 171, 172, 342, 344 and 346 apply only to a service provided in the course of a personal attendance by a medical practitioner.
(1) The items mentioned in subrule (3) apply only to a service provided in the course of a personal attendance by:
(a) a medical practitioner other than a medical practitioner employed by the proprietor of a hospital other than a private hospital; or
(i) is employed by the proprietor of a hospital other than a private hospital; and
(ii) provides the service otherwise than in the course of employment by that proprietor.
(2) Paragraph 1 (b) applies whether or not another person provides essential assistance to that medical practitioner in accordance with accepted medical practice.
(3) The items are items 1 to 10816, 11012, 11015, 11018, 11021, 11212, 11304, 11500, 11600, 11601, 11627, 11701, 11712, 11724, 11921, 12000, 12003, 13030, 13100, 13103, 13106, 13109, 13110, 13112, 13209, 13290, 13292, 13300, 13303, 13306, 13309, 13312, 13318, 13319, 13400, 13500, 13503, 13506, 13600, 13603, 13604, 13606, 13609, 13700, 13703, 13706, 13709, 13815, 13818, 13830, 13839, 13842, 13845, 13848, 13851, 13854, 13857, 13870, 13873, 13876, 13879, 13882, 13885, 13888, 14100, 14103, 14106, 14109, 14112, 14115, 14118, 14120, 14122, 14124, 14126, 14128, 14130, 14132, 14200, 14203, 14206, 14209, 14212, 15600, 16003 to 16512 and 16515 to 51318.
(b) a person, other than a medical practitioner, who is employed by a medical practitioner or, in accordance with accepted medical practice, acts under the supervision of a medical practitioner.
(2) The items are items 11000, 11003, 11006, 11009, 11024, 11027, 11200, 11203, 11206, 11209, 11215, 11218, 11221, 11222, 11224, 11225, 11235, 11300, 11303, 11306, 11309, 11312, 11315, 11318, 11321, 11324, 11327, 11330, 11333, 11336, 11339, 11503, 11506, 11509, 11512, 11603, 11606, 11609, 11612, 11615, 11618, 11621, 11624, 11700, 11702, 11706, 11708, 11709, 11710, 11711, 11713, 11715, 11718, 11721, 11800, 11810, 11830, 11833, 11900, 11903, 11906, 11909, 11912, 11915, 11918, 12012, 12015, 12018, 12021, 12200, 12203, 12207, 12500 to 12533, 13020, 13025, 13200, 13203, 13206, 13212, 13215, 13218, 13221, 13750, 13755, 13757, 13760, 13915 to 13948, 14050, 14053, 15000 to 15536 and 16514.
(a) in conditions that allow the establishment of determinate thresholds; and
(b) in a sound-attenuated environment with background noise conditions that comply with Australian Standard AS1269‑1983 of the Standards Association of Australia, as in force on 1 August 1987; and
(c) using calibrated equipment that complies with Australian Standard AS2586-1983 of the Standards Association of Australia, as in force on 1 August 1987.
Items 51700 to 53460 apply only to a service provided in the course of dental practice by a dental practitioner approved by the Minister for the purposes of the definition of professional service in subsection 3 (1) of the Act.
(b) $12.95 for each field separately treated in excess of 1.
(b) $14.30 for each field separately treated in excess of 1.
(b) $17.20 for each field separately treated in excess of 1.
(b) $28.75 for each field separately treated in excess of 1.
(b) $28.75 for each field separately treated in excess of 1.
(b) $24.15 for each field separately treated in excess of 1.
(b) $14.10 for each field separately treated in excess of 1.
(b) $35.80 for each field separately treated in excess of 1.
(a) for item 17977 — 85% of the fee, for the administration of an anaesthetic, for the item relating to an original amputation of the kind performed (being any of items 44324 to 44373); or
(b) for item 44376 — 75% of the fee for the item relating to an original amputation of the kind performed (being any of items 44324 to 44373).
An item in the series 75200 to 75206 and 75800 to 75854 that includes the symbol (AD) applies only to a service provided by a State registered dental practitioner practising as a dentist.
(i) registered or licensed as an orthodontist under the relevant law; and
(ii) accredited by the Minister for the purposes of this rule; or
(i) who is not registered or licensed under the relevant law as an orthodontist or who practises in a State or Territory in which there is no provision for the registration or licensing of orthodontists; and
(ii) whose qualifications or experience demonstrate to the Committee his or her competence in the field of orthodontics that is applicable to the giving of the services specified in items 75001 to 75051; and
(iii) who is accredited by the Minister for the purposes of this rule.
(2) An item in the series 75001 to 75006 or 75024 to 75051 that includes the symbol (AO) applies only to a service provided by an accredited orthodontist.
(i) registered under the appropriate law as an oral and maxillofacial surgeon; and
(ii) a dental practitioner approved by the Minister for the purposes of the definition of professional service in subsection 3 (1) of the Act.
(a) registered under the relevant law as an oral and maxillofacial surgeon; and
(b) a dental practitioner approved by the Minister for the purposes of the definition of professional service in subsection 3 (1) of the Act.
(a) a person who, before 1 March 1999, had been assessed by the Credentialling Subcommittee (the Credentialling Subcommittee) of the Specialist Advisory Committee in Thoracic and Sleep Medicine of the Royal Australasian College of Physicians (the Advisory Committee) as having sufficient training and experience in sleep medicine to be competent in independent clinical assessment and management of patients with respiratory sleep disorders and in reporting sleep studies; or
(b) for 2 years following assessment — a person who, before 1 March 1999, had been assessed by the Credentialling Subcommittee as having substantial training or experience in sleep medicine but as requiring further specified training or experience in sleep medicine to be competent in independent clinical assessment and management of patients with respiratory sleep disorders and in reporting sleep studies; or
(c) a person mentioned in paragraph (b) who has been assessed by the Credentialling Subcommittee as having satisfactorily finished the training or gained the experience specified for that person; or
(d) a person who, after completing at least 12 months’ core training, including clinical practice in sleep medicine and in reporting sleep studies, has attained Level I or Level II of the Advanced Training Program in Sleep Medicine of the Thoracic Society of Australia and New Zealand and the Australasian Sleep Association; or
(e) a person whom the Advisory Committee has recognised, in writing, as having training equivalent to the training mentioned in paragraph (d).
(i) if treatment with superovulatory drugs is given — on the day on which that treatment begins; or
(ii) if treatment with superovulatory drugs is not given — on the first day of the menstrual cycle of the patient; and
(b) ends not more than 30 days after that day.
If a service is provided as part of a treatment cycle to which a subgroup applies, it is not a medical service for an item mentioned in:
(a) an item in subgroup 3 of group T1 (assisted reproductive services); and
(b) any other item outside that subgroup.
Items 13200 to 13221 do not apply to a service in relation to a patient’s pregnancy, or intended pregnancy, that is, at the time of the service, the subject of an agreement, or arrangement, under which the patient makes provision for guardianship of, or custodial rights to, a child born as a result of the pregnancy to be transferred to another person.
(d) preparation of gametes or embryos for transfer or freezing.
(a) induction of labour by surgical or intravenous infusion methods; and
(g) evacuation of the products of conception by manual removal.
(1) Items 51300 to 51318 apply only to assistance rendered by a medical practitioner other than:
(b) the anaesthetist administering the anaesthetic in connection with the operation, if any; or
(c) the assistant anaesthetist, if any.
(2) Items 51800 and 51803 apply only to assistance rendered by an approved dental practitioner other than:
(b) the anaesthetist administering the anaesthetic in connection with the operation, if any; or
(c) the assistant anaesthetist, if any.
Items 48678, 48681, 48684, 48687 and 48690 apply only if the service is undertaken in association with a spinal fusion service to which item 48642, 48645, 48648, 48651, 48654, 48657, 48660, 48663, 48666, 48669, 48672 or 48675 applies.
(2) For subrule (1), the amount payable for the Caesarean section component of the operations is the fee applicable to item 16520.
(a) the amount of the fee for the service shown in item 18216 including continuous attendance by the medical practitioner for 1 hour; and
(b) an amount of $14.40 for each additional period of 15 minutes, or part of a period of 15 minutes, for continuous attendance by the medical practitioner beyond the first hour.
For items 30196 to 30205, the requirement for histopathological proof of malignancy is satisfied where multiple lesions are to be removed from the 1 anatomical region if a single lesion from that region is histologically tested and proven positive for malignancy.
(h) retinal detachment.
(a) for item 17800 — if the anaesthetic time exceeds the assigned number of anaesthetic time units for the surgical procedure by more than 1 hour — for a procedure that has been assigned 1 to 12 anaesthetic time units;
(b) for item 17805 — if the anaesthetic time exceeds the assigned number of anaesthetic time units for the surgical procedure by more than 1 hour and 30 minutes — for a procedure that has been assigned 13 to 24 anaesthetic time units;
(c) for item 17810 — if the anaesthetic time exceeds the assigned number of anaesthetic time units for the surgical procedure by more than 2 hours — for a procedure that has been assigned 25 anaesthetic time units or more.
(a) invasive monitoring, either intravascular or transoesophageal;
(e) separation of conjoint twins.
An attendance by a consultant occupational physician will only attract a benefit if the attendance relates to 1 or more of the following matters:
(a) evaluation and assessment of a patient’s rehabilitation requirements where, in the consultant’s opinion, the patient has an accepted medical condition which may be affected by his or her working environment or ability to be employed;
(b) management of an accepted medical condition that, in the consultant’s opinion, may affect a patient’s capacity for continued employment or return to employment following a non-compensable accident, injury or ill-health;
(c) evaluation and forming an opinion, including management as the case requires, of a patient’s medical condition where causation may be related to acute or chronic exposure from scientifically accepted environmental hazards or toxins.
| Item | Service | Fee |
| |
| Attendances |
| | | |
| Group A1 — General practitioner attendances to which no other item applies |
| | | |
| 1 | Professional attendance being an attendance at other than consulting rooms, by a general practitioner on not more than 1 patient on the 1 occasion — each attendance, other than an attendance between 11 pm and 7 am, on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient’s medical condition requires immediate treatment | $55.65 |
| | | |
| 2 | Professional attendance being an attendance at consulting rooms, by a general practitioner on not more than 1 patient on the 1 occasion — each attendance, other than an attendance between 11 pm and 7 am, on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient’s medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance | $55.65 |
| | | |
| 3 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management — each attendance | $12.00 |
| | | |
| 4 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management — an attendance on 1 or more patients on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 13 | Professional attendance at an institution (not being a service to which any other item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 19 | Professional attendance at a hospital (not being a service to which any other item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 20 | Professional attendance (not being a service to which any other item applies) at a nursing home including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in a nursing home or aged persons’ accommodation (not being accommodation in a self contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 23 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 36 or 44 applies — each attendance | $25.25 |
| | | |
| 24 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a general practitioner taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 37 to 47 applies — an attendance on 1 or more patients on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 25 | Professional attendance at an institution (not being a service to which any other item applies) by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 38 or 48 applies — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 33 | Professional attendance at a hospital (not being a service to which any other item applies) by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 40 or 50 applies — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 35 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 43 or 51 applies — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 36 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 44 applies — each attendance | $45.65 |
| | | |
| 37 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a general practitioner taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, or a professional attendance of less than 40 minutes duration involving components of a service to which item 47 applies — an attendance on 1 or more patients on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 38 | Professional attendance at an institution (not being a service to which any other item applies) by a general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 48 applies — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 40 | Professional attendance at a hospital (not being a service to which any other item applies) by a general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 50 applies — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 43 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) by a general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 51 applies — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 44 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan — each attendance | $67.25 |
| | | |
| 47 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a general practitioner taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan — an attendance on 1 or more patients on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 48 | Professional attendance at an institution (not being a service to which any other item applies) by a general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 50 | Professional attendance at a hospital (not being a service to which any other item applies) by a general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 51 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) by a general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient | Amount under rule 7 |
| | | |
| Group A2 — Other non‑referred attendances to which no other item applies |
| | | |
| 52 | Professional attendance at consulting rooms of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance | $11.00 |
| | | |
| 53 | Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance | $21.00 |
| | | |
| 54 | Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance | $38.00 |
| | | |
| 57 | Professional attendance at consulting rooms of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance | $61.00 |
| | | |
| 58 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 59 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 60 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 65 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 81 | Professional attendance at an institution of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 83 | Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 84 | Professional attendance at an institution of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 86 | Professional attendance at an institution of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 87 | Professional attendance at a hospital of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 89 | Professional attendance at a hospital of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 90 | Professional attendance at a hospital of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 91 | Professional attendance at a hospital of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 92 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) of not more than 5 minutes duration by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 93 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) of more than 5 minutes duration but not more than 25 minutes duration by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 95 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) of more than 25 minutes duration but not more than 45 minutes duration) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 96 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit) of more than 45 minutes duration by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 nursing home on 1 occasion — each patient | Amount under rule 7 |
| | | |
| 97 | Professional attendance being an attendance at other than consulting rooms, by a medical practitioner (not being a general practitioner) on not more than 1 patient on the 1 occasion — each attendance, other than an attendance between 11 pm and 7 am, on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient’s medical condition requires immediate treatment | $50.95 |
| | | |
| 98 | Professional attendance being an attendance at consulting rooms, by a medical practitioner (not being a general practitioner) on not more than 1 patient on the 1 occasion — each attendance, other than an attendance between 11 pm and 7 am, on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient’s medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance | $50.95 |
| | | |
| Group A3 — Specialist attendances to which no other item applies |
| | | |
| 104 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her — an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home, not being a service to which item 106 applies | $64.85 |
| | | |
| 105 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her — each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home | $32.50 |
| | | |
| 106 | Professional attendance by a specialist in the practice of his or her speciality where the patient is referred to him or her — an attendance (other than a second or subsequent attendance in a single course of treatment) at which refraction is performed by a specialist ophthalmologist, and the attendance results in the issuing of a prescription for spectacles or contact lenses, including any consultation on the same occasion and any other attendance on the same day (not being a service to which item 10801, 10802, 10803, 10804, 10805, 10806, 10807, 10808, 10809 or 10815 applies), where the attendance is at consulting rooms, hospital or nursing home | $53.40 |
| | | |
| 107 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her — an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home | $95.05 |
| | | |
| 108 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her — each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home | $60.15 |
| | | |
| Group A4 — Consultant physician attendances to which no other item applies |
| | | |
| 110 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner — initial attendance in a single course of treatment | $114.35 |
| | | |
| 116 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner — each attendance (not being a service to which item 119 applies) subsequent to the first in a single course of treatment | $57.25 |
| | | |
| 119 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner — each minor attendance subsequent to the first in a single course of treatment | $32.50 |
| | | |
| 122 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner — initial attendance in a single course of treatment | $138.80 |
| | | |
| 128 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner — each attendance (other than a service to which item 131 applies) subsequent to the first in a single course of treatment | $83.90 |
| | | |
| 131 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner — each minor attendance subsequent to the first in a single course of treatment | $60.40 |
| | | |
| Group A5 — Prolonged attendances to which no other item applies |
| | | |
| 160 | Professional attendance for a period of not less than 1 hour but less than 2 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other patients | $154.85 |
| | | |
| 161 | Professional attendance for a period of not less than 2 hours but less than 3 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other patients | $258.05 |
| | | |
| 162 | Professional attendance for a period of not less than 3 hours but less than 4 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other patients | $361.30 |
| | | |
| 163 | Professional attendance for a period of not less than 4 hours but less than 5 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other patients | $464.50 |
| | | |
| 164 | Professional attendance for a period of 5 hours or more (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other patients | $516.15 |
| | | |
| Group A6 — Group therapy |
| | | |
| 170 | Professional attendance for the purpose of group therapy of not less than 1 hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family — each group of 2 patients | $93.45 |
| | | |
| 171 | Professional attendance for the purpose of group therapy of not less than 1 hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family — each group of 3 patients | $98.50 |
| | | |
| 172 | Professional attendance for the purpose of group therapy of not less than 1 hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family — each group of 4 or more patients | $119.80 |
| | | |
| Group A7 — Acupuncture |
| | | |
| 173 | Attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed | $21.65 |
| | | |
| 193 | Professional attendance by a general practitioner at a place other than a hospital, on one occasion, involving either: (a) taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems; or (b) a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies and at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the surface of the skin by any means; including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed | $25.25 |
| | | |
| 195 | Professional attendance by a general practitioner on 1 or more patients at a hospital, on one occasion, involving either: (a) taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems; or | Amount under rule 7 |
| | (b) a professional attendance of less than 20 minutes duration involving components of a service to which item 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 applies and at which acupuncture is performed by the medical practitioner by the application of stimuli on or through the surface of the skin by any means; including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed | |
| | | |
| Group A8 — Consultant psychiatrist attendances to which no other item applies |
| | | |
| 300 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of not more than 15 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year | $32.80 |
| | | |
| 302 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 15 minutes duration but not more than 30 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year | $65.55 |
| | | |
| 304 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 30 minutes duration but not more than 45 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year | $96.10 |
| | | |
| 306 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 45 minutes duration but not more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year | $132.65 |
| | | |
| 308 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year | $161.65 |
| | | |
| 310 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of not more than 15 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year | $16.40 |
| | | |
| 312 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 15 minutes duration but not more than 30 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year | $32.80 |
| | | |
| 314 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 30 minutes duration but not more than 45 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year | $48.05 |
| | | |
| 316 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 45 minutes duration but not more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year | $66.35 |
| | | |
| 318 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 75 minutes duration at consulting rooms, where that attendance and any other attendance to which items 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year | $80.85 |
| | | |
| 319 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 45 minutes duration at consulting rooms, where the patient has: (a) been diagnosed as suffering severe personality disorder, anorexia nervosa, bulimia nervosa, dysthymic disorder, substance-related disorder, somatoform disorder or a pervasive development disorder; and (b) for persons 18 years and over, been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale — where that attendance and any other attendance to which items 300 to 308 apply do not exceed 160 attendances in a calendar year | $132.65 |
| | | |
| 320 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of not more than 15 minutes duration at hospital or nursing home | $32.80 |
| | | |
| 322 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 15 minutes duration but not more than 30 minutes duration at hospital or nursing home | $65.55 |
| | | |
| 324 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 30 minutes duration but not more than 45 minutes duration at hospital or nursing home | $96.10 |
| | | |
| 326 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 45 minutes duration but not more than 75 minutes duration at hospital or nursing home | $132.65 |
| | | |
| 328 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 75 minutes duration at hospital or nursing home | $161.65 |
| | | |
| 330 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of not more than 15 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home. | $60.25 |
| | | |
| 332 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home. | $94.55 |
| | | |
| 334 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home. | $131.15 |
| | | |
| 336 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home. | $158.60 |
| | | |
| 338 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner — an attendance of more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | $189.10 |
| | | |
| 342 | Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a medical practitioner — each patient | $37.40 |
| | | |
| 344 | Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a medical practitioner — each patient | $49.65 |
| | | |
| 346 | Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a medical practitioner — each patient | $73.40 |
| | | |
| 348 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes duration but less than 45 minutes duration, in the course of initial diagnostic evaluation of a patient | $39.65 |
| | | |
| 350 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 45 minutes duration, in the course of initial diagnostic evaluation of a patient | $89.15 |
| | | |
| 352 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes duration, in the course of continuing management of a patient — payable not more than 4 times in any 12 month period | $39.65 |
| | | |
| Group A12 — Consultant occupational physician attendances to which no other item applies |
| | | |
| 385 | Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine where the patient is referred to him or her by a medical practitioner — initial attendance in a single course of treatment | $64.85 |
| | | |
| 386 | Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine where the patient is referred to him or her by a medical practitioner — each attendance subsequent to the first in a single course of treatment | $32.50 |
| | | |
| 387 | Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine where the patient is referred to him or her by a medical practitioner — initial attendance in a single course of treatment | $95.05 |
| | | |
| 388 | Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine where the patient is referred to him or her by a medical practitioner — each attendance subsequent to the first in a single course of treatment | $60.15 |
| | | |
| Group A11 — Unsociable hours |
| | | |
| 601 | Professional attendance, being an attendance at other than consulting rooms, by a general practitioner on not more than 1 patient on the 1 occasion — each attendance on any day of the week between 11 pm and 7 am, where the attendance is initiated by or on behalf of the patient in the same unbroken after-hours period and where the patient’s medical condition requires immediate treatment | $66.555 |
| | | |
| 602 | Professional attendance, being an attendance at consulting rooms, by a general practitioner on not more than 1 patient on the 1 occasion — each attendance on any day of the week between 11 pm and 7 am, where the attendance is initiated by or on behalf of the patient in the same unbroken after-hours period and where the patient’s medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance | $66.55 |
| | | |
| 697 | Professional attendance, being an attendance at other than consulting rooms, by a medical practitioner, (not being a general practitioner) on not more than 1 patient on the 1 occasion — each attendance on any day of the week between 11 pm and 7 am, where the attendance is initiated by or on behalf of the patient in the same unbroken after-hours period and where the patient’s medical condition requires immediate treatment | $61.55 |
| | | |
| 698 | Professional attendance, being an attendance at consulting rooms, by a medical practitioner (not being a general practitioner) on not more than 1 patient on the 1 occasion — each attendance on any day of the week between 11 pm and 7 am, where the attendance is initiated by or on behalf of the patient in the same unbroken after-hours period and where the patient’s medical condition requires immediate treatment and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance | $61.55 |
| | | |
| Group A9 — Contact lenses |
| | | |
| 10801 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients with myopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | $92.30 |
| | | |
| 10802 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | $92.30 |
| | | |
| 10803 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients with astigmatism of 3.0 dioptres or greater in 1 eye | $92.30 |
| | | |
| 10804 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAr (6/12) and if that corrected acuity would be improved by an additional 0.1 logMAr by the use of a contact lens | $92.30 |
| | | |
| 10805 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents) | $92.30 |
| | | |
| 10806 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients with corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes, being patients for whom a contact lens is prescribed as part of a telescopic system | $92.30 |
| | | |
| 10807 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity — whether congenital, traumatic or surgical in origin | $92.30 |
| | | |
| 10808 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients who, by reason of physical deformity, are unable to wear spectacles | $92.30 |
| | | |
| 10809 | Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10806, 10807 or 10808 applies) requiring the use of a contact lens for correction, where the condition is specified on the patient’s account | $92.30 |
| | | |
| 10816 | Attendance for the refitting of contact lenses with keratometry and testing with trial lenses and the issue of a prescription, where the patient requires a change in contact lens material or basic lens parameters, other than simple power change, because of a structural or functional change in the eye or an allergic response within 36 months of the fitting of a contact lens to which Items 10801 to 10809 apply | $92.30 |
| | | |
| Group A10 — Optometric consultations |
| | | |
| Subgroup 1 — Optometric consultations |
| 10900 | Professional attendance of more than 15 minutes duration, being the first in a course of attention — not payable within 24 months of an attendance to which item 10900, 10905, 10907, 10912, 10913 or 10914 applied | $53.40 |
| | | |
| 10905 | Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has been referred by another optometrist who is not associated with the optometrist to whom the patient is referred | $53.40 |
| | | |
| 10907 | Professional attendance of more than 15 minutes duration being the first in a course of attention where the patient has attended another optometrist within the previous 24 months for an attendance to which item 10900, 10905, 10907, 10912, 10913 or 10914 applied. The appropriate fee for the purpose of paragraph 23A (2)(c) of the Health Insurance Act 1973 is $52.60 | $26.75 |
| | | |
| 10912 | Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has suffered a significant change of visual function requiring comprehensive reassessment within 24 months of initial consultation to which item 10900, 10905, 10907, 10912, 10913 or 10914 at the same practice applied | $53.40 |
| | | |
| 10913 | Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has new signs or symptoms, unrelated to the earlier course of attention, requiring comprehensive reassessment within 24 months of initial consultation to which item 10900, 10905, 10907, 10912, 10913 or 10914 at the same practice applied | $53.40 |
| | | |
| 10914 | Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has a progressive disorder (excluding presbyopia) requiring comprehensive reassessment within 24 months of initial consultation to which item 10900, 10905, 10907, 10912, 10913 or 10914 applied | $53.40 |
| | | |
| 10916 | Professional attendance, being the first in a course of attention, of not more than 15 minutes duration | $26.75 |
| | | |
| 10918 | Professional attendance being the second or subsequent in a course of attention not related to the prescription and fitting of contact lenses | $26.75 |
| | | |
| 10921 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies — payable only once in a period of 36 months — patients with myopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | $134.50 |
| | | |
| 10922 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies — payable only once in a period of 36 months — patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | $134.50 |
| | | |
| 10923 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies — payable only once in a period of 36 months — patients with astigmatism of 3.0 dioptres or greater in 1 eye | $134.50 |
| | | |
| 10924 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies — payable only once in a period of 36 months — patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAR (6/12) and if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens | $134.50 |
| | | |
| 10925 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies — payable only once in a period of 36 months — patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents) | $134.50 |
| | | |
| 10926 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies — payable only once in a period of 36 months — patients with corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes, being patients for whom a contact lens is prescribed as part of a telescopic system | $134.50 |
| | | |
| 10927 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies — payable only once in a period of 36 months — patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity — whether congenital, traumatic or surgical in origin | $134.50 |
| | | |
| 10928 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies — payable only once in a period of 36 months — patients who, by reason of physical deformity, are unable to wear spectacles | $134.50 |
| | | |
| 10929 | All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies — payable only once in a period of 36 months — patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10926, 10927 or 10928 applies) requiring the use of a contact lens for correction, where the condition is specified on the patient’s account | $134.50 |
| | | |
| 10930 | All professional attendances regarded as a single service in a single course of attention involving the prescription and fitting of contact lenses where the patient meets the requirements of an item in the range 10921-10929 and requires a change in contact lens material or basic lens parameters, other than a simple power change, because of a structural or functional change in the eye or an allergic response within 36 months of the fitting of a contact lens covered by item 10921 to 10929 | $134.50 |
| | | |
| Diagnostic procedures and investigations |
| | | |
| Group D1 — Miscellaneous diagnostic procedures and investigations |
| | | |
| Subgroup 1 — Neurology |
| 11000 | Electroencephalography, not being a service: (a) associated with a service to which item 11003, 11006 or 11009 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices (Anaes. 17708 = 5B + 3T) | $93.25 |
| | | |
| 11003 | Electroencephalography, prolonged recording of at least 3 hours duration, not being a service: (a) associated with a service to which item 11000, 11006 or 11009 applies; or (b) involving quantitative topographic mapping using neurometrics or similar devices | $246.90 |
| | | |
| 11006 | Electroencephalography, temporosphenoidal, not being a service involving quantitative topographic mapping using neurometrics or similar devices | $126.55 |
| | | |
| 11009 | Electrocorticography | $172.60 |
| | | |
| 11012 | Neuromuscular electrodiagnosis — conduction studies on 1 nerve or electromyography of 1 or more muscles using concentric needle electrodes or both these examinations (not being a service associated with a service to which item 11015 or 11018 applies) | $84.85 |
| | | |
| 11015 | Neuromuscular electrodiagnosis — conduction studies on 2 or 3 nerves with or without electromyography (not being a service associated with a service to which item 11012 or 11018 applies) | $113.65 |
| | | |
| 11018 | Neuromuscular electrodiagnosis — conduction studies on 4 or more nerves with or without electromyography or recordings from single fibres of nerves and muscles or both of these examinations (not being a service associated with a service to which item 11012 or 11015 applies) | $169.75 |
| | | |
| 11021 | Neuromuscular electrodiagnosis — repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations | $113.65 |
| | | |
| 11024 | Central nervous system evoked responses, investigation of, by computerised averaging techniques, not being a service involving quantitative topographic mapping of event‑related potentials — 1 or 2 studies | $86.35 |
| | | |
| 11027 | Central nervous system evoked responses, investigation of, by computerised averaging techniques, not being a service involving quantitative topographic mapping of event‑related potentials — 3 or more studies | $128.05 |
| | | |
| Subgroup 2 — Ophthalmology |
| 11200 | Provocative test or tests for glaucoma, including water drinking | $30.90 |
| | | |
| 11203 | Tonography — in the investigation or management of glaucoma, of 1 or both eyes — using an electrical tonography machine producing a directly recorded tracing | $52.25 |
| | | |
| 11206 | Electroretinography of 1 or both eyes or electro‑oculography of 1 or both eyes | $83.35 |
| | | |
| 11209 | Electroretinography of 1 or both eyes and electro-oculography of 1 or both eyes | $123.55 |
| | | |
| 11212 | Optic fundi, examination of following intravenous dye injection | $53.20 |
| | | |
| 11215 | Retinal photography, multiple exposures, of 1 eye with intravenous dye injection | $93.15 |
| | | |
| 11218 | Retinal photography, multiple exposures of both eyes with intravenous dye injection | $115.10 |
| | | |
| 11221 | Full quantitative computerised perimetry — (automated absolute static threshold) performed by a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, bilateral — to a maximum of 2 examinations (including examinations to which item 11224 applies) in any 12 month period | $51.35 |
| | | |
| 11222 | Full quantitative computerised perimetry (automated absolute static threshold), performed by a specialist in the practice of his or her specialty, with assessment and report, bilateral, where it can be demonstrated that a further examination is indicated in the same 12 month period to which item 11221 applies due to presence of 1 of the following conditions: (a) established glaucoma (where surgery is being considered or has been performed) where there has been definite progression of damage over a 12 month period; (b) progressive neurologic disease; (c) for the monitoring of systemic drug toxicity, where there is also other disease such as glaucoma or neurologic disease; each additional examination | $51.35 |
| | | |
| 11224 | Full quantitative computerised perimetry — (automated absolute static threshold) performed by a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, unilateral — to a maximum of 2 examinations (including examinations to which item 11221 applies) in any 12 month period | $30.95 |
| | | |
| 11225 | Full quantitative computerised perimetry — (automated absolute static threshold), performed by a specialist in the practice of his or her specialty, with assessment and report, unilateral, where it can be demonstrated that a further examination is indicated in the same 12 month period to which item 11224 applies due to presence of 1 of the following conditions: (a) established glaucoma (where surgery is being considered or has been performed) where there has been definite progression of damage over a 12 month period; (b) progressive neurologic disease; (c) the monitoring of systemic drug toxicity, where there is also other disease such as glaucoma or neurologic disease; each additional examination | $30.95 |
| | | |
| 11235 | Examination of the eye by impression cytology of cornea for the investigation of ocular surface dysplasia, including the collection of cells, processing and all cytological examinations and preparation of report | $92.90 |
| | | |
| 11240 | Orbital contents, ultrasonic echography of, unidimensional, not being a service associated with a service to which items in Group I1 apply | $61.70 |
| | | |
| Subgroup 3 — Otolaryngology |
| 11300 | Brain stem evoked response audiometry
(Anaes. 17707 = 5B + 2T) | $145.85 |
| | | |
| 11303 | Electrocochleography, extratympanic method, 1 or both ears | $145.85 |
| | | |
| 11304 | Electrocochleography, transtympanic membrane insertion technique, 1 or both ears | $240.20 |
| | | |
| 11306 | Non-determinate audiometry | $16.65 |
| | | |
| 11309 | Audiogram, air conduction | $19.90 |
| | | |
| 11312 | Audiogram, air and bone conduction or air conduction and speech discrimination | $28.15 |
| | | |
| 11315 | Audiogram, air and bone conduction and speech | $37.35 |
| | | |
| 11318 | Audiogram, air and bone conduction and speech, with other cochlear tests | $46.00 |
| | | |
| 11321 | Glycerol induced cochlear function changes assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff’s test) | $87.45 |
| | | |
| 11324 | Impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a specialist in the practice of his or her specialty, where the patient is referred by a medical practitioner — not being a service associated with a service to which item 11309, 11312, 11315 or 11318 applies | $24.95 |
| | | |
| 11327 | Impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a specialist in the practice of his or her specialty, where the patient is referred by a medical practitioner — being a service associated with a service to which item 11309, 11312, 11315 or 11318 applies | $14.95 |
| | | |
| 11330 | Impedance audiogram where the patient is not referred by a medical practitioner — 1 examination in any 4 week period | $6.00 |
| | | |
| 11333 | Caloric test of labyrinth or labyrinths | $33.80 |
| | | |
| 11336 | Simultaneous bithermal caloric test of labyrinths | $33.80 |
| | | |
| 11339 | Electronystagmography | $33.80 |
| | | |
| Subgroup 4 — Respiratory |
| 11500 | Bronchospirometry, including gas analysis | $126.55 |
| | | |
| 11503 | Measurement of the mechanical or gas exchange function of the respiratory system, or of respiratory muscle function, or of ventilatory control mechanisms, using measurements of various parameters including pressures, volumes, flow, gas concentrations in inspired or expired air, alveolar gas or blood, electrical activity of muscles (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital) — each occasion at which 1 or more such tests are performed | $105.05 |
| | | |
| 11506 | Measurement of respiratory function involving a permanently recorded tracing performed before and after inhalation of bronchodilator — each occasion at which 1 or more such tests are performed | $15.55 |
| | | |
| 11509 | Measurement of respiratory function involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex respiratory function tests (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital) — each occasion at which 1 or more such tests are performed | $27.05 |
| | | |
| 11512 | Continuous measurement of the relationship between flow and volume during expiration or inspiration involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex lung function tests (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital) — each occasion at which 1 or more such tests are performed | $46.85 |
| | | |
| Subgroup 5 — Vascular |
| 11600 | Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter — each day of monitoring for each pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies) (Anaes. 17703 = 2B + 1T) | $52.50 |
| | | |
| 11601 | Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter — for each pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies) performed in association with the administration of an anaesthetic relating t another discrete operation on the same day (Anaes. 17703 = 2B + 1T) | $52.50 |
| | | |
| 11603 | Examination of peripheral vessels at rest (unilateral or bilateral) excluding the cavernosal artery and dorsal artery of the penis, with hard copy recordings of wave forms, involving 1 of the following techniques: (a) Doppler recordings (pulsed, continuous wave, or both) of blood flow velocity with or without pulse volume recordings; (b) Doppler recordings involving real time fast fourier transform analysis; (c) venous occlusion plethysmography; strain-gauge plethysmography; (d) impedance plethysmography; (e) photo plethysmography; (not being a service to which item 11612 or 11615 applies) — 1 examination and report | $39.15 |
| | | |
| 11606 | 2 examinations of the kind referred to in item 11603 and report (not being a service associated with a service to which item 11612 or 11615 applies) | $55.50 |
| | | |
| 11609 | 3 or more examinations of the kind referred to in item 11603 and report (not being a service to which item 11612 or 11615 applies) | $72.00 |
| | | |
| 11612 | Examination of peripheral vessels and report, involving any of the techniques referred to in item 11603, with hard copy recording of wave forms before measured exercise using a treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral) | $72.00 |
| | | |
| 11615 | Measurement of digital temperature, 1 or more digits, (unilateral or bilateral) and report, with hard copy recording of temperature before and for 10 minutes or more after cold stress testing | $57.50 |
| | | |
| 11618 | Examination of carotid or vertebral vessels, or both (unilateral or bilateral) with hard copy recordings of wave forms, involving 1 of the following techniques: (a) Doppler real time fast fourier transform analysis; (b) oculoplethysmography, phonoangiography or both; (c) periorbital Doppler examination; (not being a service associated with a service to which item 55201, 55204, 55225 or 55231 applies) — 1 examination and report | $51.15 |
| | | |
| 11621 | 2 examinations of the kind referred to in item 11618, and report (not being a service associated with a service to which item 55201, 55204, 55225 or 55231 applies) | $77.00 |
| | | |
| 11624 | 3 examinations of the kind referred to in item 11618, and report (not being a service associated with a service to which item 55201, 55204, 55225 or 55231 applies) | $102.25 |
| | | |
| 11627 | Pulmonary artery pressure monitoring during open heart surgery, in a person under 12 years of age | $173.30 |
| | | |
| Subgroup 6 — Cardiovascula |
| 11700 | Twelve-lead electrocardiography, tracing and report | $23.65 |
| | | |
| 11701 | Twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, not in association with a consultation on the same occasion | $11.80 |
| | | |
| 11702 | Twelve-lead electrocardiography, tracing only | $11.80 |
| | | |
| 11706 | Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram — interpretation and report | $54.65 |
| | | |
| 11708 | Continuous ECG recording of ambulatory patient for 12 or more hours (including resting ECG and the recording of parameters), not in association with ambulatory blood pressure monitoring, involving microprocessor based analysis equipment, interpretation and report of recordings by a specialist physician or consultant physician, not being a service to which item 11709 applies | $96.90 |
| | | |
| 11709 | Continuous ECG recording (Holter) of ambulatory patient for 12 or more hours (including resting ECG and the recording of parameters), not in association with ambulatory blood pressure monitoring, utilising a system capable of superimposition and full disclosure printout of at least 12 hours of recorded ECG data, microprocessor based scanning analysis, with interpretation and report by a specialist physician or consultant physician | $126.95 |
| | | |
| 11710 | Ambulatory ECG monitoring, patient activated, single or multiple event recording, utilising a looping memory recording device which is connected continuously to the patient for 12 hours or more and is capable of recording for at least 20 seconds prior to each activation and for 15 seconds after each activation, including transmission, analysis, interpretation and report — payable once in any 4 week period | $39.25 |
| | | |
| 11711 | Ambulatory ECG monitoring for 12 hours or more, patient activated, single or multiple event recording, utilising a memory recording device which is capable of recording for at least 30 seconds after each activation, including transmission, analysis, interpretation and report — payable once in any 4 week period | $21.45 |
| | | |
| 11712 | Multi channel ECG monitoring and recording during exercise (motorised treadmill or cycle ergometer capable of quantifying external workload in watts) or pharmacological stress, involving the continuous attendance of a medical practitioner for not less than 20 minutes, with resting ECG, and with or without continuous blood pressure monitoring and the recording of other parameters, on premises equipped with mechanical respirator and defibrillator | $115.25 |
| | | |
| 11713 | Signal averaged ECG recording involving not more than 300 beats, using at least 3 leads with data acquisition at not less than 1000Hz of at least 100 QRS complexes, including analysis, interpretation and report of recording by a specialist physician or consultant physician | $52.85 |
| | | |
| 11715 | Blood dye — dilution indicator test | $91.60 |
| | | |
| 11718 | Implanted pacemaker testing involving electrocardiography, measurement of rate, width and amplitude of stimulus, including reprogramming when required, not being a service associated with a service to which item 11700 or 11721 applies | $26.30 |
| | | |
| 11721 | Implanted pacemaker testing of atrioventricular (AV) sequential, rate responsive, or antitachycardia pacemakers, including reprogramming when required, not being a service associated with a service to which item 11700 or 11718 applies | $52.85 |
| | | |
| 11724 | Up-right tilt table testing for the investigation of syncope of suspected cardiothoracic origin, including blood pressure monitoring, continuous ECG monitoring and the recording of the parameters, and involving an established intravenous line and the continuous attendance of a specialist or consultant physician — on premises equipped with a mechanical respirator and defibrillator | $128.05 |
| | | |
| Subgroup 7 — Gastroenterology and colorectral |
| 11800 | Oesophageal motility test, manometric | $132.30 |
| | | |
| 11810 | Clinical assessment of gastro-oesophageal reflux disease involving 24 hour pH monitoring, including analysis, interpretation and report and including any associated consultation | $132.30 |
| | | |
| 11830 | Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex | $141.55 |
| | | |
| 11833 | Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency | $189.30 |
| | | |
| Subgroup 8 — Genito-urinary physiological investigations |
| 11900 | Urine flow study including peak urine flow measurement, not being a service associated with a service to which item 11918 applies | $20.90 |
| | | |
| 11903 | Cystometrography, not being a service associated with a service to which item 11012‑11027, 11912, 11915, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies | $84.20 |
| | | |
| 11906 | Urethral pressure profilometry, not being a service associated with a service to which item 11012-11027, 11909, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies | $84.20 |
| | | |
| 11909 | Urethral pressure profilometry with simultaneous measurement of urethral sphincter electromyography, not being a service associated with a service to which item 11906, 11915, 11918, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies | $125.10 |
| | | |
| 11912 | Cystometrography with simultaneous measurement of rectal pressure, not being a service associated with a service to which item 11012-11027, 11903, 11915, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies (Anaes. 17704 = 3B + 1T) | $125.10 |
| | | |
| 11915 | Cystometrography with simultaneous measurement of urethral sphincter electromyography, not being a service associated with a service to which item 11012-11027, 11903, 11909, 11912, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies (Anaes. 17704 = 3B + 1T) | $125.10 |
| | | |
| 11918 | Cystometrography in conjunction with imaging, with measurement of any 1 or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography; including all imaging associated with cystometrography, not being a service associated with a service to which items 11012-11027, 11900-11915, 11921 and 36800 apply (Anaes. 17704 = 3B + 1T) | $324.65 |
| | | |
| 11921 | Bladder washout test for localisation of urinary infection — not including bacterial counts for organisms in specimens | $56.85 |
| | | |
| Subgroup 9 — Allergy testing |
| 12000 | Skin sensitivity testing for allergens, using 1 to 20 allergens, not being a service associated with a service to which item 12012, 12015, 12018 or 12021 applies | $29.50 |
| | | |
| 12003 | Skin sensitivity testing for allergens, using more than 20 allergens, not being a service associated with a service to which item 12012, 12015, 12018 or 12021 applies | $44.60 |
| | | |
| 12012 | Epicutaneous patch testing in the investigation of allergic dermatitis using less than the number of allergens included in a standard patch test battery | $15.75 |
| | | |
| 12015 | Epicutaneous patch testing in the investigation of allergic dermatitis using all of the allergens in a standard patch test battery | $47.30 |
| | | |
| 12018 | Epicutaneous patch testing in the investigation of allergic dermatitis using all of the allergens in a standard patch test battery and additional allergens to a total of up to and including 50 allergens | $60.95 |
| | | |
| 12021 | Epicutaneous patch testing in the investigation of allergic dermatitis, performed by a specialist in the practice of his or her specialty, using more than 50 allergens | $89.30 |
| | | |
| Subgroup 10 — Other diagnostic procedures and investigations |
| 12200 | Collection of specimen of sweat by iontophoresis | $28.20 |
| | | |
| 12203 | Overnight investigation for sleep apnoea for a period of at least 8 hours duration where: (a) continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recording of EEG, EOG, submental EMG, anterior tibial EMG, respiratory movement, airflow, oxygen saturation and ECG are performed; and (b) a technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and (c) the patient is referred by a medical Practitioner; and (d) the necessity for the investigation is determined by the supervising medical practitioner prior to the investigation; and (e) polygraphic records are analysed (for assessment of sleep stage, arousals, respiratory events and assessment of clinically significant alterations in heart rate and limb movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and (f) interpretation and report are provided by the supervising medical practitioner based on reviewing the direct original recording of polygraphic data from the patient — | $450.10 |
| | payable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period | |
| | | |
| 12207 | Overnight investigation for sleep apnoea for a period of at least 8 hours duration, where: (a) continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of EEG, EOG, submental EMG, anterior tibial EMG, respiratory movement, airflow, oxygen saturation and ECG are performed; and (b) a technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and (c) the patient is referred by a medical practitioner; and (d) the necessity for the investigation is determined by the supervising medical practitioner prior to the investigation; and (e) polygraphic records are analysed (for assessment of sleep stage, arousals, respiratory events and assessment of clinically significant alterations in heart rate and limb movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute, and stored for interpretation and preparation of report; and | $450.10 |
| | (f) interpretation and report are provided by the supervising medical practitioner based on reviewing the direct original recording of polygraphic data from the patient — where it can be demonstrated that a further investigation is indicated in the same 12 month period to which item 12203 applies for the adjustment and testing, or adjustment or testing, of the effectiveness of a positive pressure ventilatory support device (other than nasal continuous positive airway pressure) in sleep, in a patient with severe cardio-respiratory failure, and where previous studies have demonstrated failure of continuous positive airway pressure or oxygen — each additional investigation | |
| | | |
| Group D2 — Nuclear medicine (non‑imaging) |
| | | |
| 12500 | Blood volume estimation | $164.15 |
| | | |
| 12503 | Erythrocyte radioactive uptake survival time test or iron kinetic test | $322.00 |
| | | |
| 12506 | Gastrointestinal blood loss estimation involving examination of stool specimens | $229.85 |
| | | |
| 12509 | Gastrointestinal protein loss | $164.15 |
| | | |
| 12512 | Radioactive B12 absorption test — 1 isotope | $79.55 |
| | | |
| 12515 | Radioactive B12 absorption test — 2 isotopes | $174.30 |
| | | |
| 12518 | Thyroid uptake (using probe) | $79.55 |
| | | |
| 12521 | Perchlorate discharge study | $96.00 |
| | | |
| 12524 | Renal function test (without imaging procedure) | $120.00 |
| | | |
| 12527 | Renal function test (with imaging and at least 2 blood samples) | $64.35 |
| | | |
| 12530 | Whole body count — not being a service associated with a service to which another item applies | $96.00 |
| | | |
| 12533 | Carbon-labelled urea breath test using oral C-13 or C-14 urea, performed by a specialist or consultant physician, including the measurement of exhaled 13CO2 or 14CO2, for either: (a) the confirmation of Helicobactor pylori colonisation, where: (i) suitable biopsy material for diagnosis cannot be obtained at endoscopy in patients with peptic ulcer disease, or where the diagnosis of peptic ulcer has been made on barium meal; or (ii) in patients with past history of duodenal ulcer, gastric ulcer or gastric neoplasia, where endoscopy is not indicated, or (b) the monitoring of the success of eradication of Helicobactor pylori in patients with peptic ulcer disease; where any request for the test by another medical practitioner who collects the breath sample specifically identifies in writing one or more of the clinical indications for the test | $64.10 |
| | | |
| Therapeutic procedures |
| |
| Group T1 — Miscellaneous therapeutic procedures |
| |
| Subgroup 1 — Hyperbaric oxygen therapy |
| 13025 | Hyperbaric oxygen therapy performed in a comprehensive hyperbaric medicine facility for a period in the hyperbaric chamber greater than 3 hours, including any associated attendance — per hour (or part of an hour) | $87.75 |
| | | |
| 13030 | Hyperbaric oxygen therapy performed in a comprehensive hyperbaric medicine facility where the medical practitioner is pressurised in the hyperbaric chamber for the purpose of providing continuous life saving emergency treatment, including any associated attendance — per hour (or part of an hour) | $123.90 |
| | | |
| Subgroup 2 — Dialysis |
| 13100 | Supervision in hospital by a medical specialist of — haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in 1 day | $103.60 |
| | | |
| 13103 | Supervision in hospital by a medical specialist of — haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in 1 day | $53.95 |
| | | |
| 13106 | Declotting of an arteriovenous shunt | $92.05 |
| | | |
| 13109 | Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis — insertion and fixation of (Anaes. 17710 = 6B + 4T) | $172.60 |
| | | |
| 13110 | Tenckhoff peritoneal dialysis catheter, removal of (including catheter cuffs) (Anaes. 17708 = 6B + 2T) | $173.15 |
| | | |
| 13112 | Peritoneal dialysis, establishment of, by abdominal puncture and insertion of temporary catheter (including associated consultation) (Anaes. 17708 = 6B + 2T) | $103.60 |
| | | |
| Subgroup 3 — Assisted reproductive services |
| 13200 | Assisted reproductive services (such as in vitro fertilisation, gamete intra-fallopian transfer or similar procedures) involving the use of drugs to induce superovulation, and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services — but excluding artificial insemination or transfer of frozen embryos or donated embryos or ova or a service to which item 13203, 13206 or 13218 applies — being services rendered during 1 treatment cycle, if the duration of the treatment cycle is at least 9 days — a maximum of 6 claims per patient | $1,515.30 |
| | | |
| 13203 | Ovulation monitoring services, for superovulated treatment cycles of less than 9 days duration and artificial insemination — including quantitative estimation of hormones and ultrasound examinations, being services rendered during 1 treatment cycle but excluding a service to which item 13200, 13206, 13212, 13215 or 13218 applies | $378.80 |
| | | |
| 13206 | Assisted reproductive services (such as in vitro fertilisation, gamete intra-fallopian transfer or similar procedures), using unstimulated ovulation or ovulation stimulated only by clomiphene citrate, and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services — but excluding artificial insemination, frozen embryo transfer or donated embryos or ova or treatment involving the use of drugs to induce superovulation — being services rendered during 1 treatment cycle but only if rendered in conjunction with a service to which item 13212 applies | $649.40 |
| | | |
| 13209 | Planning and management of a referred patient by a specialist for the purpose of treatment by assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer and similar procedures, or for artificial insemination — payable once only during 1 treatment cycle | $64.85 |
| | | |
| 13212 | Oocyte retrieval by any means including laparoscopy or ultrasound-guided ova flushing, for the purposes of assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer or similar procedures — only if rendered in conjunction with a service to which item 13200 or 13206 applies (Anaes. 17707 = 4B + 3T) | $276.00 |
| | | |
| 13215 | Transfer of embryos or both ova and sperm to the female reproductive system, by any means but excluding artificial insemination or the transfer of frozen or donated embryos — only if rendered in conjunction with a service to which item 13200 or 13206 applies, being services rendered in 1 treatment cycle (Anaes. 17709 = 6B + 3T) | $86.65 |
| | | |
| 13218 | Preparation and transfer of frozen or donated embryos or both ova and sperm, to the female reproductive system, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in 1 treatment cycle and excluding a service to which item 13200, 13203, 13206, 13212 or 13215 applies (Anaes. 17709 = 6B + 3T) | $649.40 |
| | | |
| 13221 | Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination | $39.50 |
| | | |
| 13290 | Semen, collection of, from a patient with spinal injuries or medically induced impotence, for the purposes of analysis, storage or assisted reproduction, by a medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required | $154.85 |
| | | |
| 13292 | Semen, collection of, from a patient with spinal injuries or medically induced impotence, for the purposes of analysis, storage or assisted reproduction, by a medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required, under general anaesthetic, in a hospital or approved day-hospital facility (Anaes. 17708 = 4B + 4T) | $309.70 |
| | | |
| Subgroup 4 — Paediatric and neonatal |
| 13300 | Umbilical or scalp vein catheterisation in a neonate with or without infusion; or cannulation of a vein | $43.15 |
| | | |
| 13303 | Umbilical artery catheterisation with or without infusion | $64.00 |
| | | |
| 13306 | Blood transfusion with venesection and complete replacement of blood, including collection from donor | $253.20 |
| | | |
| 13309 | Blood transfusion with venesection and complete replacement of blood, using blood already collected | $215.85 |
| | | |
| 13312 | Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants | $21.55 |
| | | |
| 13318 | Central vein catheterisation (via jugular or subclavian vein) — by open exposure, in a person under 12 years of age (Anaes. 17709 = 5B + 4T) | $172.40 |
| | | |
| 13319 | Central vein catheterisation in a neonate via peripheral vein (Anaes. 17709 = 5B + 4T) | $172.40 |
| | | |
| Subgroup 5 — Cardiovascular |
| 13400 | Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (Anaes. 17706 = 5B + 1T) | $73.40 |
| | | |
| Subgroup 6 — Gastroenterology |
| 13500 | Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage | $136.70 |
| | | |
| 13503 | Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage | $273.35 |
| | | |
| 13506 | Gastro-oesophageal balloon intubation, Minnesota, Sengstaken-Blakemore or similar, for control of bleeding from gastric oesophageal varices | $139.80 |
| | | |
| Subgroup 7 — Perfusion |
| 13600 | Perfusion of limb or organ using heart-lung machine or equivalent | $336.35 |
| | | |
| 13603 | Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent | $476.35 |
| | | |
| 13604 | Prolonged whole body perfusion, cardiac by‑pass, using heart-lung machine or equivalent, where the time for the procedure exceeds 6 hours | Amount under rule 41 |
| | | |
| 13606 | Induced controlled hypothermia — total body | $83.00 |
| | | |
| 13609 | Cardioplegia, blood or crystalloid, administration by any route | $191.60 |
| | | |
| 13612 | Deep hypothermic circulatory arrest, with core temperature less than 22oC, including management of retrograde cerebral perfusion if performed | $300.00 |
| | | |
| Subgroup 8 — Haematology |
| 13700 | Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (Anaes. 17712 = 5B + 7T) | $252.60 |
| | | |
| 13703 | Administration of blood including collection from donor | $90.55 |
| | | |
| 13706 | Administration of blood or bone marrow already collected | $63.25 |
| | | |
| 13709 | Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation | $36.70 |
| | | |
| 13750 | Therapeutic haemapheresis for the removal of plasma or cellular (or both) elements of blood, utilising continuous or intermittent flow techniques; including morphological tests for cell counts and viability studies, if performed; continuous monitoring of vital signs, fluid balance, blood volume and other parameters with continuous registered nurse attendance under the supervision of a consultant physician, not being a service associated with a service to which item 13755 applies — each day | $103.60 |
| | | |
| 13755 | Donor haemapheresis for the collection of blood products for transfusion, utilising continuous or intermittent flow techniques; including morphological tests for cell counts and viability studies; continuous monitoring of vital signs, fluid balance, blood volume and other parameters; with continuous registered nurse attendance under the supervision of a consultant physician; not being a service associated with a service to which item 13750 applies — each day | $103.60 |
| | | |
| 13757 | Therapeutic venesection for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda | $55.30 |
| | | |
| 13760 | In vitro processing (and cryopreservation) of bone marrow or peripheral blood for autologous stem cell transplantation as an adjunct to high dose chemotherapy for: (a) chemosensitive intermediate or high grade non-Hodgkin’s lymphoma at high risk of relapse following first line chemotherapy; or (b) Hodgkin’s disease which has relapsed following, or is refractory to, chemotherapy; or (c) acute myelogenous leukaemia in first remission, where suitable genotypically matched sibling donor is not available for allogenic bone marrow transplant; or (d) multiple myeloma in remission (complete or partial) following standard dose chemotherapy; or (e) small round cell sarcomas; or (f) primitive neuroectodermal tumour; or (g) germ cell tumours which have relapsed following, or are refractory to, chemotherapy; or (h) germ cell tumours which have had an incomplete response to first line therapy. — performed under the supervision of a consultant physician — each day | $578.05 |
| | | |
| Subgroup 9 — Procedures associated with intensive care and
cardiopulmonary support |
| 13815 | Central vein catheterisation (via jugular, subclavian or femoral vein) by percutaneous or open exposure not being a service to which item 13318 applies (Anaes. 17705 = 3B + 2T) | $64.60 |
| | | |
| 13818 | Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement (Anaes. 17705 = 3B + 2T) | $86.20 |
| | | |
| 13830 | Intracranial pressure, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician — each day | $57.10 |
| | | |
| 13839 | Arterial puncture and collection of blood for diagnostic purposes | $17.45 |
| | | |
| 13842 | Intra-arterial cannulisation for the purpose of taking multiple arterial blood samples for blood gas analysis | $52.50 |
| | | |
| 13845 | Counterpulsation by intra-aortic balloon — management on the first day, including percutaneous insertion, initial and subsequent consultations and monitoring of parameters (Anaes. 17710 = 8B + 2T) | $410.00 |
| | | |
| 13848 | Counterpulsation by intra-aortic balloon — management on each day subsequent to the first, including associated consultations and monitoring of parameters | $99.30 |
| | | |
| 13851 | Circulatory support device, management of, on first day | $374.20 |
| | | |
| 13854 | Circulatory support device, management of, on each day subsequent to the first | $87.00 |
| | | |
| 13857 | Mechanical ventilation, initiation of (other than initiation of ventilation in the context of an anaesthetic for surgery), outside of an intensive care unit, where subsequent management of ventilatory support is undertaken in an intensive care unit | $111.00 |
| | | |
| Subgroup 10 — Management and procedures undertaken in an
intensive care unit |
| 13870 | Management of a patient in an intensive care unit by a specialist or consultant physician — including initial and subsequent attendances, electrocardiographic monitoring, arterial sampling, bladder catheterisation and blood sampling — management on the first day | $231.25 |
| | | |
| 13873 | Management of a patient in an intensive care unit by a specialist or consultant physician — including all attendances, electrocardiographic monitoring, arterial sampling, bladder catheterisation and blood sampling — management on each day subsequent to the first day | $172.15 |
| | | |
| 13876 | Central venous pressure, pulmonary arterial pressure, systemic arterial pressure or cardiac intracavity pressure, continuous monitoring by indwelling catheter by a specialist or consultant physician in an intensive care unit — each day of monitoring for each pressure up to a maximum of 4 pressures | $52.50 |
| | | |
| 13879 | Mechanical ventilation, initiation of, by a specialist or consultant physician, in an intensive care unit, including subsequent management of ventilatory support on the first day | $167.80 |
| | | |
| 13882 | Ventilatory support in an intensive care unit, management of, by a specialist or consultant physician — not being a service to which item 13879 applies — each day | $57.10 |
| | | |
| 13885 | Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician — on the first day in an intensive care unit | $103.30 |
| | | |
| 13888 | Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician — on each day subsequent to the first day in an intensive care unit | $53.80 |
| | | |
| Subgroup 11 — Chemotherapeutic procedures |
| 13915 | Cytotoxic chemotherapy, administration of, either by intravenous push technique (directly into a vein, or a butterfly needle, or the side-arm of an infusion) or by intravenous infusion of not more than 1 hour’s duration — payable once only for 1 or more treatments on the same day | $49.30 |
| | | |
| 13918 | Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 1 hour’s duration but not more than 6 hours duration — payable once only for 1 or more treatments on the same day | $74.20 |
| | | |
| 13921 | Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 6 hours duration — for the first day of treatment | $83.95 |
| | | |
| 13924 | Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 6 hours duration — on each day subsequent to the first in the same continuous treatment episode | $49.50 |
| | | |
| 13927 | Cytotoxic chemotherapy, administration of, either by intra-arterial push technique (directly into an artery, a butterfly needle or the side-arm of an infusion) or by intra-arterial infusion of not more than 1 hour’s duration — payable once only for 1 or more treatments on the same day | $64.00 |
| | | |
| 13930 | Cytotoxic chemotherapy, administration of, by intra-arterial infusion of more than 1 hour’s duration but not more than 6 hours duration — payable once only for 1 or more treatments on the same day | $89.25 |
| | | |
| 13933 | Cytotoxic chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration — for the first day of treatment | $99.00 |
| | | |
| 13936 | Cytotoxic chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration — on each day subsequent to the first in the same continuous treatment episode | $64.50 |
| | | |
| 13939 | Implanted pump or reservoir, loading of, with a cytotoxic chemotherapeutic agent or agents, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933 or 13936 applies | $74.20 |
| | | |
| 13942 | Ambulatory drug delivery device, loading of, with a cytotoxic agent or agents for the infusion of the agent or agents via the intravenous, intra-arterial or spinal routes, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933 or 13936 applies | $49.50 |
| | | |
| 13945 | Long-term implanted drug delivery device for cytotoxic chemotherapy, accessing of | $39.80 |
| | | |
| 13948 | Cytotoxic agent, instillation of, into a body cavity | $49.50 |
| | | |
| Subgroup 12 – Dermatology |
| 14050 | PUVA therapy or UVB therapy administered in whole body cabinet (not being a service associated with a service to which item 14053 applies) including associated consultations other than an initial consultation | $40.00 |
| | | |
| 14053 | PUVA therapy or UVB therapy administered to localised body areas in a hand and foot cabinet (not being a service associated with a service to which item 14050 applies) including associated consultations other than an initial consultation | $40.00 |
| | | |
| 14100 | Laser photocoagulation using laser light within the wave length of 510-600nm in the treatment of severely disfiguring vascular lesions of the head or neck where abnormality is visible from 4 metres, including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period — session of at least 30 minutes duration (Anaes. 17708 = 5B + 3T) | $115.60 |
| | | |
| 14103 | Laser photocoagulation using laser light within the wave length of 510-600nm in the treatment of severely disfiguring vascular lesions of the head or neck where abnormality is visible from 4 metres, including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period — session of at least 60 minutes duration (Anaes. 17710 = 5B + 5T) | $141.90 |
| | | |
| 14106 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period — area of treatment up to 50cm2 (Anaes. 17707 = 5B + 2T) | $115.60 |
| | | |
| 14109 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period — area of treatment more than 50cm2 and up to 100cm2 (Anaes. 17708 = 5B + 3T) | $141.90 |
| | | |
| 14112 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period — area of treatment more than 100cm2 and up to 150cm2 (Anaes. 17709 = 5B + 4T) | $168.15 |
| | | |
| 14115 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period — area of treatment more than 150cm2 and up to 250cm2 (Anaes. 17710 = 5B + 5T) | $194.40 |
| | | |
| 14118 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 apply) in any 12 month period — area of treatment more than 250cm2 (Anaes. 17711 = 5B + 6T) | $246.95 |
| | | |
| 14120 | Laser photocoagulation using laser light within the wave length of 510-600nm in the treatment of severely disfiguring vascular lesions of the head or neck where abnormality is visible from 4 metres, including any associated consultation — session of at least 30 minutes duration — where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period (Anaes. 17708 = 5B + 3T) | $115.60 |
| | | |
| 14122 | Laser photocoagulation using laser light within the wave length of 510-600nm in the treatment of severely disfiguring vascular lesions of the head or neck where abnormality is visible from 4 metres, including any associated consultation — session of at least 60 minutes duration — where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period (Anaes. 17710 = 5B + 5T) | $141.90 |
| | | |
| 14124 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation — area of treatment up to 50cm2 — where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period (Anaes. 17707 = 5B + 2T) | $115.60 |
| | | |
| 14126 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation — area of treatment more than 50cm2 and up to 100cm2 — where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period (Anaes. 17708 = 5B + 3T) | $141.90 |
| | | |
| 14128 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation — area of treatment more than 100cm2 and up to 150cm2 — where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period (Anaes. 17709 = 5B + 4T) | $168.15 |
| | | |
| 14130 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation — area of treatment more than 150cm2 and up to 250cm2 — where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period (Anaes. 17710 = 5B + 5T) | $194.40 |
| | | |
| 14132 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, cafe-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation — area of treatment more than 250cm2 — where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period (Anaes. 17711 = 5B + 6T) | $246.95 |
| | | |
| Subgroup 13 — Other therapeutic procedures |
| 14200 | Gastric lavage in the treatment of ingested poison | $45.35 |
| | | |
| 14203 | Hormone or living tissue implantation, by direct implantation involving incision and suture (Anaes. 17706 = 4B + 2T) | $38.75 |
| | | |
| 14206 | Hormone or living tissue implantation — by cannula | $27.00 |
| | | |
| 14209 | Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent | $67.30 |
| | | |
| 14212 | Intussusception, management of fluid or gas reduction for (Anaes. 17705 = 3B + 2T) | $140.50 |
| | | |
| 14215 | Long-term implanted reservoir associated with the adjustable gastric band, accessing of, to add or remove fluid | $74.20 |
| | | |
| 14218 | Implanted pump or reservoir, loading of, with a therapeutic agent or agents, for infusion to the subarachnoid or epidural space | $74.20 |
| | | |
| 14221 | Long-term implanted device for delivery of therapeutic agents, accessing of, not being a service associated with a service to which item 13945 applies | $39.80 |
| | | |
| 14224 | Electroconvulsive therapy, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (Anaes. 17705 = 4B + 1T) | $53.25 |
| | | |
| Group T2 — Radiation oncology |
| |
| Subgroup 1 — Superficial |
| 15000 | Radiotherapy, superficial (including treatment with x-rays, radium rays or other radioactive substances), not being a service to which another item in this group applies — each attendance at which fractionated treatment is given — 1 field | $32.25 |
| | | |
| 15003 | Radiotherapy, superficial (including treatment with x-rays, radium rays or other radioactive substances), not being a service to which another item in this group applies — each attendance at which fractionated treatment is given — 2 or more fields up to a maximum of 5 additional fields | Amount under rule 15 |
| | | |
| 15006 | Radiotherapy, superficial — attendance at which a single dose technique is applied — 1 field | $71.60 |
| | | |
| 15009 | Radiotherapy, superficial — attendance at which a single dose technique is applied — 2 or more fields up to a maximum of 5 additional fields | Amount under rule 16 |
| | | |
| 15012 | Radiotherapy, superficial — each attendance at which treatment is given to an eye | $40.50 |
| | | |
| Subgroup 2 – Orthovoltage |
| 15100 | Radiotherapy, deep or orthovoltage — each attendance at which fractionated treatment is given at 3 or more treatments per week — 1 field | $36.15 |
| | | |
| 15103 | Radiotherapy, deep or orthovoltage — each attendance at which fractionated treatment is given at 3 or more treatments per week — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 15 |
| | | |
| 15106 | Radiotherapy, deep or orthovoltage — each attendance at which fractionated treatment is given at 2 treatments per week or less frequently — 1 field | $42.70 |
| | | |
| 15109 | Radiotherapy, deep or orthovoltage — each attendance at which fractionated treatment is given at 2 treatments per week or less frequently — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 15 |
| | | |
| 15112 | Radiotherapy, deep or orthovoltage — attendance at which a single dose technique is applied — 1 field | $91.10 |
| | | |
| 15115 | Radiotherapy, deep or orthovoltage — attendance at which a single dose technique is applied — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 16 |
| | | |
| Subgroup 3 — Megavoltage |
| 15203 | Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities — each attendance at which treatment is given — 1 field | $45.20 |
| | | |
| 15204 | Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities — each attendance at which treatment is given — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount
under
rule 15 |
| | | |
| 15207 | Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of 10 MV photons or greater, with electron facilities — each attendance at which treatment is given — 1 field | $45.20 |
| | | |
| 15208 | Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of 10 MV photons or greater, with electron facilities — each attendance at which treatment is given — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount
under
rule 15 |
| | | |
| 15211 | Radiation oncology treatment, using cobalt unit or caesium teletherapy unit — each attendance at which treatment is given — 1 field | $41.45 |
| | | |
| 15214 | Radiation oncology treatment, using cobalt unit or caesium teletherapy unit — each attendance at which treatment is given — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount
under
rule 15 |
| | | |
| Subgroup 4 — Brachytherapy |
| 15303 | Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes. 17705 = 3B + 2T) | $270.60 |
| | | |
| 15304 | Intrauterine treatment alone using radioactive sealed sources having a half life greater than 115 days using automatic afterloading techniques (Anaes. 17705 = 3B + 2T) | $270.60 |
| | | |
| 15307 | Intrauterine treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (Anaes. 17705 = 3B + 2T) | $513.00 |
| | | |
| 15308 | Intrauterine treatment alone using radioactive sealed sources having a half life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (Anaes. 17705 = 3B + 2T) | $513.00 |
| | | |
| 15311 | Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes. 17705 = 3B + 2T) | $252.55 |
| | | |
| 15312 | Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes. 17705 = 3B + 2T) | $250.80 |
| | | |
| 15315 | Intravaginal treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (Anaes. 17705 = 3B + 2T) | $495.85 |
| | | |
| 15316 | Intravaginal treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (Anaes. 17706 = 3B + 3T) | $495.85 |
| | | |
| 15319 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes. 17706 = 3B + 3T) | $307.70 |
| | | |
| 15320 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes. 17706 = 3B + 3T) | $307.70 |
| | | |
| 15323 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium, or tantalum using manual afterloading techniques (Anaes. 17706 = 3B + 3T) | $547.20 |
| | | |
| 15324 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium, or tantalum using automatic afterloading techniques (Anaes. 17706 = 3B + 3T) | $547.20 |
| | | |
| 15327 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using manual afterloading techniques (Anaes. 17707 = 4B + 3T) | $595.30 |
| | | |
| 15328 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using automatic afterloading techniques (Anaes. 17708 = 5B + 3T) | $595.30 |
| | | |
| 15331 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using manual afterloading techniques (Anaes. 17708 = 5B + 3T) | $565.25 |
| | | |
| 15332 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using automatic afterloading techniques (Anaes. 17708 = 5B + 3T) | $565.25 |
| | | |
| 15335 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using manual afterloading techniques (Anaes. 17705 = 3B + 2T) | $513.00 |
| | | |
| 15336 | Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using automatic afterloading techniques (Anaes. 17705 = 3B + 2T) | $513.00 |
| | | |
| 15339 | Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block (Anaes. 17705 = 3B + 2T) | $57.75 |
| | | |
| 15342 | Construction and application of a radioactive mould using a sealed source having a half-life of greater than 115 days, to treat intracavity, intraoral or intranasal site | $144.30 |
| | | |
| 15345 | Construction and application of a radioactive mould using a sealed source having a half-life of less than 115 days including iodine, gold, iridium or tantalum to treat intracavity, intraoral or intranasal sites | $384.90 |
| | | |
| 15348 | Subsequent applications of radioactive mould referred to in item 15342 or 15345 — each attendance | $44.25 |
| | | |
| 15351 | Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface | $88.35 |
| | | |
| 15354 | Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface | $107.35 |
| | | |
| 15357 | Attendance upon a patient to apply a radioactive mould constructed for application to an external surface of the patient other than an attendance which is the first attendance to apply the mould — each attendance | $30.30 |
| | | |
| Subgroup 5 — Computerised planning |
| 15500 | Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of a single area for treatment by a single field or parallel opposed fields (not being a service associated with a service to which item 15509 applies) | $184.00 |
| | | |
| 15503 | Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of a single area, where views in more than 1 plane are required for treatment by multiple fields, or of 2 areas (not being a service associated with a service to which item 15512 applies) | $236.15 |
| | | |
| 15506 | Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of 3 or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of off-axis fields or several joined fields (not being a service associated with a service to which item 15515 applies) | $352.65 |
| | | |
| 15509 | Radiation field setting using a diagnostic x-ray unit of a single area for treatment by a single field or parallel opposed fields (not being a service associated with a service to which item 15500 applies) | $159.50 |
| | | |
| 15512 | Radiation field setting using a diagnostic x-ray unit of a single area, where views in more than 1 plane are required for treatment by multiple fields, or of 2 areas (not being a service associated with a service to which item 15503 applies) | $205.45 |
| | | |
| 15515 | Radiation field setting using a diagnostic x-ray unit of 3 or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of off-axis fields or several joined fields (not being a service associated with a service to which item 15506 applies) | $297.50 |
| | | |
| 15518 | Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to 1 area with up to 2 shielding blocks | $58.35 |
| | | |
| 15521 | Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used | $257.60 |
| | | |
| 15524 | Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to 3 or more areas, or by mantle fields or inverted Y fields or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields | $483.05 |
| | | |
| 15527 | Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to 1 area with up to 2 shielding blocks | $59.75 |
| | | |
| 15530 | Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used | $266.85 |
| | | |
| 15533 | Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to 3 or more areas, or by mantle fields or inverted Y fields, or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields | $506.05 |
| | | |
| 15536 | Brachytherapy planning, computerised Radiation Dosimetry | $202.25 |
| | | |
| Subgroup 6 — Stereotactic radiosurgery |
| 15600 | Stereotactic radiosurgery, including all radiation oncology consultations, planning, simulation, dosimetry and treatment | $1,290.30 |
| | | |
| Group T3 — Therapeutic nuclear medicine |
| | | |
| 16003 | Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis) (Anaes. 17705 = 3B + 2T) | $493.10 |
| | | |
| 16006 | Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique | $378.85 |
| | | |
| 16009 | Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique | $258.55 |
| | | |
| 16012 | Intravenous administration of a therapeutic dose of Phosphorous 32 | $223.70 |
| | | |
| 16015 | Administration of Strontium 89 for painful bony metastases from carcinoma of the prostate where hormone therapy has failed and either: (a) the disease is poorly controlled by conventional radiotherapy; or (b) conventional radiotherapy is inappropriate, due to the wide distribution of sites of bone pain | $3,096.75 |
| | | |
| Group T4 — Obstetrics |
| | | |
| 16500 | Antenatal attendance | $25.25 |
| | | |
| 16502 | Polyhydramnios, unstable lie, multiple pregnancy, pregnancy complicated by diabetes or anaemia, threatened premature labour treated by bed rest only or oral medication, requiring admission to hospital — each attendance that is not a routine antenatal attendance, to a maximum of 1 visit per day | $25.25 |
| | | |
| 16504 | Treatment of habitual miscarriage by injection of hormones — each injection up to a maximum of 12 injections, where the injection is not administered during a routine antenatal attendance | $25.25 |
| | | |
| 16505 | Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of — each attendance that is not a routine antenatal attendance | $25.25 |
| | | |
| 16508 | Pregnancy complicated by acute intercurrent infection, intra-uterine growth retardation, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital — each attendance that is not a routine antenatal attendance, to a maximum of 1 visit per day | $25.25 |
| | | |
| 16509 | Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of — each attendance that is not a routine antenatal attendance | $25.25 |
| | | |
| 16511 | Cervix, purse string ligation of (Anaes. 17706 = 4B + 2T) | $166.65 |
| | | |
| 16512 | Cervix, removal of purse string ligature of (Anaes. 17706 = 4B + 2T) | $48.10 |
| | | |
| 16514 | Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement) | $27.80 |
| | | |
| 16515 | Management of vaginal delivery as an independent procedure where the patient’s care has been transferred by another medical practitioner for management of the delivery and the attending medical practitioner has not provided antenatal care to the patient, including all attendances related to the delivery | $262.70 |
| | | |
| 16518 | Management of labour, incomplete, where the patient’s care has been transferred to another medical practitioner for completion of the delivery | $120.30 |
| | | |
| 16519 | Management of labour and delivery by any means (including Caesarean section) including post-partum care for 5 days | $404.60 |
| | | |
| 16520 | Caesarean section and post-operative care for 7 days where the patient’s care has been transferred by another medical practitioner for management of the confinement and the attending medical practitioner has not provided any of the antenatal care | $472.80 |
| | | |
| 16522 | Management of labour and delivery, or delivery alone, (including Caesarean section), where in the course of antenatal supervision or intrapartum management one, or more, of the following conditions is present, including postnatal care for 7 days: (a) multiple pregnancy; (b) recurrent antepartum haemorrhage from 20 weeks gestation; (c) grades 2, 3 or 4 placenta praevia; (d) baby with a birth weight less than or equal to 2500gm; (e) pre-existing diabetes mellitus dependent on medication, or gestational diabetes requiring at least daily blood glucose monitoring; (f) trial of vaginal delivery in a patient with uterine scar, or trial of vaginal breech delivery; (g) pre-existing hypertension requiring antihypertensive medication, or pregnancy induced hypertension of at least 140/90mmHg associated with at least 1+ proteinuria on urinalysis; (h) prolonged labour greater than 12 hours with partogram evidence of abnormal cervimetric progress; (i) foetal distress defined by significant cardiotocograph or scalp pH abnormalities requiring immediate delivery; (j) conditions that pose a significant risk of maternal death | $950.00 |
| | | |
| 16525 | Management of second trimester labour, with or without induction, for intrauterine foetal death, gross foetal abnormality or life threatening maternal disease, not being a service to which item 35643 applies | $224.10 |
| | | |
| 16564 | Evacuation of retained products of conception (placenta, membranes or mole) as a complication of confinement, with or without curettage of the uterus, as an independent procedure | $165.25 |
| | | |
| 16567 | Management of postpartum haemorrhage by special measures such as packing of uterus, as an independent procedure | $241.70 |
| | | |
| 16570 | Acute inversion of the uterus, vaginal correction of, as an independent procedure | $315.25 |
| | | |
| 16571 | Cervix, repair of extensive laceration or lacerations | $241.70 |
| | | |
| 16573 | Third degree tear, involving anal sphincter muscles and rectal mucosa, repair of, as an independent procedure | $196.95 |
| | | |
| 16600 | Amniocentesis, diagnostic | $48.10 |
| | | |
| 16603 | Chorionic villus sampling, by any route | $92.40 |
| | | |
| 16606 | Foetal blood sampling, using interventional techniques from umbilical cord or foetus, including foetal neuromuscular blockade and amniocentesis (Anaes. 17707 = 4B + 3T) | $184.30 |
| | | |
| 16609 | Foetal intravascular blood transfusion, using blood already collected, including neuromuscular blockade, amniocentesis and foetal blood sampling (Anaes. 17712 = 4B + 8T) | $375.90 |
| | | |
| 16612 | Foetal intraperitoneal blood transfusion, using blood already collected, including neuromuscular blockade, amniocentesis and foetal blood sampling — not performed in conjunction with a service described in item 16609 (Anaes. 17711 = 4B + 7T) | $295.80 |
| | | |
| 16615 | Foetal intraperitoneal blood transfusion, using blood already collected, including neuromuscular blockade, amniocentesis and foetal blood sampling — performed in conjunction with a service described in item 16609 (Anaes. 17710 = 4B + 6T) | $157.50 |
| | | |
| 16618 | Amniocentesis, therapeutic, when indicated because of polyhydramnios with at least 500ml being aspirated | $157.50 |
| | | |
| 16621 | Amnioinfusion, for diagnostic or therapeutic purposes in the presence of severe oligohydramnios | $157.50 |
| | | |
| 16624 | Foetal fluid filled cavity, drainage of | $226.70 |
| | | |
| 16627 | Foeto-amniotic shunt, insertion of, into foetal fluid filled cavity, including neuromuscular blockade and amniocentesis | $461.55 |
| | | |
| 16633 | Procedure on multiple pregnancies relating to items 16606, 16609, 16612, 16615 and 16627 | Amount under rule 36 |
| | | |
| 16636 | Procedure on multiple pregnancies relating to items 16600, 16603, 16618, 16621 and 16624 | Amount under rule 36 |
| | | |
| Group T5 — Assistance in the administration of an anaesthetic |
| | | |
| 17503 | Assistance in the administration of an anaesthetic requiring continuous anaesthesia on a patient in imminent danger of death requiring continuous life saving emergency treatment, to the exclusion of all other patients | Amount under rule 39 |
| | | |
| 17506 | Assistance in the administration of an elective anaesthetic is provided to the exclusion of all other patients, where: (a) the patient has complex airway problems; or (b) the patient is a neonate or a complex paediatric case; or (c) there is anticipated to be massive blood loss (greater than 50% of blood volume) during the procedure; or (d) the patient is critically ill, with multiple organ failure and where the anaesthesia time is expected to exceed 6 hours | Amount under rule 39 |
| | | |
| Group T6 — Anaesthetics |
| |
| Subgroup 1 – Examination by an anaesthetist |
| 17603 | Examination of a patient in preparation for the administration of an anaesthetic relating to a clinically relevant service, being an examination carried out at a place other than an operating theatre or an anaesthetic induction room | $32.50 |
| | | |
| Subgroup 2 – Administration of an anaesthetic in connection with a
medical service |
| 17701 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 1 | $14.40 |
| | | |
| 17702 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 2 | $28.80 |
| | | |
| 17703 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 3 | $43.20 |
| | | |
| 17704 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 4 | $57.60 |
| | | |
| 17705 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 5 | $72.00 |
| | | |
| 17706 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 6 | $86.40 |
| | | |
| 17707 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 7 | $100.80 |
| | | |
| 17708 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 8 | $115.20 |
| | | |
| 17709 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 9 | $129.60 |
| | | |
| 17710 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 10 | $144.00 |
| | | |
| 17711 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 11 | $158.40 |
| | | |
| 17712 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 12 | $172.80 |
| | | |
| 17713 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 13 | $187.20 |
| | | |
| 17714 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 14 | $201.60 |
| | | |
| 17715 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 15 | $216.00 |
| | | |
| 17716 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 16 | $230.40 |
| | | |
| 17717 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 17 | $244.80 |
| | | |
| 17718 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 18 | $259.20 |
| | | |
| 17719 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 19 | $273.60 |
| | | |
| 17720 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 20 | $288.00 |
| | | |
| 17721 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 21 | $302.40 |
| | | |
| 17722 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 22 | $316.80 |
| | | |
| 17723 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 23 | $331.20 |
| | | |
| 17724 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 24 | $345.60 |
| | | |
| 17725 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 25 | $360.00 |
| | | |
| 17726 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 26 | $374.40 |
| | | |
| 17727 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 27 | $388.80 |
| | | |
| 17728 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 28 | $403.20 |
| | | |
| 17729 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 29 | $417.60 |
| | | |
| 17730 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 30 | $432.00 |
| | | |
| 17731 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 31 | $446.40 |
| | | |
| 17732 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 32 | $460.80 |
| | | |
| 17733 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 33 | $475.20 |
| | | |
| 17734 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 34 | $489.60 |
| | | |
| 17735 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 35 | $504.00 |
| | | |
| 17736 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 36 | $518.40 |
| | | |
| 17737 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 37 | $532.80 |
| | | |
| 17738 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 38 | $547.20 |
| | | |
| 17739 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 39 | $561.60 |
| | | |
| 17740 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 40 | $576.00 |
| | | |
| 17741 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 41 | $590.40 |
| | | |
| 17742 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 42 | $604.80 |
| | | |
| 17743 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 43 | $619.20 |
| | | |
| 17744 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 44 | $633.60 |
| | | |
| 17745 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 45 | $648.00 |
| | | |
| 17746 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 46 | $662.40 |
| | | |
| 17747 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 47 | $676.80 |
| | | |
| 17748 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 48 | $691.20 |
| | | |
| 17749 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 49 | $705.60 |
| | | |
| 17750 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 50 | $720.00 |
| | | |
| 17751 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 51 | $734.40 |
| | | |
| 17752 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 52 | $748.80 |
| | | |
| 17753 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 53 | $763.20 |
| | | |
| 17754 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 54 | $777.60 |
| | | |
| 17755 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 55 | $792.00 |
| | | |
| 17756 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 56 | $806.40 |
| | | |
| 17757 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 57 | $820.80 |
| | | |
| 17758 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 58 | $835.20 |
| | | |
| 17759 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 59 | $849.60 |
| | | |
| 17760 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 60 | $864.00 |
| | | |
| 17761 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 61 | $878.40 |
| | | |
| 17762 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 62 | $892.80 |
| | | |
| 17763 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 63 | $907.20 |
| | | |
| 17764 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 64 | $921.60 |
| | | |
| 17765 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 65 | $936.00 |
| | | |
| 17766 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 66 | $950.40 |
| | | |
| 17767 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 67 | $964.80 |
| | | |
| 17768 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 68 | $979.20 |
| | | |
| 17769 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 69 | $993.60 |
| | | |
| 17770 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 70 | $1,008.00 |
| | | |
| 17771 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 71 | $1,022.40 |
| | | |
| 17772 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 72 | $1,036.80 |
| | | |
| 17773 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 73 | $1,051.20 |
| | | |
| 17774 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 74 | $1,065.60 |
| | | |
| 17775 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 75 | $1,080.00 |
| | | |
| 17776 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 76 | $1,094.40 |
| | | |
| 17777 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 77 | $1,108.80 |
| | | |
| 17778 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 78 | $1,123.20 |
| | | |
| 17779 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 79 | $1,137.60 |
| | | |
| 17780 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 80 | $1,152.00 |
| | | |
| 17781 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 81 | $1,166.40 |
| | | |
| 17782 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 82 | $1,180.80 |
| | | |
| 17783 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 83 | $1,195.20 |
| | | |
| 17784 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 84 | $1,209.60 |
| | | |
| 17785 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 85 | $1,224.00 |
| | | |
| 17786 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 86 | $1,238.40 |
| | | |
| 17787 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 87 | $1,252.80 |
| | | |
| 17788 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 88 | $1,267.20 |
| | | |
| 17789 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 89 | $1,281.60 |
| | | |
| 17790 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 90 | $1,296.00 |
| | | |
| 17791 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 91 | $1,310.40 |
| | | |
| 17792 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 92 | $1,324.80 |
| | | |
| 17793 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 93 | $1,339.20 |
| | | |
| 17794 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 94 | $1,353.60 |
| | | |
| 17795 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 95 | $1,368.00 |
| | | |
| 17796 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 96 | $1,382.40 |
| | | |
| 17797 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 97 | $1,396.80 |
| | | |
| 17798 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 98 | $1,411.20 |
| | | |
| 17799 | Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 99 | $1,425.60 |
| | | |
| 17800 | Where the anaesthetic time exceeds the normal anaesthetic time for the procedure by more than 1 hour — applicable to anaesthesia assigned up to 12 anaesthetic time units | Amount under rule 42 |
| | | |
| 17805 | Where the anaesthetic time exceeds the normal anaesthetic time for the procedure by more than 1 hour and 30 minutes — applicable to anaesthesia assigned 13 to 24 anaesthetic time units | Amount under rule 42 |
| | | |
| 17810 | Where the anaesthetic time exceeds the normal anaesthetic time for the procedure by more than 2 hours — applicable to anaesthesia assigned more than 24 anaesthetic time units | Amount under rule 42 |
| | | |
| 17965 | Administration of an anaesthetic in connection with radio-therapy (Anaes. = 7B + 4T) | $158.40 |
| | | |
| 17968 | Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, rotation of head followed by delivery (Anaes. = 5B + 3T) | $115.20 |
| | | |
| 17970 | Administration of an anaesthetic in connection with an operative procedure to which Item 30001 applies | Amount under rule 43 |
| | | |
| 17974 | Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure (Anaes. = 5B + 5T) | $144.00 |
| | | |
| 17977 | Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 44376 | Amount under rule 17 |
| | | |
| 17980 | Administration of an anaesthetic in connection with computerised axial tomography — brain scan, plain study with or without contrast medium study (Anaes. = 7B + 4T) | $158.40 |
| | | |
| 17983 | Administration of an anaesthetic in connection with computerised axial tomography — body scan, plain study with or without contrast medium study (Anaes. = 7B + 4T) | $158.40 |
| | | |
| 17986 | Administration of an anaesthetic in connection with the removal of phaeochromocytoma (Anaes. = 10B + 15T) | $360.00 |
| | | |
| 17989 | Administration of an anaesthetic in connection with peripheral venous cannulation (Anaes. = 3B + 2T) | $72.00 |
| | | |
| 17992 | Administration of an anaesthetic in connection with peripheral venous cannulation by open exposure (Anaes. = 3B + 2T) | $72.00 |
| | | |
| 17995 | Administration of an anaesthetic in connection with percutaneous central venous cannulation (Anaes. = 5B + 2T) | $100.80 |
| | | |
| 17998 | Administration of an anaesthetic in connection with electrocochleography (insertion of electrodes and brain stem evoked response audiometry) (Anaes. = 5B + 7T) | $172.80 |
| | | |
| 18001 | Administration of an anaesthetic in connection with manual removal of products of conception, treatment of postpartum haemorrhage or repair of third degree tear (Anaes. = 4B + 3T) | $100.80 |
| | | |
| 18004 | Administration of an anaesthetic in connection with repair of extensive laceration or lacerations of cervix or manipulative correction of acute inversion of uterus by vaginal approach (Anaes. = 4B + 4T) | $115.20 |
| | | |
| 18007 | Administration of an anaesthetic in connection with Caesarean section (Anaes. = 10B + 5T) | $216.00 |
| | | |
| 18010 | Administration of an anaesthetic in connection with repair of episiotomy (Anaes. = 3B + 2T) | $72.00 |
| | | |
| 18013 | Administration of an anaesthetic in connection with magnetic resonance imaging services covered by items 63000 to 63946 (Anaes. = 7B + 7T) | $201.60 |
| | | |
| 18016 | Administration of an anaesthetic in connection with a regional or field nerve block covered by items 18216, 18219, 18230, 18232, 18233, 18234, 18236, 18242, 18262, 18280, 18284, 18286, 18288, 18290, 18292, 18294, 18296 or 18298, not being an anaesthetic administered in conjunction with an operative procedure (Anaes. = 4B + 4T) | $115.20 |
| | | |
| 18019 | Administration of an anaesthetic for incision and drainage of large haematoma, large abscess, cellulitis or similar lesion causing life threatening airway obstruction, or for the relief of life threatening airway obstruction due to epiglottitus (Anaes. = 15B + 4T) | $273.60 |
| | | |
| 18021 | Administration of an anaesthetic in connection with muscle biopsy for malignant hyperpyrexia (Anaes. = 10B + 3T) | $187.20 |
| | | |
| 18022 | Administration of an anaesthetic in connection with digital subtraction angiography (Anaes. = 7B + 3T) | $144.00 |
| | | |
| 18026 | Administration of an anaesthetic during hyperbaric therapy where the medical practitioner is not confined in the chamber (including the administration of oxygen) (Anaes. = 8B + 6T) | $201.60 |
| | | |
| 18027 | Administration of an anaesthetic during hyperbaric therapy where the medical practitioner is confined in the chamber (including the administration of oxygen) (Anaes. = 15B + 11T) | $374.40 |
| | | |
| 18030 | Administration of an anaesthetic performed on a person under the age of 10 years in connection with a procedure covered by an item which has not been allocated anaesthetic units where the anaesthesia time is up to and including 30 minutes (Anaes. = 4B + 2T) | $86.40 |
| | | |
| 18031 | Administration of an anaesthetic performed on a person under the age of 10 years in connection with a procedure covered by an item which has not been allocated anaesthetic units where the anaesthesia time exceeds 30 minutes and is up to and including 60 minutes (Anaes. = 4B + 4T) | $115.20 |
| | | |
| 18032 | Administration of an anaesthetic performed on a person under the age of 10 years in connection with a procedure covered by an item which has not been allocated anaesthetic units where the anaesthesia time exceeds 60 minutes (Anaes. = 4B + 5T) | $129.60 |
| | | |
| 18033 | Administration of an anaesthetic in connection with a procedure covered by an item which has not been allocated anaesthetic units, not being a service to which item 18030, 18031 or 18032 applies, where it can be demonstrated that there is a clinical need for anaesthesia | Amount under rule 46 |
| | | |
| 18035 | In connection with a change of dressing or change of plaster undertaken in a hospital or approved day hospital facility (Anaes. = 3B + 2T) | $72.00 |
| | | |
| Subgroup 3 — Administration of an anaesthetic in connection with a
dental service |
| 18102 | Administration by a medical practitioner of an anaesthetic in connection with a dental operation other than for the extraction of teeth or restorative dental work where the procedure is less than 15 minutes duration (Anaes. = 5B + 1T) | $86.40 |
| | | |
| 18103 | Administration by a medical practitioner of an anaesthetic in connection with a dental operation other than for the extraction of teeth or restorative dental work where the procedure is more than 15 minutes duration (Anaes. = 5B + 3T) | $115.20 |
| | | |
| 18105 | Administration by a medical practitioner of an anaesthetic for extraction of a tooth or teeth, not being a service to which item 18109 applies (Anaes. = 5B + 2T) | $100.80 |
| | | |
| 18109 | Administration by a medical practitioner of an anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (Anaes. = 5B + 4T) | $129.60 |
| | | |
| 18113 | Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (Anaes. = 5B + 2T) | $100.80 |
| | | |
| 18118 | Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration (Anaes. = 5B + 6T) | $158.40 |
| | | |
| 18119 | Administration by a medical practitioner of an anaesthetic in connection with a dental operation where the procedure is of more than 3 hours duration (Anaes. = 5B + 12T) | $244.80 |
| | | |
| Group T7 – Regional or field nerve blocks |
| | | |
| 18206 | Introduction of a narcotic, for the control of post-operative pain, into the epidural or intrathecal space in conjunction with an operation | $38.05 |
| | | |
| 18209 | Introduction of local anaesthetic, for control of post-operative pain, into the epidural or intrathecal space, in conjunction with an operation | $38.05 |
| | | |
| 18210 | Introduction of a regional or field nerve block peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the femoral or sciatic nerves, in conjunction with knee, ankle or foot surgery | $33.65 |
| | | |
| 18211 | Introduction of a regional or field nerve block peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the femoral and sciatic nerves, in conjunction with knee, ankle or foot surgery | $40.35 |
| | | |
| 18212 | Introduction of a regional or field nerve block peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the brachial plexus in conjunction with shoulder surgery | $33.65 |
| | | |
| 18213 | Intravenous regional anaesthesia of limb by retrograde perfusion | $67.25 |
| | | |
| 18216 | Intrathecal or epidural infusion of a therapeutic substance, initial injection or commencement of, including up to 1 hour of continuous attendance by the medical practitioner | $143.95 |
| | | |
| 18219 | Intrathecal or epidural infusion of a therapeutic substance, initial injection or commencement of, where continuous attendance by the medical practitioner extends beyond the first hour | Amount under rule 35 |
| | | |
| 18222 | Infusion of a therapeutic substance to maintain regional anaesthesia or analgesia, subsequent injection or revision of, where the period of continuous medical practitioner attendance is 15 minutes or less | $28.50 |
| | | |
| 18225 | Infusion of a therapeutic substance to maintain regional anaesthesia or analgesia, subsequent injection or revision of, where the period of continuous medical practitioner attendance is more than 15 minutes | $38.05 |
| | | |
| 18228 | Interpleural block, initial injection or commencement of infusion of a therapeutic substance | $47.35 |
| | | |
| 18230 | Intrathecal or epidural injection of neurolytic substance | $180.75 |
| | | |
| 18232 | Intrathecal or epidural injection of substance other than anaesthetic, contrast or neurolytic solutions, not being a service to which another item in this group applies | $143.95 |
| | | |
| 18233 | Epidural injection of blood for blood patch | $143.95 |
| | | |
| 18234 | Trigeminal nerve, primary division of, injection of an anaesthetic agent | $94.65 |
| | | |
| 18236 | Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent | $47.35 |
| | | |
| 18238 | Facial nerve, injection of an anaesthetic agent, not being a service associated with a service to which item 18240 applies | $28.50 |
| | | |
| 18240 | Retrobulbar or peribulbar injection of an anaesthetic agent | $70.95 |
| | | |
| 18242 | Greater occipital nerve, injection of an anaesthetic agent | $28.50 |
| | | |
| 18244 | Vagus nerve, injection of an anaesthetic agent | $76.35 |
| | | |
| 18246 | Glossopharyngeal nerve, injection of an anaesthetic agent | $76.35 |
| | | |
| 18248 | Phrenic nerve, injection of an anaesthetic agent | $67.25 |
| | | |
| 18250 | Spinal accessory nerve, injection of an anaesthetic agent | $47.35 |
| | | |
| 18252 | Cervical plexus, injection of an anaesthetic agent | $76.35 |
| | | |
| 18254 | Brachial plexus, injection of an anaesthetic agent | $76.35 |
| | | |
| 18256 | Suprascapular nerve, injection of an anaesthetic agent | $47.35 |
| | | |
| 18258 | Intercostal nerve (single), injection of an anaesthetic agent | $47.35 |
| | | |
| 18260 | Intercostal nerves (multiple), injection of an anaesthetic agent | $67.25 |
| | | |
| 18262 | Ilio-inguinal, iliohypogastric or genitofemoral nerves, 1 or more of, injection of an anaesthetic agent | $47.35 |
| | | |
| 18264 | Pudendal nerve, injection of an anaesthetic agent | $76.35 |
| | | |
| 18266 | Ulnar, radial or median nerve, main trunk of, 1 or more of, injection of an anaesthetic agent, not being associated with a brachial plexus block | $47.35 |
| | | |
| 18268 | Obturator nerve, injection of an anaesthetic agent | $67.25 |
| | | |
| 18270 | Femoral nerve, injection of an anaesthetic agent | $67.25 |
| | | |
| 18272 | Saphenous, sural, popliteal or posterior tibial nerve, main trunk of, 1 or more of, injection of an anaesthetic agent | $47.35 |
| | | |
| 18274 | Paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, injection of an anaesthetic agent, (single vertebral level) | $67.25 |
| | | |
| 18276 | Paravertebral nerves, injection of an anaesthetic agent, (multiple levels) | $94.65 |
| | | |
| 18278 | Sciatic nerve, injection of an anaesthetic agent | $67.25 |
| | | |
| 18280 | Sphenopalatine ganglion, injection of an anaesthetic agent | $94.65 |
| | | |
| 18282 | Carotid sinus, injection of an anaesthetic agent, as an independent percutaneous procedure | $76.35 |
| | | |
| 18284 | Stellate ganglion, injection of an anaesthetic agent, (cervical sympathetic block) | $111.90 |
| | | |
| 18286 | Lumbar or thoracic nerves, injection of an anaesthetic agent, (paravertebral sympathetic block) | $111.90 |
| | | |
| 18288 | Coeliac plexus or splanchnic nerves, injection of an anaesthetic agent | $111.90 |
| | | |
| 18290 | Cranial nerve other than trigeminal, destruction by a neurolytic agent | $189.30 |
| | | |
| 18292 | Nerve branch, destruction by a neurolytic agent, not being a service to which any other item in this group applies | $94.65 |
| | | |
| 18294 | Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent | $133.40 |
| | | |
| 18296 | Lumbar sympathetic chain, destruction by a neurolytic agent | $114.05 |
| | | |
| 18298 | Cervical or thoracic sympathetic chain, destruction by a neurolytic agent | $133.40 |
| | | |
| Group T8 — Surgical operations |
| Subgroup 1 — General |
| 30001 | Operative procedure, not being a service to which any other item in this group applies, being a service to which an item in this group would have applied had the procedure not been discontinued on medical grounds | Amount under rule 44 |
| | | |
| 30003 | Localised burns, dressing of, (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation | $25.25 |
| | | |
| 30006 | Extensive burns, dressing of, without anaesthesia (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation | $35.20 |
| | | |
| 30009 | Localised burns, dressing of, under general anaesthesia (not involving grafting) (G) (Anaes. 17708 = 4B + 4T) | $46.00 |
| | | |
| 30010 | Localised burns, dressing of, under general anaesthesia (not involving grafting) (S) (Anaes. 17708 = 4B + 4T) | $56.00 |
| | | |
| 30013 | Extensive burns, dressing of, under general anaesthesia (not involving grafting) (G) (Anaes. 17710 = 4B + 6T) | $99.15 |
| | | |
| 30014 | Extensive burns, dressing of, under general anaesthesia (not involving grafting) (S) (Anaes. 17710 = 4B + 6T) | $117.80 |
| | | |
| 30017 | Burns, excision of, under general anaesthesia, involving not more than 10 per cent of body surface, where grafting is not carried out during the same operation (Anaes. 17710 = 4B + 6T) (Assist.) | $247.10 |
| | | |
| 30020 | Burns, excision of, under general anaesthesia, involving more than 10 per cent of body surface, where grafting is not carried out during the same operation (Anaes. 17715 = 4B + 11T) (Assist.) | $481.30 |
| | | |
| 30023 | Wound of soft tissue, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field block, including suturing of that wound when performed (Anaes. 17707 = 4B + 3T) (Assist.) | $247.10 |
| | | |
| 30026 | Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, not on face or neck, small (not more than 7cm long), superficial, not being a service to which another item in Group T4 applies (Anaes. 17706 = 4B + 2T) | $39.55 |
| | | |
| 30029 | Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, not on face or neck, small (not more than 7cm long), involving deeper tissue, not being a service to which another item in Group T4 applies (Anaes. 17706 = 4B + 2T) | $68.20 |
| | | |
| 30032 | Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, on face or neck, small (not more than 7 cm long), superficial (Anaes. 17709 = 4B + 5T) | $62.50 |
| | | |
| 30035 | Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, on face or neck, small (not more than 7cm long), involving deeper tissue (Anaes. 17709 = 4B + 5T) | $89.05 |
| | | |
| 30038 | Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, not on face or neck, large (more than 7cm long), superficial, not being a service to which another item in Group T4 applies (Anaes. 17709 = 4B + 5T) | $68.20 |
| | | |
| 30041 | Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, not on face or neck, large (more than 7cm long), involving deeper tissue, not being a service to which another item in Group T4 applies (G) (Anaes. 17709 = 4B + 5T) | $109.15 |
| | | |
| 30042 | Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, other than on face or neck, large (more than 7 cm long), involving deeper tissue, not being a service to which another item in Group T4 applies (S) (Anaes. 17709 = 4B + 5T) | $140.80 |
| | | |
| 30045 | Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, on face or neck, large (more than 7cm long), superficial (Anaes. 17709 = 4B + 5T) | $89.05 |
| | | |
| 30048 | Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, on face or neck, large (more than 7cm long), involving deeper tissue (G) (Anaes. 17709 = 4B + 5T) | $113.50 |
| | | |
| 30049 | Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, on face or neck, large (more than 7cm long), involving deeper tissue (S) (Anaes. 17709 = 4B + 5T) | $140.80 |
| | | |
| 30052 | Full thickness laceration of ear, eyelid, nose or lip, repair of, with accurate apposition of each layer of tissue (Anaes. 17711 = 5B + 6T) (Assist.) | $192.50 |
| | | |
| 30055 | Wounds, dressing of, under general anaesthesia, with or without removal of sutures, not being a service associated with a service to which another item in this group applies (Anaes. 17706 = 4B + 2T) | $56.00 |
| | | |
| 30058 | Post-operative haemorrhage, control of, under general anaesthesia, as an independent procedure (Anaes. 17705 = 3B + 2T) | $109.15 |
| | | |
| 30061 | Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (Anaes. 17706 = 4B + 2T) | $17.80 |
| | | |
| 30064 | Subcutaneous foreign body, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure (Anaes. 17707 = 4B + 3T) | $83.35 |
| | | |
| 30067 | Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G) (Anaes. 17707 = 4B + 3T) (Assist.) | $169.50 |
| | | |
| 30068 | Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S) (Anaes. 17707 = 4B + 3T) (Assist.) | $209.75 |
| | | |
| 30071 | Biopsy of skin or mucous membrane, as an independent procedure (Anaes. 17706 = 4B + 2T) | $39.55 |
| | | |
| 30074 | Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G) (Anaes. 17706 = 4B + 2T) | $89.05 |
| | | |
| 30075 | Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S) (Anaes. 17706 = 4B + 2T) | $113.50 |
| | | |
| 30078 | Drill biopsy of lymph gland, deep tissue or organ, as an independent procedure (Anaes. 17706 = 4B + 2T) | $36.70 |
| | | |
| 30081 | Biopsy of bone marrow by trephine using an open approach (Anaes. 17706 = 4B + 2T) | $83.35 |
| | | |
| 30084 | Biopsy of bone marrow by trephine using a percutaneous approach with a Jamshidi needle or similar device (Anaes. 17706 = 4B + 2T) | $44.55 |
| | | |
| 30087 | Biopsy of bone marrow by aspiration or punch biopsy of synovial membrane (Anaes. 17706 = 4B + 2T) | $22.35 |
| | | |
| 30090 | Biopsy of pleura, percutaneous — 1 or more biopsies on any 1 occasion (Anaes. 17706 = 4B + 2T) | $97.40 |
| | | |
| 30093 | Needle biopsy of vertebra (Anaes. 17708 = 4B + 4T) | $130.00 |
| | | |
| 30094 | Percutaneous aspiration biopsy of deep organ using interventional techniques — but not including imaging (Anaes. 17706 = 4B + 2T) | $143.55 |
| | | |
| 30096 | Scalene node biopsy (Anaes. 17707 = 5B + 2T) | $139.35 |
| | | |
| 30099 | Sinus, excision of, involving superficial tissue only (Anaes. 17706 = 4B + 2T) | $68.20 |
| | | |
| 30102 | Sinus, excision of, involving muscle and deep tissue (G) (Anaes. 17706 = 4B + 2T) | $113.50 |
| | | |
| 30103 | Sinus, excision of, involving muscle and deep tissue (S) (Anaes. 17706 = 4B + 2T) | $139.35 |
| | | |
| 30104 | Pre-auricular sinus, excision of (Anaes. 17706 = 4B + 2T) | $96.25 |
| | | |
| 30106 | Ganglion or small bursa, excision of, not being a service associated with a service to which an item in this group applies (G) (Anaes. 17706 = 4B + 2T) | $117.80 |
| | | |
| 30107 | Ganglion or small bursa, excision of, not being a service associated with a service to which an item in this group applies (S) (Anaes. 17706 = 4B + 2T) | $166.65 |
| | | |
| 30110 | Bursa (large), including olecranon, calcaneum or patella, excision of (G) (Anaes. 17707 = 4B + 3T) (Assist.) | $215.50 |
| | | |
| 30111 | Bursa (large), including olecranon, calcaneum or patella, excision of (S) (Anaes. 17707 = 4B + 3T) (Assist.) | $281.55 |
| | | |
| 30114 | Bursa, semimembranosus (Baker’s cyst), excision of (Anaes. 17707 = 3B + 4T) (Assist.) | $281.55 |
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| 30165 | Lipectomy — transverse wedge excision of abdominal apron (Anaes. 17710 = 5B + 5T) (Assist.) | $344.80 |
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| 30168 | Lipectomy — wedge excision of skin or fat (not being a service to which item 30165 applies) — 1 excision (Anaes. 17710 = 4B + 6T) (Assist.) | $344.80 |
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| 30171 | Lipectomy — wedge excision of skin or fat (not being a service to which item 30165 applies) — 2 or more excisions (Anaes. 17712 = 4B + 8T) (Assist.) | $524.40 |
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| 30174 | Lipectomy — subumbilical excision with undermining of skin edges and strengthening of musculo-aponeurotic wall (Anaes. 17712 = 5B + 7T) (Assist.) | $524.40 |
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| 30177 | Lipectomy — radical abdominoplasty (Pitanguy type or similar) with excision of skin and subcutaneous tissue, repair of musculo-aponeurotic layer and transposition of umbilicus (Anaes. 17715 = 5B + 10T) (Assist.) | $747.10 |
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| 30180 | Axillary hyperhidrosis, wedge excision for (Anaes. 17706 = 3B + 3T) | $103.45 |
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| 30183 | Axillary hyperhidrosis, total excision of sweat gland bearing area (Anaes. 17709 = 3B + 6T) | $186.80 |
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| 30186 | Palmar or plantar wart, removal of, not being a service to which item 30187 applies (Anaes. 17705 = 3B + 2T) | $35.95 |
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| 30187 | |