319

global assessment of functioning scale

Global Assessment of Functioning Scale

319

a 12 month period

a calendar year

16606

amniocentesis

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

16609

sampling

sampling (Anaes. 17712 = 4B + 8T)

16612

item 16609

item 16609 (Anaes. 17711 = 4B + 7T)

16615

item 16609

item 16609 (Anaes. 17710 = 4B + 6T)

17965

$156.05

$156.20

17968

$113.50

$113.60

17974

$141.85

$142.00

17980

$156.05

$156.20

17983

$156.05

$156.20

17986

$354.70

$355.00

17989

$70.95

$71.00

17992

$70.95

$71.00

17995

$99.30

$99.40

17998

$170.25

$170.40

18001

$99.30

$99.40

18004

$113.50

$113.60

18007

caesarean

Caesarean

18007

$212.80

$213.00

18010

$70.95

$71.00

18013

$198.60

$198.80

18016

$113.50

$113.60

18019

$269.55

$269.80

18021

hyperpyrexia

hyperpyrexia (Anaes. = 10B + 3T)

18021

$184.45

$184.60

18022

angiography

angiography (Anaes. = 7B + 3T)

18022

$141.85

$142.00

18026

$198.60

$198.80

18027

$368.85

$369.20

18030

$85.10

$85.20

18031

$113.50

$113.60

18032

$127.70

$127.80

18035

$70.95

$71.00

18102

$85.10

$85.20

18103

$113.50

$113.60

18105

$99.30

$99.40

18109

$127.70

$127.80

18113

$99.30

$99.40

18118

$156.05

$156.20

18119

$241.20

$241.40

18210

knee surgery

knee, ankle or foot surgery

18211

knee surgery

knee, ankle or foot surgery

30253

or removal of tumour from,

of,

30255

removal of,

relocation of,

34103

procedure

procedure except those services to which items 32508, 32511, 32514 or 32517 apply

34106

procedure

procedure except those services to which items 32508, 32511, 32514 or 32517 apply

34148

body

associated

34148

is less than 4 cm

is 4 cm or less

34151

body

associated

34154

body

associated

34154

common or internal

internal or common

38550

$1425.95

$1602.65

38553

$1854.25

$2030.95

38556

$2141.65

$2318.35

38559

$1713.30

$1890.00

38562

$2141.65

$2318.35

38565

$2423.55

$2600.25

38568

$1214.45

$1391.15

38571

$1355.40

$1532.10

42610

(unilateral) replacement

(unilateral), removal or replacement

42611

(bilateral) replacement

(bilateral), removal or replacement

42614

(unilateral) replacement

(unilateral), removal or replacement

42615

(bilateral) replacement

(bilateral), removal or replacement

42710

(Anaes. 17712 = 6B
+ 6T)

(Anaes. 17712 = 6B + 6T)
(Assist.)

42863

Eyelid upper,

Eyelid,

45545

any technique

any surgical technique

45623

$580.35

$540.00

45761

of nerves and bone grafts

of nerves and vessels and bone
grafts

51315

, 42707 and 42710

and 42707

52360

Mandible or maxilla

Mandible and maxilla

52363

Mandible or maxilla

Mandible and maxilla

52366

Mandible or maxilla

Mandible and maxilla

52369

Mandible or maxilla

Mandible and maxilla

52372

Mandible or maxilla

Mandible and maxilla

52375

Mandible or maxilla

Mandible and maxilla

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 this item and item 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year

$32.30

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 this item and item 300, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year

$64.60

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 this item and item 300, 302, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year

$94.70

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 this item and item 300, 302, 304, or 308 apply have not exceeded the sum of 50 attendances in a calendar year

$130.70

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 this item and item 300, 302, 304, or 306 apply have not exceeded the sum of 50 attendances in a calendar year

$159.25

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 this item and item 300, 302, 304, 306, 308, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year

$16.15

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 this item and item 300, 302, 304, 306, 308, 310, 314, 316 or 318 apply exceed 50 attendances in a calendar year

$32.30

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 this item and item 300, 302, 304, 306, 308, 310, 312, 316 or 318 apply exceed 50 attendances in a calendar year

$47.35

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 this item and item 300, 302, 304, 306, 308, 310, 312, 314, or 318 apply exceed 50 attendances in a calendar year

$65.35

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 this item and item 300, 302, 304, 306, 308, 310, 312, 314, or 316 apply exceed 50 attendances in a calendar year

$79.65

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

$63.90

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

$32.00

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

$93.65

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

$59.25”.

17506

Assistance in the administration of an elective anaesthetic, 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 and the assistance is provided to the exclusion of all other patients

Amount under Rule 40

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 47

30246

Parotid duct, repair of, using micro-surgical techniques (Anaes. 17714 = 5B + 9T) (Assist.)

$515.05

30251

Recurrent parotid tumour, excision of, with preservation of the facial nerve (Anaes. 17723 = 5B + 18T) (Assist.)

$1435.00

31400

Malignant upper aerodigestive tract tumour up to 20mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained (Anaes. 17714 = 6B + 8T) (Assist.)

$195.00

31403

Malignant upper aerodigestive tract tumour more than 20mm and up to 40mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained (Anaes. 17716 = 6B + 10T) (Assist.)

$225.00

31406

Malignant upper aerodigestive tract tumour more than 40mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained (Anaes. 17718 = 6B + 12T) (Assist.)

$375.00

31409

Parapharyngeal tumour, excision of, by cervical approach (Anaes. 17718 = 6B + 12T) (Assist.)

$1165.00

31412

Recurrent or persistent parapharyngeal tumour, excision of, by cervical approach (Anaes. 17722 = 6B + 16T) (Assist.)

$1435.00

31420

Lymph node of neck, biopsy of (Anaes. 17709 = 5B + 4T)

$137.30

31423

Lymph nodes of neck, selective dissection of 1 or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck (Anaes. 17713 = 5B + 8T) (Assist.)

$300.00

31426

Lymph nodes of neck, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck (Anaes. 17715 = 5B + 10T) (Assist.)

$600.00

31429

Lymph nodes of neck, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve (Anaes. 17719 = 5B + 14T) (Assist.)

$935.00

31432

Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections) (Anaes. 17723 = 5B + 18T) (Assist.)

$1000.00

31435

Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck (Anaes. 17719 = 5B + 14T) (Assist.)

$735.00

31438

Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve (Anaes. 17723 = 5B + 18T) (Assist.)

$1165.00

32507

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

$398.45

38573

Operative management of acute infective endocarditis, in association with heart valve surgery (Anaes. 17740 = 20B + 20T) (Assist.)

$1483.80

38627

Extra-corporeal membrane oxygenation, bypass or ventricular assist device cannulae, adjustment and re-positioning of, by open operation, in patients supported by these devices (Anaes. 17726 = 20B + 6T) (Assist.)

$500.00

41881

Tracheostomy by open exposure of the trachea as an independent procedure (Anaes. 17710 = 6B + 4T) (Assist.)

$300.00

41885

Trache-oesophageal fistula, formation of, as a secondary procedure following laryngectomy, including associated endoscopic procedures (Anaes. 17714 = 6B + 8T) (Assist.)

$215.00

42543

Orbit, exploration of retrobulbar aspect with removal of tumour or foreign body (Anaes. 17713 = 5B + 8T) (Assist.)

$660.00

42651

Cornea, epithelial debridement for eliminating band keratopathy (Anaes. 17709 = 5B + 4T)

$120.00

45520

Reduction mammaplasty (unilateral) with surgical repositioning of nipple (Anaes. 17711 = 5B + 6T) (Assist.)

$672.40

45522

Reduction mammaplasty (unilateral) without surgical repositioning of nipple (Anaes. 17710 = 5B + 5T) (Assist.)

$471.70

45624

Ptosis of eyelid, correction of, where previous ptosis surgery has been performed on that side (Anaes. 17711 = 5B + 6T) (Assist.)

$700.00

45625

Ptosis of eyelid, correction of eyelid height by revision of levator sutures within one week of primary repair by levator resection or advancement, performed in the operating theatre of a hospital or approved day hospital facility (Anaes. 17707 = 5B + 2T)

$140.00

45639

Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose, where it can be demonstrated that there is a need for correction of significant developmental deformity (Anaes. 17711 = 5B + 6T)

$757.25

48613

Scoliosis or kyphosis, spinal fusion for, using segmental instrumentation, reconstruction utilising separate anterior and posterior approaches (Anaes. 17743 = 13B + 30T) (Assist.)

$2600.00

48640

Vertebral body, disease of, excision and spinal fusion for, using segmental instrumentation, reconstruction utilising separate anterior and posterior approaches (Anaes. 17743 = 13B + 30T) (Assist.)

$2600.00

50394

Acetabular dysplasia, treatment of, by multiple peri-acetabular osteotomy, including internal fixation where performed (Anaes. 17728 = 10B + 18T) (Assist.)

$2073.90

Omit

Substitute

38253

38281

38259

38284

38530

38287

38533

38290

38536

38293

45725

45720

45719

45723

45728

45726

45722

45729

45743

45732

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

$63.15

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)

$38.95

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)

$67.20

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 7cm long), superficial (Anaes. 17709 = 4B + 5T)

$61.60

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)

$87.75

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)

$67.20

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)

$107.55

30042

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(S) (Anaes. 17709 = 4B + 5T)

$138.70

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)

$87.75

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)

$111.80

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)

$138.70

38278

Single chamber permanent transvenous electrode, insertion, removal or replacement of (Anaes. 17711 = 6B + 5T)

$476.95

38521

Automatic defibrillator, insertion of patches for, or insertion of transvenous endocardial defibrillation electrode for—not being a service associated with a service to which item 38213 applies (Anaes. 17721 = 15B + 6T) (Assist.)

$786.15

38524

Automatic defibrillator generator, insertion or replacement of—not being a service associated with a service to which item 38213 applies (Anaes. 17712 = 6B + 6T) (Assist.)

$214.95

41883

Tracheostomy by open exposure of the trachea in association with another procedure (Anaes. 17710 = 6B + 4T) (Assist.)

$189.75

41884

Cricothyrostomy or tracheostomy, by direct stab or dilation technique, using Minitrach or similar device (Anaes. 17708 = 6B + 2T)

$67.95

42510

Eye, enucleation of, with insertion of hydroxy apatite implant or similar coralline implant (Anaes. 17711 = 5B + 6T) (Assist.)

$524.20

42542

Orbit, exploration of anterior aspect with removal of tumour or foreign body (Anaes. 17711 = 5B + 6T) (Assist.)

$376.25

42545

Orbit, decompression of, for dysthyroid eye disease, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, 1 eye (Anaes. 17717 = 5B + 12T) (Assist.)

$954.60

42719

Capsulectomy or removal of vitreous via the anterior chamber by any method, not being a service associated with a service to which item 42698, 42702 or 42716 applies (Anaes. 17712 = 8B + 4T) (Assist.)

$387.50

42722

Capsulectomy by posterior chamber sclerotomy or removal of vitreous or vitreous bands from the anterior chamber by posterior chamber sclerotomy, by cutting and suction and replacement by saline, Hartmann's or similar solution, not being a service associated with a service to which item 42698, 42702 or 42716 applies—1 or both procedures (Anaes. 17714 = 8B + 6T) (Assist.)

$423.90

42725

Vitrectomy by posterior chamber sclerotomy ‑ including the removal of vitreous, division of bands or removal of pre‑retinal membranes by cutting and suction and replacement by saline, Hartmann's or similar solution (Anaes. 17718 = 10B + 8T) (Assist.)

$999.55

42860

Eyelid (upper or lower), scleral or Goretex or other non-autogenous graft to, with recession of the lid retractors (Anaes. 17714 = 5B + 9T) (Assist.)

$673.80

42866

Entropion or tarsal ectropion, repair of, by tightening, shortening or repair of inferior retractors by open operation across the entire width of the eyelid (Anaes. 17713 = 5B + 8T) (Assist.)

$561.55

45617

Upper eyelid, reduction of, for skin redundancy obscuring vision (as evidenced by upper eyelid skin resting on lashes on straight ahead gaze), herniation of orbital fat in exophthalmos, facial nerve palsy or post‑traumatic scarring, or, the restoration of symmetry of contralateral upper eyelid in respect of 1 of these conditions (Anaes. 17708 = 5B + 3T)

$175.55

45638

Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose, for correction of post-traumatic deformity or nasal obstruction, or both (Anaes. 17711 = 5B + 6T)

$757.25

45641

Rhinoplasty involving nasal or septal cartilage graft, or nasal bone graft, or nasal bone and nasal cartilage graft (Anaes. 17713 = 5B + 8T)

$808.60

45735

Mandible and maxilla, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17726 = 10B + 16T) (Assist.)

$1203.10

45738

Mandible and maxilla, osteotomies or osteectomies of, involving 2 such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17732 = 10B + 22T) (Assist.)

$1353.30

45741

Mandible and maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17753 = 10B + 43T) (Assist.)

$1323.45

45744

Mandible and maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of 1 jaw and 2 such procedures of the other jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17758 = 10B + 48T) (Assist.)

$1488.05

45747

Mandible and maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site (Anaes. 17758 = 10B + 48T) (Assist.)

$1443.80

45752

Mandible and maxilla, complex bilateral osteotomies or osteectomies of, involving 3 or more such procedures of each jaw, including genioplasty when performed and transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (Anaes. 17771 = 10B + 61T) (Assist.)

$1617.25

45764

Genioplasty, being a service associated with a service to which item 45720, 45723, 45726, 45729, 45731, 45732, 45735 or 45738 applies (Anaes. 17709 = 5B + 4T) (Assist.)

$325.55