Health Insurance (General Medical Services Table) Regulations 2000

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 25 October 2000

WILLIAM DEANE

Governor-General

By His Excellency's Command

MICHAEL WOOLDRIDGE

Minister for Health and Aged Care

Contents

Page

1 Name of Regulations 5

2 Commencement 5

3 Health Insurance (1999–2000 General Medical Services Table) Regulations 1999 — repeal 5

4 Definitions 5

5 General medical services table 5

Schedule 1 Table of general medical services 6

Part 1 Prescription of table 6

1 Prescription of table 6

Part 2 Rules of interpretation 6

2 General 6

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

4 Meaning of single course of treatment in certain circumstances 12

5 Meaning of professional attendance in certain items 13

6 Administration of anaesthetics in connection with certain services 14

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

8 Meaning of amount under rule 8 in certain items 15

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

10 Personal attendance by medical practitioners generally 18

11 Personal attendance by certain medical practitioners 19

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

13 Conditions under which certain services to be provided 21

14 Application of items 51700 to 53706 21

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

16 Meaning of amount under rule 16 in certain items 21

17 Meaning of amount under rule 17 in certain items 22

18 Meaning of amount under rule 18 in certain items 22

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

20 Orthodontic services 23

21 Oral surgery services 24

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

23 Meaning of treatment cycle of a patient 25

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

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

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

27 Meaning of delivery in certain items 26

28 Certain obstetrical procedures constitute a single operation 26

29 Meaning of maxilla in certain items 27

30 Items 46300 to 46534 apply only in certain circumstances 27

31 Assistance at operations 27

32 Services in association with spinal fusion services 27

33 Meaning of amount under rule 33 in items 51303 and 51803 28

34 Meaning of amount under rule 34 in item 51309 28

35 Meaning of amount under rule 35 in item 18219 28

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

37 Meaning of amount under rule 37 in items 16633 and 16636 29

38 Meaning of amount under rule 38 in item 51312 29

39 Meaning of amount under rule 39 in item 31340 29

40 Meaning of amount under rule 40 in items 17503 and 17506 29

41 Meaning of previous significant surgical complication in item 51318 29

42 Meaning of amount under rule 42 in item 13604 30

43 Meaning of amount under rule 43 in items 17800, 17805 and 17810 30

44 Meaning of amount under rule 44 in item 17970 31

45 Meaning of amount under rule 45 in item 30001 31

46 Meaning of complex paediatric case in certain circumstances 31

47 Meaning of amount under rule 47 in item 18033 31

48 Consultant occupational physicians 32

49 Qualified sleep medicine practitioner 32

50 Public health physicians 33

51 Application of items in Group A14 to certain patients only 34

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

53 Meaning of health assessment 35

54 Meaning of multidisciplinary care plan 36

55 Meaning of multidisciplinary care plan team 37

56 Meaning of multidisciplinary discharge care plan 38

57 Meaning of review of a multidisciplinary care plan 38

58 Meaning of contribution to a plan 39

59 Meaning of multidisciplinary case conference 39

60 Meaning of multidisciplinary discharge case conference 40

61 Meaning of multidiciplinary case conference in a residential aged care facility 40

62 Meaning of multidisciplinary case conference team 40

63 Meaning of organise and co-ordinate a multidisciplinary case conference and participation in a multidisciplinary case conference 41

Part 3 Services and fees 43

1 Name of Regulations

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

2 Commencement

These Regulations commence on 1 November 2000.

3 Health Insurance (1999–2000 General Medical Services Table) Regulations 1999 — repeal

The following statutory rules are repealed:

· 1999 No. 256

· 2000 Nos. 60 and 148.

4 Definitions

In these Regulations:

Act means the Health Insurance Act 1973.

this table means these Regulations.

5 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 Act.

Schedule 1 Table of general medical services

(regulation 5)

Part 1 Prescription of table

1 Prescription of table

For section 4 of the Act, these Regulations prescribe a table of general medical services that sets out:

(a) in Part 2 — rules for interpretation of the table; and

(b) in Part 3:

(i) items of general medical services; and

(ii) the amount of fees applicable for each item.

Part 2 Rules of interpretation

2 General

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

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 facility during normal working hours; and

(ii) at least 1 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 facility; and

(iii) at least 1 registered nurse with specific training in hyperbaric patient care to the published standards of the Hyperbaric Technicians and Nurses Association who is present during hyperbaric oxygen therapy; and

general intensive care unit means a separate hospital area that:

(a) is equipped and staffed so that it is 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) at least 1 registered medical practitioner who is present in the hospital and immediately available to the unit at all times; and

(iii) at least 1 registered nurse for at least 18 hours each day; and

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 program of the RACGP; and

(iii) meets the RACGP requirements for quality assurance and continuing education; or

(i) as part of a training program for general practice leading to the award of Fellowship of the RACGP; or

(ii) as part of another training program recognised by the RACGP as being of an equivalent standard; or

(iii) as part of the Rural and Remote Area Placement Program administered by the Australian College of Rural and Remote Medicine.

institution means a place (other than a hospital or residential aged care facility) 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

(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.

item means:

(a) an item mentioned, by number, in column 1 of:

(i) Part 3; or

(ii) Part 3 of the diagnostic imaging services table; or

(iii) Part 3 of the pathology services table; and

(b) in a reference immediately followed by a number — the item so numbered.

Example

A reference (if any) by number to item 55028 is a reference to the item so numbered in the diagnostic imaging services table.

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

(a) is equipped and staffed so that it is 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) at least 1 registered medical practitioner who is present in the hospital and immediately available to the unit at all times; and

(iii) at least 1 registered nurse for at least 18 hours each day; and

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 the referral of a patient, means:

(a) in the case of all referrals — a medical practitioner; and

(b) for a referral made to a specialist who is an ophthalmologist — an optometrist; and

(c) for a referral that 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) for a referral that 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 in an item to a combined anaesthetic unit value is a reference to the number that is calculated using the 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 6 — the number associated with B in the formula in the other item; and

(b) in any other case — 0.

n2 is:

(b) in any other case — the number of whole periods, commencing when the medical practitioner begins to prepare the 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.

(3) A reference to a Group in the table includes every item in the Group, and a reference to a Subgroup in the table includes every item in the Subgroup.

3 Meaning of symbols (S) and (G)

(1) An item including the symbol (S) applies only to a service performed by a specialist (and not to a service performed 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 performed 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

(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 performed 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 subregulation 30 (5) 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).

4 Meaning of single course of treatment in certain circumstances

(1) In subrule 2 (1), rules 3 and 7 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 on the patient 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 necessary.

(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) the referring practitioner considers it necessary for the 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.

5 Meaning of professional attendance in certain items

(1) 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 a health screening service 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 se rvices provided to the patient.

(2) If:

(a) in connection with a professional attendance mentioned in any of items 3 to 96, vaccine is supplied to a patient; and

(b) the cost of the vaccine is not subsidised by the Commonwealth or a State;

the professional attendance is taken not to include that supply.

6 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:

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.

7 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 following referral of the patient 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 subregulation 30 (5) 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.

8 Meaning of amount under rule 8 in certain items

(1) In items 4, 13, 19 and 20, amount under rule 8 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 — $19.15 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.30 for each patient.

(2) In items 24, 25, 33 and 35, amount under rule 8 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 — $19.15 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.30 for each patient.

(3) In items 37, 38, 40 and 43, amount under rule 8 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 — $19.15 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.30 for each patient.

(4) In items 47, 48, 50 and 51, amount under rule 8 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 — $19.15 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.30 for each patient.

(5) In items 58, 81, 87 and 92, amount under rule 8 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 8 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 8 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 8 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 8 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 — $19.15 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.30 for each patient.

(10) In item 414, amount under rule 8 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 — $19.15 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.30 for each patient.

(11) In item 415, amount under rule 8 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 — $19.15 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.30 for each patient.

(12) In item 416, amount under rule 8 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 — $19.15 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.30 for each patient.

(13) In item 417, amount under rule 8 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 — $19.15 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.30 for each patient.

9 Items 10809 and 10929 not to apply in certain circumstances

Items 10809 and 10929 do not apply if the patient’s requirement for contact lenses is only for any of the following reasons:

(a) because the patient does not want to wear spectacles for reasons of appearance;

(b) because the patient wants contact lenses for work or sporting purposes;

10 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 338, 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.

11 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.

12 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, 11332, 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.

13 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.

14 Application of items 51700 to 53706

Items 51700 to 53706 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.

15 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.

16 Meaning of amount under rule 16 in certain items

(1) In item 15003, amount under rule 16 means an amount equal to the sum of:

(a) the fee for item 15000; and

(b) $13.30 for each field separately treated in excess of 1.

(2) In item 15103, amount under rule 16 means an amount equal to the sum of:

(a) the fee for item 15100; and

(b) $14.65 for each field separately treated in excess of 1.

(3) In item 15109, amount under rule 16 means an amount equal to the sum of:

(a) the fee for item 15106; and

(b) $17.65 for each field separately treated in excess of 1.

(4) In item 15204, amount under rule 16 means an amount equal to the sum of:

(a) the fee for item 15203; and

(b) $29.55 for each field separately treated in excess of 1.

(5) In item 15208, amount under rule 16 means an amount equal to the sum of:

(a) the fee for item 15207; and

(b) $29.55 for each field separately treated in excess of 1.

(6) In item 15214, amount under rule 16 means an amount equal to the sum of:

(a) the fee for item 15211; and

(b) $24.80 for each field separately treated in excess of 1.

17 Meaning of amount under rule 17 in certain items

(1) In item 15009, amount under rule 17 means an amount equal to the sum of:

(a) the fee for item 15006; and

(b) $14.45 for each field separately treated in excess of 1.

(2) In item 15115, amount under rule 17 means an amount equal to the sum of:

(a) the fee for item 15112; and

(b) $36.80 for each field separately treated in excess of 1.

18 Meaning of amount under rule 18 in certain items

In items 17977 and 44376 (reamputation), amount under rule 18 means:

(a) for item 17977 — an amount equal to 85% of the fee specified for the item relating to the administration of anaesthetic for an original amputation (any of items 44325 to 44373) of the body part for which the reamputation is performed; or

(b) for item 44376 — an amount equal to 75% of the fee specified for the item relating to an original amputation (any of items 44325 to 44373) of the body part for which the reamputation is performed.

19 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 dental practitioner practising as a dentist.

20 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.

21 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.

22 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.

23 Meaning of treatment cycle of a patient

In rule 24 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 a menstrual cycle of the patient; and

(b) ends not more than 30 days after that day.

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

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

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

(b) 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).

25 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.

26 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

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

27 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

(d) management of multiple deliveries; and

(e) episiotomy; and

(f) repair of tears; and

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

28 Certain obstetrical procedures constitute a single operation

The fee mentioned for item 16519, 16520, 16522, 16564, 16567, 16570, 16571 or 16573 applies inclusively to:

(a) the procedure, or procedures, mentioned in the item; and

(b) the administration of anaesthetic or the giving of assistance, within the meaning of subsection 16 (2), (3) or (4) of the Act.

29 Meaning of maxilla in certain items

In items 45720 to 45752 and 52342 to 52375, maxilla includes the zygoma.

30 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.

31 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

(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

32 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.

33 Meaning of amount under rule 33 in items 51303 and 51803

In items 51303 and 51803, amount under rule 33, 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.

34 Meaning of amount under rule 34 in item 51309

(1) In item 51309, amount under rule 34, 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.

35 Meaning of amount under rule 35 in item 18219

In item 18219, amount under rule 35 means an amount equal to the sum of:

(a) the fee for item 18216; and

(b) $14.80 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.

36 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.

37 Meaning of amount under rule 37 in items 16633 and 16636

In items 16633 and 16636, amount under rule 37 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.

38 Meaning of amount under rule 38 in item 51312

In item 51312, amount under rule 38, 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.

39 Meaning of amount under rule 39 in item 31340

In item 31340, amount under rule 39, 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.

40 Meaning of amount under rule 40 in items 17503 and 17506

In items 17503 and 17506, amount under rule 40, 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.

41 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

(d) intraocular haemorrhage; or

(e) intraocular infection (endophthalmitis); or

(f) cystoid macular oedema; or

(g) corneal decompensation; or

(h) retinal detachment.

42 Meaning of amount under rule 42 in item 13604

(1) In item 13604, amount under rule 42 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) $548.50; and

(b) $14.80 for each additional period of 10 minutes (or part of a period of 10 minutes) after 6 hours.

43 Meaning of amount under rule 43 in items 17800, 17805 and 17810

In items 17800, 17805 and 17810, amount under rule 43 means the fee worked out by multiplying $14.80 for each additional anaesthetic time unit applying beyond the assigned number of anaesthetic time units, as follows:

(a) for item 17800 (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 (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 (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.

44 Meaning of amount under rule 44 in item 17970

In item 17970, amount under rule 44 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.

45 Meaning of amount under rule 45 in item 30001

In item 30001, amount under rule 45 means 50% of the scheduled fee that would normally apply for a surgical procedure if the surgical procedure had not been discontinued before completion.

46 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;

(d) major tumour resection;

(e) separation of conjoint twins.

47 Meaning of amount under rule 47 in item 18033

In item 18033, amount under rule 47 means an amount that is equal to the sum of:

(a) $59.20; and

(b) $14.80 for each 15 minutes of anaesthesia time.

48 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.

49 Qualified sleep medicine practitioner

For items 12203 and 12207, a person is a qualified sleep medicine practitioner if:

(a) the person has been assessed:

(i) 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); or

(ii) on appeal from an adverse assessment of the Credentialling Subcommittee, by the Appeal Committee of the Royal Australasian College of Physicians (the Appeal Committee);

as having had, before 1 March 1999, 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) the person has been assessed:

(i) by the Credentialling Subcommittee; or

(ii) on appeal from an adverse assessment of the Credentialling Subcommittee, by the Appeal Committee;

as:

(iii) having had, before 1 March 1999, substantial training or experience in sleep medicine; but

(iv) 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;

and either:

(v) the period of 2 years immediately following that assessment has not expired; or

(vi) the person has been assessed by the Credentialling Subcommittee as having satisfactorily finished the further training or gained the further experience specified for that person; or

(c) the person 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, after having completed at least 12 months core training, including clinical practice in sleep medicine and in reporting sleep studies; or

(d) the Advisory Committee has recognised, in writing, the person as having training equivalent to the training mentioned in paragraph (c).

50 Public health physicians

Items 410 to 417 apply to an attendance on a patient by a public health physician only 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;

(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.

51 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 care recipient in a residential aged care facility.

(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.

52 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 1 medical condition that:

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

(ii) is terminal; and

(b) is not an in-patient of a hospital or day-hospital facility, or a care recipient in a residential aged care facility.

(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 1 medical condition that:

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

(ii) is terminal; and

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

(3) Items 730, 734, 736, 738, 775, 778 and 779 apply only to a service in relation to a patient who:

(a) suffers from at least 1 medical condition that:

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

(ii) is terminal; and

(b) is a care recipient in a residential aged care facility; and

53 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 the 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

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

54 Meaning of multidisciplinary care plan

(1) For items 720, 722, 724, 726, 728 and 730 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;

(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 which persons will be included in the multidisciplinary care plan team; 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) offering 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.

55 Meaning of multidisciplinary care plan team

A multidisciplinary care plan team includes:

(a) a medical practitioner; and

(b) 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.

56 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.

57 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 subrule 54 (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) offering a copy of relevant parts of the revised multidisciplinary care plan (if any) to the patient, and giving copies to persons who, under the revised plan, will give the patient the treatment, service and care mentioned in the plan; and

(d) if paragraph 54 (2) (f) applies to the patient, giving a copy of the revised multidisciplinary care plan (if any) to the Department of Veterans’ Affairs.

58 Meaning of contribution to a plan

(1) For items 726, 728 and 730, a contribution to a multidisciplinary care plan, a multidisciplinary discharge care plan or a multidisciplinary care plan in a residential aged care facility must be at the request of the person (or residential aged care facility) 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 necessarily include preparation of the plan or part of the plan.

59 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 (see rule 62) 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.

60 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.

61 Meaning of multidisciplinary case conference in a residential aged care facility

For items 734, 736, 738, 775, 778 and 779, a multidisciplinary case conference in a residential aged care facility is a multidisciplinary case conference carried out in relation to a care recipient in a residential aged care facility.

62 Meaning of multidisciplinary case conference team

For the items mentioned in rules 59, 60 and 61 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.

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

(1) For items 734, 736, 738, 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

(d) recording the names of the participants; and

(e) recording the matters mentioned in subrule 59 (2), and putting a copy of that record in the patient’s medical records; and

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

(2) For items 759, 762, 765, 768, 771, 773, 775, 778 and 779 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

(d) recording the names of the participants; and

(e) recording the matters mentioned in subrule 59 (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 3 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			59.45
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			59.45
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			12.85
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 residential aged care facility 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 8
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 8
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 8
20	Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient			Amount under rule 8
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			27.00
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 residential aged care facility 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 8
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 8
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 8
35	Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient			Amount under rule 8
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			48.75
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 residential aged care facility 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 8
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 8
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 8
43	Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient			Amount under rule 8
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			71.85
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 residential aged care facility 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 8
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 8
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 8
51	Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient			Amount under rule 8
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 residential aged care facility) 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 8
59		Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a residential aged care facility) 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 8
60		Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a residential aged care facility) 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 8
65		Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a residential aged care facility) 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 8
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 8
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 8
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 8
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 8
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 8
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 8
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 8
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 8
92		Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient		Amount under rule 8
93		Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient		Amount under rule 8
95		Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (not being accommodation in a self-contained unit) of more than 25 minutes duration but not more than 45 minutes by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion — each patient		Amount under rule 8
96		Professional attendance (not being a service to which any other item applies) at a residential aged care facility (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 residential aged care facility (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 residential aged care facility on 1 occasion — each patient		Amount under rule 8
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 following referral of the patient 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 or hospital, not being a service to which item 106 applies		66.60
105		Professional attendance by a specialist in the practice of his or her specialty following referral of the patient 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 or hospital		33.40
106		Professional attendance by a specialist in the practice of his or her specialty following referral of the patient 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 that attendance is at consulting rooms or hospital		54.85
107		Professional attendance by a specialist in the practice of his or her specialty following referral of the patient 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 or hospital		97.65
108		Professional attendance by a specialist in the practice of his or her specialty following referral of the patient 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 or hospital		61.80
Group A4 — Consultant physician attendances to which no other item applies
110		Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — initial attendance in a single course of treatment		117.45
116		Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient 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		58.80
119		Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — each minor attendance subsequent to the first in a single course of treatment		33.40
122		Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — initial attendance in a single course of treatment		142.60
128		Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient 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		86.15
131		Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — each minor attendance subsequent to the first in a single course of treatment		62.05
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		164.05
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		273.45
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		382.85
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		492.30
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		547.05
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 1 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		27.00
195		Professional attendance by a general practitioner on 1 or more patients at a hospital, on 1 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 8
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 following referral of the patient 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 applies have not exceeded the sum of 50 attendances in a calendar year		33.70
302		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 applies have not exceeded the sum of 50 attendances in a calendar year		67.35
304		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 applies have not exceeded the sum of 50 attendances in a calendar year		98.70
306		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 applies have not exceeded the sum of 50 attendances in a calendar year		136.25
308		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 applies have not exceeded the sum of 50 attendances in a calendar year		166.00
310		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 applies exceed 50 attendances in a calendar year		16.85
312		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 applies exceed 50 attendances in a calendar year		33.70
314		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 applies exceed 50 attendances in a calendar year		49.35
316		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 applies exceed 50 attendances in a calendar year		68.15
318		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 applies exceed 50 attendances in a calendar year		83.05
319		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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		136.25
320		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of not more than 15 minutes duration at hospital		33.70
322		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 15 minutes duration but not more than 30 minutes duration at hospital		67.35
324		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 30 minutes duration but not more than 45 minutes duration at hospital		98.70
326		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 45 minutes duration but not more than 75 minutes duration at hospital		136.25
328		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — an attendance of more than 75 minutes duration at hospital		166.00
330		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 or hospital		61.90
332		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 or hospital		97.10
334		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 or hospital		134.70
336		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 or hospital		162.95
338		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient 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 or hospital		194.25
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		38.40
344		Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a medical practitioner — each patient		51.00
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		75.40
348		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, following referral of the patient 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		40.75
350		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, following referral of the patient 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		91.60
352		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry, following referral of the patient 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		40.75
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 following referral of the patient to him or her by a medical practitioner — initial attendance in a single course of treatment		66.60
386		Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine following referral of the patient to him or her by a medical practitioner — each attendance subsequent to the first in a single course of treatment		33.40
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 following referral of the patient to him or her by a medical practitioner — initial attendance in a single course of treatment		97.65
388		Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of his or her specialty of occupational medicine following referral of the patient to him or her by a medical practitioner — each attendance subsequent to the first in a single course of treatment		61.80
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		12.85
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		27.00
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		48.75
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		71.85
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 8
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 8
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 8
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 8
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		71.10
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		71.10
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		146.25
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 residential aged care facility, 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		206.85
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		146.25
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 residential aged care facility, 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		206.85
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 community care plan for a patient (not being a service associated with a service to which items 734 to 779 apply) — payable not more than once in any 6 month period		188.05
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 care plan for a patient (not being a service associated with a service to which items 734 to 779 apply) — payable not more than once for each hospital admission		188.05
724		Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), to review a multidisciplinary community care plan or a discharge care plan prepared by that medical practitioner for a patient and claimed for under item 720 or 722 (not being a payment for a service to which items 734 to 779 apply) — payable not more than once in any 3 month period, and not being an attendance in relation to a patient: (a) for whom, in the preceding 3 months, a payment has been made under item 720; or (b) for whom, in the preceding month, a payment has been made under item 722		94.05
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 contribute to a multidisciplinary community care plan or to a review of a multidisciplinary community care plan prepared by another provider (not being a payment for a service to which items 734 to 779 apply) — not being an attendance in relation to a patient for whom, in the preceding 6 months, a payment has been made under item 720		37.90
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 contribute to a multidisciplinary discharge care plan or to a review of a multidisciplinary discharge care plan prepared by another provider (not being a service associated with a service to which items 722 and 734 to 779 apply)		37.90
730		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 in a residential aged care facility or to a review of a multidisciplinary care plan in a residential aged care facility prepared by the residential aged care facility (not being a payment in respect of a service to which items 734 to 779 apply)		37.90
Subgroup 2 — Case conferences
734		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 in a residential aged care facility, where the conference time is at least 15 minutes, but less than 30 minutes (not being a service associated with a service to which item 730 applies)		73.15
736		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 in a residential aged care facility, where the conference time is at least 30 minutes, but less than 45 minutes (not being a service associated with a service to which item 730 applies)		109.70
738		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 in a residential aged care facility, where the conference time is at least 45 minutes, (not being a service associated with a service to which item 730 applies)		146.25
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 community 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 items 720 to 730 apply)		73.15
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 community 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 items 720 to 730 apply)		109.70
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 community case conference, where the conference time is at least 45 minutes (not being a service associated with a service to which items 720 to 730 apply)		146.25
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 items 720 to 730 apply) — payable not more than once for each hospital admission		73.15
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 items 720 to 730 apply) — payable not more than once for each hospital admission		109.70
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 items 720 to 730 apply) — payable not more than once for each hospital admission		146.25
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 community 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 items 720 to 730 apply)		52.20
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 community 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 items 720 to 730 apply)		83.55
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 community 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 items 720 to 730 apply)		114.90
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 items 720 to 730 apply) — payable not more than once for each hospital admission		52.20
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 items 720 to 730 apply) — payable not more than once for each hospital admission		83.55
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 items 720 to 730 apply) — payable not more than once for each hospital admission		114.90
775		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 in a residential aged care facility, (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 item 730 applies)		52.20
778		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 in a residential aged care facility, (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 item 730 applies)		83.55
779		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 in a residential aged care facility, (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 item 730 applies)		114.90
801		Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 60 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines		183.00
803		Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and coordinate a community case conference of more than 60 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines		244.00
805		Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a community case conference (other than to organise and to coordinate the conference) of at least 30 minutes but less than 60 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines		152.00
807		Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a community case conference (other than to organise and to coordinate the conference) of more than 60 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines		202.60
809		Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 60 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines		183.00
811		Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of more than 60 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines		244.00
813		Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a discharge case conference of at least 30 minutes but less than 60 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines		152.00
815		Attendance by a consultant physician in the practice of his or her specialty, as a member of a case conference team, to participate in a discharge case conference of more than 60 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines		202.60
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		94.80
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		94.80
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		94.80
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		94.80
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)		94.80
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		94.80
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		94.80
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		94.80
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		94.80
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		94.80
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		54.85
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		54.85
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 $54.85		27.50
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		54.85
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		54.85
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		54.85
10916		Professional attendance, being the first in a course of attention, of not more than 15 minutes duration		27.50
10918		Professional attendance being the second or subsequent in a course of attention not related to the prescription and fitting of contact lenses		27.50
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		136.10
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		136.10
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		136.10
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		171.75
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)		136.10
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		136.10
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		171.75
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		136.10
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		171.75
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		136.10
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)		95.80
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		253.60
11006		Electroencephalography, temporosphenoidal, not being a service involving quantitative topographic mapping using neurometrics or similar devices		130.00
11009		Electrocorticography		177.30
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)		87.15
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)		116.75
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)		174.35
11021		Neuromuscular electrodiagnosis — repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations		116.75
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		88.70
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		131.50
Subgroup 2 — Ophthalmology
11200		Provocative test or tests for glaucoma, including water drinking	31.75
11203		Tonography — in the investigation or management of glaucoma, of 1 or both eyes — using an electrical tonography machine producing a directly recorded tracing	53.70
11206		Electroretinography of 1 or both eyes or electro-oculography of 1 or both eyes	85.60
11209		Electroretinography of 1 or both eyes and electro-oculography of 1 or both eyes	126.90
11212		Optic fundi, examination of following intravenous dye injection	54.65
11215		Retinal photography, multiple exposures, of 1 eye with intravenous dye injection	95.70
11218		Retinal photography, multiple exposures of both eyes with intravenous dye injection	118.25
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	52.75
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	52.75
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	31.80
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	31.80
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	95.45
11240		Orbital contents, ultrasonic echography of, unidimensional, not being a service associated with a service to which items in Group I1 apply	63.40
Subgroup 3 — Otolaryngology
11300		Brain stem evoked response audiometry (Anaes. 17707 = 5B + 2T)	149.85
11303		Electrocochleography, extratympanic method, 1 or both ears	149.85
11304		Electrocochleography, transtympanic membrane insertion technique, 1 or both ears	246.75
11306		Non-determinate audiometry	17.10
11309		Audiogram, air conduction	20.45
11312		Audiogram, air and bone conduction or air conduction and speech discrimination	28.90
11315		Audiogram, air and bone conduction and speech	38.35
11318		Audiogram, air and bone conduction and speech, with other cochlear tests	47.25
11321		Glycerol induced cochlear function changes assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff’s test)	89.80
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	25.60
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	15.35
11330		Impedance audiogram where the patient is not referred by a medical practitioner — 1 examination in any 4 week period	6.15
11332		Oto-acoustic emission audiometry for the detection of permanent congenital hearing impairment, performed by or on behalf of a specialist or consultant physician, on an infant or child who is at risk due to 1 or more of the following factors: (a) admission to a neonatal intensive care unit; (b) family history of hearing impairment; (c) intra-uterine or perinatal infection (either suspected or confirmed); (d) birthweight less than 1.5 kg; (e) craniofacial deformity; (f) birth asphyxia;	45.55
		(g) chromosomal abnormality, including Down’s Syndrome; (h) exchange transfusion; where: (i) the patient is referred by another medical practitioner; and (j) middle ear pathology has been excluded by specialist opinion
11333		Caloric test of labyrinth or labyrinths	34.70
11336		Simultaneous bithermal caloric test of labyrinths	34.70
11339		Electronystagmography	34.70
Subgroup 4 — Respiratory
11500		Bronchospirometry, including gas analysis		130.00
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		107.95
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		16.00
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		27.80
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		48.10
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)		53.95
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)		53.95
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		40.25
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)		57.05
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)		74.00
11612		Examination of peripheral vessels and report, involving any of the techniques referred to in item 11603, with hard copy recording of wave forms before measured exercise using a treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral)		74.00
11615		Measurement of digital temperature, 1 or more digits, (unilateral or bilateral) and report, with hard copy recording of temperature before and for 10 minutes or more after cold stress testing		59.05
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		52.50
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)		79.10
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)		105.05
11627		Pulmonary artery pressure monitoring during open heart surgery, in a person under 12 years of age		178.00
Subgroup 6 — Cardiovascular
11700		Twelve-lead electrocardiography, tracing and report		24.30
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		12.15
11702		Twelve-lead electrocardiography, tracing only		12.15
11706		Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram — interpretation and report		56.10
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		99.55
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		130.40
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		40.35
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		22.00
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		118.40
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		54.30
11715		Blood dye — dilution indicator test		94.05
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		27.00
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		54.30
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		131.50
Subgroup 7 — Gastroenterology and colorectal
11800		Oesophageal motility test, manometric		135.90
11810		Clinical assessment of gastro-oesophageal reflux disease involving 24-hour pH monitoring, including analysis, interpretation and report and including any associated consultation		135.90
11830		Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex		145.35
11833		Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency		194.45
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		21.45
11903		Cystometrography, not being a service associated with a service to which items 11012 to 11027, 11912, 11915, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies		86.50
11906		Urethral pressure profilometry, not being a service associated with a service to which items 11012 to 11027, 11909, 11918, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table applies		86.50
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		128.50
11912		Cystometrography with simultaneous measurement of rectal pressure, not being a service associated with a service to which items 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)		128.50
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)		128.50
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)		333.45
11921		Bladder washout test for localisation of urinary infection — not including bacterial counts for organisms in specimens		58.40
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		30.30
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		45.80
12012		Epicutaneous patch testing in the investigation of allergic dermatitis using less than the number of allergens included in a standard patch test battery		16.20
12015		Epicutaneous patch testing in the investigation of allergic dermatitis using all of the allergens in a standard patch test battery		48.60
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		62.60
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		91.75
Subgroup 10 — Other diagnostic procedures and investigations
12200		Collection of specimen of sweat by iontophoresis		28.95
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		462.35
		(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
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		462.35
		(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
Group D2 — Nuclear medicine (non-imaging)
12500		Blood volume estimation		168.60
12503		Erythrocyte radioactive uptake survival time test or iron kinetic test		330.75
12506		Gastrointestinal blood loss estimation involving examination of stool specimens		236.10
12509		Gastrointestinal protein loss		168.60
12512		Radioactive B12 absorption test — 1 isotope		81.70
12515		Radioactive B12 absorption test — 2 isotopes		179.00
12518		Thyroid uptake (using probe)		81.70
12521		Perchlorate discharge study		98.60
12524		Renal function test (without imaging procedure)		123.25
12527		Renal function test (with imaging and at least 2 blood samples)		66.10
12530		Whole body count — not being a service associated with a service to which another item applies		98.60
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		65.85
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		201.50
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)		90.10
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)		127.25
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		106.40
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		55.40
13106		Declotting of an arteriovenous shunt		94.55
13109		Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis — insertion and fixation of (Anaes. 17710 = 6B + 4T)		177.30
13110		Tenckhoff peritoneal dialysis catheter, removal of (including catheter cuffs) (Anaes. 17708 = 6B + 2T)		177.85
13112		Peritoneal dialysis, establishment of, by abdominal puncture and insertion of temporary catheter (including associated consultation) (Anaes. 17708 = 6B + 2T)		106.40
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		1 556.50
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		389.10
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		667.05
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		66.60
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)		283.50
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)		89.00
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)		667.05
13221		Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination		40.60
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		159.05
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)		318.10
Subgroup 4 — Paediatric and neonatal
13300		Umbilical or scalp vein catheterisation in a neonate with or without infusion or cannulation of a vein		44.35
13303		Umbilical artery catheterisation with or without infusion		65.75
13306		Blood transfusion with venesection and complete replacement of blood, including collection from donor		260.10
13309		Blood transfusion with venesection and complete replacement of blood, using blood already collected		221.75
13312		Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants		22.10
13318		Central vein catheterisation (via jugular or subclavian vein) — by open exposure, in a person under 12 years of age (Anaes. 17709 = 5B + 4T)		177.10
13319		Central vein catheterisation in a neonate via peripheral vein (Anaes. 17709 = 5B + 4T)		177.10
Subgroup 5 — Cardiovascular
13400		Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (Anaes. 17706 = 5B + 1T)		75.40
Subgroup 6 — Gastroenterology
13500		Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage		140.40
13503		Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage		280.80
13506		Gastro-oesophageal balloon intubation, Minnesota, Sengstaken-Blakemore or similar, for control of bleeding from gastric oesophageal varices		143.60
Subgroup 7 — Perfusion
13600		Perfusion of limb or organ using heart-lung machine or equivalent		345.50
13603		Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent		489.30
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 42
13606		Induced controlled hypothermia — total body		85.25
13609		Cardioplegia, blood or crystalloid, administration by any route		196.80
13612		Deep hypothermic circulatory arrest, with core temperature less than 22^oC, including management of retrograde cerebral perfusion if performed		308.15
Subgroup 8 — Haematology
13700		Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (Anaes. 17712 = 5B + 7T)		259.50
13703		Administration of blood including collection from donor		93.00
13706		Administration of blood or bone marrow already collected		64.95
13709		Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation		37.70
13750		Therapeutic haemapheresis for the removal of plasma or cellular (or both) elements of blood, utilising continuous or intermittent flow techniques, including morphological tests for cell counts and viability studies, if performed; continuous monitoring of vital signs, fluid balance, blood volume and other parameters with continuous registered nurse attendance under the supervision of a consultant physician, not being a service associated with a service to which item 13755 applies — each day		106.40
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		106.40
13757		Therapeutic venesection for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda		56.80
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		593.75
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)		66.35
13818		Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement (Anaes. 17705 = 3B + 2T)		88.55
13830		Intracranial pressure, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician — each day		58.65
13839		Arterial puncture and collection of blood for diagnostic purposes		17.90
13842		Intra-arterial cannulisation for the purpose of taking multiple arterial blood samples for blood gas analysis		53.95
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)		421.15
13848		Counterpulsation by intra-aortic balloon-management on each day subsequent to the first, including associated consultations and monitoring of parameters		102.00
13851		Circulatory support device, management of, on first day		384.35
13854		Circulatory support device, management of, on each day subsequent to the first		89.35
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		114.00
Subgroup 10 — Management and procedures undertaken in an intensive care unit
13870		Management of a patient in an intensive care unit by a specialist or consultant physician — including initial and subsequent attendances, electrocardiographic monitoring, arterial sampling, bladder catheterisation and blood sampling — management on the first day		237.50
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		176.85
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		53.95
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		172.35
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		58.65
13885		Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician — on the first day in an intensive care unit		106.10
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		55.25
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		50.65
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		76.20
13921		Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 6 hours duration — for the first day of treatment		86.20
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		50.85
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		65.75
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		91.70
13933		Cytotoxic chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration — for the first day of treatment		101.70
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		66.25
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		76.20
13942		Ambulatory drug delivery device, loading of, with a cytotoxic agent or agents for the infusion of the agent or agents via the intravenous, intra-arterial or spinal routes, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933, 13936 or 13945 applies		50.85
13945		Long-term implanted drug delivery device for cytotoxic chemotherapy, accessing of		40.90
13948		Cytotoxic agent, instillation of, into a body cavity		50.85
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		41.10
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		41.10
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)		118.75
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)		145.80
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)		118.75
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)		145.80
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)		172.70
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)		199.65
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)		253.65
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 7^th 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)		118.75
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 7^thor 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)		145.80
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 7^thor 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)		118.75
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 7^thor 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)		145.80
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 7^thor 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)		172.70
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 7^thor 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)		199.65
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 7^thor 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)		253.65
Subgroup 13 — Other therapeutic procedures
14200		Gastric lavage in the treatment of ingested poison		46.60
14203		Hormone or living tissue implantation, by direct implantation involving incision and suture (Anaes. 17706 = 4B + 2T)		39.80
14206		Hormone or living tissue implantation — by cannula		27.75
14209		Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent		69.10
14212		Intussusception, management of fluid or gas reduction for (Anaes. 17705 = 3B + 2T)		144.30
14215		Long-term implanted reservoir associated with the adjustable gastric band, accessing of to add or remove fluid		76.20
14218		Implanted pump or reservoir, loading of, with a therapeutic agent or agents, for infusion to the subarachnoid or epidural space		76.20
14221		Long-term implanted device for delivery of therapeutic agents, accessing of, not being a service associated with a service to which item 13945 applies		40.90
14224		Electroconvulsive therapy, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (Anaes. 17705 = 4B + 1T)		54.70
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		33.15
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 16
15006		Radiotherapy, superficial-attendance at which a single dose technique is applied — 1 field		73.50
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 17
15012		Radiotherapy, superficial — each attendance at which treatment is given to an eye		41.60
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		37.15
15103		Radiotherapy, deep or orthovoltage — each attendance at which fractionated treatment is given at 3 or more treatments per week — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)		Amount under rule 16
15106		Radiotherapy, deep or orthovoltage — each attendance at which fractionated treatment is given at 2 treatments per week or less frequently — 1 field		43.85
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 16
15112		Radiotherapy, deep or orthovoltage — attendance at which a single dose technique is applied — 1 field		93.55
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 17
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		46.45
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 16
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		46.45
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 16
15211		Radiation oncology treatment, using cobalt unit or caesium teletherapy unit — each attendance at which treatment is given — 1 field		42.55
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 16
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)			277.95
15304	Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes. 17705 = 3B + 2T)			277.95
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)			526.95
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)			526.95
15311	Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes. 17705 = 3B + 2T)			259.45
15312	Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes. 17705 = 3B + 2T)			257.60
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)			509.35
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)			509.35
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)			316.05
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)			316.05
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)			562.05
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)			562.05
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)			611.50
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)			611.50
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)			580.65
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)			580.65
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)			526.95
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)			526.95
15339	Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block (Anaes. 17705 = 3B + 2T)			59.30
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			148.20
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			395.35
15348	Subsequent applications of radioactive mould referred to in item 15342 or 15345 — each attendance			45.45
15351	Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface			90.80
15354	Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface			110.25
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			31.10
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)		189.00
15503		Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of a single area, where views in more than 1 plane are required for treatment by multiple fields, or of 2 areas (not being a service associated with a service to which item 15512 applies)		242.60
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)		362.25
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)		163.85
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)		211.05
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)		305.55
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		59.95
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		264.60
15524		Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to 3 or more areas, or by mantle fields or inverted Y fields or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields		496.20
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		61.40
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		274.10
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		519.80
15536		Brachytherapy planning, computerised Radiation Dosimetry		207.75
Subgroup 6 — Stereotactic radiosurgery
15600		Stereotactic radiosurgery, including all radiation oncology consultations, planning, simulation, dosimetry and treatment		1 325.35
Group T3 — Therapeutic nuclear medicine
16003		Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis) (Anaes. 17705 = 3B + 2T)		506.50
16006		Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique		389.15
16009		Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique		265.60
16012		Intravenous administration of a therapeutic dose of Phosphorous 32		229.75
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		3 180.90
16018		Administration of 153 Sm-lexidronam for the relief of bone pain due to skeletal metastases (as indicated by a positive bone scan) from: (a) carcinoma of the prostate, where hormonal therapy has failed; or (b) carcinoma of the breast, where both hormonal therapy and chemotherapy have failed and: (i) the disease is poorly controlled by conventional radiotherapy; or (ii) conventional radiotherapy is inappropriate, due to the wide distribution of sites of bone pain		1 901.55
Group T4 — Obstetrics
16500		Antenatal attendance		27.00
16501		External cephalic version for breech presentation, after 36 weeks where no contraindication exists, in a unit with facilities for caesarean section, including pre and post version CTG, with or without tocolysis, not being a service to which items 55718 to 55728 and 55768 to 55774 apply — chargeable whether or not the version is successful and limited to a maximum of 2 ECV's per pregnancy		109.40
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		27.00
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		27.00
16505		Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of — each attendance that is not a routine antenatal attendance		27.00
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		27.00
16509		Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of — each attendance that is not a routine antenatal attendance		27.00
16511		Cervix, purse string ligation of (Anaes. 17706 = 4B + 2T)		171.20
16512		Cervix, removal of purse string ligature of (Anaes. 17706 = 4B + 2T)		49.40
16514		Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement)		28.55
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		269.85
16518		Management of labour, incomplete, where the patient’s care has been transferred to another medical practitioner for completion of the delivery		123.55
16519		Management of labour and delivery by any means (including Caesarean section) including post-partum care for 5 days		415.60
16520		Caesarean section and post-operative care for 7 days where the patient’s care has been transferred by another medical practitioner for management of the confinement and the attending medical practitioner has not provided any of the antenatal care		485.65
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 2500 gm; (e) pre-existing diabetes mellitus dependent on medication, or gestational diabetes requiring at least daily blood glucose monitoring;		975.80
		(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
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		230.20
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		169.75
16567		Management of postpartum haemorrhage by special measures such as packing of uterus, as an independent procedure		248.30
16570		Acute inversion of the uterus, vaginal correction of, as an independent procedure		323.85
16571		Cervix, repair of extensive laceration or lacerations		248.30
16573		Third degree tear, involving anal sphincter muscles and rectal mucosa, repair of, as an independent procedure		202.30
16600		Amniocentesis, diagnostic		49.40
16603		Chorionic villus sampling, by any route		94.95
16606		Fetal blood sampling, using interventional techniques from umbilical cord or fetus, including fetal neuromuscular blockade and amniocentesis (Anaes. 17707 = 4B + 3T)		189.30
16609		Fetal intravascular blood transfusion, using blood already collected, including neuromuscular blockade, amniocentesis and fetal blood sampling (Anaes. 17712 = 4B + 8T)		386.15
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)		303.85
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)		161.75
16618		Amniocentesis, therapeutic, when indicated because of polyhydramnios with at least 500 ml being aspirated		161.75
16621		Amnioinfusion, for diagnostic or therapeutic purposes in the presence of severe oligohydramnios		161.75
16624		Fetal fluid filled cavity, drainage of		232.85
16627		Feto-amniotic shunt, insertion of, into fetal fluid filled cavity, including neuromuscular blockade and amniocentesis		474.05
16633		Procedure on multiple pregnancies relating to items 16606, 16609, 16612, 16615 and 16627		Amount under rule 37
16636		Procedure on multiple pregnancies relating to items 16600, 16603, 16618, 16621 and 16624		Amount under rule 37
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 40
17506		Assistance in the administration of an elective anaesthetic, where: (a) the patient has complex airway problems; or (b) the patient is a neonate or a complex paediatric case; or (c) there is anticipated to be massive blood loss (greater than 50% of blood volume) during the procedure; or (d) the patient is critically ill, with multiple organ failure; and where the anaesthesia time is expected to exceed 6 hours and the assistance is provided to the exclusion of all other patients		Amount under rule 40
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		33.40
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		14.80
17702		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 2		29.60
17703		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 3		44.40
17704		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 4		59.20
17705		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 5		74.00
17706		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 6		88.80
17707		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 7		103.60
17708		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 8		118.40
17709		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 9		133.20
17710		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 10		148.00
17711		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 11		162.80
17712		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 12		177.60
17713		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 13		192.40
17714		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 14		207.20
17715		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 15		222.00
17716		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 16		236.80
17717		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 17		251.60
17718		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 18		266.40
17719		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 19		281.20
17720		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 20		296.00
17721		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 21		310.80
17722		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 22		325.60
17723		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 23		340.40
17724		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 24		355.20
17725		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 25		370.00
17726		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 26		384.80
17727		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 27		399.60
17728		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 28		414.40
17729		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 29		429.20
17730		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 30		444.00
17731		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 31		458.80
17732		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 32		473.60
17733		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 33		488.40
17734		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 34		503.20
17735		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 35		518.00
17736		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 36		532.80
17737		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 37		547.60
17738		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 38		562.40
17739		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 39		577.20
17740		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 40		592.00
17741		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 41		606.80
17742		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 42		621.60
17743		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 43		636.40
17744		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 44		651.20
17745		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 45		666.00
17746		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 46		680.80
17747		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 47		695.60
17748		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 48		710.40
17749		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 49		725.20
17750		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 50		740.00
17751		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 51		754.80
17752		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 52		769.60
17753		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 53		784.40
17754		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 54		799.20
17755		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 55		814.00
17756		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 56		828.80
17757		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 57		843.60
17758		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 58		858.40
17759		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 59		873.20
17760		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 60		888.00
17761		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 61		902.80
17762		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 62		917.60
17763		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 63		932.40
17764		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 64		947.20
17765		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 65		962.00
17766		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 66		976.80
17767		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 67		991.60
17768		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 68		1 006.40
17769		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 69		1 021.20
17770		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 70		1 036.00
17771		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 71		1 050.80
17772		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 72		1 065.60
17773		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 73		1 080.40
17774		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 74		1 095.20
17775		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 75		1 110.00
17776		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 76		1 124.80
17777		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 77		1 139.60
17778		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 78		1 154.40
17779		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 79		1 169.20
17780		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 80		1 184.00
17781		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 81		1 198.80
17782		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 82		1 213.60
17783		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 83		1 228.40
17784		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 84		1 243.20
17785		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 85		1 258.00
17786		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 86		1 272.80
17787		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 87		1 287.60
17788		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 88		1 302.40
17789		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 89		1 317.20
17790		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 90		1 332.00
17791		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 91		1 346.80
17792		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 92		1 361.60
17793		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 93		1 376.40
17794		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 94		1 391.20
17795		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 95		1 406.00
17796		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 96		1 420.80
17797		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 97		1 435.60
17798		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 98		1 450.40
17799		Administration of an anaesthetic in connection with a medical service, being a medical service which has a combined anaesthetic unit value of 99		1 465.20
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 43
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 43
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 43
17965		Administration of an anaesthetic in connection with radio-therapy (Anaes. = 7B + 4T)		162.80
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)		118.40
17970		Administration of an anaesthetic in connection with an operative procedure to which item 30001 applies		Amount under rule 44
17974		Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure (Anaes. = 5B + 5T)		148.00
17977		Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 44376		Amount under rule 18
17980		Administration of an anaesthetic in connection with computerised axial tomography — brain scan, plain study with or without contrast medium study (Anaes. = 7B + 4T)		162.80
17983		Administration of an anaesthetic in connection with computerised axial tomography — body scan, plain study with or without contrast medium study (Anaes. = 7B + 4T)		162.80
17986		Administration of an anaesthetic in connection with the removal of phaeochromocytoma (Anaes. = 10B + 15T)		370.00
17989		Administration of an anaesthetic in connection with peripheral venous cannulation (Anaes. = 3B + 2T)		74.00
17992		Administration of an anaesthetic in connection with peripheral venous cannulation by open exposure (Anaes. = 3B + 2T)		74.00
17995		Administration of an anaesthetic in connection with percutaneous central venous cannulation (Anaes. = 5B + 2T)		103.60
17998		Administration of an anaesthetic in connection with electrocochleography (insertion of electrodes and brain stem evoked response audiometry) (Anaes. = 5B + 7T)		177.60
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)		103.60
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)		118.40
18007		Administration of an anaesthetic in connection with Caesarean section (Anaes. = 10B + 5T)		222.00
18010		Administration of an anaesthetic in connection with repair of episiotomy (Anaes. = 3B + 2T)		74.00
18013		Administration of an anaesthetic in connection with magnetic resonance imaging services covered by items 63000 to 63946 (Anaes. = 7B + 7T)		207.20
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)		118.40
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)		281.20
18021		Administration of an anaesthetic in connection with muscle biopsy for malignant hyperpyrexia (Anaes. = 10B + 3T)		192.40
18022		Administration of an anaesthetic in connection with digital subtraction angiography (Anaes. = 7B + 3T)		148.00
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)		207.20
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)		384.80
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)		88.80
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)		118.40
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)		133.20
18033		Administration of an anaesthetic in connection with a procedure covered by an item which has not been allocated anaesthetic units, not being a service to which item 18030, 18031 or 18032 applies, where it can be demonstrated that there is a clinical need for anaesthesia		Amount under rule 47
18035		In connection with a change of dressing or change of plaster undertaken in a hospital or approved day-hospital facility (Anaes. = 3B + 2T)		74.00
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)		88.80
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)		118.40
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)		103.60
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)		133.20
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)		103.60
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)		162.80
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)		251.60
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		39.05
18209		Introduction of local anaesthetic, for control of post-operative pain, into the epidural or intrathecal space, in conjunction with an operation		39.05
18210		Introduction of a regional or field nerve block peri-operatively performed in the induction room, theatre or recovery room for the control of post operative pain via the femoral or sciatic nerves, in conjunction with knee, ankle or foot surgery		34.55
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		41.45
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		34.55
18213		Intravenous regional anaesthesia of limb by retrograde perfusion		69.05
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		147.85
18219		Intrathecal or epidural infusion of a therapeutic substance, initial injection or commencement of, where continuous attendance by the medical practitioner extends beyond the first hour		Amount under rule 35
18222		Infusion of a therapeutic substance to maintain regional anaesthesia or analgesia, subsequent injection or revision of, where the period of continuous medical practitioner attendance is 15 minutes or less		29.30
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		39.05
18228		Interpleural block, initial injection or commencement of infusion of a therapeutic substance		48.65
18230		Intrathecal or epidural injection of neurolytic substance		185.65
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		147.85
18233		Epidural injection of blood for blood patch		147.85
18234		Trigeminal nerve, primary division of, injection of an anaesthetic agent		97.20
18236		Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent		48.65
18238		Facial nerve, injection of an anaesthetic agent, not being a service associated with a service to which item 18240 applies		29.30
18240		Retrobulbar or peribulbar injection of an anaesthetic agent		72.85
18242		Greater occipital nerve, injection of an anaesthetic agent		29.30
18244		Vagus nerve, injection of an anaesthetic agent		78.45
18246		Glossopharyngeal nerve, injection of an anaesthetic agent		78.45
18248		Phrenic nerve, injection of an anaesthetic agent		69.05
18250		Spinal accessory nerve, injection of an anaesthetic agent		48.65
18252		Cervical plexus, injection of an anaesthetic agent		78.45
18254		Brachial plexus, injection of an anaesthetic agent		78.45
18256		Suprascapular nerve, injection of an anaesthetic agent		48.65
18258		Intercostal nerve (single), injection of an anaesthetic agent		48.65
18260		Intercostal nerves (multiple), injection of an anaesthetic agent		69.05
18262		Ilio-inguinal, iliohypogastric or genitofemoral nerves, 1 or more of, injection of an anaesthetic agent		48.65
18264		Pudendal nerve, injection of an anaesthetic agent		78.45
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		48.65
18268		Obturator nerve, injection of an anaesthetic agent		69.05
18270		Femoral nerve, injection of an anaesthetic agent		69.05
18272		Saphenous, sural, popliteal or posterior tibial nerve, main trunk of, 1 or more of, injection of an anaesthetic agent		48.65
18274		Paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, injection of an anaesthetic agent, (single vertebral level)		69.05
18276		Paravertebral nerves, injection of an anaesthetic agent, (multiple levels)		97.20
18278		Sciatic nerve, injection of an anaesthetic agent		69.05
18280		Sphenopalatine ganglion, injection of an anaesthetic agent		97.20
18282		Carotid sinus, injection of an anaesthetic agent, as an independent percutaneous procedure		78.45
18284		Stellate ganglion, injection of an anaesthetic agent, (cervical sympathetic block)		114.95
18286		Lumbar or thoracic nerves, injection of an anaesthetic agent, (paravertebral sympathetic block)		114.95
18288		Coeliac plexus or splanchnic nerves, injection of an anaesthetic agent		114.95
18290		Cranial nerve other than trigeminal, destruction by a neurolytic agent		194.45
18292		Nerve branch, destruction by a neurolytic agent, not being a service to which any other item in this group applies		97.20
18294		Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent		137.00
18296		Lumbar sympathetic chain, destruction by a neurolytic agent		117.15
18298		Cervical or thoracic sympathetic chain, destruction by a neurolytic agent		137.00
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 45
30003		Localised burns, dressing of, (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation		27.00
30006		Extensive burns, dressing of, without anaesthesia (not involving grafting) — each attendance at which the procedure is performed, including any associated consultation		36.20
30009		Localised burns, dressing of, under general anaesthesia (not involving grafting) (G) (Anaes. 17708 = 4B + 4T)		47.25
30010		Localised burns, dressing of, under general anaesthesia (not involving grafting) (S) (Anaes. 17708 = 4B + 4T)		57.55
30013		Extensive burns, dressing of, under general anaesthesia (not involving grafting) (G) (Anaes. 17710 = 4B + 6T)		101.85
30014		Extensive burns, dressing of, under general anaesthesia (not involving grafting) (S) (Anaes. 17710 = 4B + 6T)		121.00
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.)		253.80
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.)		494.35
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.)		253.80
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)		40.65
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)		70.05
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)		64.20
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)		91.50
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)		70.05
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)		112.15
30042		Skin and subcutaneous tissue or mucous membrane, repair of wound of, other than wound closure at time of surgery, other than on face or neck, large (more than 7 cm long), involving deeper tissue, not being a service to which another item in Group T4 applies (S) (Anaes. 17709 = 4B + 5T)		144.60
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)		91.50
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)		116.60
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)		144.60
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.)		197.75
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)		57.55
30058		Post-operative haemorrhage, control of, under general anaesthesia, as an independent procedure (Anaes. 17705 = 3B + 2T)		112.15
30061		Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (Anaes. 17706 = 4B + 2T)		18.25
30064		Subcutaneous foreign body, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure (Anaes. 17707 = 4B + 3T)		85.60
30067		Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G) (Anaes. 17707 = 4B + 3T) (Assist.)		174.10
30068		Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S) (Anaes. 17707 = 4B + 3T) (Assist.)		215.45
30071		Biopsy of skin or mucous membrane, as an independent procedure (Anaes. 17706 = 4B + 2T)		40.65
30074		Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G) (Anaes. 17706 = 4B + 2T)		91.50
s30075		Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S) (Anaes. 17706 = 4B + 2T)		116.60
30078		Drill biopsy of lymph gland, deep tissue or organ, as an independent procedure (Anaes. 17706 = 4B + 2T)		37.70
30081		Biopsy of bone marrow by trephine using an open approach (Anaes. 17706 = 4B + 2T)		85.60
30084		Biopsy of bone marrow by trephine using a percutaneous approach with a Jamshidi needle or similar device (Anaes. 17706 = 4B + 2T)		45.75
30087		Biopsy of bone marrow by aspiration or punch biopsy of synovial membrane (Anaes. 17706 = 4B + 2T)		22.95
30090		Biopsy of pleura, percutaneous — 1 or more biopsies on any 1 occasion (Anaes. 17706 = 4B + 2T)		100.05
30093		Needle biopsy of vertebra (Anaes. 17708 = 4B + 4T)		133.55
30094		Percutaneous aspiration biopsy of deep organ using interventional techniques — but not including imaging (Anaes. 17706 = 4B + 2T)		147.45
30096		Scalene node biopsy (Anaes. 17707 = 5B + 2T)		143.15
30099		Sinus, excision of, involving superficial tissue only (Anaes. 17706 = 4B + 2T)		70.05
30102		Sinus, excision of, involving muscle and deep tissue (G) (Anaes. 17706 = 4B + 2T)		116.60
30103		Sinus, excision of, involving muscle and deep tissue (S) (Anaes. 17706 = 4B + 2T)		143.15
30104		Pre-auricular sinus, excision of (Anaes. 17706 = 4B + 2T)		98.85
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)		121.00
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)		171.20
30110		Bursa (large), including olecranon, calcaneum or patella, excision of (G) (Anaes. 17707 = 4B + 3T) (Assist.)		221.40
30111		Bursa (large), including olecranon, calcaneum or patella, excision of (S) (Anaes. 17707 = 4B + 3T) (Assist.)		289.20
30114		Bursa, semimembranosus (Baker’s cyst), excision of (Anaes. 17707 = 3B + 4T) (Assist.)		289.20
30165		Lipectomy — transverse wedge excision of abdominal apron (Anaes. 17710 = 5B + 5T) (Assist.)		354.15
30168		Lipectomy — wedge excision of skin or fat (not being a service to which item 30165 applies) — 1 excision (Anaes. 17710 = 4B + 6T) (Assist.)		354.15
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.)		538.65
30174		Lipectomy — subumbilical excision with undermining of skin edges and strengthening of musculo-aponeurotic wall (Anaes. 17712 = 5B + 7T) (Assist.)		538.65
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.)		767.40
30180		Axillary hyperhidrosis, wedge excision for (Anaes. 17706 = 3B + 3T)		106.25
30183		Axillary hyperhidrosis, total excision of sweat gland bearing area (Anaes. 17709 = 3B + 6T)		191.90
30186		Palmar or plantar wart, removal of, not being a service to which item 30187 applies (Anaes. 17705 = 3B + 2T)		36.95
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)		200.05
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)		114.65
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.)		309.70
30192		Premalignant skin lesions, treatment of, by galvanocautery or electrodesiccation or cryocautery (10 or more lesions) (Anaes. 17706 = 4B + 2T)		30.85
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 applies (1 or more lesions) (Anaes. 17706 = 4B + 2T)		49.40
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)		98.35
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)		342.60
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		37.60
30203		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 (10 or more lesions)		132.60
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)		98.35
30207		Skin lesions, multiple injections with hydrocortisone or similar preparations (Anaes. 17706 = 4B + 2T)		34.70
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)		126.90
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)		85.50
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 7^th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period		85.50
30216		Haematoma, aspiration of (Anaes. 17705 = 4B + 1T)		21.25
30219		Haematoma, furuncle, small abscess or similar lesion not requiring admission to a hospital or day-hospital facility, incision with drainage of, excluding after-care		21.25
30223		Large haematoma, large abscess, carbuncle, cellulitis or similar lesion, requiring admission to a hospital or day-hospital facility, incision with drainage of, excluding after-care (Anaes. 17706 = 4B + 2T)		126.90
30224		Percutaneous drainage of deep abscess using interventional techniques — but not including imaging (Anaes. 17707 = 4B + 3T)		185.00
30225		Abscess drainage tube, exchange of using interventional techniques — but not including imaging (Anaes. 17706 = 4B + 2T)		208.35
30226		Muscle, excision of (limited) or fasciotomy (Anaes. 17706 = 4B + 2T)		116.60
30229		Muscle, excision of (extensive) (Anaes. 17707 = 4B + 3T) (Assist.)		212.50
30232		Muscle, ruptured, repair of (limited), not associated with external wound (Anaes. 17707 = 4B + 3T)		174.10
30235		Muscle, ruptured, repair of (extensive), not associated with external wound (Anaes. 17707 = 4B + 3T) (Assist.)		230.20
30238		Fascia, deep, repair of, for herniated muscle (Anaes. 17707 = 4B + 3T)		116.60
30241		Bone tumour, innocent, excision of, not being a service to which another item in this group applies (Anaes. 17707 = 4B + 3T) (Assist.)		277.45
30244		Styloid process of temporal bone, removal of (Anaes. 17708 = 5B + 3T) (Assist.)		277.45
30246		Parotid duct, repair of, using micro-surgical techniques (Anaes. 17714 = 5B + 9T) (Assist.)		537.00
30247		Parotid gland, total extirpation of (Anaes. 17715 = 5B + 10T) (Assist.)		575.60
30250		Parotid gland, total extirpation of with preservation of facial nerve (Anaes. 17718 = 5B + 13T) (Assist.)		973.95
30251		Recurrent parotid tumour, excision of, with preservation of facial nerve (Anaes. 17723 = 5B + 18T) (Assist.)		1 496.10
30253		Parotid gland, superficial lobectomy of, with exposure of facial nerve (Anaes. 17714 = 5B + 9T) (Assist.)		649.40
30255		Submandibular ducts, relocation of, for surgical control of drooling (Anaes. 17715 = 5B + 10T) (Assist.)		864.70
30256		Submandibular gland, extirpation of (Anaes. 17713 = 5B + 8T) (Assist.)		346.80
30259		Sublingual gland, extirpation of (Anaes. 17707 = 5B + 2T)		153.45
30262		Salivary gland, dilatation or diathermy of duct (Anaes. 17706 = 5B + 1T)		45.75
30265		Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (G) (Anaes. 17707 = 5B + 2T)		91.50
30266		Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (S) (Anaes. 17707 = 5B + 2T)		116.60
30269		Salivary gland, repair of cutaneous fistula of (Anaes. 17707 = 5B + 2T)		116.60
30272		Tongue, partial excision of (Anaes. 17707 = 5B + 2T) (Assist.)		230.20
30275		Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation) (Anaes. 17718 = 7B + 11T) (Assist.)		1 372.45
30278		Tongue tie, repair of, not being a service to which another item in this group applies (Anaes. 17707 = 5B + 2T)		36.20
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)		93.00
30282		Ranula or mucous cyst of mouth, removal of (G) (Anaes. 17709 = 5B + 4T)		121.00
30283		Ranula or mucous cyst of mouth, removal of (S) (Anaes. 17709 = 5B + 4T)		159.40
30286		Branchial cyst, removal of (Anaes. 17709 = 5B + 4T) (Assist.)		309.80
30289		Branchial fistula, removal of (Anaes. 17709 = 5B + 4T) (Assist.)		391.05
30293		Cervical oesophagostomy, or closure of cervical oesophagostomy with or without plastic repair (Anaes. 17715 = 6B + 9T) (Assist.)		346.80
30294		Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction, or laryngopharyngectomy with tracheostomy and plastic reconstruction (Anaes. 17723 = 6B + 17T) (Assist.)		1 372.45
30296		Thyroidectomy, total (Anaes. 17716 = 6B + 10T) (Assist.)		797.05
30297		Thyroidectomy following previous thyroid surgery (Anaes. 17716 = 6B + 10T) (Assist.)		797.05
30306		Total hemithyroidectomy (Anaes. 17714 = 6B + 8T) (Assist.)		621.75
30308		Bilateral sub-total thyroidectomy (Anaes. 17714 = 6B + 8T) (Assist.)		621.75
30309		Thyroidectomy, sub-total for thyrotoxicosis (Anaes. 17716 = 6B + 10T) (Assist.)		797.05
30310		Thyroid, unilateral sub-total thyroidectomy or equivalent partial thyroidectomy (Anaes. 17711 = 6B + 5T) (Assist.)		356.10
30313		Thyroglossal cyst, removal of (Anaes. 17711 = 6B + 5T) (Assist.)		212.50
30314		Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone (Anaes. 17711 = 6B + 5T) (Assist.)		356.10
30315		Parathyroid operation for hyperparathyroidism (Anaes. 17716 = 6B + 10T) (Assist.)		887.45
30317		Cervical re-exploration for recurrent or persistent hyperparathyroidism (Anaes. 17720 = 6B + 14T) (Assist.)		1 062.70
30318		Mediastinum, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy) (Anaes. 17715 = 6B + 9T) (Assist.)		706.60
30320		Mediastinum, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy) (Anaes. 17717 = 6B + 11T) (Assist.)		1 062.70
30321		Retroperitoneal neuroendocrine tumour, removal of (Anaes. 17722 = 10B + 12T) (Assist.)		706.60
30323		Retroperitoneal neuroendocrine tumour, removal of, requiring complex and extensive dissection (Anaes. 17730 = 10B + 20T) (Assist.)		1 062.70
30324		Adrenal gland tumour, excision of (Anaes. 17725 = 10B + 15T) (Assist.)		1 062.70
30329		Lymph glands of groin, limited excision of (Anaes. 17709 = 3B + 6T)		192.20
30330		Lymph glands of groin, radical excision of (Anaes. 17713 = 3B + 10T) (Assist.)		559.60
30332		Lymph nodes of axilla, limited excision of (sampling) (Anaes. 17709 = 5B + 4T) (Assist.)		270.00
30335		Lymph nodes of axilla, complete excision of, to level I (Anaes. 17713 = 5B + 8T) (Assist.)		674.90
30336		Lymph nodes of axilla, complete excision of, to level II or III (Anaes. 17715 = 5B + 10T) (Assist.)		809.95
30339		Breast, benign lesion up to and including 50 mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology (Anaes. 17708 = 5B + 3T)		202.45
30340		Breast, benign lesion more than 50 mm in diameter, excision of (Anaes. 17709 = 5B + 4T) (Assist.)		270.00
30343		Breast, abnormality detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (Anaes. 17710 = 5B + 5T) (Assist.)		303.75
30344		Breast, malignant tumour, open surgical biopsy of, with or without frozen section histology (Anaes. 17710 = 5B + 5T)		270.00
30347		Breast, malignant tumour, complete local excision of, with or without frozen section histology (Anaes. 17712 = 5B + 7T) (Assist.)		506.20
30348		Breast, tumour site, re-excision of following open biopsy or incomplete excision of malignant tumour (Anaes. 17710 = 5B + 5T) (Assist.)		339.55
30351		Breast (female), total mastectomy (Anaes. 17712 = 5B + 7T) (Assist.)		573.25
30352		Breast (male), total mastectomy (Anaes. 17711 = 5B + 6T) (Assist.)		337.50
30354		Breast (female), subcutaneous mastectomy (Anaes. 17713 = 5B + 8T) (Assist.)		809.95
30355		Breast (male), subcutaneous mastectomy (Anaes. 17711 = 5B + 6T) (Assist.)		404.95
30358		Breast, biopsy of solid tumour or tissue of, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, where imaging has demonstrated: (a) microcalcification of lesion; or (b) impalpable lesion less than 1cm in diameter; including pre-operative localisation of lesion where performed, not being a service to which item 30363 applies		463.75
30360		Fine needle aspiration of an impalpable breast lesion detected by mammography or ultrasound, imaging guided — but not including imaging (Anaes. 17705 = 3B + 2T)		107.35
30361		Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional techniques — but not including imaging (Anaes. 17705 = 3B + 2T)		147.45
30363		Breast, biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination, not being a service to which item 30358 applies (Anaes. 17705 = 3B + 2T)		107.35
30364		Breast, haematoma, seroma or inflammatory condition including abscess, granulomatous mastitis or similar, exploration and drainage of when performed in the operating theatre of a hospital or day-hospital facility, excluding after-care (Anaes. 17707 = 3B + 4T)		168.70
30366		Breast, microdochotomy of, for benign or malignant condition (Anaes. 17710 = 3B + 7T) (Assist.)		337.50
30367		Breast central ducts, excision of, for benign condition (Anaes. 17710 = 3B + 7T) (Assist.)		270.00
30369		Accessory breast tissue, excision of (Anaes. 17707 = 3B + 4T) (Assist.)		270.00
30370		Inverted nipple, surgical eversion of (Anaes. 17707 = 3B + 4T)		202.25
30372		Accessory nipple, excision of (Anaes. 17707 = 3B + 4T)		101.25
30373		Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed Anaes. 17711 = 7B + 4T) (Assist.)		376.25
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.)		405.80
30376		Laparotomy involving division of peritoneal adhesions (where no other intra-abdominal procedure is performed) (Anaes. 17714 = 7B + 7T) (Assist.)		405.80
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.)		407.70
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.)		722.65
30382		Enterocutaneous fistula, radical repair of, involving extensive dissection and resection of bowel (Anaes. 17716 = 7B + 9T) (Assist.)		1 017.45
30384		Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (Anaes. 17714 = 7B + 7T) (Assist.)		855.90
30385		Laparotomy for control of post-operative haemorrhage, where no other procedure is performed (Anaes. 17712 = 7B + 5T) (Assist.)		438.55
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.)		494.35
30388		Laparotomy for trauma involving 3 or more organs (Anaes. 17721 = 7B + 14T) (Assist.)		1 243.65
30390		Laparoscopy, diagnostic (Anaes. 17709 = 6B + 3T)		171.20
30391		Laparoscopy, with biopsy (Anaes. 17709 = 6B + 3T) (Assist.)		221.40
30392		Radical or debulking operation for advanced intra-abdominal malignancy, with or without omentectomy, as an independent procedure (Anaes. 17721 = 10B + 11T) (Assist.)		525.15
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.)		407.70
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.)		383.65
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.)		791.45
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)		180.90
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.)		248.80
30400		Laparotomy with insertion of portacath for administration of cytotoxic therapy including placement of reservoir (Anaes. 17712 = 7B + 5T) (Assist.)		492.40
30402		Retroperitoneal abscess, drainage of, not involving laparotomy (Anaes. 17709 = 6B + 3T) (Assist.)		361.70
30403		Ventral, incisional, or recurrent hernia or burst abdomen, repair of (Anaes. 17711 = 6B + 5T) (Assist.)		405.80
30405		Ventral, or incisional hernia, repair of requiring muscle transposition, mesh hernioplasty or resection of strangulated bowel (Anaes. 17716 = 6B + 10T) (Assist.)		712.30
30406		Paracentesis abdominis (Anaes. 17708 = 6B + 2T)		40.65
30408		Peritoneo venous (Leveen) shunt, insertion of (Anaes. 17711 = 7B + 4T) (Assist.)		305.25
30409		Liver biopsy, percutaneous (Anaes. 17706 = 4B + 2T)		135.90
30411		Liver biopsy by wedge excision when performed in association with another intra-abdominal procedure (Anaes. 17711 = 7B + 4T)		69.15
30412		Liver biopsy by core needle, when performed in conjunction with another intra-abdominal procedure (Anaes. 17711 = 7B + 4T)		40.75
30414		Liver, subsegmental resection of, (local excision), other than for trauma (Anaes. 17716 = 7B + 9T) (Assist.)		537.00
30415		Liver, segmental resection of, other than for trauma (Anaes. 17722 = 13B + 9T) (Assist.)		1 074.05
30416		Liver cyst, laparoscopic marsupialisation of, where the size of the cyst is greater than 5 cm in diameter (Anaes. 17716 = 7B + 9T) (Assist.)		583.15
30417		Liver cysts, laparoscopic marsupialisation of 5 or more, including any cyst greater than 5 cm in diameter (Anaes. 17720 = 7B + 13T) (Assist.)		874.70
30418		Liver, lobectomy of, other than for trauma (Anaes. 17724 = 13B + 11T) (Assist.)		1 243.65
30419		Liver tumours, destruction of, by hepatic cryotherapy (Anaes. 17720 = 7B + 13T) (Assist.)		636.20
30421		Liver, tri-segmental resection (extended lobectomy) of, other than for trauma (Anaes. 17726 = 13B + 13T) (Assist.)		1 554.45
30422		Liver, repair of superficial laceration of, for trauma (Anaes. 17712 = 7B + 5T) (Assist.)		525.75
30425		Liver, repair of deep multiple lacerations of, or debridement of, for trauma (Anaes. 17718 = 7B + 11T) (Assist.)		1 017.45
30427		Liver, segmental resection of, for trauma (Anaes. 17724 = 13B + 11T) (Assist.)		1 215.30
30428		Liver, lobectomy of, for trauma (Anaes. 17726 = 13B + 13T) (Assist.)		1 300.15
30430		Liver, extended lobectomy (tri-segmental resection) of, for trauma (Anaes. 17728 = 13B + 15T) (Assist.)		1 808.80
30431		Liver abscess, open abdominal drainage of (Anaes. 17713 = 7B + 6T) (Assist.)		405.80
30433		Liver abscess (multiple), open abdominal drainage of (Anaes. 17716 = 7B + 9T) (Assist.)		565.30
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.)		457.90
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.)		508.75
30437		Hydatid cyst of liver, total excision of, by cysto-pericystectomy (membrane plus fibrous wall) (Anaes. 17718 = 7B + 11T) (Assist.)		633.10
30438		Hydatid cyst of liver, excision of, with drainage and excision of liver tissue (Anaes. 17718 = 7B + 11T) (Assist.)		895.95
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)		144.60
30440		Cholangiogram, percutaneous transhepatic, and biliary drainage, using interventional techniques — but not including imaging (Anaes. 17712 = 7B + 5T) (Assist.)		409.80
30441		Intra operative ultrasound for staging of intra abdominal tumours (Anaes. 17711 = 7B + 4T)		106.05
30442		Choledochoscopy in conjunction with another procedure (Anaes. 17709 = 7B + 2T)		144.60
30443		Cholecystectomy (Anaes. 17713 = 7B + 6T) (Assist.)		575.60
30445		Laparoscopic cholecystectomy (Anaes. 17715 = 7B + 8T) (Assist.)		575.60
30446		Laparoscopic cholecystectomy when procedure is completed by laparotomy (Anaes. 17717 = 7B + 10T) (Assist.)		575.60
30448		Laparoscopic cholecystectomy, involving removal of common duct calculi via the cystic duct (Anaes. 17718 = 7B + 11T) (Assist.)		757.50
30449		Laparoscopic cholecystectomy with removal of common duct calculi via laparoscopic choledochotomy (Anaes. 17720 = 7B + 13T) (Assist.)		842.25
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.)		408.20
30451		Biliary drainage tube, exchange of, using interventional techniques — but not including imaging (Anaes. 17710 = 7B + 3T) (Assist.)		208.35
30452		Choledochoscopy with balloon dilatation of a stricture or passage of stent or extraction of calculi (Anaes. 17716 = 7B + 9T) (Assist.)		293.95
30454		Choledochotomy (with or without cholecystectomy), with or without removal of calculi (Anaes. 17716 = 7B + 9T) (Assist.)		671.45
30455		Choledochotomy (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis (Anaes. 17718 = 7B + 11T) (Assist.)		789.50
30457		Choledochotomy, intrahepatic, involving removal of intrahepatic bile duct calculi (Anaes. 17716 = 7B + 9T) (Assist.)		1 074.05
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.)		789.50
30460		Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (Anaes. 17715 = 7B + 8T) (Assist.)		671.45
30461		Radical resection of porta hepatis 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.)		1 151.05
30463		Radical resection of common hepatic duct and right and left hepatic ducts, with 2 duct anastomoses (Anaes. 17724 = 7B + 17T) (Assist.)		1 413.15
30464		Radical resection of common hepatic duct and right and left hepatic ducts involving more than 2 anastomoses or resection of segment or major portion of segment of liver (Anaes. 17730 = 7B + 23T) (Assist.)		1 695.85
30466		Intrahepatic biliary bypass of left hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Anaes. 17722 = 7B + 15T) (Assist.)		977.95
30467		Intraheptic bypass of right hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Anaes. 17722 = 7B + 15T) (Assist.)		1 209.65
30469		Biliary stricture, repair of, after 1 or more operations on the biliary tree (Anaes. 17724 = 7B + 17T) (Assist.)		1 339.70
30472		Hepatic or common bile duct, repair of, as the primary procedure subsequent to partial or total transection of bile duct or ducts (Anaes. 17722 = 7B + 15T) (Assist.)		723.50
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)		137.90
30475		Endoscopy with balloon dilatation of gastric or gastroduodenal stricture (Anaes. 17708 = 5B + 3T)		249.30
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)		191.20
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)		191.20
30479		Endoscopic laser therapy for neoplasia and benign vascular lesions or strictures of the gastrointestinal tract (Anaes. 17711 = 5B + 6T)		370.65
30481		Percutaneous gastrostomy (initial procedure), including any associated imaging services (Anaes. 17711 = 5B + 6T)		277.95
30482		Percutaneous gastrostomy (repeat procedure), including any associated imaging services (Anaes. 17711 = 5B + 6T)		197.65
30483		Gastrostomy button, non-endoscopic insertion of, or non-endoscopic replacement of (Anaes. 17707 = 3B + 4T)		137.85
30484		Endoscopic retrograde cholangio-pancreatography (Anaes. 17708 = 5B + 3T)		284.10
30485		Endoscopic sphincterotomy with or without extraction of stones from common bile duct (Anaes. 17708 = 5B + 3T)		438.55
30487		Small bowel intubation with biopsy (Anaes. 17707 = 5B + 2T)		140.85
30488		Small bowel intubation — as an independent procedure (Anaes. 17707 = 5B + 2T)		70.05
30490		Oesophageal prosthesis, insertion of, including endoscopy and dilatation (Anaes. 17710 = 6B + 4T)		409.80
30491		Bile duct, endoscopic stenting of (including endoscopy and dilatation) (Anaes. 17711 = 5B + 6T)		432.35
30493		Biliary manometry (Anaes. 17709 = 5B + 4T)		259.45
30494		Endoscopic biliary dilatation (Anaes. 17711 = 5B + 6T)		327.35
30496		Vagotomy, truncal or selective, with or without pyloroplasty or gastroenterostomy (Anaes. 17713 = 7B + 6T) (Assist.)		457.90
30497		Vagotomy and antrectomy (Anaes. 17714 = 7B + 7T) (Assist.)		545.95
30499		Vagotomy, highly selective (Anaes. 17715 = 7B + 8T) (Assist.)		649.40
30500		Vagotomy, highly selective with duodenoplasty for peptic stricture (Anaes. 17717 = 7B + 10T) (Assist.)		695.30
30502		Vagotomy, highly selective, with dilatation of pylorus (Anaes. 17715 = 7B + 8T) (Assist.)		767.40
30503		Vagotomy or antrectomy, or both, for peptic ulcer following previous operation for peptic ulcer (Anaes. 17713 = 7B + 6T) (Assist.)		859.30
30505		Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision (Anaes. 17713 = 7B + 6T) (Assist.)		429.60
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.)		751.85
30508		Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy (Anaes. 17715 = 7B + 8T) (Assist.)		791.45
30509		Bleeding peptic ulcer, control of, involving gastric resection (other than wedge resection) (Anaes. 17715 = 7B + 8T) (Assist.)		791.45
30511		Morbid obesity, gastric reduction or gastroplasty for, by any method (Anaes. 17715 = 7B + 8T) (Assist.)		661.40
30512		Morbid obesity, gastric bypass for, by any method including anastomosis (Anaes. 17723 = 7B + 16T) (Assist.)		813.95
30514		Morbid obesity, surgical reversal of procedure to which item 30511 or 30512 applies (Anaes. 17724 = 7B + 17T) (Assist.)		1 198.35
30515		Gastroenterostomy (including gastroduodenostomy) or enterocolostomy or enteroenterostomy (Anaes. 17714 = 7B + 7T) (Assist.)		548.30
30517		Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction of (Anaes. 17716 = 7B + 9T) (Assist.)		717.90
30518		Partial gastrectomy (Anaes. 17717 = 7B + 10T) (Assist.)		768.80
30520		Gastric tumour, removal of, by local excision, not being a service to which item 30518 applies (Anaes. 17717 = 7B + 10T) (Assist.)		525.75
30521		Gastrectomy, total, for benign disease (Anaes. 17721 = 7B + 14T) (Assist.)		1 124.95
30523		Gastrectomy, sub-total radical, for carcinoma (including splenectomy when performed) (Anaes. 17721 = 7B + 14T) (Assist.)		1 175.70
30524		Gastrectomy, total radical, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) (Anaes. 17723 = 7B + 16T) (Assist.)		1 294.45
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.)		1 678.80
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.)		678.35
30529		Antireflux operation by fundoplasty, with oesophagoplasty for stricture or short oesophagus (Anaes. 17730 = 15B + 15T) (Assist.)		1 017.45
30530		Antireflux operation by cardiopexy, with or without fundoplasty (Anaes. 17730 = 15B + 15T) (Assist.)		610.55
30532		Oesophagogastric myotomy (Heller’s operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, by laparoscopy or open operation (Anaes. 17727 = 15B + 12T) (Assist.)		701.05
30533		Oesophagogastric myotomy (Heller’s operation) via abdominal or thoracic approach, with fundoplasty, with or without closure of the diaphragmatic hiatus, by laparoscopy or open operation (Anaes. 17728 = 15B + 13T) (Assist.)		833.85
30535		Oesophagectomy with gastric reconstruction by abdominal mobilisation and thoracotomy (Anaes. 17735 = 15B + 20T) (Assist.)		1 320.85
30536		Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest — 1 surgeon (Anaes. 17739 = 15B + 24T) (Assist.)		1 339.70
30538		Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest — conjoint surgery, principal surgeon (including after-care) (Anaes. 17739 = 15B + 24T) (Assist.)		927.05
30539		Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest — conjoint surgery, co-surgeon (Assist.)		678.35
30541		Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement — 1 surgeon (Anaes. 17739 = 15B + 24T) (Assist.)		1 181.45
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.)		802.65
30544		Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement — conjoint surgery, co-surgeon (Assist.)		587.90
30545		Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) — 1 surgeon (Anaes. 17739 = 15B + 24T) (Assist.)		1 430.20
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.)		983.55
30548		Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) — conjoint surgery, co-surgeon (Assist.)		734.85
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.)		1 605.40
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.)		1 107.95
30553		Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) — conjoint surgery, co-surgeon (Assist.)		819.60
30554		Oesophagectomy with reconstruction by free jejunal graft — 1 surgeon (Anaes. 17739 = 15B + 24T) (Assist.)		1 786.30
30556		Oesophagectomy with reconstruction by free jejunal graft — conjoint surgery, principal surgeon (including after-care) (Anaes. 17739 = 15B + 24T) (Assist.)		1 232.30
30557		Oesophagectomy with reconstruction by free jejunal graft — conjoint surgery, co-surgeon (Assist.)		910.10
30559		Oesophagus, local excision for tumour of (Anaes. 17730 = 15B + 15T) (Assist.)		661.40

Federal Register of Legislation - Australian Government

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Health Insurance (General Medical Services Table) Regulations 2000