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SR 1999 No. 256 Regulations as made
Principal Regulations. These regulations repeal the Health Insurance (1998-99 General Medical Services Table) Regulations 1998.
Tabling HistoryDate
Tabled HR22-Nov-1999
Tabled Senate22-Nov-1999
Gazetted 27 Oct 1999
Date of repeal 01 Nov 2000
Repealed by Health Insurance (General Medical Services Table) Regulations 2000

Commonwealth Coat of Arms of Australia

Health Insurance (1999-2000 General Medical Services Table) Regulations 1999

Statutory Rules 1999 No. 256

I, WILLIAM PATRICK DEANE, Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.

Dated 20 October 1999.

WILLIAM DEANE

Governor-General

By His Excellency’s Command,

MICHAEL WOOLDRIDGE

Minister for Health and Aged Care

 


Commonwealth Coat of Arms of Australia

Health Insurance (1999-2000 General Medical Services Table) Regulations 1999

Statutory Rules 1999 No. 2561

made under the

 

 

 

Contents

                                                                                                                 Page

                        1  Name of Regulations                                                         5

                        2  Commencement                                                                5

                        3  Repeal of Health Insurance (1998-99 General Medical Services Table) Regulations 1998            5

                        4  General medical services table                                           5

Schedule 1       Table of general medical services                         6

Part 1             Rules of interpretation                                                       6

                        1  General                                                                             6

                        2  Meaning of symbols (S) and (G)                                       11

                        3  Meaning of single course of treatment in certain circumstances            12

                        4  Meaning of professional attendance in certain items           13

                        5  Administration of anaesthetics in connection with certain services       13

                        6  Interpretation of items 104 to 131 and 300 to 388               14

                        7  Meaning of amount under rule 7 in certain items                 15

                        8  Items 10809 and 10929 not to apply in certain circumstances 18

                        9  Personal attendance by medical practitioners generally      18

                       10  Personal attendance by certain medical practitioners         19

                       11  Certain services may be provided by persons other than medical practitioners 20

                       12  Conditions under which certain services to be provided     21

                       13  Application of items 51700 to 53460                                 21

                       14  Meaning of administration of an anaesthetic in items 18102 to 18119    21

                       15  Meaning of amount under rule 15 in certain items               21

                       16  Meaning of amount under rule 16 in certain items               22

                       17  Meaning of amount under rule 17 in certain items               23

                       18  Meaning of (AD) in Group C2 — Oral and maxillofacial surgical services and Group C3 — General and Prosthodontic services                                           23

                       19  Orthodontic services                                                        23

                       20  Oral surgery services                                                       24

                       21  Meaning of report in Group D1 — Miscellaneous diagnostic procedures and investigations      25

                       22  Meaning of treatment cycle of a patient                             25

                       23  Items provided as part of treatment cycle relating to assisted reproductive services not to apply                                                                                    25

                       24  Items relating to assisted reproductive services not to apply in certain pregnancy-related circumstances                                                               26

                       25  Meaning of embryology laboratory services in items 13200 and 13206  26

                       26  Meaning of delivery in certain items                                  26

                       27  Certain obstetrical procedures constitute a single operation 27

                       28  Meaning of maxilla in certain items                                   27

                       29  Items 46300 to 46534 apply only in certain circumstances  27

                       30  Assistance at operations                                                  27

                       31  Services in association with spinal fusion services            27

                       32  Meaning of amount under rule 32 in items 51303 and 51803 28

                       33  Meaning of amount under rule 33 in item 51309                  28

                       34  Meaning of amount under rule 34 in item 18219                  28

                       35  Histopathological proof of malignancy in certain cases for purposes of certain items relating to surgical procedures                                                       28

                       36  Meaning of amount under rule 36 in items 16633 and 16636 29

                       37  Meaning of amount under rule 37 in item 51312                  29

                       38  Meaning of amount under rule 38 in item 31340                  29

                       39  Meaning of amount under rule 39 in items 17503 and 17506 29

                       40  Meaning of previous significant surgical complication in item 51318      29

                       41  Meaning of amount under rule 41 in item 13604                  30

                       42  Meaning of amount under rule 42 in items 17800, 17805 and 17810      30

                       43  Meaning of amount under rule 43 in item 17970                  31

                       44  Meaning of amount under rule 44 in item 30001                  31

                       45  Meaning of complex paediatric case in certain circumstances 31

                       46  Meaning of amount under rule 46 in item 18033                  31

                       47  Consultant occupational physicians                                  32

                       48  Qualified sleep medicine practitioner                                 32

                       49  Public health physicians                                                   33

                       50  Application of items in Group A14 to certain patients only 33

                       51  Application of items in Group A15 to certain patients only 34

                       52  Meaning of health assessment                                         34

                       53  Meaning of multidisciplinary care plan                               35

                       54  Meaning of multidisciplinary care plan team                       36

                       55  Meaning of multidisciplinary discharge care plan                37

                       56  Meaning of review of a multidisciplinary care plan             37

                       57  Meaning of contribution to a plan                                      38

                       58  Meaning of multidisciplinary case conference                     38

                       59  Meaning of multidisciplinary discharge case conference      39

                       60  Meaning of multidisciplinary case conference team            39

                       61  Meaning of organise and co-ordinate a multidisciplinary case conference and participation in a multidisciplinary case conference                                   40

Part 2             Services and fees                                                            42

 


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1              Name of Regulations

                These Regulations are the Health Insurance (1999-2000 General Medical Services Table) Regulations 1999.

2              Commencement

                These Regulations commence on 1 November 1999.

3              Repeal of Health Insurance (1998-99 General Medical Services Table) Regulations 1998

                The following statutory rules are repealed:

·         1998 No. 301

·         1998 No. 334

·         1999 No. 16

·         1999 No. 17.

4              General medical services table

                The table of medical services (other than diagnostic imaging services and pathology services) set out in Schedule 1 is prescribed for subsection 4 (1) of the Health Insurance Act 1973.


Schedule 1        Table of general medical services

(regulation 4)

Part 1          Rules of interpretation

1              General

         (1)   In this table, unless the contrary intention appears:

Act means the Health Insurance Act 1973.

attendance of a minor nature or minor attendance, for an attendance on a patient by a consultant physician, means an attendance that:

                (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.

closed reduction:

                (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.

comprehensive hyperbaric medicine facility means a separate hospital area that, on a 24 hour basis:

                (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

               (b)    is supported by:

                          (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.

general intensive care unit means a separate hospital area that:

                (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

                         (ii)    invasive cardiovascular monitoring; and

               (b)    is supported by:

                          (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.

general practitioner means:

                (a)    a practitioner who is vocationally registered under section 3F of the Act; or

               (b)    a practitioner who:

                          (i)    is a Fellow of the RACGP; and

                         (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.

institution means a place (other than a hospital, a nursing home or accommodation for aged persons that is attached to a nursing home or situated within a nursing home complex) at which residential accommodation or day care is, or both residential accommodation and day care are, made available to:

                (a)    disadvantaged children; or

               (b)    juvenile offenders; or

                (c)    aged persons; or

               (d)    chronically ill psychiatric patients; or

                (e)    homeless persons; or

                (f)    unemployed persons; or

               (g)    persons suffering from alcoholism; or

               (h)    persons addicted to drugs; or

                (i)    physically or intellectually disabled persons.

intensive care unit means a general intensive care unit or a neo-natal intensive care unit.

neo-natal intensive care unit means a separate hospital area that:

                (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

                         (ii)    invasive cardiovascular monitoring; and

               (b)    is supported by:

                          (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.

open reduction means treatment of a dislocation or fracture by either:

                (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.

RACGP means the Royal Australian College of General Practitioners.

referring practitioner, for a referral, means:

                (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.

         (2)   In this table, a reference by number to an item in the series 65060 to 73921 is a reference to the item so numbered in the pathology services table.

         (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:

Formula

                where:

       n1 is:

                (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

               (b)    in any other case — 0.

       n2 is:

                (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:

                          (i)    15 minutes in a period of up to 6 hours; and

                         (ii)    10 minutes in any period in excess of that period.

2              Meaning of symbols (S) and (G)

         (1)   An item including the symbol (S) applies only to a service provided by a specialist (and not to a service given by a consultant physician) in the practice of his or her specialty, being:

                (a)    a service that:

                          (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

               (b)    a service that:

                          (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

                (c)    a service that:

                          (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

               (d)    a service that:

                          (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.

         (2)   An item including the symbol (G) applies only to a service provided otherwise than by a specialist in accordance with subrule (1).

3              Meaning of single course of treatment in certain circumstances

         (1)   In subrule 1 (1), rules 2 and 6 and items 104, 105, 106, 107, 108, 110, 116, 119, 122, 128, 131, 385, 386, 387 and 388, single course of treatment includes:

                (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.

4              Meaning of professional attendance in certain items

                In items 1 to 172, 193 to 338, 348 to 388, 410 to 417, 601, 602, 697, 698 and 10900 to 10929, professional attendance includes (but is not limited to) the provision in relation to a patient of 1, or more than 1, of the following services:

                (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.

5              Administration of anaesthetics in connection with certain services

                If a general anaesthetic is administered in connection with a service specified in an item that includes the formula:

Formula

                where:

                (a)    n is a number; and

               (b)    n1 and n2 are other numbers;

                the service that is provided by the medical practitioner who administers the anaesthetic is the service described in item n.

6              Interpretation of items 104 to 131 and 300 to 388

         (1)   In items 104 to 131 and 300 to 388, a reference to an attendance on a patient by a specialist, or consultant physician, in the practice of his or her specialty if the patient is referred to him or her:

                (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

                         (ii)    if, in an emergency within the meaning of the Health Insurance Regulations 1975, the patient has not been referred to the specialist, or consultant physician, who decides that it is necessary in the patient’s interests to provide the service mentioned in the item as soon as practicable without a referral; but

               (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.

         (2)   In subrule (1) and in items 104 to 131 and 300 to 388, a reference to the referral of a patient to a specialist, or consultant physician, is a reference to the referral of a patient to a specialist, or consultant physician, by a referring practitioner.

7              Meaning of amount under rule 7 in certain items

         (1)   In items 4, 13, 19 and 20, amount under rule 7 means an amount equal to the sum of:

                (a)    the fee for item 3; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $18.35 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — $1.20 for each patient.

         (2)   In items 24, 25, 33 and 35, amount under rule 7 means an amount equal to the sum of:

                (a)    the fee for item 23; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $18.35 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — $1.20 for each patient.

         (3)   In items 37, 38, 40 and 43, amount under rule 7 means an amount equal to the sum of:

                (a)    the fee for item 36; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $18.35 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — $1.20 for each patient.

         (4)   In items 47, 48, 50 and 51, amount under rule 7 means an amount equal to the sum of:

                (a)    the fee for item 44; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $18.35 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — $1.20 for each patient.

         (5)   In items 58, 81, 87 and 92, amount under rule 7 means an amount equal to the sum of:

                (a)    $8.50; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $15.50 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — 70 cents for each patient.

         (6)   In items 59, 83, 89 and 93, amount under rule 7 means an amount equal to the sum of:

                (a)    $16.00; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $17.50 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — 70 cents for each patient.

         (7)   In items 60, 84, 90 and 95, amount under rule 7 means an amount equal to the sum of:

                (a)    $35.50; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $15.50 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — 70 cents for each patient.

         (8)   In items 65, 86, 91 and 96, amount under rule 7 means an amount equal to the sum of:

                (a)    $57.50; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $15.50 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — 70 cents for each patient.

         (9)   In item 195, amount under rule 7 means an amount equal to the sum of:

                (a)    the fee for item 193; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $18.35 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — $1.20 for each patient.

       (10)   In item 414, amount under rule 7 means an amount equal to the sum of:

                (a)    the fee for item 410; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $18.35 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — $1.20 for each patient.

       (11)   In item 415, amount under rule 7 means an amount equal to the sum of:

                (a)    the fee for item 411; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $18.35 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — $1.20 for each patient.

       (12)   In item 416, amount under rule 7 means an amount equal to the sum of:

                (a)    the fee for item 412; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $18.35 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — $1.20 for each patient.

       (13)   In item 417, amount under rule 7 means an amount equal to the sum of:

                (a)    the fee for item 413; and

               (b)    either:

                          (i)    for each patient attended at a single attendance to a maximum of 6 patients — $18.35 divided by the number of patients attended; or

                         (ii)    if more than 6 patients are attended at a single attendance — $1.20 for each patient.

8              Items 10809 and 10929 not to apply in certain circumstances

                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.

9              Personal attendance by medical practitioners generally

         (1)   The items mentioned in subrule (2) apply only to a service provided in the course of a personal attendance by a medical practitioner on a single patient on a single occasion.

         (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, 13612, 13700, 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, 14215, 14224, 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.

10            Personal attendance by certain medical practitioners

         (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

               (b)    a medical practitioner who:

                          (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, 13612, 13700, 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, 14215, 14224, 15600, 16003 to 16512 and 16515 to 51318.

11            Certain services may be provided by persons other than medical practitioners

         (1)   The items mentioned in subrule (2) apply whether the medical service is given by:

                (a)    a medical practitioner; or

               (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, 11240, 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, 13703, 13706, 13709, 13750, 13755, 13757, 13760, 13915 to 13948, 14050, 14053, 14218, 14221, 15000 to 15536 and 16514.

12            Conditions under which certain services to be provided

                Items 11309, 11312, 11315, 11318 and 11321 apply only to a service provided:

                (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.

13            Application of items 51700 to 53460

                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.

14            Meaning of administration of an anaesthetic in items 18102 to 18119

                In items 18102 to 18119, administration of an anaesthetic means the administration of an anaesthetic in connection with a dental service, other than a dental service that is a prescribed medical service for the purposes of paragraph (b) of the definition of professional service in subsection 3 (1) of the Act.

15            Meaning of amount under rule 15 in certain items

         (1)   In item 15003, amount under rule 15 means an amount equal to the sum of:

                (a)    the fee for item 15000; and

               (b)    $13.15 for each field separately treated in excess of 1.

         (2)   In item 15103, amount under rule 15 means an amount equal to the sum of:

                (a)    the fee for item 15000; and

               (b)    $14.50 for each field separately treated in excess of 1.

         (3)   In item 15109, amount under rule 15 means an amount equal to the sum of:

                (a)    the fee for item 15106; and

               (b)    $17.45 for each field separately treated in excess of 1.

         (4)   In item 15204, amount under rule 15 means an amount equal to the sum of:

                (a)    the fee for item 15203; and

               (b)    $29.20 for each field separately treated in excess of 1.

         (5)   In item 15208, amount under rule 15 means an amount equal to the sum of:

                (a)    the fee for item 15207; and

               (b)    $29.20 for each field separately treated in excess of 1.

         (6)   In item 15214, amount under rule 15 means an amount equal to the sum of:

                (a)    the fee for item 15211; and

               (b)    $24.50 for each field separately treated in excess of 1.

16            Meaning of amount under rule 16 in certain items

         (1)   In item 15009, amount under rule 16 means an amount equal to the sum of:

                (a)    the fee for item 15006; and

               (b)    $14.30 for each field separately treated in excess of 1.

         (2)   In item 15115, amount under rule 16 means an amount equal to the sum of:

                (a)    the fee for item 15112; and

               (b)    $36.35 for each field separately treated in excess of 1.

17            Meaning of amount under rule 17 in certain items

                In an item to which paragraph (a) or (b) applies, amount under rule 17 means an amount equal to:

                (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).

18            Meaning of (AD) in Group C2 — Oral and maxillofacial surgical services and Group C3 — General and Prosthodontic services

                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.

19            Orthodontic services

         (1)   In this rule:

accredited orthodontist means:

                (a)    a dental practitioner who is:

                          (i)    registered or licensed as an orthodontist under the relevant law; and

                         (ii)    accredited by the Minister for the purposes of this rule; or

               (b)    a dental practitioner:

                          (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.

appropriate law, in relation to a service rendered to a patient, means the law of the State or Territory in which the service is rendered that provides for the registration or licensing of oral and maxillofacial surgeons.

Committee means the Medical Benefits (Dental Practitioners) Advisory Committee established under section 136 of the National Health Act 1953.

relevant law, in relation to a service provided to a patient, means the law of the State or Territory in which the service is provided that provides for the registration or licensing of orthodontists.

         (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.

         (3)   An item in the series 75009 to 75023 that includes the symbol (AO) and the symbol (AOS) applies only to a service provided by:

                (a)    an accredited orthodontist; or

               (b)    a dental practitioner who is:

                          (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.

20            Oral surgery services

         (1)   In this rule, relevant law, in relation to a service rendered to a patient, means the law of the State or Territory in which the service is rendered that provides for the registration or licensing of oral and maxillofacial surgeons.

         (2)   An item in the series 75150 to 75621 that includes the symbol (AOS) applies only to a service provided by a dental practitioner who is:

                (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.

21            Meaning of report in Group D1 — Miscellaneous diagnostic procedures and investigations

                In items 11000 to 12207, report means a report prepared by a medical practitioner.

22            Meaning of treatment cycle of a patient

                In rule 25 and items 13200 to 13221, treatment cycle of a patient means a series of treatments of the patient that:

                (a)    begins:

                          (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.

23            Items provided as part of treatment cycle relating to assisted reproductive services not to apply

         (1)   Subrule (2) applies to a service mentioned:

                (a)    in an item in Subgroup 3 of Group T1 (assisted reproductive services); and

               (b)    in any other item associated with an item in Subgroup 3 of Group T1.

         (2)   A service provided as part of a treatment cycle to which an item in paragraph (1) (a) applies, is not a medical service for the purposes of the item mentioned in paragraph (1) (b).

24            Items relating to assisted reproductive services not to apply in certain pregnancy-related circumstances

                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.

25            Meaning of embryology laboratory services in items 13200 and 13206

                In items 13200 and 13206, embryology laboratory services does not include semen preparation but includes:

                (a)    egg recovery from aspirated follicular fluid; and

               (b)    insemination; and

                (c)    monitoring of fertilisation and embryo development; and

               (d)    preparation of gametes or embryos for transfer or freezing.

26            Meaning of delivery in certain items

                In items 16515, 16519 and 16522, delivery includes:

                (a)    induction of labour by surgical or intravenous infusion methods; and

               (b)    forceps or vacuum extraction; and

                (c)    breech delivery; and

               (d)    management of multiple deliveries; and

                (e)    episiotomy; and

                (f)    repair of tears; and

               (g)    evacuation of the products of conception by manual removal.

27            Certain obstetrical procedures constitute a single operation

                The procedures mentioned in item 16519, 16520, 16522, 16564, 16567, 16570, 16571 or 16573 constitute, for the purposes of that item, a single operation for the purposes of subsections 16 (2), (3) and (4) of the Act.

28            Meaning of maxilla in certain items

                In items 45719 to 45752 and 52342 to 52375, maxilla includes the zygoma.

29            Items 46300 to 46534 apply only in certain circumstances

                Items 46300 to 46534 apply only to a service provided in the course of an operation on a hand or hands.

30            Assistance at operations

         (1)   Items 51300 to 51318 apply only to assistance rendered by a medical practitioner other than:

                (a)    the practitioner performing the operation; or

               (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:

                (a)    the practitioner performing the operation; or

               (b)    the anaesthetist administering the anaesthetic in connection with the operation, if any; or

                (c)    the assistant anaesthetist, if any.

31            Services in association with spinal fusion services

                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.

32            Meaning of amount under rule 32 in items 51303 and 51803

                In items 51303 and 51803, amount under rule 32, in relation to an amount payable for assistance at an operation or series of operations, means an amount equal to 20% of the sum of the fees payable under the Act for the services at that operation or series of operations of the practitioner to whom the assistance was given.

33            Meaning of amount under rule 33 in item 51309

         (1)   In item 51309, amount under rule 33 in relation to an amount payable for assistance at a series or combination of operations, means an amount equal to 20% of the sum of the fees payable under the Act for the services at those operations of the practitioner to whom the assistance was given.

         (2)   For subrule (1), the amount payable for the caesarean section component of the operations is the fee applicable to item 16520.

34            Meaning of amount under rule 34 in item 18219

                In item 18219, amount under rule 34 means an amount equal to the sum of:

                (a)    the fee for item 18216; and

               (b)    $14.60 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 of attendance.

35            Histopathological proof of malignancy in certain cases for purposes of certain items relating to surgical procedures

                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.

36            Meaning of amount under rule 36 in items 16633 and 16636

                In items 16633 and 16636, amount under rule 36 means the amount that is equal to 50% of the amount of the fee for the service specified in an item for those services that are provided in relation to the second, or to a subsequent, foetus of a multiple pregnancy.

37            Meaning of amount under rule 37 in item 51312

                In item 51312, amount under rule 37, in relation to an amount payable for assistance at a procedure, means an amount equal to 20% of the sum of the fees payable under the Act for the services at that procedure of the practitioner to whom the assistance was given.

38            Meaning of amount under rule 38 in item 31340

                In item 31340, amount under rule 38, in relation to an amount payable for the excision of muscle, bone or cartilage in association with the excision of a malignant tumour of skin under another item, means an amount equal to 75% of the fee payable under that other item.

39            Meaning of amount under rule 39 in items 17503 and 17506

                In items 17503 and 17506, amount under rule 39 for an amount payable for assistance in the administration of an anaesthetic, means an amount equal to 30% of the fee for the services at that treatment of the anaesthetist to whom the assistance was given.

40            Meaning of previous significant surgical complication in item 51318

                In item 51318, previous significant surgical complication means:

                (a)    vitreous loss; or

               (b)    rupture of posterior capsule; or

                (c)    loss of nuclear material into the vitreous; or

               (d)    intraocular haemorrhage; or

                (e)    intraocular infection (endophthalmitis); or

                (f)    cystoid macular oedema; or

               (g)    corneal decompensation; or

               (h)    retinal detachment.

41            Meaning of amount under rule 41 in item 13604

         (1)   In item 13604, amount under rule 41 means the fee, worked out in accordance with subrule (2), for a cardiopulmonary bypass, involving perfusion, that lasts longer than 6 hours.

         (2)   The fee is the sum of:

                (a)    $542.00; and

               (b)    $14.60 for each additional period of 10 minutes (or part of a period of 10 minutes) after 6 hours.

42            Meaning of amount under rule 42 in items 17800, 17805 and 17810

                In items 17800, 17805 and 17810, amount under rule 42 means the fee worked out by multiplying $14.60 for each additional anaesthetic time unit beyond the assigned number of anaesthetic time units as follows:

                (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.

43            Meaning of amount under rule 43 in item 17970

                In item 17970, amount under rule 43 means 50% of the scheduled fee that would normally apply for administration of an anaesthetic in connection with a surgical procedure if that surgical procedure had not been discontinued before completion.

44            Meaning of amount under rule 44 in item 30001

                In item 30001, amount under rule 44 means 50% of the scheduled fee that would normally apply for a surgical procedure if the surgical procedure had not been discontinued before completion.

45            Meaning of complex paediatric case in certain circumstances

                For item 17506, a complex paediatric case involves 1 or more of the following services:

                (a)    invasive monitoring, either intravascular or transoesophageal;

               (b)    organ transplantation;

                (c)    craniofacial surgery;

               (d)    major tumour resection;

                (e)    separation of conjoint twins.

46            Meaning of amount under rule 46 in item 18033

                In item 18033, amount under rule 46 means an amount that is equal to the sum of:

                (a)    $58.40; and

               (b)    $14.60 for each 15 minutes of anaesthesia time.

47            Consultant occupational physicians

                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.

48            Qualified sleep medicine practitioner

                For items 12203 and 12207, qualified sleep medicine practitioner means:

                (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).

49            Public health physicians

                For items 410 to 417, an attendance on a patient by a public health physician will only attract a benefit if the attendance relates to 1 or more of the following matters:

                (a)    management of a patient’s vaccination requirements for immunisation programs;

               (b)    prevention or management of sexually transmitted disease;

                (c)    prevention or management of disease caused by scientifically accepted environmental hazards or toxins;

               (d)    prevention or management of infection arising from an outbreak of an infectious disease;

                (e)    prevention or management of an exotic disease.

Note   An exotic disease is medically accepted as a disease that is of foreign origin.

50            Application of items in Group A14 to certain patients only

         (1)   Items 700, 702, 704 and 706 apply only to a service in relation to a patient who:

                (a)    is either:

                          (i)    at least 75 years old; or

                         (ii)    at least 55 years old and of Aboriginal or Torres Strait Islander descent; and

               (b)    is not an in-patient of a hospital or day-hospital facility, or a resident of a nursing home.

         (2)   For subrule (1), a person is of Aboriginal or Torres Strait Islander descent if the person identifies himself or herself as being of that descent.

51            Application of items in Group A15 to certain patients only

         (1)   Items 720, 724, 726, 740, 742, 744, 759, 762 and 765 apply only to a service in relation to a patient who:

                (a)    suffers from at least one medical condition:

                          (i)    that has been (or is likely to be) present for at least 6 months; or

                         (ii)    that is terminal; and

               (b)    is not an in-patient of a hospital or day-hospital facility, or a resident of a nursing home.

         (2)   Items 722, 728, 746, 749, 757, 768, 771 and 773 apply only to a service in relation to a patient who:

                (a)    suffers from at least one medical condition:

                          (i)    that has been (or is likely to be) present for at least 6 months; or

                         (ii)    that is terminal; and

               (b)    is an in-patient of a hospital or day-hospital facility; and

                (c)    is not a resident of a nursing home.

52            Meaning of health assessment

         (1)   For items 700, 702, 704 and 706, health assessment means the assessment, in accordance with this rule, of:

                (a)    a patient’s health and physical, psychological and social function; and

               (b)    whether preventative health care and education should be offered to the patient, to improve that patient’s health and physical, psychological and social function.

         (2)   The health assessment must include a personal attendance by the medical practitioner.

         (3)   The assessment must also include:

                (a)    measurement of the patient’s blood pressure, pulse rate and rhythm; and

               (b)    an assessment of the patient’s medication; and

                (c)    an assessment of the patient’s continence; and

               (d)    an assessment of the patient’s immunisation status for influenza, tetanus and pneumococcus; and

                (e)    an assessment of the patient’s physical function, including the patient’s activities of daily living and whether or not the patient has had a fall in the last 3 months; and

                (f)    an assessment of the patient’s psychological function, including the patient’s cognition and mood; and

               (g)    an assessment of the patient’s social function, including:

                          (i)    the availability and adequacy of paid, and unpaid, help; and

                         (ii)    whether the patient is responsible for caring for another person.

         (4)   The assessment must also include:

                (a)    keeping a record of the health assessment, signed by the patient; and

               (b)    giving the patient a written report about the health assessment, with recommendations about matters covered by the health assessment.

53            Meaning of multidisciplinary care plan

         (1)   For items 720, 722, 724, 726 and 728, preparation of a multidisciplinary care plan means the preparation of a written plan describing the following matters:

                (a)    an assessment of the patient’s health care needs;

               (b)    an assessment of the kinds of treatment, health services and health care that the patient is likely to need;

                (c)    an assessment of any other kinds of services and care that the patient is likely to need;

               (d)    arrangements for giving the treatment, services and care referred to in paragraphs (b) and (c);

                (e)    management goals with which the patient agrees;

                (f)    arrangements to review the plan by a day specified in the plan.

Example

For paragraph (c), other kinds of services and care may include home and community care service providers.

         (2)   Preparation of the plan must also include:

                (a)    discussing the preparation of the plan with the patient; and

               (b)    telling the patient who will be included in the multidisciplinary care plan team; and

                (c)    recording the plan and the patient’s agreement to the preparation of the plan; and

               (d)    giving copies of relevant parts of the plan to persons who, under the plan, will give the patient the treatment, service and care mentioned in the plan; and

                (e)    giving a copy of the plan (and evidence of the contribution made to the plan by members of the team) to the patient; and

                (f)    if the patient is eligible to be provided with treatment, under Part V of the Veterans’ Entitlement Act 1986, giving a copy of the plan to the Department of Veterans’ Affairs.

54            Meaning of multidisciplinary care plan team

                A multidisciplinary care plan team:

                (a)    includes a medical practitioner; and

               (b)    includes at least 2 other members, each of whom provides a different kind of care or service to the patient, and 1 of whom may be another medical practitioner.

Example

Examples of persons who, for paragraph (b), may be included in a team are allied health professionals such as:

·                                   Aboriginal health care workers

·                                   audiologists

·                                   dental therapists

·                                   dentists

·                                   dieticians

·                                   occupational therapists

·                                   optometrists

·                                   orthoptists

·                                   orthotists or prosthetists

·                                   pharmacists

·                                   physiotherapists

·                                   podiatrists

·                                   psychologists

·                                   registered nurses

·                                   social workers

·                                   speech pathologists.

A team may also include home and community service providers, or care organisers, such as:

·                                   education providers

·                                   ‘meals on wheels’ providers

·                                   personal care workers

·                                   probation officers.

55            Meaning of multidisciplinary discharge care plan

                For items 722 and 728, a multidisciplinary discharge care plan is a multidisciplinary care plan that is prepared for a patient before the patient is discharged from a hospital.

56            Meaning of review of a multidisciplinary care plan

         (1)   For item 724, review of a multidisciplinary care plan means a process by which the medical practitioner:

                (a)    reviews the matters mentioned in subsection 53 (1); and

               (b)    considers whether the arrangements for treatment, service and care have been carried out; and

                (c)    considers, in consultation with other members of the multidisciplinary care plan team, whether different arrangements need to be made to achieve the management goals mentioned in the plan; and

               (d)    if different arrangements need to be made, prepares a revised multidisciplinary care plan, stating those arrangements.

         (2)   The review of the plan must also include:

                (a)    discussing the review of the plan with the patient; and

               (b)    recording the patient’s agreement to reviewing the plan; and

                (c)    giving copies of relevant parts of the revised multidisciplinary care plan (if any) to the patient, and to persons who, under the revised plan, will give the patient the treatment, service and care mentioned in the plan; and

               (d)    if paragraph 53 (2) (f) applies to the patient, giving a copy of the revised multidisciplinary care plan (if any) to the Department of Veterans’ Affairs.

57            Meaning of contribution to a plan

         (1)   For items 726 and 728, a contribution to a multidisciplinary care plan or a multidisciplinary discharge care plan must be at the request of the person who prepares the plan, and may include:

                (a)    preparation of a part of the plan that relates to the treatment, service or care that the medical practitioner will give to the patient; and

               (b)    giving advice to the person who prepares the plan.

         (2)   Contribution to a plan does not include preparation of a multidisciplinary care plan or a multidisciplinary discharge care plan.

58            Meaning of multidisciplinary case conference

         (1)   For the items mentioned in Subgroup 2 of Group A15, a multidisciplinary case conference is a process by which a multidisciplinary case conference team carries out the activities mentioned in subrule (2).

         (2)   For subrule (1), the activities are:

                (a)    discussing a patient’s history; and

               (b)    identifying the patient’s multidisciplinary care needs; and

                (c)    identifying outcomes to be achieved by members of the case conference team giving care and service to the patient; and

               (d)    identifying tasks that need to be undertaken to achieve these outcomes, and allocating those tasks to members of the case conference team; and

                (e)    assessing whether previously identified outcomes (if any) have been achieved.

59            Meaning of multidisciplinary discharge case conference

                For items 746, 749, 757, 768, 771 and 773, a multidisciplinary discharge case conference is a multidisciplinary case conference carried out in relation to a patient before the patient is discharged from a hospital or day-hospital facility.

60            Meaning of multidisciplinary case conference team

                For the items mentioned in rules 58 and 59, a multidisciplinary case conference team:

                (a)    includes a medical practitioner; and

               (b)    includes at least 2 other members, each of whom provides a different kind of care or service to the patient, and 1 of whom may be another medical practitioner.

Example

Examples of persons who, for paragraph (b), may be included in a team are allied health professionals such as:

·                                   Aboriginal health care workers

·                                   audiologists

·                                   dental therapists

·                                   dentists

·                                   dieticians

·                                   occupational therapists

·                                   optometrists

·                                   orthoptists

·                                   orthotists or prosthetists

·                                   pharmacists

·                                   physiotherapists

·                                   podiatrists

·                                   psychologists

·                                   registered nurses

·                                   social workers

·                                   speech pathologists.

A team may also include home and community service providers, or care organisers, such as:

·                                   education providers

·                                   ‘meals on wheels’ providers

·                                   personal care workers

·                                   probation officers.

61            Meaning of organise and co-ordinate a multidisciplinary case conference and participation in a multidisciplinary case conference

         (1)   For items 740, 742, 744, 746, 749 and 757, organise and co-ordinate a multidisciplinary case conference means undertaking the following activities in relation to a case conference:

                (a)    explaining to the patient the nature of a multidisciplinary case conference, and asking the patient whether the patient agrees to the conference taking place; and

               (b)    recording the patient’s agreement to the conference; and

                (c)    recording the day on which the conference was held, and the times at which the conference started and ended; and

               (d)    recording the names of the participants; and

                (e)    recording the matters mentioned in subrule 58 (2), and putting a copy of that record in the patient’s medical records; and

                (f)    giving the patient, and each other member of the team, a summary of the conference.

         (2)   For items 759, 762, 765, 768, 771 and 773, participation in a multidisciplinary case conference must be at the request of the person who organises and co-ordinates the conference, and includes undertaking the following activities in relation to a case conference:

                (a)    explaining to the patient the nature of a multidisciplinary case conference, and asking the patient whether the patient agrees to the practitioner’s participation in the conference; and

               (b)    recording the patient’s agreement to the practitioner’s participation; and

                (c)    recording the day on which the conference was held, and the times at which the conference started and ended; and

               (d)    recording the names of the participants; and

                (e)    recording the matters mentioned in subrule 58 (2), and putting a copy of that record in the patient’s medical records.

         (3)   Participation in a multidisciplinary case conference does not include organising and co-ordinating a multidisciplinary case conference.

Part 2          Services and fees

 

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

56.95

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

56.95

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

12.30

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

25.85

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

46.70

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

68.80

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

65.80

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

33.00

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 10816 applies), where the attendance is at consulting rooms, hospital or nursing home

54.20

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

96.50

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

61.05

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

116.05

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

58.10

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

33.00

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

140.90

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

85.15

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

61.30

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

157.15

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

261.90

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

366.70

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

471.45

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

523.90

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

25.85

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

(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

Amount under rule 7

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 item 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year

33.30

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 item 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year

66.55

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 item 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year

97.55

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 item 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year

134.65

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 item 300, 302, 304, 306 or 308 apply have not exceeded the sum of 50 attendances in a calendar year

164.05

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 item 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year

16.65

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 item 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year

33.30

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 item 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year

48.75

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 item 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year

67.35

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 item 300, 302, 304, 306, 308, 310, 312, 314, 316 or 318 apply exceed 50 attendances in a calendar year

82.05

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

134.65

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 a hospital or nursing home

33.30

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 a hospital or nursing home

66.55

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 a hospital or nursing home

97.55

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 a hospital or nursing home

134.65

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 a hospital or nursing home

164.05

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

61.15

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

95.95

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

133.10

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

161.00

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

191.95

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

37.95

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

50.40

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

74.50

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

40.25

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

90.50

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

40.25

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

65.80

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

33.00

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

96.50

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

61.05

Group A13 — Public health physician attendances to which no other item applies

 

410

Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance 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

12.30

411

Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance involving taking a selective patient history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or an attendance of less than 20 minutes duration involving components of a service to which item 412 applies

25.85

412

Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance involving taking a detailed patient 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 an attendance of less than 40 minutes duration involving components of a service to which item 413 applies

46.70

413

Professional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance involving taking an exhaustive patient 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 an attendance of at least 40 minutes duration for implementation of a management plan

68.80

414

Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance 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

Amount under rule 7

415

Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance involving taking a selective patient history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or an attendance of less than 20 minutes duration involving components of a service to which item 416 applies

Amount under rule 7

416

Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance involving taking a detailed patient 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 an attendance of less than 40 minutes duration involving components of a service to which item 417 applies

Amount under rule 7

417

Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance involving taking an exhaustive patient 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 an attendance of at least 40 minutes duration for implementation of a management plan

Amount under rule 7

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

68.10

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

68.10

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 A14 — Health assessments

 

700

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) at consulting rooms for a health assessment of a patient who is at least 75 years old — not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 702, 704 or 706

143.25

702

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), not being an attendance at consulting rooms, a hospital or a nursing home, for a health assessment of a patient who is at least 75 years old — not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 704 or 706

202.60

704

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) at consulting rooms for a health assessment of a patient who is at least 55 years old and of Aboriginal or Torres Strait Islander descent — not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 702 or 706

143.25

706

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), not being an attendance at consulting rooms, a hospital or a nursing home, for a health assessment of a patient who is at least 55 years old and of Aboriginal or Torres Strait Islander descent — not being a health assessment of a patient in respect of whom, in the preceding 12 months, a payment has been made under this item or item 700, 702 or 704

202.60

Group A15 — Multidisciplinary care plans and multidisciplinary case conferences

 

Subgroup 1 — Multidisciplinary care plans

 

720

Preparation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), in consultation with a multidisciplinary care plan team, of a multidisciplinary care plan for a patient (not being a service associated with a service to which an item in Subgroup 2 applies) — payable not more than once in any 6 month period

184.20

722

Preparation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), in consultation with a multidisciplinary care plan team, of a multidisciplinary discharge care plan for a patient (not being a service associated with a service to which an item in Subgroup 2 applies) — payable not more than once for each hospital admission

184.20

724

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) to review a multidisciplinary care plan prepared by that medical practitioner for a patient (not being a payment in respect of a service to which an item in Subgroup 2 applies) — payable not more than once in any 3 month period, and not being an attendance in relation to a patient:

(a)    in respect of whom, in the preceding 3 months, a payment has been made under item 720; or

(b)   in respect of whom, in the preceding month, a payment has been made under item 722

92.10

726

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary care plan team, to make a contribution to a multidisciplinary care plan (not being a payment in respect of a service to which an item in Subgroup 2 applies) — not being an attendance in relation to a patient in respect of whom, in the preceding 6 months, a payment has been made under item 720

25.85

728

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary care plan team, to make a contribution to a multidisciplinary discharge care plan (not being a service associated with a service to which item 722, or an item in Subgroup 2, applies)

25.85

Subgroup 2 — Multidisciplinary case conferences

 

740

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary case conference, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which an item in Subgroup 1 applies)

71.65

742

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary case conference, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies)

107.45

744

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary case conference, where the conference time is at least 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies)

143.25

746

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary discharge case conference, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) — payable not more than once for each hospital admission

71.65

749

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary discharge case conference, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) — payable not more than once for each hospital admission

107.45

757

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary discharge case conference, where the conference time is at least 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) — payable not more than once for each hospital admission

143.25

759

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary case conference (other than to organise and co-ordinate the conference), where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which an item in Subgroup 1 applies)

51.15

762

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary case conference (other than to organise and co-ordinate the conference), where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies)

81.85

765

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary case conference (other than to organise and co-ordinate the conference), where the conference time is at least 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies)

112.55

768

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary discharge case conference (other than to organise and co-ordinate the conference), where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) — payable not more than once for each hospital admission

51.15

771

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary discharge case conference (other than to organise and co-ordinate the conference), where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) — payable not more than once for each hospital admission

81.85

773

Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to participate in a multidisciplinary discharge case conference (other than to organise and co-ordinate the conference), where the conference time is at least 45 minutes (not being a service associated with a service to which an item in Subgroup 1 applies) — payable not more than once for each hospital admission

112.55

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

93.70

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

93.70

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

93.70

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

93.70

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)

93.70

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

93.70

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

93.70

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

93.70

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

93.70

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

93.70

Group A10 — 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

54.20

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

54.20

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

27.15

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

54.20

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

54.20

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

54.20

10916

Professional attendance, being the first in a course of attention, of not more than 15 minutes duration

27.15

10918

Professional attendance being the second or subsequent in a course of attention not related to the prescription and fitting of contact lenses

27.15

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

169.70

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

169.70

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

169.70

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 to 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 items 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)

94.65

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

250.60

11006

Electroencephalography, temporosphenoidal, not being a service involving quantitative topographic mapping using neurometrics or similar devices

128.45

11009

Electrocorticography

175.20

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)

86.10

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)

115.35

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)

172.30

11021

Neuromuscular electrodiagnosis — repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations

115.35

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

87.65

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

129.95

Subgroup 2 — Ophthalmology

 

11200

Provocative test or tests for glaucoma, including water drinking

31.35

11203

Tonography — in the investigation or management of glaucoma, of 1 or both eyes — using an electrical tonography machine producing a directly recorded tracing

53.05

11206

Electroretinography of 1 or both eyes or electro-oculography of 1 or both eyes

84.60

11209

Electroretinography of 1 or both eyes and electro-oculography of 1 or both eyes

125.40

11212

Optic fundi, examination of following intravenous dye injection

54.00

11215

Retinal photography, multiple exposures, of 1 eye with intravenous dye injection

94.55

11218

Retinal photography, multiple exposures of both eyes with intravenous dye injection

116.85

11221

Full quantitative computerised perimetry — (automated absolute static threshold) performed by or on behalf of 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

52.10

11222

Full quantitative computerised perimetry (automated absolute static threshold), performed by or on behalf of 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

52.10

11224

Full quantitative computerised perimetry — (automated absolute static threshold) performed by or on behalf of 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

31.40

11225

Full quantitative computerised perimetry — (automated absolute static threshold), performed by or on behalf of 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 one 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

31.40

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

94.30

11240

Orbital contents, ultrasonic echography of, unidimensional, not being a service associated with a service to which items in Group I1 apply

62.65

Subgroup 3 — Otolaryngology

 

11300

Brain stem evoked response audiometry
(Anaes. 17707 = 5B + 2T)

148.05

11303

Electrocochleography, extratympanic method, 1 or
both ears

148.05

11304

Electrocochleography, transtympanic membrane insertion technique, 1 or both ears

243.80

11306

Non-determinate audiometry

16.90

11309

Audiogram, air conduction

20.20

11312

Audiogram, air and bone conduction or air conduction and speech discrimination

28.55

11315

Audiogram, air and bone conduction and speech

37.90

11318

Audiogram, air and bone conduction and speech, with other cochlear tests

46.70

11321

Glycerol induced cochlear function changes assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff’s test)

88.75

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

25.30

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

15.15

11330

Impedance audiogram where the patient is not referred by a medical practitioner — 1 examination in any 4 week period

6.10

11333

Caloric test of labyrinth or labyrinths

34.30

11336

Simultaneous bithermal caloric test of labyrinths

34.30

11339

Electronystagmography

34.30

Subgroup 4 — Respiratory

 

11500

Bronchospirometry, including gas analysis

128.45

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

106.65

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

15.80

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

27.45

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

47.55

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 type of pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies)
(Anaes. 17703 = 2B + 1T)

53.30

11601

Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter — for each type of 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 to another discrete operation on the same day
(Anaes. 17703 = 2B + 1T)

53.30

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;

(d)   strain-gauge plethysmography;

(e)    impedance plethysmography;

(f)    photo plethysmography;

(not being a service to which item 11612 or 11615 applies) — 1 examination and report

39.75

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)

56.35

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)

73.10

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)

73.10

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

58.35

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 55274, 55288 or 55290 applies) — 1 examination and report

51.90

11621

2 examinations of the kind referred to in item 11618, and report (not being a service associated with a service to which item 55274, 55288 or 55290 applies)

78.15

11624

3 examinations of the kind referred to in item 11618, and report (not being a service associated with a service to which item 55274, 55288 or 55290 applies)

103.80

11627

Pulmonary artery pressure monitoring during open heart surgery, in a person under 12 years of age

175.90

Subgroup 6 — Cardiovascular

 

11700

Twelve-lead electrocardiography, tracing and report

24.00

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

12.00

11702

Twelve-lead electrocardiography, tracing only

12.00

11706

Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram — interpretation and report

55.45

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

98.35

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

128.85

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

39.85

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

21.75

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

117.00

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

53.65

11715

Blood dye — dilution indicator test

92.95

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

26.70

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

53.65

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

129.95

Subgroup 7 — Gastroenterology and colorectal

 

11800

Oesophageal motility test, manometric

134.30

11810

Clinical assessment of gastro-oesophageal reflux disease involving 24 hour pH monitoring, including analysis, interpretation and report and including any associated consultation

134.30

11830

Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex

143.65

11833

Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency

192.15

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

21.20

11903

Cystometrography, not being a service associated with a service to which item 11012 to 11027, 11912, 11915, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies

85.45

11906

Urethral pressure profilometry, not being a service associated with a service to which item 11012 to 11027, 11909, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies

85.45

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

127.00

11912

Cystometrography with simultaneous measurement of rectal pressure, not being a service associated with a service to which item 11012 to 11027, 11903, 11915, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies
(Anaes. 17704 = 3B + 1T)

127.00

11915

Cystometrography with simultaneous measurement of urethral sphincter electromyography, not being a service associated with a service to which item 11012 to 11027, 11903, 11909, 11912, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies
(Anaes. 17704 = 3B + 1T)

127.00

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 to 11027, 11900 to 11915, 11921 and 36800 apply
(Anaes. 17704 = 3B + 1T)

329.50

11921

Bladder washout test for localisation of urinary infection — not including bacterial counts for organisms in specimens

57.70

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

29.95

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

45.25

12012

Epicutaneous patch testing in the investigation of allergic dermatitis using less than the number of allergens included in a standard patch test battery

16.00

12015

Epicutaneous patch testing in the investigation of allergic dermatitis using all of the allergens in a standard patch test battery

48.00

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

61.85

12021

Epicutaneous patch testing in the investigation of allergic dermatitis, performed by or on behalf of a specialist in the practice of his or her specialty, using more than 50 allergens

90.65

Subgroup 10 — Other diagnostic procedures and investigations

 

12200

Collection of specimen of sweat by iontophoresis

28.60

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;

payable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period

456.85

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

(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

456.85

Group D2 — Nuclear medicine (non-imaging)

 

12500

Blood volume estimation

166.60

12503

Erythrocyte radioactive uptake survival time test or iron kinetic test

326.85

12506

Gastrointestinal blood loss estimation involving examination of stool specimens

233.30

12509

Gastrointestinal protein loss

166.60

12512

Radioactive B12 absorption test — 1 isotope

80.75

12515

Radioactive B12 absorption test — 2 isotopes

176.90

12518

Thyroid uptake (using probe)

80.75

12521

Perchlorate discharge study

97.45

12524

Renal function test (without imaging procedure)

121.80

12527

Renal function test (with imaging and at least 2 blood samples)

65.30

12530

Whole body count — not being a service associated with a service to which another item applies

97.45

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

65.05

Therapeutic procedures

Group T1 — Miscellaneous therapeutic procedures

Subgroup 1 — Hyperbaric oxygen therapy

 

13020

Hyperbaric oxygen therapy performed in a comprehensive hyperbaric medicine facility for a period in the hyperbaric chamber of between 1 hour 30 minutes and 3 hours, including any associated attendance

199.10

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)

89.05

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)

125.75

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

105.15

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

54.75

13106

Declotting of an arteriovenous shunt

93.45

13109

Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis — insertion and fixation of
(Anaes. 17710 = 6B + 4T)

175.20

13110

Tenckhoff peritoneal dialysis catheter, removal of (including catheter cuffs)
(Anaes. 17708 = 6B + 2T)

175.75

13112

Peritoneal dialysis, establishment of, by abdominal puncture and insertion of temporary catheter (including associated consultation)
(Anaes. 17708 = 6B + 2T)

105.15

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

1,538.05

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

384.50

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

659.15

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

65.80

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)

280.15

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)

87.95

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)

659.15

13221

Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination

40.10

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

157.15

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)

314.35

Subgroup 4 — Paediatric and neonatal

 

13300

Umbilical or scalp vein catheterisation in a neonate with or without infusion; or cannulation of a vein

43.80

13303

Umbilical artery catheterisation with or without infusion

64.95

13306

Blood transfusion with venesection and complete replacement of blood, including collection from donor

257.00

13309

Blood transfusion with venesection and complete replacement of blood, using blood already collected

219.10

13312

Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants

21.85

13318

Central vein catheterisation (via jugular or subclavian vein) — by open exposure, in a person under 12 years
of age
(Anaes. 17709 = 5B + 4T)

175.00

13319

Central vein catheterisation in a neonate via peripheral vein
(Anaes. 17709 = 5B + 4T)

175.00

Subgroup 5 — Cardiovascular

 

13400

Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery
(Anaes. 17706 = 5B + 1T)

74.50

Subgroup 6 — Gastroenterology

 

13500

Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage

138.75

13503

Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage

277.45

13506

Gastro-oesophageal balloon intubation, Minnesota, Sengstaken-Blakemore or similar, for control of bleeding from gastric oesophageal varices

141.90

Subgroup 7 — Perfusion

 

13600

Perfusion of limb or organ using heart-lung machine or equivalent

341.40

13603

Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent

483.50

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

84.25

13609

Cardioplegia, blood or crystalloid, administration by
any route

194.45

13612

Deep hypothermic circulatory arrest, with core temperature less than 22oC, including management of retrograde cerebral perfusion if performed

304.50

Subgroup 8 — Haematology

 

13700

Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation
(Anaes. 17712 = 5B + 7T)

256.40

13703

Administration of blood including collection from donor

91.90

13706

Administration of blood or bone marrow already collected

64.20

13709

Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation

37.25

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

105.15

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

105.15

13757

Therapeutic venesection for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda

56.15

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

586.70

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)

65.55

13818

Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement
(Anaes. 17705 = 3B + 2T)

87.50

13830

Intracranial pressure, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician — each day

57.95

13839

Arterial puncture and collection of blood for diagnostic purposes

17.70

13842

Intra-arterial cannulisation for the purpose of taking multiple arterial blood samples for blood gas analysis

53.30

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)

416.15

13848

Counterpulsation by intra-aortic balloon-management on each day subsequent to the first, including associated consultations and monitoring of parameters

100.80

13851

Circulatory support device, management of, on first day

379.80

13854

Circulatory support device, management of, on each day subsequent to the first

88.30

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

112.65

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

234.70

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

174.75

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 type of pressure up to a maximum of 4 pressures

53.30

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

170.30

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

57.95

13885

Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician — on the first day in an intensive care unit

104.85

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

54.60

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 on the same day

50.05

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 on the same day

75.30

13921

Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 6 hours duration — for the first day of treatment

85.20

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

50.25

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 on the same day

64.95

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 on the same day

90.60

13933

Cytotoxic chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration — for the first day of treatment

100.50

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

65.45

13939

Implanted pump or reservoir, loading of, with a cytotoxic agent or agents, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933, 13936 or 13945 applies

75.30

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, 13936 or 13945 applies

50.25

13945

Long-term implanted drug delivery device for cytotoxic chemotherapy, accessing of

40.40

13948

Cytotoxic agent, instillation of, into a body cavity

50.25

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

40.60

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

40.60

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)

117.35

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)

144.05

14106

Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, café-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 50 cm2
(Anaes. 17707 = 5B + 2T)

117.35

14109

Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, café-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 50 cm2 and
up to 100 cm2
(Anaes. 17708 = 5B + 3T)

144.05

14112

Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, café-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 100 cm2 and
up to 150 cm2
(Anaes. 17709 = 5B + 4T)

170.65

14115

Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, café-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 150 cm2 and
up to 250 cm2
(Anaes. 17710 = 5B + 5T)

197.30

14118

Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, café-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 250 cm2
(Anaes. 17711 = 5B + 6T)

250.65

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)

117.35

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)

144.05

14124

Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, café-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation-area of treatment up to 50 cm2 — 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)

117.35

14126

Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, café-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation-area of treatment more than 50 cm2 and up to 100 cm2 — 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)

144.05

14128

Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, café-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation-area of treatment more than 100 cm2 and up to 150 cm2 — 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)

170.65

14130

Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, café-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation-area of treatment more than 150 cm2 and up to 250 cm2 — 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)

197.30

14132

Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, café-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation-area of treatment more than 250 cm2 — 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)

250.65

Subgroup 13 — Other therapeutic procedures

 

14200

Gastric lavage in the treatment of ingested poison

46.05

14203

Hormone or living tissue implantation, by direct implantation involving incision and suture
(Anaes. 17706 = 4B + 2T)

39.35

14206

Hormone or living tissue implantation — by cannula

27.40

14209

Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent

68.30

14212

Intussusception, management of fluid or gas
reduction for
(Anaes. 17705 = 3B + 2T)

142.60

14215

Long-term implanted reservoir associated with the adjustable gastric band, accessing of to add or
remove fluid

75.30

14218

Implanted pump or reservoir, loading of, with a therapeutic agent or agents, for infusion to the subarachnoid or epidural space

75.30

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

40.40

14224

Electroconvulsive therapy, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation
(Anaes. 17705 = 4B + 1T)

54.05

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

32.75

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

72.65

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

41.10

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

36.70

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

43.35

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

92.45

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

45.90

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 attendance

45.90

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

42.05

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)

274.65

15304

Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques
(Anaes. 17705 = 3B + 2T)

274.65

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)

520.70

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)

520.70

15311

Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques
(Anaes. 17705 = 3B + 2T)

256.35

15312

Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques
(Anaes. 17705 = 3B + 2T)

254.55

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)

503.30

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)

503.30

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)

312.30

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)

312.30

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)

555.40

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)

555.40

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)

604.25

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)

604.25

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)

573.75

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)

573.75

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)

520.70

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)

520.70

15339

Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block
(Anaes. 17705 = 3B + 2T)

58.60

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

146.45

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

390.65

15348

Subsequent applications of radioactive mould referred to in item 15342 or 15345 — each attendance

44.90

15351

Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface

89.70

15354

Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface

108.95

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

30.75

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)

186.75

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)

239.70

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)

357.95

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)

161.90

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)

208.55

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)

301.95

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

59.25

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

261.45

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

490.30

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

60.65

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

270.85

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

513.65

15536

Brachytherapy planning, computerised Radiation Dosimetry

205.30

Subgroup 6 — Stereotactic radiosurgery

 

15600

Stereotactic radiosurgery, including all radiation oncology consultations, planning, simulation, dosimetry and treatment

1,309.65

Group T3 — Therapeutic nuclear medicine

 

16003

Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis)
(Anaes. 17705 = 3B + 2T)

500.50

16006

Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique

384.55

16009

Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique

262.45

16012

Intravenous administration of a therapeutic dose of Phosphorous 32

227.05

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

3,143.20

Group T4 — Obstetrics

 

16500

Antenatal attendance

25.85

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

25.65

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

25.65

16505

Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of — each attendance that is not a routine antenatal attendance

25.65

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

25.65

16509

Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of — each attendance that is not a routine antenatal attendance

25.85

16511

Cervix, purse string ligation of
(Anaes. 17706 = 4B + 2T)

169.15

16512

Cervix, removal of purse string ligature of
(Anaes. 17706 = 4B + 2T)

48.80

16514

Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement)

28.20

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

266.65

16518

Management of labour, incomplete, where the patient’s care has been transferred to another medical practitioner for completion of the delivery

122.10

16519

Management of labour and delivery by any means (including Caesarean section) including post-partum care for 5 days

410.65

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

479.90

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)    fetal distress defined by significant cardiotocograph or scalp pH abnormalities requiring immediate delivery;

(j)    conditions that pose a significant risk of maternal death

964.25

16525

Management of second trimester labour, with or without induction, for intrauterine fetal death, gross fetal abnormality or life threatening maternal disease, not being a service to which item 35643 applies

227.45

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

167.75

16567

Management of postpartum haemorrhage by special measures such as packing of uterus, as an independent procedure

245.35

16570

Acute inversion of the uterus, vaginal correction of, as an independent procedure

320.00

16571

Cervix, repair of extensive laceration or lacerations

245.35

16573

Third degree tear, involving anal sphincter muscles and rectal mucosa, repair of, as an independent procedure

199.90

16600

Amniocentesis, diagnostic

48.80

16603

Chorionic villus sampling, by any route

93.80

16606

Fetal blood sampling, using interventional techniques from umbilical cord or fetus, including fetal neuromuscular blockade and amniocentesis
(Anaes. 17707 = 4B + 3T)

187.05

16609

Fetal intravascular blood transfusion, using blood already collected, including neuromuscular blockade, amniocentesis and fetal blood sampling
(Anaes. 17712 = 4B + 8T)

381.55

16612

Fetal intraperitoneal blood transfusion, using blood already collected, including neuromuscular blockade, amniocentesis and fetal blood sampling — not performed in conjunction with a service described in item 16609
(Anaes. 17711 = 4B + 7T)

300.25

16615

Fetal intraperitoneal blood transfusion, using blood already collected, including neuromuscular blockade, amniocentesis and fetal blood sampling — performed in conjunction with a service described in item 16609
(Anaes. 17710 = 4B + 6T)

159.85

16618

Amniocentesis, therapeutic, when indicated because of polyhydramnios with at least 500ml being aspirated

159.85

16621

Amnioinfusion, for diagnostic or therapeutic purposes in the presence of severe oligohydramnios

159.85

16624

Fetal fluid filled cavity, drainage of

230.10

16627

Feto-amniotic shunt, insertion of, into fetal fluid filled cavity, including neuromuscular blockade and amniocentesis

468.45

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, 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 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

33.00

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

14.60

17702

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 2

29.20

17703

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 3

43.80

17704

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 4

58.40

17705

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 5

73.00

17706

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 6

87.60

17707

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 7

102.20

17708

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 8

116.80

17709

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 9

131.40

17710

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 10

146.00

17711

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 11

160.60

17712

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 12

175.20

17713

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 13

189.80

17714

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 14

204.40

17715

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 15

219.00

17716

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 16

233.60

17717

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 17

248.20

17718

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 18

262.80

17719

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 19

277.40

17720

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 20

292.00

17721

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 21

306.60

17722

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 22

321.20

17723

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 23

335.80

17724

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 24

350.40

17725

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 25

365.00

17726

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 26

379.60

17727

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 27

394.20

17728

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 28

408.80

17729

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 29

423.40

17730

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 30

438.00

17731

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 31

452.60

17732

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 32

467.20

17733

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 33

481.80

17734

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 34

496.40

17735

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 35

511.00

17736

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 36

525.60

17737

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 37

540.20

17738

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 38

554.80

17739

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 39

569.40

17740

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 40

584.00

17741

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 41

598.60

17742

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 42

613.20

17743

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 43

627.80

17744

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 44

642.40

17745

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 45

657.00

17746

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 46

671.60

17747

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 47

686.20

17748

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 48

700.80

17749

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 49

715.40

17750

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 50

730.00

17751

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 51

744.60

17752

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 52

759.20

17753

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 53

773.80

17754

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 54

788.40

17755

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 55

803.00

17756

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 56

817.60

17757

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 57

832.20

17758

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 58

846.80

17759

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 59

861.40

17760

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 60

876.00

17761

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 61

890.60

17762

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 62

905.20

17763

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 63

919.80

17764

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 64

934.40

17765

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 65

949.00

17766

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 66

963.60

17767

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 67

978.20

17768

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 68

992.80

17769

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 69

1,007.40

17770

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 70

1,022.00

17771

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 71

1,036.60

17772

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 72

1,051.20

17773

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 73

1,065.80

17774

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 74

1,080.40

17775

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 75

1,095.00

17776

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 76

1,109.60

17777

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 77

1,124.20

17778

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 78

1,138.80

17779

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 79

1,153.40

17780

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 80

1,168.00

17781

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 81

1,182.60

17782

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 82

1,197.20

17783

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 83

1,211.80

17784

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 84

1,226.40

17785

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 85

1,241.00

17786

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 86

1,255.60

17787

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 87

1,270.20

17788

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 88

1,284.80

17789

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 89

1,299.40

17790

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 90

1,314.00

17791

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 91

1,328.60

17792

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 92

1,343.20

17793

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 93

1,357.80

17794

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 94

1,372.40

17795

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 95

1,387.00

17796

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 96

1,401.60

17797

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 97

1,416.20

17798

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 98

1,430.80

17799

Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 99

1,445.40

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)

160.60

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)

116.80

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)

146.00

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)

160.60

17983

Administration of an anaesthetic in connection with computerised axial tomography — body scan, plain study with or without contrast medium study
(Anaes. = 7B + 4T)

160.60

17986

Administration of an anaesthetic in connection with the removal of phaeochromocytoma
(Anaes. = 10B + 15T)

365.00

17989

Administration of an anaesthetic in connection with peripheral venous cannulation
(Anaes. = 3B + 2T)

73.00

17992

Administration of an anaesthetic in connection with peripheral venous cannulation by open exposure
(Anaes. = 3B + 2T)

73.00

17995

Administration of an anaesthetic in connection with percutaneous central venous cannulation
(Anaes. = 5B + 2T)

102.20

17998

Administration of an anaesthetic in connection with electrocochleography (insertion of electrodes and brain stem evoked response audiometry)
(Anaes. = 5B + 7T)

175.20

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)

102.20

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)

116.80

18007

Administration of an anaesthetic in connection with Caesarean section
(Anaes. = 10B + 5T)

219.00

18010

Administration of an anaesthetic in connection with repair of episiotomy
(Anaes. = 3B + 2T)

73.00

18013

Administration of an anaesthetic in connection with magnetic resonance imaging services covered by items 63000 to 63946
(Anaes. = 7B + 7T)

204.40

18016

Administration of an anaesthetic in connection with a regional or field nerve block covered by item 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)

116.80

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)

277.40

18021

Administration of an anaesthetic in connection with muscle biopsy for malignant hyperpyrexia
(Anaes. = 10B + 3T)

189.80

18022

Administration of an anaesthetic in connection with digital subtraction angiography
(Anaes. = 7B + 3T)

146.00

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)

204.40

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)

379.60

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)

87.60

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)

116.80

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)

131.40

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 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)

73.00

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)

87.60

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)

116.80

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)

102.20

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)

131.40

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)

102.20

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)

160.60

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)

248.20

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

38.60

18209

Introduction of local anaesthetic, for control of post-operative pain, into the epidural or intrathecal space, in conjunction with an operation

38.60

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

34.15

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

40.95

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

34.15

18213

Intravenous regional anaesthesia of limb by retrograde perfusion

68.25

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

146.10

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 34

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

28.95

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

38.60

18228

Interpleural block, initial injection or commencement of infusion of a therapeutic substance

48.05

18230

Intrathecal or epidural injection of neurolytic substance

183.45

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

146.10

18233

Epidural injection of blood for blood patch

146.10

18234

Trigeminal nerve, primary division of, injection of an anaesthetic agent

96.05

18236

Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent

48.05

18238

Facial nerve, injection of an anaesthetic agent, not being a service associated with a service to which item 18240 applies

28.95

18240

Retrobulbar or peribulbar injection of an anaesthetic agent

72.00

18242

Greater occipital nerve, injection of an anaesthetic agent

28.95

18244

Vagus nerve, injection of an anaesthetic agent

77.50

18246

Glossopharyngeal nerve, injection of an anaesthetic agent

77.50

18248

Phrenic nerve, injection of an anaesthetic agent

68.25

18250

Spinal accessory nerve, injection of an anaesthetic agent

48.05

18252

Cervical plexus, injection of an anaesthetic agent

77.50

18254

Brachial plexus, injection of an anaesthetic agent

77.50

18256

Suprascapular nerve, injection of an anaesthetic agent

48.05

18258

Intercostal nerve (single), injection of an anaesthetic agent

48.05

18260

Intercostal nerves (multiple), injection of an anaesthetic agent

68.25

18262

Ilio-inguinal, iliohypogastric or genitofemoral nerves, 1 or more of, injection of an anaesthetic agent

48.05

18264

Pudendal nerve, injection of an anaesthetic agent

77.50

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

48.05

18268

Obturator nerve, injection of an anaesthetic agent

68.25

18270

Femoral nerve, injection of an anaesthetic agent

68.25

18272

Saphenous, sural, popliteal or posterior tibial nerve, main trunk of, 1 or more of, injection of an anaesthetic agent

48.05

18274

Paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, injection of an anaesthetic agent, (single vertebral level)

68.25

18276

Paravertebral nerves, injection of an anaesthetic agent, (multiple levels)

96.05

18278

Sciatic nerve, injection of an anaesthetic agent

68.25

18280

Sphenopalatine ganglion, injection of an anaesthetic agent

96.05

18282

Carotid sinus, injection of an anaesthetic agent, as an independent percutaneous procedure

77.50

18284

Stellate ganglion, injection of an anaesthetic agent, (cervical sympathetic block)

113.60

18286

Lumbar or thoracic nerves, injection of an anaesthetic agent, (paravertebral sympathetic block)

113.60

18288

Coeliac plexus or splanchnic nerves, injection of an anaesthetic agent

113.60

18290

Cranial nerve other than trigeminal, destruction by a neurolytic agent

192.15

18292

Nerve branch, destruction by a neurolytic agent, not being a service to which any other item in this group applies

96.05

18294

Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent

135.40

18296

Lumbar sympathetic chain, destruction by a neurolytic agent

115.75

18298

Cervical or thoracic sympathetic chain, destruction by a neurolytic agent

135.40

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

25.85

30006

Extensive burns, dressing of, without anaesthesia (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation

35.75

30009

Localised burns, dressing of, under general anaesthesia (not involving grafting) (G)
(Anaes. 17708 = 4B + 4T)

46.70

30010

Localised burns, dressing of, under general anaesthesia (not involving grafting) (S)
(Anaes. 17708 = 4B + 4T)

56.85

30013

Extensive burns, dressing of, under general anaesthesia (not involving grafting) (G)
(Anaes. 17710 = 4B + 6T)

100.65

30014

Extensive burns, dressing of, under general anaesthesia (not involving grafting) (S)
(Anaes. 17710 = 4B + 6T)

119.55

30017

Burns, excision of, under general anaesthesia, involving not more than 10% of body surface, where grafting is not carried out during the same operation
(Anaes. 17710 = 4B + 6T) (Assist.)

250.80

30020

Burns, excision of, under general anaesthesia, involving more than 10% of body surface, where grafting is not carried out during the same operation
(Anaes. 17715 = 4B + 11T) (Assist.)

488.50

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.)

250.80

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 7 cm long), superficial, not being a service to which another item in Group T4 applies
(Anaes. 17706 = 4B + 2T)

40.15

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 7 cm in length), involving deeper tissue, not being a service to which another item in Group T4 applies
(Anaes. 17706 = 4B + 2T)

69.20

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)

63.45

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 7 cm long), involving deeper tissue
(Anaes. 17709 = 4B + 5T)

90.40

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 7 cm long), superficial, not being a service to which another item in Group T4 applies
(Anaes. 17709 = 4B + 5T)

69.20

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 7 cm long), involving deeper tissue, not being a service to which another item in Group T4 applies (G)
(Anaes. 17709 = 4B + 5T)

110.80

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)

142.90

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

90.40

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 7 cm long), involving deeper tissue (G)
(Anaes. 17709 = 4B + 5T)

115.20

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 7 cm long), involving deeper tissue (S)
(Anaes. 17709 = 4B + 5T)

142.90

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.)

195.40

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)

56.85

30058

Post-operative haemorrhage, control of, under general anaesthesia, as an independent procedure
(Anaes. 17705 = 3B + 2T)

110.80

30061

Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure
(Anaes. 17706 = 4B + 2T)

18.05

30064

Subcutaneous foreign body, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure
(Anaes. 17707 = 4B + 3T)

84.60

30067

Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G)
(Anaes. 17707 = 4B + 3T) (Assist.)

172.05

30068

Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S)
(Anaes. 17707 = 4B + 3T) (Assist.)

212.90

30071

Biopsy of skin or mucous membrane, as an independent procedure
(Anaes. 17706 = 4B + 2T)

40.15

30074

Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G)
(Anaes. 17706 = 4B + 2T)

90.40

30075

Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S)
(Anaes. 17706 = 4B + 2T)

115.20

30078

Drill biopsy of lymph gland, deep tissue or organ, as an independent procedure
(Anaes. 17706 = 4B + 2T)

37.25

30081

Biopsy of bone marrow by trephine using an open approach
(Anaes. 17706 = 4B + 2T)

84.60

30084

Biopsy of bone marrow by trephine using a percutaneous approach with a Jamshidi needle or similar device
(Anaes. 17706 = 4B + 2T)

45.20

30087

Biopsy of bone marrow by aspiration or punch biopsy of synovial membrane
(Anaes. 17706 = 4B + 2T)

22.70

30090

Biopsy of pleura, percutaneous — 1 or more biopsies on any 1 occasion
(Anaes. 17706 = 4B + 2T)

98.85

30093

Needle biopsy of vertebra
(Anaes. 17708 = 4B + 4T)

131.95

30094

Percutaneous aspiration biopsy of deep organ using interventional techniques — but not including imaging
(Anaes. 17706 = 4B + 2T)

145.70

30096

Scalene node biopsy
(Anaes. 17707 = 5B + 2T)

141.45

30099

Sinus, excision of, involving superficial tissue only
(Anaes. 17706 = 4B + 2T)

69.20

30102

Sinus, excision of, involving muscle and deep tissue (G)
(Anaes. 17706 = 4B + 2T)

115.20

30103

Sinus, excision of, involving muscle and deep tissue (S)
(Anaes. 17706 = 4B + 2T)

141.45

30104

Pre-auricular sinus, excision of
(Anaes. 17706 = 4B + 2T)

97.70

30106

Ganglion or small bursa, excision of, not being a service associated with a service to which another item in this group applies (G)
(Anaes. 17706 = 4B + 2T)

119.55

30107

Ganglion or small bursa, excision of, not being a service associated with a service to which another item in this group applies (S)
(Anaes. 17706 = 4B + 2T)

169.15

30110

Bursa (large), including olecranon, calcaneum or patella, excision of (G)
(Anaes. 17707 = 4B + 3T) (Assist.)

218.75

30111

Bursa (large), including olecranon, calcaneum or patella, excision of (S)
(Anaes. 17707 = 4B + 3T) (Assist.)

285.75

30114

Bursa, semimembranosus (Baker’s cyst), excision of
(Anaes. 17707 = 3B + 4T) (Assist.)

285.75

30165

Lipectomy — transverse wedge excision of abdominal apron
(Anaes. 17710 = 5B + 5T) (Assist.)

349.95

30168

Lipectomy — wedge excision of skin or fat (not being a service to which item 30165 applies) — 1 excision
(Anaes. 17710 = 4B + 6T) (Assist.)

349.95

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.)

532.25

30174

Lipectomy — subumbilical excision with undermining of skin edges and strengthening of musculo-aponeurotic wall
(Anaes. 17712 = 5B + 7T) (Assist.)

532.25

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.)

758.30

30180

Axillary hyperhidrosis, wedge excision for
(Anaes. 17706 = 3B + 3T)

105.00

30183

Axillary hyperhidrosis, total excision of sweat gland bearing area
(Anaes. 17709 = 3B + 6T)

189.60

30186

Palmar or plantar wart, removal of, not being a service to which item 30187 applies
(Anaes. 17705 = 3B + 2T)

36.50

30187

Palmar or plantar warts, removal of, by carbon dioxide laser, requiring admission to a hospital or day-hospital facility, or when performed by a specialist in the practice of his or her specialty, where the time taken is greater than 45 minutes (5 or more warts)
(Anaes. 17707 = 3B + 4T)

197.70

30189

Warts or molluscum contagiosum, removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital or approved day-hospital facility, not being a service associated with a service to which another item in this group applies
(Anaes. 17705 = 4B + 1T)

113.30

30190

Angiofibromas, trichoepitheliomas or other severely disfiguring tumours suitable for laser excision as confirmed by specialist opinion, of the face or neck, removal of, by carbon dioxide laser excision-ablation including associated resurfacing (10 or more tumours)
(Anaes. 17710 = 4B + 6T) (Assist.)

306.05

30192

Premalignant skin lesions, treatment of, by galvanocautery or electrodesiccation or cryocautery (10 or more lesions)
(Anaes. 17706 = 4B + 2T)

30.50

30195

Neoplastic skin lesions, other than viral verrucae (common warts) and seborrheic keratoses, treatment by electrosurgical destruction, simple curettage or shave excision, or laser photocoagulation, not being a service to which item 30196, 30197, 30202, 30203 or 30205 apply (1 or more lesions)
(Anaes. 17706 = 4B + 2T)

48.80

30196

Cancer of skin or mucous membrane proven by histopathology or confirmed by specialist opinion, removal of, by serial curettage or carbon dioxide laser excision-ablation, including any associated cryotherapy, or diathermy, not being a service to which item 30197 applies
(Anaes. 17706 = 4B + 2T)

97.20

30197

Cancer of skin or mucous membrane proven by histopathology or confirmed by specialist opinion, removal of, by serial curettage or carbon dioxide laser excision-ablation, including any associated cryotherapy or diathermy (10 or more lesions)
(Anaes. 17708 = 4B + 4T)

338.55

30202

Cancer of skin or mucous membrane proven by histopathology or confirmed by specialist opinion, removal of, by liquid nitrogen cryotherapy using repeat freeze-thaw cycles, not being a service to which item 30203 applies

37.15

30203

Cancer of skin or mucous membrane proven by histopathology or confirmed by specialist opinion, removal of, by liquid nitrogen cryotherapy using repeat freeze-haw cycles (10 or more lesions)

131.05

30205

Cancer of skin proven by histopathology, removal of, by liquid nitrogen cryotherapy using repeat freeze-thaw cycles where cancer extends into cartilage
(Anaes. 17706 = 4B + 2T)

97.20

30207

Skin lesions, multiple injections with hydrocortisone or similar preparations
(Anaes. 17706 = 4B + 2T)

34.30

30210

Keloid and other skin lesions, extensive, multiple injections of hydrocortisone or similar preparations where undertaken in the operating theatre of a hospital or approved day-hospital facility
(Anaes. 17706 = 4B + 2T)

125.40

30213

Telangiectases or starburst vessels on the head or neck where lesions are visible from 4 metres, diathermy or sclerosant injection of, including associated consultation — limited to a maximum of 6 sessions (including any sessions to which items 14100 to 14118 and 30213 apply) in any 12 month period — for a session of at least 20 minutes duration
(Anaes. 17707 = 5B + 2T)

84.50

30214

Telangiectases or starburst vessels on the head or neck where lesions are visible from 4 metres, diathermy or sclerosant injection of, including associated consultation-session of at least 20 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

84.50

30216

Haematoma, aspiration of
(Anaes. 17705 = 4B + 1T)

21.00

30219

Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of (excluding after-care)

21.00

30222

Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (G)
(Anaes. 17706 = 4B + 2T)

90.40

30223

Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (S)
(Anaes. 17706 = 4B + 2T)

125.40

30224

Percutaneous drainage of deep abscess using interventional techniques — but not including imaging
(Anaes. 17707 = 4B + 3T)

182.80

30225

Abscess drainage tube, exchange of using interventional techniques — but not including imaging
(Anaes. 17706 = 4B + 2T)

205.90

30226

Muscle, excision of (limited) or fasciotomy
(Anaes. 17706 = 4B + 2T)

115.20

30229

Muscle, excision of (extensive)
(Anaes. 17707 = 4B + 3T) (Assist.)

210.00

30232

Muscle, ruptured, repair of (limited), not associated with external wound
(Anaes. 17707 = 4B + 3T)

172.05

30235

Muscle, ruptured, repair of (extensive), not associated with external wound
(Anaes. 17707 = 4B + 3T) (Assist.)

227.45

30238

Fascia, deep, repair of, for herniated muscle
(Anaes. 17707 = 4B + 3T)

115.20

30241

Bone tumour, innocent, excision of, not being a service to which another item in this group applies
(Anaes. 17707 = 4B + 3T) (Assist.)

274.15

30244

Styloid process of temporal bone, removal of
(Anaes. 17708 = 5B + 3T) (Assist.)

274.15

30246

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

530.65

30247

Parotid gland, total extirpation of
(Anaes. 17715 = 5B + 10T) (Assist.)

568.75

30250

Parotid gland, total extirpation of with preservation of facial nerve
(Anaes. 17718 = 5B + 13T) (Assist.)

962.40

30251

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

1,478.35

30253

Parotid gland, superficial lobectomy of, with exposure of facial nerve
(Anaes. 17714 = 5B + 9T) (Assist.)

641.70

30255

Submandibular ducts, relocation of, for surgical control of drooling
(Anaes. 17715 = 5B + 10T) (Assist.)

854.45

30256

Submandibular gland, extirpation of
(Anaes. 17713 = 5B + 8T) (Assist.)

342.70

30259

Sublingual gland, extirpation of
(Anaes. 17707 = 5B + 2T)

151.65

30262

Salivary gland, dilatation or diathermy of duct
(Anaes. 17706 = 5B + 1T)

45.20

30265

Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (G)
(Anaes. 17707 = 5B + 2T)

90.40

30266

Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (S)
(Anaes. 17707 = 5B + 2T)

115.20

30269

Salivary gland, repair of cutaneous fistula of
(Anaes. 17707 = 5B + 2T)

115.20

30272

Tongue, partial excision of
(Anaes. 17707 = 5B + 2T) (Assist.)

227.45

30275

Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation)
(Anaes. 17718 = 7B + 11T) (Assist.)

1,356.20

30278

Tongue tie, repair of, not being a service to which another item in this group applies
(Anaes. 17707 = 5B + 2T)

35.75

30281

Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged 2 years and over, under general anaesthesia
(Anaes. 17707 = 5B + 2T)

91.90

30282

Ranula or mucous cyst of mouth, removal of (G)
(Anaes. 17709 = 5B + 4T)

119.55

30283

Ranula or mucous cyst of mouth, removal of (S)
(Anaes. 17709 = 5B + 4T)

157.50

30286

Branchial cyst, removal of
(Anaes. 17709 = 5B + 4T) (Assist.)

306.15

30289

Branchial fistula, removal of
(Anaes. 17709 = 5B + 4T) (Assist.)

386.40

30293

Cervical oesophagostomy; or closure of cervical oesophagostomy with or without plastic repair
(Anaes. 17715 = 6B + 9T) (Assist.)

342.70

30294

Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction; or laryngopharyngectomy with tracheostomy and plastic reconstruction
(Anaes. 17723 = 6B + 17T) (Assist.)

1,356.20

30296

Thyroidectomy, total
(Anaes. 17716 = 6B + 10T) (Assist.)

787.60

30297

Thyroidectomy following previous thyroid surgery
(Anaes. 17716 = 6B + 10T) (Assist.)

787.60

30306

Total hemithyroidectomy
(Anaes. 17714 = 6B + 8T) (Assist.)

614.40

30308

Bilateral sub-total thyroidectomy
(Anaes. 17714 = 6B + 8T) (Assist.)

614.40

30309

Thyroidectomy, sub-total for thyrotoxicosis
(Anaes. 17716 = 6B + 10T) (Assist.)

787.60

30310

Thyroid, unilateral sub-total thyroidectomy or equivalent partial thyroidectomy
(Anaes. 17711 = 6B + 5T) (Assist.)

351.90

30313

Thyroglossal cyst, removal of
(Anaes. 17711 = 6B + 5T) (Assist.)

210.00

30314

Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone
(Anaes. 17711 = 6B + 5T) (Assist.)

351.90

30315

Parathyroid operation for hyperparathyroidism
(Anaes. 17716 = 6B + 10T) (Assist.)

876.95

30317

Cervical re-exploration for recurrent or persistent hyperparathyroidism
(Anaes. 17720 = 6B + 14T) (Assist.)

1,050.10

30318

Mediastinum, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy)
(Anaes. 17715 = 6B + 9T) (Assist.)

698.20

30320

Mediastinum, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy)
(Anaes. 17717 = 6B + 11T) (Assist.)

1,050.10

30321

Retroperitoneal neuroendocrine tumour, removal of
(Anaes. 17722 = 10B + 12T) (Assist.)

698.20

30323

Retroperitoneal neuroendocrine tumour, removal of, requiring complex and extensive dissection
(Anaes. 17730 = 10B + 20T) (Assist.)

1,050.10

30324

Adrenal gland tumour, excision of
(Anaes. 17725 = 10B + 15T) (Assist.)

1,050.10

30329

Lymph glands of groin, limited excision of
(Anaes. 17709 = 3B + 6T)

189.90

30330

Lymph glands of groin, radical excision of
(Anaes. 17713 = 3B + 10T) (Assist.)

552.95

30332

Lymph glands of axilla, limited excision of
(Anaes. 17709 = 5B + 4T)

189.90

30333

Lymph glands of axilla, radical excision of
(Anaes. 17713 = 5B + 8T) (Assist.)

552.95

30337

Simple mastectomy with or without frozen section biopsy (G)
(Anaes. 17708 = 5B + 3T) (Assist.)

250.80

30338

Simple mastectomy with or without frozen section biopsy (S)
(Anaes. 17708 = 5B + 3T) (Assist.)

342.70

30341

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G)
(Anaes. 17705 = 3B + 2T) (Assist.)

151.65

30342

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S)
(Anaes. 17705 = 3B + 2T) (Assist.)

197.20

30345

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (G)
(Anaes. 17708 = 3B + 5T) (Assist.)

201.20

30346

Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (S)
(Anaes. 17708 = 3B + 5T) (Assist.)

250.80

30349

Partial mastectomy involving more than 25% of the breast tissue, with or without frozen section biopsy (G)
(Anaes. 17706 = 3B + 3T) (Assist.)

201.20

30350

Partial mastectomy involving more than 25% of the breast tissue, with or without frozen section biopsy (S)
(Anaes. 17706 = 3B + 3T) (Assist.)

250.80

30353

Breast, extended simple mastectomy with or without frozen section biopsy
(Anaes. 17709 = 3B + 6T) (Assist.)

452.10

30356

Subcutaneous mastectomy with or without frozen section biopsy
(Anaes. 17709 = 3B + 6T) (Assist.)

422.85

30359

Breast, radical or modified radical mastectomy with or without frozen section biopsy
(Anaes. 17713 = 5B + 8T) (Assist.)

663.50

30360

Fine needle breast biopsy, imaging guided — but not including imaging
(Anaes. 17705 = 3B + 2T)

145.70

30361

Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional techniques — but not including imaging
(Anaes. 17705 = 3B + 2T)

145.70

30363

Breast, core biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination
(Anaes. 17705 = 3B + 2T)

106.10

30364

Breast, exploration and drainage of haematoma, seroma or inflammatory condition including abscess, granulomatous mastitis or similar, when undertaken in the operating theatre of a hospital or approved day-hospital facility, excluding after-care
(Anaes. 17707 = 3B + 4T)

125.10

30366

Breast, microdochotomy of, for benign or malignant condition
(Anaes. 17710 = 3B + 7T) (Assist.)

256.95

30367

Breast central ducts, excision of, for benign condition
(Anaes. 17710 = 3B + 7T) (Assist.)

205.55

30369

Accessory breast tissue, excision of
(Anaes. 17707 = 3B + 4T) (Assist.)

205.55

30370

Inverted nipple, surgical eversion of
(Anaes. 17707 = 3B + 4T)

116.15

30372

Accessory nipple, excision of
(Anaes. 17707 = 3B + 4T)

97.25

30373

Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed
(Anaes. 17711 = 7B + 4T) (Assist.)

371.80

30375

Laparotomy involving caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel’s diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty (adult) or drainage of pancreas
(Anaes. 17713 = 7B + 6T) (Assist.)

401.00

30376

Laparotomy involving division of peritoneal adhesions (where no other intra-abdominal procedure is performed)
(Anaes. 17714 = 7B + 7T) (Assist.)

401.00

30378

Laparotomy involving division of adhesions in association with another intra-abdominal procedure where the time taken to divide the adhesions is between 45 minutes and 2 hours
(Anaes. 17714 = 7B + 7T) (Assist.)

402.85

30379

Laparotomy with division of extensive adhesions (duration greater than 2 hours) with or without insertion of long intestinal tube
(Anaes. 17720 = 7B + 13T) (Assist.)

714.10

30382

Enterocutaneous fistula, radical repair of, involving extensive dissection and resection of bowel
(Anaes. 17716 = 7B + 9T) (Assist.)

1,005.40

30384

Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy
(Anaes. 17714 = 7B + 7T) (Assist.)

845.75

30385

Laparotomy for control of post-operative haemorrhage, where no other procedure is performed
(Anaes. 17712 = 7B + 5T) (Assist.)

433.35

30387

Laparotomy involving operation on abdominal viscera (including pelvic viscera), not being a service to which another item in this group applies
(Anaes. 17712 = 7B + 5T) (Assist.)

488.50

30388

Laparotomy for trauma involving 3 or more organs
(Anaes. 17721 = 7B + 14T) (Assist.)

1,228.90

30390

Laparoscopy, diagnostic
(Anaes. 17709 = 6B + 3T)

169.15

30391

Laparoscopy, with biopsy
(Anaes. 17709 = 6B + 3T) (Assist.)

218.75

30392

Radical or debulking operation for advanced intra-abdominal malignancy, with or without omentectomy, as an independent procedure
(Anaes. 17721 = 10B + 11T) (Assist.)

518.90

30393

Laparoscopic division of adhesions in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes
(Anaes. 17714 = 7B + 7T) (Assist.)

402.85

30394

Laparotomy for drainage of subphrenic abscess, pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause, with or without appendicectomy
(Anaes. 17711 = 7B + 4T) (Assist.)

379.10

30396

Laparotomy for gross intra peritoneal sepsis requiring debridement of fibrin, with or without removal of foreign material or enteric contents, with lavage of the entire peritoneal cavity via a major abdominal incision with or without closure of abdomen and with or without mesh or zipper insertion
(Anaes. 17720 = 7B + 13T) (Assist.)

782.05

30397

Laparostomy, via wound previously made and left open or closed with zipper, involving change of dressings or packs, and with or without drainage of loculated collections
(Anaes. 17713 = 7B + 6T)

178.75

30399

Laparostomy, final closure of wound made at previous operation, after removal of dressings or packs and removal of mesh or zipper if previously inserted
(Anaes. 17714 = 7B + 7T) (Assist.)

245.85

30400

Laparotomy with insertion of portacath for administration of cytotoxic therapy including placement of reservoir
(Anaes. 17712 = 7B + 5T) (Assist.)

486.55

30402

Retroperitoneal abscess, drainage of, not involving laparotomy
(Anaes. 17709 = 6B + 3T) (Assist.)

357.40

30403

Ventral, incisional, or recurrent hernia or burst abdomen, repair of
(Anaes. 17711 = 6B + 5T) (Assist.)

401.00

30405

Ventral, or incisional hernia, repair of requiring muscle transposition, mesh hernioplasty or resection of strangulated bowel
(Anaes. 17716 = 6B + 10T) (Assist.)

703.85

30406

Paracentesis abdominis
(Anaes. 17708 = 6B + 2T)

40.15

30408

Peritoneo venous (Leveen) shunt, insertion of
(Anaes. 17711 = 7B + 4T) (Assist.)

301.65

30409

Liver biopsy, percutaneous
(Anaes. 17706 = 4B + 2T)

134.30

30411

Liver biopsy by wedge excision when performed in association with another intra-abdominal procedure
(Anaes. 17711 = 7B + 4T)

68.35

30412

Liver biopsy by core needle, when performed in conjunction with another intra-abdominal procedure
(Anaes. 17711 = 7B + 4T)

40.25

30414

Liver, subsegmental resection of, (local excision), other than for trauma
(Anaes. 17716 = 7B + 9T) (Assist.)

530.65

30415

Liver, segmental resection of, other than for trauma
(Anaes. 17722 = 13B + 9T) (Assist.)

1,061.30

30416

Liver cyst, laparoscopic marsupialisation of, where the size of the cyst is greater than 5 cm in diameter
(Anaes. 17716 = 7B + 9T) (Assist.)

576.25

30417

Liver cysts, laparoscopic marsupialisation of 5 or more, including any cyst greater than 5 cm in diameter
(Anaes. 17720 = 7B + 13T) (Assist.)

864.35

30418

Liver, lobectomy of, other than for trauma
(Anaes. 17724 = 13B + 11T) (Assist.)

1,228.90

30419

Liver tumours, destruction of, by hepatic cryotherapy
(Anaes. 17720 = 7B + 13T) (Assist.)

628.65

30421

Liver, tri-segmental resection (extended lobectomy) of, other than for trauma
(Anaes. 17726 = 13B + 13T) (Assist.)

1,536.00

30422

Liver, repair of superficial laceration of, for trauma
(Anaes. 17712 = 7B + 5T) (Assist.)

519.50

30425

Liver, repair of deep multiple lacerations of, or debridement of, for trauma
(Anaes. 17718 = 7B + 11T) (Assist.)

1,005.40

30427

Liver, segmental resection of, for trauma
(Anaes. 17724 = 13B + 11T) (Assist.)

1,200.90

30428

Liver, lobectomy of, for trauma
(Anaes. 17726 = 13B + 13T) (Assist.)

1,284.75

30430

Liver, extended lobectomy (tri-segmental resection) of, for trauma
(Anaes. 17728 = 13B + 15T) (Assist.)

1,787.35

30431

Liver abscess, open abdominal drainage of
(Anaes. 17713 = 7B + 6T) (Assist.)

401.00

30433

Liver abscess (multiple), open abdominal drainage of
(Anaes. 17716 = 7B + 9T) (Assist.)

558.60

30434

Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles
(Anaes. 17714 = 7B + 7T) (Assist.)

452.45

30436

Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles, with omentoplasty or myeloplasty
(Anaes. 17716 = 7B + 9T) (Assist.)

502.70

30437

Hydatid cyst of liver, total excision of, by cysto-pericystectomy (membrane plus fibrous wall)
(Anaes. 17718 = 7B + 11T) (Assist.)

625.60

30438

Hydatid cyst of liver, excision of, with drainage and excision of liver tissue
(Anaes. 17718 = 7B + 11T) (Assist.)

885.35

30439

Operative cholangiography or operative pancreatography or intra operative ultrasound of the biliary tract (including 1 or more examinations performed during the 1 operation)
(Anaes. 17711 = 7B + 4T)

142.90

30440

Cholangiogram, percutaneous transhepatic, and biliary drainage, using interventional techniques — but not including imaging
(Anaes. 17712 = 7B + 5T) (Assist.)

404.95

30441

Intra operative ultrasound for staging of intra abdominal tumours
(Anaes. 17711 = 7B + 4T)

104.80

30442

Choledochoscopy in conjunction with another procedure
(Anaes. 17709 = 7B + 2T)

142.90

30443

Cholecystectomy
(Anaes. 17713 = 7B + 6T) (Assist.)

568.75

30445

Laparoscopic cholecystectomy
(Anaes. 17715 = 7B + 8T) (Assist.)

568.75

30446

Laparoscopic cholecystectomy when procedure is completed by laparotomy
(Anaes. 17717 = 7B + 10T) (Assist.)

568.75

30448

Laparoscopic cholecystectomy, involving removal of common duct calculi via the cystic duct
(Anaes. 17718 = 7B + 11T) (Assist.)

748.50

30449

Laparoscopic cholecystectomy with removal of common duct calculi via laparoscopic choledochotomy
(Anaes. 17720 = 7B + 13T) (Assist.)

832.25

30450

Calculus of biliary or renal tract, extraction of, using interventional imaging techniques — not being a service associated with a service to which item 36627, 36630, 36645 or 36648 applies
(Anaes. 17714 = 7B + 7T) (Assist.)

403.35

30451

Biliary drainage tube, exchange of, using interventional techniques — but not including imaging
(Anaes. 17710 = 7B + 3T) (Assist.)

205.90

30452

Choledochoscopy with balloon dilatation of a stricture or passage of stent or extraction of calculi
(Anaes. 17716 = 7B + 9T) (Assist.)

290.45

30454

Choledochotomy (with or without cholecystectomy), with or without removal of calculi
(Anaes. 17716 = 7B + 9T) (Assist.)

663.50

30455

Choledochotomy (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis
(Anaes. 17718 = 7B + 11T) (Assist.)

780.15

30457

Choledochotomy, intrahepatic, involving removal of intrahepatic bile duct calculi
(Anaes. 17716 = 7B + 9T) (Assist.)

1,061.30

30458

Transduodenal operation on sphincter of Oddi, involving 1 or more of, removal of calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with or without choledochotomy
(Anaes. 17715 = 7B + 8T) (Assist.)

780.15

30460

Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-Y as a bypass procedure when no prior biliary surgery performed
(Anaes. 17715 = 7B + 8T) (Assist.)

663.50

30461

Radical resection of porta hepatis for gall bladder or common bile duct carcinoma with biliary-enteric anastomoses, not being a service associated with a service to which item 30443, 30454, 30455, 30458 or 30460 applies
(Anaes. 17719 = 7B + 12T) (Assist.)

1,137.40

30463

Radical resection of common hepatic duct and right and left hepatic ducts for carcinoma, with two duct anastomoses
(Anaes. 17724 = 7B + 17T) (Assist.)

1,396.40

30464

Radical resection of common hepatic duct and right and left hepatic ducts for carcinoma, involving more than 2 anastomoses or resection of segment or major portion of segment of liver
(Anaes. 17730 = 7B + 23T) (Assist.)

1,675.75

30466

Intrahepatic biliary bypass of left hepatic ductal system by Roux-en-Y loop to peripheral ductal system
(Anaes. 17722 = 7B + 15T) (Assist.)

966.35

30467

Intraheptic bypass of right hepatic ductal system by Roux-en-Y loop to peripheral ductal system
(Anaes. 17722 = 7B + 15T) (Assist.)

1,195.30

30469

Biliary stricture, repair of, after 1 or more operations on the biliary tree
(Anaes. 17724 = 7B + 17T) (Assist.)

1,323.80

30470

Bile duct fistula, repair of, following previous bile duct surgery
(Anaes. 17722 = 7B + 15T) (Assist.)

837.90

30472

Hepatic or common bile duct, repair of, as the primary procedure subsequent to transection of bile duct or ducts
(Anaes. 17722 = 7B + 15T) (Assist.)

714.90

30473

Oesophagoscopy (not being a service to which item 41816 or 41822 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with or without biopsy, not being a service associated with a service to which item 30476 or 30478 applies
(Anaes. 17706 = 5B + 1T)

136.25

30475

Endoscopy with balloon dilatation of gastric or gastroduodenal stricture
(Anaes. 17708 = 5B + 3T)

246.35

30476

Oesophagoscopy (not being a service to which item 41816 or 41822 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with endoscopic sclerosing injection or banding of oesophageal or gastric varices, not being a service associated with a service to which item 30473 or 30478 applies
(Anaes. 17708 = 6B + 2T)

188.95

30478

Oesophagoscopy (not being a service to which item 41816, 41822 or 41825 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with 1 or more of the following endoscopic procedures — polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation, or sclerosing injection of bleeding upper gastrointestinal lesions, not being a service associated with a service to which item 30473 or 30476 applies
(Anaes. 17708 = 6B + 2T)

188.95

30479

Endoscopic laser therapy for neoplasia and benign vascular lesions or strictures of the gastrointestinal tract
(Anaes. 17711 = 5B + 6T)

366.25

30481

Percutaneous gastrostomy (initial procedure), including any associated imaging services
(Anaes. 17711 = 5B + 6T)

274.65

30482

Percutaneous gastrostomy (repeat procedure), including any associated imaging services
(Anaes. 17711 = 5B + 6T)

195.30

30483

Gastrostomy button, non-endoscopic insertion of, or non-endoscopic replacement of
(Anaes. 17707 = 3B + 4T)

136.20

30484

Endoscopic retrograde cholangio-pancreatography
(Anaes. 17708 = 5B + 3T)

280.75

30485

Endoscopic sphincterotomy with or without extraction of stones from common bile duct
(Anaes. 17708 = 5B + 3T)

433.35

30487

Small bowel intubation with biopsy
(Anaes. 17707 = 5B + 2T)

139.20

30488

Small bowel intubation — as an independent procedure
(Anaes. 17707 = 5B + 2T)

69.20

30490

Oesophageal prosthesis, insertion of, including endoscopy and dilatation
(Anaes. 17710 = 6B + 4T)

404.95

30491

Bile duct, endoscopic stenting of (including endoscopy and dilatation)
(Anaes. 17711 = 5B + 6T)

427.20

30493

Biliary manometry
(Anaes. 17709 = 5B + 4T)

256.35

30494

Endoscopic biliary dilatation
(Anaes. 17711 = 5B + 6T)

323.45

30496

Vagotomy, truncal or selective, with or without pyloroplasty or gastroenterostomy
(Anaes. 17713 = 7B + 6T) (Assist.)

452.45

30497

Vagotomy and antrectomy
(Anaes. 17714 = 7B + 7T) (Assist.)

539.50

30499

Vagotomy, highly selective
(Anaes. 17715 = 7B + 8T) (Assist.)

641.70

30500

Vagotomy, highly selective with duodenoplasty for peptic stricture
(Anaes. 17717 = 7B + 10T) (Assist.)

687.05

30502

Vagotomy, highly selective, with dilatation of pylorus
(Anaes. 17715 = 7B + 8T) (Assist.)

758.30

30503

Vagotomy or antrectomy, or both, for peptic ulcer following previous operation for peptic ulcer
(Anaes. 17713 = 7B + 6T) (Assist.)

849.10

30505

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision
(Anaes. 17713 = 7B + 6T) (Assist.)

424.50

30506

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy
(Anaes. 17715 = 7B + 8T) (Assist.)

742.95

30508

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy
(Anaes. 17715 = 7B + 8T) (Assist.)

782.05

30509

Bleeding peptic ulcer, control of, involving gastric resection (other than wedge resection)
(Anaes. 17715 = 7B + 8T) (Assist.)

782.05

30511

Morbid obesity, gastric reduction or gastroplasty for, by any method
(Anaes. 17715 = 7B + 8T) (Assist.)

653.55

30512

Morbid obesity, gastric bypass for, by any method including anastomosis
(Anaes. 17723 = 7B + 16T) (Assist.)

804.30

30514

Morbid obesity, surgical reversal of procedure to which item 30511 or 30512 applies
(Anaes. 17724 = 7B + 17T) (Assist.)

1,184.15

30515

Gastroenterostomy (including gastroduodenostomy) or enterocolostomy or enteroenterostomy
(Anaes. 17714 = 7B + 7T) (Assist.)

541.80

30517

Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction of
(Anaes. 17716 = 7B + 9T) (Assist.)

709.40

30518

Partial gastrectomy
(Anaes. 17717 = 7B + 10T) (Assist.)

759.70

30520

Gastric tumour, removal of, by local excision, not being a service to which item 30518 applies
(Anaes. 17717 = 7B + 10T) (Assist.)

519.50

30521

Gastrectomy, total, for benign disease
(Anaes. 17721 = 7B + 14T) (Assist.)

1,111.60

30523

Gastrectomy, sub-total radical, for carcinoma (including splenectomy when performed)
(Anaes. 17721 = 7B + 14T) (Assist.)

1,161.75

30524

Gastrectomy, total radical, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed)
(Anaes. 17723 = 7B + 16T) (Assist.)

1,279.10

30526

Gastrectomy, total, and including lower oesophagus, performed by left thoraco-abdominal incision or opening of diaphragmatic hiatus (including splenectomy when performed)
(Anaes. 17735 = 15B + 20T) (Assist.)

1,658.90

30527

Antireflux operation by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus — not being a service to which item 30601 applies
(Anaes. 17722 = 9B + 13T) (Assist.)

670.30

30529

Antireflux operation by fundoplasty, with oesophagoplasty for stricture or short oesophagus
(Anaes. 17730 = 15B + 15T) (Assist.)

1,005.40

30530

Antireflux operation by cardiopexy, with or without fundoplasty
(Anaes. 17730 = 15B + 15T) (Assist.)

603.30

30532

Oesophagogastric myotomy (Heller’s operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus
(Anaes. 17727 = 15B + 12T) (Assist.)

692.75

30533

Oesophagogastric myotomy (Heller’s operation) via abdominal or thoracic approach, with fundoplasty, with or without closure of the diaphragmatic hiatus
(Anaes. 17728 = 15B + 13T) (Assist.)

823.95

30535

Oesophagectomy with gastric reconstruction by abdominal mobilisation and thoracotomy
(Anaes. 17735 = 15B + 20T) (Assist.)

1,305.20

30536

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck — 1 surgeon
(Anaes. 17739 = 15B + 24T) (Assist.)

1,323.80

30538

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck — conjoint surgery, principal surgeon (including after-care)
(Anaes. 17739 = 15B + 24T) (Assist.)

916.05

30539

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck — conjoint surgery, co-surgeon (Assist.)

670.30

30541

Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement — 1 surgeon
(Anaes. 17739 = 15B + 24T) (Assist.)

1,167.45

30542

Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement — conjoint surgery, principal surgeon (including after-care)
(Anaes. 17739 = 15B + 24T) (Assist.)

793.15

30544

Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement — conjoint surgery, co-surgeon (Assist.)

580.95

30545

Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) — 1 surgeon
(Anaes. 17739 = 15B + 24T) (Assist.)

1,413.25

30547

Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) — conjoint surgery, principal surgeon (including after-care)
(Anaes. 17739 = 15B + 24T) (Assist.)

971.90

30548

Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) — conjoint surgery, co-surgeon (Assist.)

726.15

30550

Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) — 1 surgeon
(Anaes. 17739 = 15B + 24T) (Assist.)

1,586.35

30551

Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) — conjoint surgery, principal surgeon (including after-care)
(Anaes. 17739 = 15B + 24T) (Assist.)

1,094.80

30553

Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) — conjoint surgery, co-surgeon (Assist.)

809.90

30554

Oesophagectomy with reconstruction by free jejunal graft — 1 surgeon
(Anaes. 17739 = 15B + 24T) (Assist.)

1,765.10

30556

Oesophagectomy with reconstruction by free jejunal graft — conjoint surgery, principal surgeon (including after-care)
(Anaes. 17739 = 15B + 24T) (Assist.)

1,217.70

30557

Oesophagectomy with reconstruction by free jejunal graft — conjoint surgery, co-surgeon (Assist.)

899.30

30559

Oesophagus, local excision for tumour of
(Anaes. 17730 = 15B + 15T) (Assist.)

653.55

30560

Oesophageal perforation, repair of, by thoracotomy
(Anaes. 17735 = 15B + 20T) (Assist.)

726.15

30562

Enterostomy or colostomy, closure of — not involving resection of bowel
(Anaes. 17713 = 7B + 6T) (Assist.)

457.80

30563

Colostomy or ileostomy, refashioning of
(Anaes. 17712 = 7B + 5T) (Assist.)

457.80

30564

Small bowel strictureplasty for chronic inflammatory bowel disease
(Anaes. 17714 = 7B + 7T) (Assist.)

594.15

30565

Small intestine, resection of, without anastomosis (including formation of stoma)
(Anaes. 17719 = 7B + 12T) (Assist.)

670.30

30566

Small intestine, resection of, with anastomosis
(Anaes. 17720 = 7B + 13T) (Assist.)

744.60

30568

Intraoperative enterotomy for visualisation of the small intestine by endoscopy
(Anaes. 17710 = 7B + 3T) (Assist.)

558.60

30569

Endoscopic examination of small bowel with flexible endoscope passed at laparotomy, with or without biopsies
(Anaes. 17710 = 7B + 3T) (Assist.)

284.85

30571

Appendicectomy, not being a service to which item 30574 applies
(Anaes. 17710 = 6B + 4T) (Assist.)

342.70

30572

Laparoscopic appendicectomy
(Anaes. 17711 = 7B + 4T) (Assist.)

342.70

30574

Appendicectomy, when performed in conjunction with any other intra-abdominal procedure through the same incision
(Anaes. 17707 = 6B + 1T)

94.80

30575

Pancreatic abscess, laparotomy and external drainage of, not requiring retro-pancreatic dissection
(Anaes. 17713 = 7B + 6T) (Assist.)

394.45

30577

Pancreatic necrosectomy for pancreatic necrosis or abscess formation requiring major pancreatic or retro-pancreatic dissection, excluding after-care
(Anaes. 17726 = 7B + 19T) (Assist.)

837.90

30578

Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour
(Anaes. 17725 = 8B + 17T) (Assist.)

882.55

30580

Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of duodenal tumour
(Anaes. 17724 = 7B + 17T) (Assist.)

804.30

30581

Endocrine tumour, exploration of pancreas or duodenum for, but no tumour found
(Anaes. 17722 = 7B + 15T) (Assist.)

586.50

30583

Distal pancreatectomy
(Anaes. 17720 = 10B + 10T) (Assist.)

918.75

30584

Pancreatico-duodenectomy, Whipple’s operation, with or without preservation of pylorus
(Anaes. 17730 = 10B + 20T) (Assist.)

1,356.20

30586

Pancreatic cyst-anastomosis to stomach or duodenum — by open or endoscopic means
(Anaes. 17715 = 7B + 8T) (Assist.)

539.50

30587

Pancreatic cyst, anastomosis to Roux loop of jejunum
(Anaes. 17716 = 7B + 9T) (Assist.)

558.60

30589

Pancreatico-jejunostomy for pancreatitis or trauma
(Anaes. 17720 = 7B + 13T) (Assist.)

962.40

30590

Pancreatico-jejunostomy following previous pancreatic surgery
(Anaes. 17722 = 7B + 15T) (Assist.)

1,061.30

30593

Pancreatectomy, near total or total (including duodenum), with or without splenectomy
(Anaes. 17730 = 10B + 20T) (Assist.)

1,452.30

30594

Pancreatectomy for pancreatitis following previously attempted drainage procedure or partial resection
(Anaes. 17725 = 10B + 15T) (Assist.)

1,675.75

30596

Splenorrhaphy or partial splenectomy for trauma
(Anaes. 17715 = 7B + 8T) (Assist.)

690.25

30597

Splenectomy
(Anaes. 17714 = 7B + 7T) (Assist.)

554.10

30599

Splenectomy, for massive spleen (weighing more than 1500gms) or involving thoraco-abdominal incision
(Anaes. 17721 = 7B + 14T) (Assist.)

1,005.40

30600

Diaphragmatic hernia, traumatic, repair of
(Anaes. 17720 = 9B + 11T) (Assist.)

597.90

30601

Diaphragmatic hernia, congenital, repair of, by thoracic or abdominal approach)
(Anaes. 17717 = 9B + 8T) (Assist.)

736.45

30602

Portal hypertension, porto-caval shunt for
(Anaes. 17734 = 15B + 19T) (Assist.)

1,195.30

30603

Portal hypertension, meso-caval shunt for
(Anaes. 17726 = 7B + 19T) (Assist.)

1,262.40

30605

Portal hypertension, selective spleno-renal shunt for
(Anaes. 17734 = 15B + 19T) (Assist.)

1,435.55

30606

Portal hypertension, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation
(Anaes. 17720 = 7B + 13T) (Assist.)

854.60

30609

Femoral or inguinal hernia, laparoscopic repair of, not being a service associated with a service to which item 30612 or 30614 applies
(Anaes. 17711 = 7B + 4T) (Assist.)

357.30

30612

Femoral or inguinal hernia or infantile hydrocele, repair of, not being a service to which item 30403 or 30615 applies (G)
(Anaes. 17708 = 4B + 4T) (Assist.)

274.15

30614

Femoral or inguinal hernia or infantile hydrocele, repair of, not being a service to which item 30403 or 30615 applies (S)
(Anaes. 17708 = 4B + 4T) (Assist.)

357.30

30615

Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection
(Anaes. 17710 = 4B + 6T) (Assist.)

401.00

30616

Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age (G)
(Anaes. 17707 = 4B + 3T)

204.10

30617

Umbilical, epigastric or linea alba hernia, repair of, in a person under 10 years of age (S)
(Anaes. 17707 = 4B + 3T)

274.15

30620

Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over (G)
(Anaes. 17707 = 4B + 3T) (Assist.)

230.40

30621

Umbilical, epigastric or linea alba hernia, repair of, in a person 10 years of age or over (S)
(Anaes. 17707 = 4B + 3T) (Assist.)

313.55

30628

Hydrocele, tapping of

27.40

30631

Hydrocele, removal of, not being a service associated with a service to which items 30638, 30641 and 30644 apply
(Anaes. 17705 = 3B + 2T)

182.00

30634

Varicocele, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply, 1 procedure (G)
(Anaes. 17707 = 4B + 3T) (Assist.)

180.85

30635

Varicocele, surgical correction of, not being a service associated with a service to which items 30638, 30641 and 30644 apply, 1 procedure (S)
(Anaes. 17707 = 4B + 3T) (Assist.)

224.55

30638

Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (G)
(Anaes. 17706 = 3B + 3T) (Assist.)

230.40

30641

Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (S)
(Anaes. 17706 = 3B + 3T) (Assist.)

313.55

30644

Exploration of spermatic cord, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis
(Anaes. 17707 = 4B + 3T) (Assist.)

401.00

30653

Circumcision of a male under 6 months of age
(Anaes. 17705 = 3B + 2T)

35.75

30656

Circumcision of a male under 10 years of age but not less than 6 months of age
(Anaes. 17706 = 3B + 3T)

83.15

30659

Circumcision of a male 10 years of age or over (G)
(Anaes. 17706 = 3B + 3T)

115.20

30660

Circumcision of a male 10 years of age or over (S)
(Anaes. 17706 = 3B + 3T)

142.90

30663

Haemorrhage, arrest of, following circumcision requiring general anaesthesia
(Anaes. 17705 = 3B + 2T)

111.05

30666

Paraphimosis, reduction of, under general anaesthesia, with or without dorsal incision, not being a service associated with a service to which another item in this group applies
(Anaes. 17705 = 3B + 2T)

36.50

30672

Coccyx, excision of
(Anaes. 17710 = 6B + 4T) (Assist.)

342.70

30675

Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (G)
(Anaes. 17709 = 5B + 4T)

230.40

30676

Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (S)
(Anaes. 17709 = 5B + 4T)

291.65

30679

Pilonidal sinus, injection of sclerosant fluid under anaesthesia
(Anaes. 17707 = 5B + 2T)

74.05

31000

Micrographically controlled serial excision of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure — 6 or fewer sections
(Anaes. 17707 = 4B + 3T)

446.85

31001

Micrographically controlled serial excision of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure — 7 to 12 sections (inclusive)
(Anaes. 17708 = 4B + 4T)

558.60

31002

Micrographically controlled serial excision of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure — 13 or more sections
(Anaes. 17712 = 4B + 8T)

670.30

31200

Tumour (other than viral verrucae (common warts) and seborrheic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, not being a service to which another item in this group applies

26.20

31205

Tumour (other than viral verrucae (common warts) and seborrheic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), lesion size up to 10 mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies)
(Anaes. 17706 = 4B + 2T)

73.35

31210

Tumour (other than viral verrucae (common warts) and seborrheic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), lesion size more than 10 mm and up to 20 mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies)
(Anaes. 17706 = 4B + 2T)

94.65

31215

Tumour (other than viral verrucae (common warts) and seborrheic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), lesion size more than 20 mm in diameter, removal by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies)
(Anaes. 17706 = 4B + 2T)

110.40

31220

Tumours (other than viral verrucae (common warts) and seborrheic keratoses), cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), lesion size up to 10 mm in diameter, removal of 4 to 10 lesions by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335, where specimen sent for histological examination (not being a service to which item 30195 applies)
(Anaes. 17707 = 4B + 3T)

165.05

31225

Tumours (other than viral verrucae (common warts) and seborrheic keratoses), cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), lesion size up to 10 mm in diameter, removal of more than 10 lesions by surgical excision and suture from cutaneous or subcutaneous tissue or from mucous membrane, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 — where specimen sent for histological examination (not being a service to which item 30195 applies)
(Anaes. 17713 = 4B + 9T)

293.35

31230

Tumour (other than viral verrucae (common warts) and seborrheic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from nose, eyelid, lip, ear, digit or genitalia, including excision to establish the diagnosis of tumours covered by items 31300 to 31335 — where specimen sent for histological examination (not being a service to which item 30195 applies)
(Anaes. 17708 = 5B + 3T)

291.30

31235

Tumour (other than viral verrucae (common warts) and seborrheic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size up to 10 mm in diameter — where specimen sent for histological examination (not being a service to which item 30195 applies)
(Anaes. 17707 = 4B + 3T)

110.40

31240

Tumour (other than viral verrucae (common warts) and seborrheic keratoses), cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal by surgical excision and suture from face, neck (anterior to the sternomastoid muscles) or lower leg (mid calf to ankle), including excision to establish the diagnosis of tumours covered by items 31300 to 31335, lesion size more than 10 mm in diameter — where specimen sent for histological examination (not being a service to which item 30195 applies)
(Anaes. 17707 = 4B + 3T)

129.30

31245

Skin and subcutaneous tissue, extensive excision of, in the treatment of suppurative hydradenitis (excision from axilla, groin or natal cleft) or sycosis barbae or nuchae (excision from face or neck)
(Anaes. 17710 = 4B + 6T)

283.85

31250

Giant hairy or compound naevus, excision of an area at least 1% of body surface where the specimen is sent for histological confirmation of diagnosis
(Anaes. 17710 = 4B + 6T)

283.85

31255

Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size up to 10 mm in diameter — where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained
(Anaes. 17708 = 5B + 3T)

170.30

31260

Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from nose, eyelid, lip, ear, digit or genitalia, tumour size more than 10 mm in diameter — where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained
(Anaes. 17708 = 5B + 3T)

242.85

31265

Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from face, neck (anterior to the steromastoid muscles) or lower leg (mid calf to ankle), tumour size up to 10 mm in diameter — where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained
(Anaes. 17707 = 4B + 3T)

141.90

31270

Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from face, neck (anterior to the steromastoid muscles) or lower leg (mid calf to ankle), tumour size more than 10 mm and up to 20 mm in diameter — where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained
(Anaes. 17707 = 4B + 3T)

198.70

31275

Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from face, neck (anterior to the steromastoid muscles) or lower leg (mid calf to ankle), tumour size more than 20 mm in diameter — where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained
(Anaes. 17708 = 4B + 4T)

230.25

31280

Basal cell carcinoma or squamous cell carcinoma (including keratocanthoma), removal from areas of the body not covered by items 31255 and 31265, tumour size up to 10 mm in diameter — where removal is by surgical excision and suture and histological confirmation of malignancy has been obtained
(Anaes. 17707 = 4B + 3T)

119.85