Health Insurance (General Medical Services Table) Regulations 2001

I, PETER JOHN HOLLINGWORTH, 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 27 September 2001

PETER HOLLINGWORTH

Governor-General

By His Excellency’s Command

MICHAEL WOOLDRIDGE

Minister for Health and Aged Care

Contents

Page

1 Name of Regulations 2

2 Commencement 2

3 Health Insurance (General Medical Services Table) Regulations 2000 — repeal 2

4 Definitions 2

5 General medical services table 3

Schedule 1 Table of general medical services 4

Part 1 Prescription of table 4

Part 2 Rules of interpretation 4

Part 3 Services and fees 46

1 Name of Regulations

These Regulations are the Health Insurance (General Medical Services Table) Regulations 2001.

2 Commencement

These Regulations commence on 1 November 2001.

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

The following Statutory Rules are repealed:

· 2000 Nos. 292 and 356

· 2001 No. 79.

4 Definitions

In these Regulations:

Act means the Health Insurance Act 1973.

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

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 monoplace or multiplace chamber for the duration of the hyperbaric treatment; and

(b) is under the direction of at least 1 practitioner who is rostered, and immediately available, to the facility during normal working hours and who:

(i) is a specialist with training in diving and hyperbaric medicine; or

(ii) holds a Diploma of Diving and Hyperbaric Medicine of the South Pacific Underwater Medicine Society; and

(i) at least 1 medical practitioner with training in diving and hyperbaric medicine who is present in the facility and immediately available at all times when patients are being treated at the facility; and

(ii) 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

(d) has admission and discharge policies in operation.

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) during normal working hours — at least 1 specialist, or consultant physician, in the specialty of intensive care, who is immediately available, and exclusively rostered, to that area; and

(ii) at all times — at least 1 registered medical practitioner who is present in the hospital and immediately available to that area; and

(iii) at least 18 hours each day — at least 1 registered nurse; 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 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; or

(d) an eligible non-vocationally recognised medical practitioner.

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) during normal working hours — at least 1 consultant physician in paediatric medicine who is immediately available, and exclusively rostered, to that area; and

(ii) at all times — at least 1 registered medical practitioner who is present in the hospital and immediately available to that area; and

(iii) at least 18 hours each day — at least 1 registered nurse; 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 using intra-medullary fixation or external fixation.

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 that 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 that is made to a consultant physician — a dental practitioner.

residential aged care facility means a facility where residential care (within the meaning given by section 41‑3 of the Aged Care Act 1997) is provided.

(2) 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) A reference in the table to an eligible non-vocationally recognised medical practitioner is a reference to a medical practitioner (including an overseas trained practitioner or a temporary resident medical practitioner) who:

(a) is providing general medical services in a rural or remote area under the Rural, Remote and Metropolitan Areas Classification, as in force on 1 January 2001; and

(b) is registered as a medical practitioner under the Rural Other Medical Practitioners’ Program; and

(c) not being a practitioner vocationally registered under section 3F of the Act, is undertaking, or has indicated in writing an intention to undertake, additional training:

(i) that could enable vocational registration within 4 years or, on written application, 5 years, of commencing that training; and

(ii) of which the Health Insurance Commission has written notice.

(4) For subrule (3):

(a) the Rural, Remote and Metropolitan Areas Classification sets out certain categories of areas in Australia, that have been determined by the Department of Health and Aged Care by reference to population size and remoteness of locality on the basis of 1991 census data published by the Australian Bureau of Statistics in 1994; and

(b) the Rural Other Medical Practitioners’ Program is a program administered by the Health Insurance Commission that, in relation to medical services provided to patients in rural and remote areas, provides a particular level of medicare benefits.

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 that is 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 subrules 2 (1), 3 (1) and 7 (1) and items 104, 105, 106, 107, 108, 110, 116, 119, 122, 128, 131, 385, 386, 387 and 388, single course of treatment, in relation to a patient, 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 by the specialist or consultant physician.

(2) For subrule (1), single course of treatment does not include treatment of an unrelated illness that requires referral of the patient to the specialist’s or consultant physician’s care.

(3) For subrule (1), an attendance (the later attendance) on the patient by the specialist or consultant physician, after the end of the period of validity of the last referral to have application under regulation 31 of the Health Insurance Regulations 1975, initiates a new course of treatment if:

(a) the referring practitioner considers the later attendance necessary for the patient’s condition to be reviewed; and

(b) the patient was most recently attended by the specialist or consultant physician more than 9 months before the later attendance.

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, 2501 to 2677 and 10900 to 10929, professional attendance includes (but is not limited to) the provision, in relation to a patient, of any 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 services 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 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 such an attendance on a patient who:

(i) has declared that a written referral of the patient was completed by a medical practitioner; or

(ii) in an emergency (within the meaning of subregulation 30 (5) of the Health Insurance Regulations 1975) has not been referred to the specialist, or consultant physician, if the specialist or consultant physician 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 such an attendance 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) For this rule, referral means referral by a referring practitioner.

7 Meaning of amount under rule 7 in certain items

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

(a) the fee for item 3; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

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

(a) the fee for item 23; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

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

(a) the fee for item 36; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

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

(a) the fee for item 44; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

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

(a) $8.50; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $15.50 divided by the number of patients attended; or

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

(6) In items 59, 83, 89, 93, 2610, 2631 and 2673, amount under rule 7 means an amount equal to the sum of:

(a) $16.00; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $17.50 divided by the number of patients attended; or

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

(7) In items 60, 84, 90, 95, 2613, 2633 and 2675, amount under rule 7 means an amount equal to the sum of:

(a) $35.50; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $15.50 divided by the number of patients attended; or

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

(8) In items 65, 86, 91, 96, 2616, 2635 and 2677, amount under rule 7 means an amount equal to the sum of:

(a) $57.50; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $15.50 divided by the number of patients attended; or

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

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

(a) the fee for item 193; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

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

(a) the fee for item 410; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

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

(a) the fee for item 411; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

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

(a) the fee for item 412; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

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

(a) the fee for item 413; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

8 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;

9 Personal attendance by medical practitioners generally

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

10 Personal attendance by certain medical practitioners

(1) The items mentioned in subrule (3) apply only to a service provided in the course of a personal attendance by:

(a) a medical practitioner (other than a medical practitioner employed by the proprietor of a hospital that is not a private hospital); or

(b) a medical practitioner who:

(i) is employed by the proprietor of a hospital that is not 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 the 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, 13700, 13815, 13818, 13830, 13839, 13842, 13845, 13848, 13851, 13854, 13857, 13870, 13873, 13876, 13879, 13882, 13885, 13888, 14100, 14103, 14106, 14109, 14112, 14115, 14118, 14120, 14122, 14124, 14126, 14128, 14130, 14132, 14200, 14203, 14206, 14209, 14212, 14215, 14224, 15600, 16003 to 16512 and 16515 to 51318.

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

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

(a) a medical practitioner; or

(b) a person, other than a medical practitioner, who:

(i) is employed by a medical practitioner; or

(ii) 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, 11204, 11205, 11210, 11211, 11215, 11218, 11221, 11222, 11224, 11225, 11235, 11240, 11241, 11242, 11243, 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, 12210, 12213, 12215, 12217, 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 15336, 15339 to 15539 and 16514.

12 Conditions under which certain services to be provided

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

(a) in conditions that allow the establishment of determinate thresholds; and

(b) in a sound-attenuated environment with background noise conditions that comply with Australian Standard AS1269‑1983 of the Standards Association of Australia, as in force on 1 August 1987; and

(c) using calibrated equipment that complies with Australian Standard AS2586-1983 of the Standards Association of Australia, as in force on 1 August 1987.

13 Application of items 51700 to 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.

14 Meaning of amount under rule 14 in certain items

(1) In item 15003, amount under rule 14 means an amount equal to the sum of:

(a) the fee for item 15000; and

(b) $13.50 for each field separately treated in excess of 1.

(2) In item 15009, amount under rule 14 means an amount equal to the sum of:

(a) the fee for item 15006; and

(b) $14.70 for each field separately treated in excess of 1.

(3) In item 15103, amount under rule 14 means an amount equal to the sum of:

(a) the fee for item 15100; and

(b) $14.90 for each field separately treated in excess of 1.

(4) In item 15109, amount under rule 14 means an amount equal to the sum of:

(a) the fee for item 15106; and

(b) $17.95 for each field separately treated in excess of 1.

(5) In item 15115, amount under rule 14 means an amount equal to the sum of:

(a) the fee for item 15112; and

(b) $37.40 for each field separately treated in excess of 1.

(6) In item 15204, amount under rule 14 means an amount equal to the sum of:

(a) the fee for item 15203; and

(b) $30.00 for each field separately treated in excess of 1.

(7) In item 15208, amount under rule 14 means an amount equal to the sum of:

(a) the fee for item 15207; and

(b) $30.00 for each field separately treated in excess of 1.

(8) In item 15214, amount under rule 14 means an amount equal to the sum of:

(a) the fee for item 15211; and

(b) $25.20 for each field separately treated in excess of 1.

15 Meaning of amount under rule 15 in certain items

In item 44376 (reamputation), amount under rule 15 means 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.

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

An item in the range 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.

17 Orthodontic services

(1) An item in the range 75001 to 75006 or 75024 to 75051 that includes the symbol (AO) applies only to a service provided by an accredited orthodontist.

(2) An item in the range 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 or licensed as an oral and maxillofacial surgeon under a law of the State or Territory in which the service is rendered that provides for the registration or licensing of oral and maxillofacial surgeons; 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.

(3) 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.

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 a law of the State or Territory in which the service is provided that provides for the registration or licensing of orthodontists.

18 Oral surgery services

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

(a) registered as an oral and maxillofacial surgeon under a law of the State or Territory in which the service is rendered that provides for the registration or licensing of oral and maxillofacial surgeons; 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.

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

In items 11000 to 12217, report means a report prepared by a medical practitioner.

20 Meaning of treatment cycle of a patient

In rule 23 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.

21 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 (the associated 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 associated item.

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

Items 13200 to 13221 do not apply to a service provided 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 transfer to another person of the guardianship of, or custodial rights to, a child born as a result of the pregnancy.

23 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.

24 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.

25 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.

26 Meaning of maxilla in certain items

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

27 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.

28 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

29 Meaning of amount under rule 29 in items 51303 and 51803

In items 51303 and 51803, amount under rule 29, in relation to 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 provided at that operation, or series of operations, by the practitioner to whom the assistance was given.

30 Meaning of amount under rule 30 in item 51309

(1) In item 51309, amount under rule 30, in relation to 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 provided at those operations by the practitioner to whom the assistance was given.

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

31 Meaning of amount under rule 31 in item 18219

In item 18219, amount under rule 31 means an amount equal to the sum of:

(a) the fee for item 18216; and

(b) for continuous attendance by the medical practitioner beyond the first hour of attendance — $15.05 for each additional period of 15 minutes and part of a period of 15 minutes.

32 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 in a case where multiple lesions are to be removed from a single anatomical region if a single lesion from that region is histologically tested and proven positive for malignancy.

33 Meaning of amount under rule 33 in items 16633 and 16636

(1) In item 16633, amount under rule 33 means, for a second or subsequent foetus, the amount that is equal to 50% of the amount of the fee specified in items 16606, 16609, 16612, 16615 and 16627 for services provided in relation to the multiple pregnancy.

(2) In item 16636, amount under rule 33 means, for a second or subsequent foetus, the amount that is equal to 50% of the amount of the fee specified in items 16600, 16603, 16618, 16621 and 16624 for services provided in relation to the multiple pregnancy.

34 Meaning of amount under rule 34 in item 51312

In item 51312, amount under rule 34, in relation to assistance at a procedure, means an amount equal to 20% of the sum of the fees payable under the Act for the services provided at that procedure by the practitioner to whom the assistance was given.

35 Meaning of amount under rule 35 in item 31340

In item 31340, amount under rule 35, in relation to 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.

36 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.

37 Meaning of amount under rule 37 in item 30001

In item 30001, amount under rule 37 means 50% of the specified fee that would normally apply for a surgical procedure if the surgical procedure had not been discontinued before completion.

38 Consultant occupational physicians

A fee specified for an attendance by a consultant occupational physician only applies 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 that:

(i) may be affected by the patient’s working environment; or

(ii) affects the patient’s capacity 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 to scientifically acknowledged environmental hazards or toxins.

39 Qualified sleep medicine practitioner

(1) For items 12203 to 12217, qualified sleep medicine practitioner means a qualified adult sleep medicine practitioner or a qualified paediatric sleep medicine practitioner.

(2) A person is a qualified adult sleep medicine practitioner or a qualified paediatric sleep medicine practitioner if:

(a) the person has been assessed by the Credentialling Subcommittee or the Appeal Committee as having had, before 1 March 1999, sufficient training and experience in the relevant field of 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 by the Credentialling Subcommittee or the Appeal Committee as having had, before 1 March 1999, substantial training or experience in adult sleep medicine, but requiring further specified training or experience in the relevant field of sleep medicine to be competent in independent clinical assessment and management of patients with respiratory sleep disorders and in reporting sleep studies, and either:

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

(ii) 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 relevant Advanced Training Program 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 the relevant field of sleep medicine and in reporting sleep studies; or

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

(3) In this rule:

Advisory Committee means the Specialist Advisory Committee in Thoracic and Sleep Medicine of the Royal Australasian College of Physicians.

Appeal Committee means the Appeal Committee of the Royal Australasian College of Physicians.

Credentialling Subcommittee means the Credentialling Subcommittee of the Advisory Committee.

relevant Advanced Training Program means:

(a) in relation to an assessment for qualification as a qualified adult sleep medicine practitioner — the Advanced Training Program in Adult Sleep Medicine; and

(b) in relation to an assessment for qualification as a qualified paediatric sleep medicine practitioner — the Advanced Training Program in Paediatric Sleep Medicine.

relevant field of sleep medicine means:

(a) in relation to an assessment for qualification as a qualified adult sleep medicine practitioner — adult sleep medicine; and

(b) in relation to an assessment for qualification as a qualified paediatric sleep medicine practitioner — paediatric sleep medicine.

40 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.

41 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.

42 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

43 Meaning of health assessment

(1) For items 700, 702, 704 and 706, health assessment means the assessment 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) A health assessment involves all of the following:

(a) a personal attendance by the medical practitioner;

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

(d) an assessment of the patient’s continence;

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

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

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

(h) 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.

(3) A health assessment also includes:

(a) keeping a record of the health assessment; and

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

(c) offering the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees) a copy of the report or extracts of the report relevant to the carer.

44 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 all of 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 a plan also includes:

(a) discussing the preparation of the plan with the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees); 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 the patient’s carer (if any, and if the medical practitioner considers it appropriate and the patient agrees).

45 Meaning of multidisciplinary care plan team

(1) 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 is not a family carer of the patient, and 1 of whom may be another medical practitioner; and

Example

Examples of persons who, for paragraph (b), may be included in a team are:

(a) allied health professionals such as:

· Aboriginal health care workers

· asthma educators

· audiologists

· dental therapists

· dentists

· diabetes educators

· dieticians

· mental health workers

· occupational therapists

· optometrists

· orthoptists

· orthotists or prosthetists

· pharmacists

· physiotherapists

· podiatrists

· psychologists

· registered nurses

· social workers

· speech pathologists; and

(b) home and community service providers, or care organisers, such as:

· education providers

· ‘meals on wheels’ providers

· personal care workers

· probation officers.

(2) In subrule (1):

family carer includes a person who:

(a) is a relative or friend of the patient; and

(b) is providing care to the patient other than as a paid service.

46 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.

47 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 44 (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 a plan also includes:

(a) discussing the review of the plan with the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees); 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 the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees), and giving copies to persons who, under the revised plan, will give the patient the treatment, service and care mentioned in the plan.

48 Meaning of contribution to a plan

(1) For items 726, 728 and 730, a contribution to a multidisciplinary community 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.

49 Meaning of multidisciplinary case conference

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 52) carries out all of the following activities:

(a) discussing a patient’s history;

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

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

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

50 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.

51 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.

52 Meaning of multidisciplinary case conference team

(1) For this table, 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 is not a family carer of the patient, and 1 of whom may be another medical practitioner; and

Example

Examples of persons who, for paragraph (b), may be included in a team are:

(a) allied health professionals such as:

· Aboriginal health care workers

· asthma educators

· audiologists

· dental therapists

· dentists

· diabetes educators

· dieticians

· mental health workers

· occupational therapists

· optometrists

· orthoptists

· orthotists or prosthetists

· pharmacists

· physiotherapists

· podiatrists

· psychologists

· registered nurses

· social workers

· speech pathologists; and

(b) home and community service providers, or care organisers, such as:

· education providers

· ‘meals on wheels’ providers

· personal care workers

· probation officers.

(2) In subrule (1):

family carer includes a person who:

(a) is a relative or friend of the patient; and

(b) is providing care to the patient other than as a paid service.

53 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 all of 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;

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

(d) recording the names of the participants;

(e) recording the matters mentioned in rule 49, and putting a copy of that record in the patient’s medical records;

(f) offering the patient and the patient’s carer (if any and if the practitioner considers appropriate and the patient agrees), and giving each other member of the team, a summary of the conference;

(g) discussing the outcomes of the conference with the patient and the patient’s carer (if any and if the practitioner considers appropriate and the patient agrees).

(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 involves undertaking all of 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;

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

(d) recording the names of the participants;

(e) recording the matters mentioned in rule 49, 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.

54 Meaning of living in a community setting in item 900

For item 900, a patient is living in a community setting if the patient:

(a) is not an in-patient of a hospital or day-hospital facility; and

(b) is not a care recipient in a residential aged care facility.

55 Meaning of amount under rule 55 in certain items

(1) In item 2503, amount under rule 55 means an amount equal to the sum of:

(a) the fee for item 2501; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

(2) In item 2506, amount under rule 55 means an amount equal to the sum of:

(a) the fee for item 2504; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

(3) In item 2509, amount under rule 55 means an amount equal to the sum of:

(a) the fee for item 2507; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

(4) In item 2518, amount under rule 55 means an amount equal to the sum of:

(a) the fee for item 2517; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

(5) In item 2522, amount under rule 55 means an amount equal to the sum of:

(a) the fee for item 2521; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

(6) In item 2526, amount under rule 55 means an amount equal to the sum of:

(a) the fee for item 2525; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

(7) In item 2547, amount under rule 55 means an amount equal to the sum of:

(a) the fee for item 2546; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

(8) In item 2553, amount under rule 55 means an amount equal to the sum of:

(a) the fee for item 2552; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

(9) In item 2559, amount under rule 55 means an amount equal to the sum of:

(a) the fee for item 2558; and

(b) either:

(i) if not more than 6 patients are attended at a single attendance — $20.05 divided by the number of patients attended; or

(ii) if more than 6 patients are attended at a single attendance — $1.40.

56 Meaning of complete the requirements of Asthma 3+ Visit Plan in certain items

For any of items 2546 to 2559 and 2664 to 2677, complete the requirements of the Asthma 3+ Visit Plan means complete, over a period of not less than 4 weeks and not more than 4 months, the following, for a patient with moderate to severe asthma:

(a) at least 3 asthma related consultations, at least 2 of which are consultations that have been planned at a previous consultation;

(b) diagnosis and assessment of severity;

(d) provision of:

(i) a written asthma action plan; and

(ii) education to the patient.

57 Meaning of approved site in items 15338 and 37220

For items 15338 and 37220, approved site, in relation to radiation oncology, means a site at which radiation oncology may be performed lawfully under the law of the State or Territory in which the site is located.

58 Group T10 applies only in connection with certain services

(1) Each of items 20100 to 21990 (other than item 21965), 23010 to 24136, 22060, 25200 and 25205 applies to a service only if the service is provided in connection with a service that:

(a) is a professional service within the meaning of subsection 3 (1) of the Act; and

(b) is specified in an item that includes, in its description, ‘(Anaes.)’.

(2) Each of items 22900 and 22905 applies to a service only if the service is provided in connection with a dental service (other than a dental service that is a prescribed medical service under paragraph (b) of the definition of professional service in subsection 3 (1) of the Act).

59 Meaning of amount under rule 59 in item 22060

For item 22060, amount under rule 59, means the sum of:

(a) $343.00; and

(b) the fee specified in the item in the range 23010 to 24136 that applies to the perfusion; and

60 Services specified in Subgroups 21 to 25 of Group T10

In Subgroups 21 to 25 of Group T10:

(a) a reference to anaesthesia is a reference to administration of anaesthesia performed in association with a service to which any of items 20100 to 21997, 22900 and 22905 applies; and

(b) a reference to perfusion is a reference to perfusion to which item 22060 applies; and

(i) in the administration of anaesthesia; and

(ii) to which item 25200 or 25205 applies.

61 Meaning of service time in Subgroups 21, 24, 25 and 26 of Group T10

In Subgroups 21, 24, 25 and 26 of Group T10:

service time means:

(a) in relation to administration of anaesthesia on a patient by an anaesthetist — the period that:

(i) begins when the anaesthetist commences exclusive and continuous care of the patient for anaesthesia; and

(ii) ends when the anaesthetist places the patient safely under the supervision of other personnel; and

(b) in relation to perfusion performed on a patient under anaesthesia — the period that:

(i) begins when the anaesthetic commences; and

(ii) ends with the closure of the chest of the patient; and

(c) in relation to assistance given by an assistant anaesthetist in the administration of anaesthesia performed on a patient — the period when the assistant anaesthetist is actively attending on the patient.

62 Application of Subgroup 21 of Group T10

(1) An item in the range 23010 to 24136 applies to perfusion only as a component of item 22060 and for the purpose of calculating the amount of fee for that item.

(2) An item in the range 23010 to 24136 applies to assistance only as a component of item 25200 or 25205 and for the purpose of calculating the amount of fee for that item.

63 Application of Subgroups 22 and 23 of Group T10

(1) An item in the range 25000 to 25020 applies to anaesthesia in addition to any other item that applies to the anaesthesia.

(2) An item in the range 25000 to 25020 applies to perfusion only as a component of item 22060 and for the purpose of calculating the amount of fee for that item.

(3) An item in the range 25000 to 25020 applies to assistance only as a component of item 25200 or 25205 and for the purpose of calculating the amount of fee for that item.

64 Meaning of amount under rule 64 in items 25025, 25030 and 25050

(1) For item 25025 amount under rule 64 means the amount that is equal to 50% of the sum of:

(a) the fee specified in any of items 20100 to 21997 and 22905 for the initiation of management of anaesthesia in association with which the anaesthesia is performed; and

(b) the fee specified in the item in the range 23010 to 24136 that applies to the anaesthesia; and

(d) if a service specified in an item in the range 22001 to 22050 is performed in association with the anaesthesia — the fee specified in that item.

(2) For item 25030 amount under rule 64 means the amount that is equal to 50% of the sum of:

(a) $85.75; and

(b) the fee specified in the item in the range 23010 to 24136 that applies to the assistance; and

(d) if a service specified in an item in the range 22001 to 22050 is performed in association with the assistance — the fee specified in that item.

(3) For item 25050 amount under rule 64 means the amount that is equal to 50% of the sum of:

(a) $343.00; and

(b) the fee specified in the item in the range 23010 to 24136 that applies to the perfusion; and

(d) if a service specified in an item in the range 22001 to 22050 is performed in association with the perfusion — the fee specified in that item.

65 Application of Subgroups 24 and 25 of Group T10

An item in the range 25025 to 25050 applies to the anaesthesia, assistance or perfusion in addition to any other item that applies to the service.

66 Meaning of complex paediatric case in item 25205

For item 25205, 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.

67 Meaning of amount under rule 67 in items 25200 and 25205

For each of items 25200 and 25205, amount under rule 67, means the sum of:

(a) $85.75; and

(b) the fee specified in the item in the range 23010 to 24136 that applies to the assistance; and

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			91.40
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			91.40
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			13.10
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 7
13	Professional attendance at an institution (not being a service to which any other item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient			Amount under rule 7
19	Professional attendance at a hospital (not being a service to which any other item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient			Amount under rule 7
20	Professional attendance (not being a service to which any other item applies) at a 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 7
23	Professional attendance at consulting rooms (not being a service to which any other item applies) by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 36 or 44 applies — each attendance			28.75
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 7
25	Professional attendance at an institution (not being a service to which any other item applies) by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 38 or 48 applies — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient			Amount under rule 7
33	Professional attendance at a hospital (not being a service to which any other item applies) by a general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 40 or 50 applies — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient			Amount under rule 7
35	Professional attendance (not being a service to which any other item applies) at a 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 7
36	Professional attendance at consulting rooms (not being a service to which any other item applies) by a general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 44 applies — each attendance			54.60
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 7
38	Professional attendance at an institution (not being a service to which any other item applies) by a general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 48 applies — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient			Amount under rule 7
40	Professional attendance at a hospital (not being a service to which any other item applies) by a general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 50 applies — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient			Amount under rule 7
43	Professional attendance (not being a service to which any other item applies) at a 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 7
44	Professional attendance at consulting rooms (not being a service to which any other item applies) by a general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan — each attendance			80.40
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 7
48	Professional attendance at an institution (not being a service to which any other item applies) by a general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient			Amount under rule 7
50	Professional attendance at a hospital (not being a service to which any other item applies) by a general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient			Amount under rule 7
51	Professional attendance (not being a service to which any other item applies) at a 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 7
Group A2 — Other non-referred attendances to which no other item applies
52		Professional attendance at consulting rooms of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance		11.00
53		Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance		21.00
54		Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance		38.00
57		Professional attendance at consulting rooms of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — each attendance		61.00
58		Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a 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 7
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 7
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 7
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 7
81		Professional attendance at an institution of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient		Amount under rule 7
83		Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient		Amount under rule 7
84		Professional attendance at an institution of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient		Amount under rule 7
86		Professional attendance at an institution of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 institution on 1 occasion — each patient		Amount under rule 7
87		Professional attendance at a hospital of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient		Amount under rule 7
89		Professional attendance at a hospital of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient		Amount under rule 7
90		Professional attendance at a hospital of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient		Amount under rule 7
91		Professional attendance at a hospital of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a general practitioner) — an attendance on 1 or more patients at 1 hospital on 1 occasion — each patient		Amount under rule 7
92		Professional attendance (not being a service to which any other item applies) at a 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 7
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 7
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 7
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 7
97		Professional attendance being an attendance at other than consulting rooms, by a medical practitioner (not being a general practitioner) on not more than 1 patient on the 1 occasion — each attendance, other than an attendance between 11 pm and 7 am, on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after-hours period and where the patient’s medical condition requires immediate treatment		78.35
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		78.35
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		67.65
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		33.95
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		55.75
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		99.20
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		62.80
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		119.35
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		59.75
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		33.95
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		144.90
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		87.55
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		63.05
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		171.75
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		286.25
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		400.70
163		Professional attendance for a period of not less than 4 hours but less than 5 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other patients		515.30
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		572.60
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		28.75
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 7
Group A8 — Consultant psychiatrist attendances to which no other item applies
300		Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry 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		34.25
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		68.45
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		100.30
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		138.45
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		168.65
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		17.10
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		34.25
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		50.15
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		69.25
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		84.40
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		138.45
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		34.25
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		68.45
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		100.30
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		138.45
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		168.65
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		62.90
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		98.65
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		136.85
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		165.55
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		197.35
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		39.00
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		51.80
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		76.60
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		41.40
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		93.05
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		41.40
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		67.65
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		33.95
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		99.20
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		62.80
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		13.10
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		28.75
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		54.60
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		80.40
414		Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management		Amount under rule 7
415		Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance involving taking a selective patient history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or an attendance of less than 20 minutes duration involving components of a service to which item 416 applies		Amount under rule 7
416		Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance involving taking a detailed patient history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or an attendance of less than 40 minutes duration involving components of a service to which item 417 applies		Amount under rule 7
417		Professional attendance at other than consulting rooms by a public health physician in the practice of his or her specialty of public health medicine — attendance involving taking an exhaustive patient history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or an attendance of at least 40 minutes duration for implementation of a management plan		Amount under rule 7
Group A16 — Attendance by a medical practitioner who is a sports physician in the practice of sports medicine and to which no other item applies
Subgroup 1 — Surgery consultations
444	Professional attendance at consulting rooms 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		13.10
445	Professional attendance at consulting rooms involving taking a selective 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 446 applies		28.75
446	Professional attendance at consulting rooms 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 an attendance of less than 40 minutes duration involving components of a service to which item 447 applies		54.60
447	Professional attendance at consulting rooms 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 an attendance of at least 40 minutes duration for implementation of a management plan		80.40
Subgroup 2 — Emergency attendances — after hours
448	Professional attendance at consulting rooms 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 practitioner to return to, and specially open, consulting rooms for the attendance — 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		91.40
449	Professional attendance at consulting rooms 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 practitioner to return to, and specially open, consulting rooms for the attendance — each attendance on any day of the week between 11 pm and 7 am		109.30
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		109.30
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		109.30
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		94.65
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		94.65
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		149.90
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		212.00
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		149.90
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		212.00
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		192.75
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		192.75
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		96.40
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		38.85
728		Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary care plan team, to 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)		38.85
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)		38.85
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)		75.00
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)		112.45
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)		149.90
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)		75.00
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)		112.45
744		Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a 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)		149.90
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		75.00
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		112.45
757		Attendance by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician), as a member of a multidisciplinary case conference team, to organise and co-ordinate a multidisciplinary discharge case conference, where the conference time is at least 45 minutes (not being a service associated with a service to which items 720 to 730 apply) — payable not more than once for each hospital admission		149.90
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)		53.50
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)		85.65
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)		117.75
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		53.50
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		85.65
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		117.75
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)		53.50
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)		85.65
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)		117.75
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		185.95
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		247.90
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		154.45
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		205.85
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		185.95
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		247.90
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		154.45
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		205.85
Group A17 — Domiciliary medication management review
900		Participation by a medical practitioner (including a general practitioner, but not including a specialist or consultant physician) in a Domiciliary Medication Management Review (DMMR) for patients living in a community setting, where the medical practitioner: (a) assesses a patient’s medication management needs and, following that assessment, refers the patient to a community pharmacy for a DMMR and, with the patient’s consent, provides relevant clinical information required for the review; and (b) discusses with the reviewing pharmacist the results of that review including suggested medication management strategies; and (c) develops a written medication management plan following discussion with the patient. For any particular patient — applicable not more than once in each 12 month period, except where there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR		120.00
Group A18 — General practitioner attendance associated with Practice Incentive Payments (PIP)
Subgroup 1 — Taking of a cervical smear from an unscreened or significantly underscreened woman
2501		Professional attendance at consulting rooms by a general practitioner: (a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or (b) being attendance of less than 20 minutes duration involving components of a service to which item 2504 or 2507 applies; at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years		28.75
2503		Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or (b) being attendance of less than 20 minutes duration involving components of a service to which item 2504 or 2507 applies; at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years		Amount under rule 55
2504		Professional attendance at consulting rooms by a general practitioner: (a) 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 (b) being attendance of less than 40 minutes duration involving components of a service to which item 2507 applies; at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years		54.60
2506		Professional attendance at a place other than consulting rooms by a general practitioner: (a) 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 (b) being attendance of less than 40 minutes duration involving components of a service to which item 2507 applies; at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years		Amount under rule 55
2507		Professional attendance at consulting rooms by a general practitioner: (a) 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 (b) being attendance of at least 40 minutes duration for implementation of a management plan; at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years		80.40
2509		Professional attendance at a place other than consulting rooms by a general practitioner involving: (a) 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 (b) being attendance of at least 40 minutes duration for implementation of a management plan; at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive), who has not had a cervical smear in the last 4 years		Amount under rule 55
Subgroup 2 — Completion of an annual cycle of care for patients with established diabetes mellitus
2517		Professional attendance at consulting rooms by a general practitioner: (a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or (b) being attendance of less than 20 minutes duration involving components of a service to which item 2521 or 2525 applies; which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		28.75
2518		Professional attendance at a place other than consulting rooms by a general practitioner: (a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or (b) being attendance of less than 20 minutes duration involving components of a service to which item 2521 or 2525 applies; which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		Amount under rule 55
2521		Professional attendance at consulting rooms by a general practitioner: (a) 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 (b) being attendance of less than 40 minutes duration involving components of a service to which item 2525 applies; which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		54.60
2522		Professional attendance at a place other than consulting rooms by a general practitioner: (a) 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 (b) being attendance of less than 40 minutes duration involving components of a service to which item 2525 applies; which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		Amount under rule 55
2525		Professional attendance at consulting rooms by a general practitioner: (a) 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 (b) being attendance of at least 40 minutes duration for implementation of a management plan; which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		80.40
2526		Professional attendance at a place other than consulting rooms by a general practitioner: (a) 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 (b) being attendance of at least 40 minutes duration for implementation of a management plan; which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		Amount under rule 55
Subgroup 3 — Completion Of The Asthma 3+ Visit Plan
2546		Professional attendance at conducting rooms by a general practitioner: (a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or (b) being attendance of less than 20 minutes duration involving components of a service to which item 2552 or 2558 applies; which completes the requirements of the Asthma 3+ Visit plan		28.75
2547		Professional attendance at a place other than conducting rooms by a general practitioner: (a) involving taking a selective history, examination of the patient with the implementation of a management plan in relation to 1 or more problems; or (b) being attendance of less than 20 minutes duration involving components of a service to which item 2552 or 2558 applies; which completes the requirements of the Asthma 3+ Visit plan		Amount under rule 55
2552		Professional attendance at conducting rooms by a general practitioner: (a) 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 (b) being attendance of less than 40 minutes duration involving components of a service to which item 2558 applies; which completes the requirements of the Asthma 3+ Visit Plan		54.60
2553		Professional attendance at a place other than conducting rooms by a general practitioner: (a) 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 (b) being attendance of less than 40 minutes duration involving components of a service to which item 2558 applies; which completes the requirements of the Asthma 3+ Visit Plan		Amount under rule 55
2558		Professional attendance at conducting rooms by a general practitioner: (a) 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 (b) being attendance of at least 40 minutes duration for implementation of a management plan; which completes the requirements of the Asthma 3+ Visit Plan		80.40
2559		Professional attendance at a place other than conducting rooms by a general practitioner: (a) 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 (b) being attendance of at least 40 minutes duration for implementation of a management plan; which completes the requirements of the Asthma 3+ Visit Plan		Amount under rule 55
Group A19 — Other non-referred attendances associated with Practice Incentive Payments (PIP) to which no other item applies
Subgroup 1 — Taking of a cervical smear from an unscreened or significantly underscreened woman
2600		Professional attendance at consulting rooms of more than 5 minutes but not more than 25 minutes duration by a general practitioner, and at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years		21.00
2603		Professional attendance at consulting rooms of more than 25 minutes but not more than 45 minutes duration by a general practitioner, and at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years		38.00
2606		Professional attendance at consulting rooms of more than 45 minutes duration, and at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years		61.00
2610		Professional attendance at a place other than consulting rooms of more than 5 minutes but not more than 25 minutes duration by a general practitioner, and at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years		Amount under rule 7
2613		Professional attendance at a place other than consulting rooms of more than 25 minutes but not more than 45 minutes duration by a general practitioner, and at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years		Amount under rule 7
2616		Professional attendance at a place other than consulting rooms of more than 45 minutes duration by a general practitioner, and at which a cervical smear is taken from a woman between the ages of 20 and 69 (inclusive) who has not had a cervical smear in the last 4 years		Amount under rule 7
Subgroup 2 — Completion of an annual cycle of care for patients with established diabetes mellitus
2620		Professional attendance at consulting rooms of more than 5 minutes but not more than 25 minutes duration by a general practitioner, and which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		21.00
2622		Professional attendance at consulting rooms of more than 25 minutes but not more than 45 minutes duration by a general practitioner, and which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		38.00
2624		Professional attendance at consulting rooms of more than 45 minutes duration by a general practitioner, and which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		61.00
2631		Professional attendance at a place other than consulting rooms of more than 5 minutes but not more than 25 minutes duration by a general practitioner, and which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		Amount under rule 7
2633		Professional attendance at a place other than consulting rooms of more than 25 minutes but not more than 45 minutes duration by a general practitioner, and which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		Amount under rule 7
2635		Professional attendance at a place other than consulting rooms of more than 45 minutes duration by a general practitioner, and which completes the requirements for an annual cycle of care of a patient with established diabetes mellitus		Amount under rule 7
Subgroup 3 — Completion of the Asthma 3+ Visit Plan
2664		Professional attendance at consulting rooms of more than 5 minutes but not more than 25 minutes duration by a general practitioner, and which completes the requirements of the Asthma 3+ Visit Plan		21.00
2666		Professional attendance at consulting rooms of more than 25 minutes but not more than 45 minutes duration by a general practitioner, and which completes the requirements of the Asthma 3+ Visit Plan		38.00
2668		Professional attendance at consulting rooms of more than 45 minutes duration by a general practitioner, and which completes the requirements of the Asthma 3+ Visit Plan		61.00
2673		Professional attendance at a place other than consulting rooms of more than 5 minutes but not more than 25 minutes duration by a general practitioner, and which completes the requirements of the Asthma 3+ Visit Plan		Amount under rule 7
2675		Professional attendance at a place other than consulting rooms of more than 25 minutes but not more than 45 minutes duration by a general practitioner, and which completes the requirements of the Asthma 3+ Visit Plan		Amount under rule 7
2677		Professional attendance at a place other than consulting rooms of more than 45 minutes duration by a general practitioner, and which completes the requirements of the Asthma 3+ Visit Plan		Amount under rule 7
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		96.30
10802		Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye		96.30
10803		Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients with astigmatism of 3.0 dioptres or greater in 1 eye		96.30
10804		Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAR (6/12) and if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens		96.30
10805		Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents)		96.30
10806		Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients with corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes, being patients for whom a contact lens is prescribed as part of a telescopic system		96.30
10807		Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity — whether congenital, traumatic or surgical in origin		96.30
10808		Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients who, by reason of physical deformity, are unable to wear spectacles		96.30
10809		Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription — 1 service in any period of 36 months — patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10806, 10807 or 10808 applies) requiring the use of a contact lens for correction, where the condition is specified on the patient’s account		96.30
10816		Attendance for the refitting of contact lenses with keratometry and testing with trial lenses and the issue of a prescription, where the patient requires a change in contact lens material or basic lens parameters, other than simple power change, because of a structural or functional change in the eye or an allergic response within 36 months of the fitting of a contact lens to which items 10801 to 10809 apply		96.30
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		56.15
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		56.15
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		28.15
10912		Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has suffered a significant change of visual function requiring comprehensive reassessment within 24 months of initial consultation to which item 10900, 10905, 10907, 10912, 10913 or 10914 at the same practice applied		56.15
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		56.15
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		56.15
10916		Professional attendance, being the first in a course of attention, of not more than 15 minutes duration		28.15
10918		Professional attendance being the second or subsequent in a course of attention not related to the prescription and fitting of contact lenses		28.15
10921		All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10905, 10907, 10912, 10913, 10914 or 10916 applies — payable only once in a period of 36 months — patients with myopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye		139.35
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		139.35
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		139.35
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		175.85
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)		139.35
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		139.35
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		175.85
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		139.35
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		175.85
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 series 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		139.35
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.)		97.35
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		257.65
11006		Electroencephalography, temporosphenoidal, not being a service involving quantitative topographic mapping using neurometrics or similar devices		132.10
11009		Electrocorticography		180.15
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)		88.55
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)		118.60
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)		177.15
11021		Neuromuscular electrodiagnosis — repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations		118.60
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		90.10
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		133.60
Subgroup 2 — Ophthalmology
11200		Provocative test or tests for glaucoma, including water drinking		32.25
11203		Tonography — in the investigation or management of glaucoma, of one or both eyes — using an electrical tonography machine producing a directly recorded tracing		54.55
11204		Electroretinography of 1 or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards		85.60
11205		Electrooculography of 1 or both eyes performed according to current professional guidelines or standards		85.60
11210		Pattern electroretinography of 1 or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards		85.60
11211		Dark adaptometry of 1 or both eyes with a quantitative estimation of threshold in log lumens at 45 minutes of dark adaptations		85.60
11212		Optic fundi, examination of following intravenous dye injection		55.50
11215		Retinal photography, multiple exposures, of 1 eye with intravenous dye injection		97.25
11218		Retinal photography, multiple exposures of both eyes with intravenous dye injection		120.15
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		53.60
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) where there has been definite progression of damage over a 12 month period;		53.60
		(b) established neurologic disease (whether or not progressive); (c) for the monitoring of systemic drug toxicity, where there is also other disease such as glaucoma or neurologic disease; each additional examination
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		32.30
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 1 of the following conditions: (a) established glaucoma (where surgery is being considered) where there has been definite progression of damage over a 12 month period; (b) established neurologic disease (whether or not progressive); (c) for the monitoring of systemic drug toxicity, where there is also other disease such as glaucoma or neurologic disease; each additional examination		32.30
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		97.00
11240		Orbital contents, ultrasonic echography of, for 1 eye, not being a service associated with a service to which items in Group I1 apply		64.40
11241		Orbital contents, ultrasonic echography of, for both eyes, not being a service associated with a service to which items in Group I1 apply		82.00
11242		Orbital contents, ultrasonic echography of, for the measurement of an eye previously measured and on which lens surgery has been performed, and where further lens surgery is contemplated in that eye, not being a service associated with a service to which items in Group I1 apply		63.40
11243		Orbital contents, ultrasonic echography of, for the measurement of a second eye if: (a) surgery for the first eye has resulted in more than 1 dioptre of error; or (b) more than 3 years have elapsed since the surgery for the first eye; 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.)		152.25
11303		Electrocochleography, extratympanic method, 1 or both ears		152.25
11304		Electrocochleography, transtympanic membrane insertion technique, 1 or both ears		250.70
11306		Non-determinate audiometry		17.35
11309		Audiogram, air conduction		20.80
11312		Audiogram, air and bone conduction or air conduction and speech discrimination		29.35
11315		Audiogram, air and bone conduction and speech		38.95
11318		Audiogram, air and bone conduction and speech, with other cochlear tests		48.00
11321		Glycerol induced cochlear function changes assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff’s test)		91.25
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		26.00
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		15.60
11330		Impedance audiogram where the patient is not referred by a medical practitioner — 1 examination in any 4 week period		6.25
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; (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		46.30
11333		Caloric test of labyrinth or labyrinths		35.25
11336		Simultaneous bithermal caloric test of labyrinths		35.25
11339		Electronystagmography		35.25
Subgroup 4 — Respiratory
11500		Bronchospirometry, including gas analysis		132.10
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		109.70
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		16.25
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		28.25
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		48.85
Subgroup 5 — Vascular
11600		Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter — each day of monitoring for each type of pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies) (Anaes.)		54.80
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.)		54.80
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		40.90
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)		57.95
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)		75.20
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)		75.20
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		60.00
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		53.35
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)		80.35
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)		106.75
11627		Pulmonary artery pressure monitoring during open heart surgery, in a person under 12 years of age		180.85
Subgroup 6 — Cardiovascular
11700		Twelve-lead electrocardiography, tracing and report		24.70
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		12.35
11702		Twelve-lead electrocardiography, tracing only		12.35
11706		Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram — interpretation and report		57.00
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		101.15
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		132.50
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		41.00
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		22.35
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		120.30
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		55.15
11715		Blood dye — dilution indicator test		95.55
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		27.45
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		55.15
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		133.60
Subgroup 7 — Gastroenterology and colorectal
11800		Oesophageal motility test, manometric		138.05
11810		Clinical assessment of gastro-oesophageal reflux disease involving 24-hour pH monitoring, including analysis, interpretation and report and including any associated consultation		138.05
11830		Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex		147.70
11833		Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency		197.55
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		21.80
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		87.90
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		87.90
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		130.55
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.)		130.55
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.)		130.55
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.)		338.80
11921		Bladder washout test for localisation of urinary infection — not including bacterial counts for organisms in specimens		59.35
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		30.80
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		46.55
12012		Epicutaneous patch testing in the investigation of allergic dermatitis using less than the number of allergens included in a standard patch test battery		16.45
12015		Epicutaneous patch testing in the investigation of allergic dermatitis using all of the allergens in a standard patch test battery		49.40
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		63.60
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		93.20
Subgroup 10 — Other diagnostic procedures and investigations
12200		Collection of specimen of sweat by iontophoresis		29.40
12203		Overnight investigation for sleep apnoea for a period of at least 8 hours duration, for a patient aged 18 years or more 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 a qualified adult sleep medicine practitioner prior to the investigation; and		465.10
		(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 a qualified adult sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient. For any particular patient — applicable 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, for a patient aged 18 years or more 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 a qualified adult sleep medicine 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 a qualified adult sleep medicine 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 or testing, or both, 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		465.10
12210		Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged 12 years or less, where: (a) continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end-tidal or transcutaneous), oxygen saturation and ECG are performed; and (b) a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and (c) the patient is referred by a medical practitioner; and (d) the necessity for the investigation is determined by a qualified paediatric sleep medicine practitioner prior to the investigation; and (e) polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body 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 a qualified paediatric sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient. For each particular patient — applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period		555.10
12213		Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged between 12 and 18 years, where: (a) recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end-tidal or transcutaneous), oxygen saturation and ECG are performed; and (b) a technician or registered nurse with sleep technology training 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 a qualified sleep medicine practitioner prior to the investigation; and (e) polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body 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 a qualified sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient. For each particular patient — applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period		500.10
12215		Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged 12 years or less, where: (a) continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end-tidal or transcutaneous), oxygen saturation and ECG are performed; and (b) a technician or registered nurse with sleep technology training is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and (c) the patient is referred by a medical practitioner; and (d) the necessity for the investigation is determined by a qualified paediatric sleep medicine practitioner prior to the investigation; and (e) polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body 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 a qualified paediatric sleep medicine 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 12210 applies, for the adjustment, or testing of the effectiveness, or both, of Continuous Positive Airway Pressure (CPAP) or of the bilevel pressure support or ventilation (or both), or if supplemental oxygen is required because of recurring hypoxia — each additional investigation		555.10
12217		Overnight paediatric investigation for a period of at least 8 hours duration for a patient aged between 12 and 18 years, where: (a) continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recordings of EEG (with a minimum of 4 EEG leads or, in selected investigations, of 6 EEG leads), EOG, submental or diaphragm EMG (or both), respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen), airflow, measurement of carbon dioxide (either end-tidal or transcutaneous), oxygen saturation and ECG are performed; and (b) a technician or registered nurse with sleep technology training 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 a qualified sleep medicine practitioner prior to the investigation; and (e) polygraphic records are analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body 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 to be provided by a qualified sleep medicine 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 12210 applies, for the adjustment, or testing of the effectiveness, or both, of Continuous Positive Airway Pressure (CPAP) or of the bilevel pressure support or ventilation (or both), or if there is recurring hypoxia and supplemental oxygen is required — each additional investigation		500.10
Group D2 — Nuclear medicine (non-imaging)
12500		Blood volume estimation		171.30
12503		Erythrocyte radioactive uptake survival time test or iron kinetic test		336.05
12506		Gastrointestinal blood loss estimation involving examination of stool specimens		239.90
12509		Gastrointestinal protein loss		171.30
12512		Radioactive B12 absorption test — 1 isotope		83.00
12515		Radioactive B12 absorption test — 2 isotopes		181.85
12518		Thyroid uptake (using probe)		83.00
12521		Perchlorate discharge study		100.20
12524		Renal function test (without imaging procedure)		125.20
12527		Renal function test (with imaging and at least 2 blood samples)		67.15
12530		Whole body count — not being a service associated with a service to which another item applies		100.20
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		66.90
		(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 1 or more of the clinical indications for the test
Therapeutic procedures Group T1 — Miscellaneous therapeutic procedures Subgroup 1 — Hyperbaric oxygen therapy
13020		Hyperbaric oxygen therapy, for treatment of decompression illness, gas gangrene, air or gas embolism, diabetic wounds (including diabetic gangrene and diabetic foot ulcers), necrotising tissue infections (including necrotising fasciitis, Fournier’s gangrene or osteoradino ecrosis), performed in a comprehensive hyperbaric medicine facility for a period in the hyperbaric chamber of between 1 hour 30 minutes and 3 hours (both inclusive), including any associated attendance		204.70
13025		Hyperbaric oxygen therapy, for treatment of decompression illness, air or gas embolism, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber greater than 3 hours, including any associated attendance — per hour (or part of an hour)		91.55
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)		129.30
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		108.10
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		56.30
13106		Declotting of an arteriovenous shunt		96.05
13109		Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis — insertion and fixation of (Anaes.)		180.15
13110		Tenckhoff peritoneal dialysis catheter, removal of (including catheter cuffs) (Anaes.)		180.70
13112		Peritoneal dialysis, establishment of, by abdominal puncture and insertion of temporary catheter (including associated consultation) (Anaes.)		108.10
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		1 581.40
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		395.35
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		677.70
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		67.65
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.)		288.05
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.)		90.40
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.)		677.70
13221		Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination		41.25
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		161.60
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.)		323.20
Subgroup 4 — Paediatric and neonatal
13300		Umbilical or scalp vein catheterisation in a neonate with or without infusion or cannulation of a vein		45.05
13303		Umbilical artery catheterisation with or without infusion		66.80
13306		Blood transfusion with venesection and complete replacement of blood, including collection from donor		264.25
13309		Blood transfusion with venesection and complete replacement of blood, using blood already collected		225.30
13312		Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants		22.45
13318		Central vein catheterisation (via jugular or subclavian vein) — by open exposure, in a person under 12 years of age (Anaes.)		179.95
13319		Central vein catheterisation in a neonate via peripheral vein (Anaes.)		179.95
Subgroup 5 — Cardiovascular
13400		Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (Anaes.)		76.60
Subgroup 6 — Gastroenterology
13500		Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage		142.65
13503		Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage		285.30
13506		Gastro-oesophageal balloon intubation, Minnesota, Sengstaken-Blakemore or similar, for control of bleeding from gastric oesophageal varices		145.90
Subgroup 8 — Haematology
13700		Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (Anaes.)		263.65
13703		Administration of blood including collection from donor		94.50
13706		Administration of blood or bone marrow already collected		66.00
13709		Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation		38.30
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		108.10
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		108.10
13757		Therapeutic venesection for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda		57.70
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		603.25
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.)		67.40
13818		Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement (Anaes.)		89.95
13830		Intracranial pressure, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician — each day		59.60
13839		Arterial puncture and collection of blood for diagnostic purposes		18.20
13842		Intra-arterial cannulisation for the purpose of taking multiple arterial blood samples for blood gas analysis		54.80
13845		Counterpulsation by intra-aortic balloon-management on the first day, including percutaneous insertion, initial and subsequent consultations and monitoring of parameters (Anaes.)		427.90
13848		Counterpulsation by intra-aortic balloon-management on each day subsequent to the first, including associated consultations and monitoring of parameters		103.65
13851		Circulatory support device, management of, on first day		390.50
13854		Circulatory support device, management of, on each day subsequent to the first		90.80
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		115.80
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		241.30
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		179.70
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		54.80
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		175.10
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		59.60
13885		Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician — on the first day in an intensive care unit		107.80
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		56.15
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		51.45
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		77.40
13921		Cytotoxic chemotherapy, administration of, by intravenous infusion of more than 6 hours duration — for the first day of treatment		87.60
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		51.65
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		66.80
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		93.15
13933		Cytotoxic chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration — for the first day of treatment		103.35
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		67.30
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		77.40
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		51.65
13945		Long-term implanted drug delivery device for cytotoxic chemotherapy, accessing of		41.55
13948		Cytotoxic agent, instillation of, into a body cavity		51.65
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		41.75
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		41.75
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.)		120.65
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.)		148.15
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.)		120.65
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.)		148.15
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.)		175.45
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.)		202.85
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.)		257.70
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.)		120.65
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.)		148.15
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.)		120.65
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.)		148.15
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.)		175.45
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.)		202.85
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.)		257.70
Subgroup 13 — Other therapeutic procedures
14200		Gastric lavage in the treatment of ingested poison		47.35
14203		Hormone or living tissue implantation, by direct implantation involving incision and suture (Anaes.)		40.45
14206		Hormone or living tissue implantation — by cannula		28.20
14209		Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent		70.20
14212		Intussusception, management of fluid or gas reduction for (Anaes.)		146.60
14215		Long-term implanted reservoir associated with the adjustable gastric band, accessing of to add or remove fluid		77.40
14218		Implanted pump or reservoir, loading of, with a therapeutic agent or agents, for infusion to the subarachnoid or epidural space		77.40
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		41.55
14224		Electroconvulsive therapy, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (Anaes.)		55.60
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		33.70
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 14
15006		Radiotherapy, superficial-attendance at which a single dose technique is applied — 1 field		74.70
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 14
15012		Radiotherapy, superficial — each attendance at which treatment is given to an eye		42.25
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		37.75
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 14
15106		Radiotherapy, deep or orthovoltage — each attendance at which fractionated treatment is given at 2 treatments per week or less frequently — 1 field		44.55
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 14
15112		Radiotherapy, deep or orthovoltage — attendance at which a single dose technique is applied — 1 field		95.05
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 14
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		47.20
15204		Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities — each attendance at which treatment is given — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)		Amount under rule 14
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		47.20
15208		Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of 10 MV photons or greater, with electron facilities — each attendance at which treatment is given — 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)		Amount under rule 14
15211		Radiation oncology treatment, using cobalt unit or caesium teletherapy unit — each attendance at which treatment is given — 1 field		43.25
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 14
Subgroup 4 — Brachytherapy
15303		Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.)		282.40
15304		Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)		282.40
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.)		535.40
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.)		535.40
15311		Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.)		263.60
15312		Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)		261.70
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.)		517.50
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.)		517.50
15319		Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.)		321.10
15320		Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)		321.10
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.)		571.05
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.)		571.05
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.)		621.30
15328		Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using automatic afterloading techniques (Anaes.)		621.30
15331		Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using manual afterloading techniques (Anaes.)		589.95
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.)		589.95
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.)		535.40
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.)		535.40
15338		Prostate, radioactive seed implantation of, radiation oncology component, using transrectal ultrasound guidance, for localised prostatic malignancy at clinical stages T1, T2A or T2B, with a Gleason score of 6 or less and a prostate specific antigen (PSA) of 10ng/ml or less at the time of diagnosis, where the procedure is performed at an approved site in association with a urologist		740.00
15339		Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block (Anaes.)		60.25
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		150.55
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		401.70
15348		Subsequent applications of radioactive mould referred to in item 15342 or 15345 — each attendance		46.20
15351		Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface		92.25
15354		Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface		112.00
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		31.60
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)		192.00
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)		246.50
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)		368.05
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)		166.45
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)		214.45
15513		Radiation source localisation using a simulator or x-ray machine of a single area, where views in more than 1 plane are required, for brachytherapy treatment planning for Iodine 125 seed implantation of localised prostate cancer, being a service associated with a service to which item 15338 applies		242.60
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)		310.45
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		60.90
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		268.85
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		504.15
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		62.40
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		278.50
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		528.10
15536		Brachytherapy planning, computerised Radiation Dosimetry		211.05
15539		Brachytherapy planning, computerised radiation dosimetry for Iodine 125 seed implantation of localised prostate cancer, being a service associated with a service to which item 15338 applies		496.20
Subgroup 6 — Stereotactic radiosurgery
15600		Stereotactic radiosurgery, including all radiation oncology consultations, planning, simulation, dosimetry and treatment		1 346.55
Group T3 — Therapeutic nuclear medicine
16003		Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis) (Anaes.)		514.60
16006		Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique		395.40
16009		Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique		269.85
16012		Intravenous administration of a therapeutic dose of Phosphorous 32		233.45
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		3 231.80
		(b) conventional radiotherapy is inappropriate, due to the wide distribution of sites of bone pain
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		1 931.95
Group T4 — Obstetrics
16500		Antenatal attendance		28.75
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		111.15
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		28.75
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		28.75
16505		Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of — each attendance that is not a routine antenatal attendance		28.75
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		28.75
16509		Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of — each attendance that is not a routine antenatal attendance		28.75
16511		Cervix, purse string ligation of (Anaes.)		173.95
16512		Cervix, removal of purse string ligature of (Anaes.)		50.20
16514		Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement)		29.00
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		274.15
16518		Management of labour, incomplete, where the patient’s care has been transferred to another medical practitioner for completion of the delivery		269.85
16519		Management of labour and delivery by any means (including Caesarean section) including post-partum care for 5 days		422.25
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		493.40
16522		Management of labour and delivery, or delivery alone, (including Caesarean section), where in the course of antenatal supervision or intrapartum management, 1 or more, of the following conditions is present, including postnatal care for 7 days: (a) multiple pregnancy;		991.40
		(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; (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		233.90
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		172.45
16567		Management of postpartum haemorrhage by special measures such as packing of uterus, as an independent procedure		252.25
16570		Acute inversion of the uterus, vaginal correction of, as an independent procedure		329.05
16571		Cervix, repair of extensive laceration or lacerations		252.25
16573		Third degree tear, involving anal sphincter muscles and rectal mucosa, repair of, as an independent procedure		205.55
16600		Amniocentesis, diagnostic		50.20
16603		Chorionic villus sampling, by any route		96.45
16606		Fetal blood sampling, using interventional techniques from umbilical cord or fetus, including fetal neuromuscular blockade and amniocentesis (Anaes.)		192.35
16609		Fetal intravascular blood transfusion, using blood already collected, including neuromuscular blockade, amniocentesis and fetal blood sampling (Anaes.)		392.35
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.)		308.70
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.)		164.35
16618		Amniocentesis, therapeutic, when indicated because of polyhydramnios with at least 500 ml being aspirated		164.35
16621		Amnioinfusion, for diagnostic or therapeutic purposes in the presence of severe oligohydramnios		164.35
16624		Fetal fluid filled cavity, drainage of		236.60
16627		Feto-amniotic shunt, insertion of, into fetal fluid filled cavity, including neuromuscular blockade and amniocentesis		481.65
16633		Procedure on multiple pregnancies relating to items 16606, 16609, 16612, 16615 and 16627		Amount under rule 33
16636		Procedure on multiple pregnancies relating to items 16600, 16603, 16618, 16621 and 16624		Amount under rule 33
Group T6 — 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		33.95
Group T7 — Regional or field nerve blocks
18213		Intravenous regional anaesthesia of limb by retrograde perfusion		70.15
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		150.20
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 31
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		29.75
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		39.65
18228		Interpleural block, initial injection or commencement of infusion of a therapeutic substance		49.45
18230		Intrathecal or epidural injection of neurolytic substance		188.60
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		150.20
18233		Epidural injection of blood for blood patch		150.20
18234		Trigeminal nerve, primary division of, injection of an anaesthetic agent		98.75
18236		Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent		49.45
18238		Facial nerve, injection of an anaesthetic agent, not being a service associated with a service to which item 18240 applies		29.75
18240		Retrobulbar or peribulbar injection of an anaesthetic agent		74.00
18242		Greater occipital nerve, injection of an anaesthetic agent		29.75
18244		Vagus nerve, injection of an anaesthetic agent		79.70
18246		Glossopharyngeal nerve, injection of an anaesthetic agent		79.70
18248		Phrenic nerve, injection of an anaesthetic agent		70.15
18250		Spinal accessory nerve, injection of an anaesthetic agent		49.45
18252		Cervical plexus, injection of an anaesthetic agent		79.70
18254		Brachial plexus, injection of an anaesthetic agent		79.70
18256		Suprascapular nerve, injection of an anaesthetic agent		49.45
18258		Intercostal nerve (single), injection of an anaesthetic agent		49.45
18260		Intercostal nerves (multiple), injection of an anaesthetic agent		70.15
18262		Ilio-inguinal, iliohypogastric or genitofemoral nerves, 1 or more of, injection of an anaesthetic agent		49.45
18264		Pudendal nerve, injection of an anaesthetic agent		79.70
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		49.45
18268		Obturator nerve, injection of an anaesthetic agent		70.15
18270		Femoral nerve, injection of an anaesthetic agent		70.15
18272		Saphenous, sural, popliteal or posterior tibial nerve, main trunk of, 1 or more of, injection of an anaesthetic agent		49.45
18274		Paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, injection of an anaesthetic agent, (single vertebral level)		70.15
18276		Paravertebral nerves, injection of an anaesthetic agent, (multiple levels)		98.75
18278		Sciatic nerve, injection of an anaesthetic agent		70.15
18280		Sphenopalatine ganglion, injection of an anaesthetic agent		98.75
18282		Carotid sinus, injection of an anaesthetic agent, as an independent percutaneous procedure		79.70
18284		Stellate ganglion, injection of an anaesthetic agent, (cervical sympathetic block)		116.80
18286		Lumbar or thoracic nerves, injection of an anaesthetic agent, (paravertebral sympathetic block)		116.80
18288		Coeliac plexus or splanchnic nerves, injection of an anaesthetic agent		116.80
18290		Cranial nerve other than trigeminal, destruction by a neurolytic agent		197.55
18292		Nerve branch, destruction by a neurolytic agent, not being a service to which any other item in this group applies		98.75
18294		Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent		139.20
18296		Lumbar sympathetic chain, destruction by a neurolytic agent		119.00
18298		Cervical or thoracic sympathetic chain, destruction by a neurolytic agent		139.20
Group T10 — Anaesthesia performed in connection with certain services (Relative Value Guide)
Subgroup 1 — Head
20100		Initiation of management of anaesthesia for procedures on the skin, subcutaneous tissue, muscles, salivary glands or superficial vessels of the head, including biopsy, not being a service to which another item in this subgroup applies		85.75
20102		Initiation of management of anaesthesia for plastic repair of cleft lip		102.90
20104		Initiation of management of anaesthesia for electroconvulsive therapy		68.60
20120		Initiation of management of anaesthesia for procedures on external, middle or inner ear, including biopsy, not being a service to which another item in this subgroup applies		85.75
20124		Initiation of management of anaesthesia for otoscopy		68.60
20140		Initiation of management of anaesthesia for procedures on eye, not being a service to which another item in this subgroup applies		85.75
20142		Initiation of management of anaesthesia for lens surgery		102.90
20143		Initiation of management of anaesthesia for retinal surgery		102.90
20144		Initiation of administration of anaesthesia for corneal transplant		137.20
20145		Initiation of management of anaesthesia for vitrectomy		137.20
20146		Initiation of management of anaesthesia for biopsy of conjunctiva		85.75
20148		Initiation of management of anaesthesia for ophthalmoscopy		68.60
20160		Initiation of management of anaesthesia for procedures on nose or accessory sinuses, not being a service to which another item in this subgroup applies		85.75
20162		Initiation of management of anaesthesia for radical surgery on the nose and accessory sinuses		120.05
20164		Initiation of management of anaesthesia for biopsy of soft tissue of the nose and accessory sinuses		68.60
20170		Initiation of management of anaesthesia for intraoral procedures, including biopsy, not being a service to which another item in this subgroup applies		85.75
20172		Initiation of management of anaesthesia for repair of cleft palate		120.05
20174		Initiation of management of anaesthesia for excision of retropharyngeal tumour		154.35
20176		Initiation of management of anaesthesia for radical intraoral surgery		171.50
20190		Initiation of management of anaesthesia for procedures on facial bones, not being a service to which another item in this subgroup applies		85.75
20192		Initiation of management of anaesthesia for radical surgery on facial bones (including prognathism and extensive facial bone reconstruction)		171.50
20210		Initiation of management of anaesthesia for intracranial procedures, not being a service to which another item in this subgroup applies		257.25
20212		Initiation of management of anaesthesia for subdural taps		85.75
20214		Initiation of management of anaesthesia for burr holes of the cranium		154.35
20216		Initiation of management of anaesthesia for intracranial vascular procedures, including those for aneurysms or arterio-venous abnormalities		343.00
20220		Initiation of management of anaesthesia for spinal fluid shunt procedures		171.50
20222		Initiation of management of anaesthesia for ablation of an intracranial nerve		102.90
20225		Initiation of management of anaesthesia for all cranial bone procedures		205.80
Subgroup 2 — Neck
20300		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the neck		85.75
20305		Initiation of management of anaesthesia for incision and drainage of large haematoma, large abscess, cellulitis or similar lesion or epiglottitis, causing life threatening airway obstruction		257.25
20320		Initiation of management of anaesthesia for procedures on oesophagus, thyroid, larynx, trachea, lymphatic system, muscles, nerves or other deep tissues of the neck, not being a service to which another item in this subgroup applies		102.90
20321		Initiation of management of anaesthesia for laryngectomy, hemi laryngectomy, laryngopharyngectomy or pharyngectomy		171.50
20330		Initiation of management of anaesthesia for laser surgery to the airway (excluding nose and mouth)		137.20
20350		Initiation of management of anaesthesia for procedures on major vessels of neck, not being a service to which another item in this subgroup applies		171.50
20352		Initiation of management of anaesthesia for simple ligation of major vessels of neck		85.75
Subgroup 3 — Thorax
20400		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the anterior part of the chest, not being a service to which another item in this subgroup applies		51.45
20401		Initiation of management of anaesthesia for procedures on the breast, not being a service to which another item in this subgroup applies		68.60
20402		Initiation of management of anaesthesia for reconstructive procedures on breast		85.75
20403		Initiation of management of anaesthesia for removal of breast lump or for breast segmentectomy with axillary node dissection		85.75
20404		Initiation of management of anaesthesia for mastectomy		102.90
20405		Initiation of management of anaesthesia for reconstructive procedures on the breast using myocutaneous flaps		137.20
20406		Initiation of management of anaesthesia for radical or modified radical procedures on breast with internal mammary node dissection		222.95
20410		Initiation of management of anaesthesia for electrical conversion of arrhythmias		85.75
20420		Initiation of management of anaesthesia for procedures on the skin of the posterior part of the chest		85.75
20450		Initiation of management of anaesthesia for procedures on clavicle, scapula or sternum, not being a service to which another item in this subgroup applies		85.75
20452		Initiation of management of anaesthesia for radical surgery on clavicle, scapula or sternum		102.90
20470		Initiation of management of anaesthesia for partial rib resection, not being a service to which another item in this subgroup applies		102.90
20472		Initiation of management of anaesthesia for thoracoplasty		171.50
20474		Initiation of management of anaesthesia for radical procedures on chest wall		222.95
Subgroup 4 — Intrathoracic
20500		Initiation of management of anaesthesia for open procedures on the oesophagus		257.25
20520		Initiation of management of anaesthesia for all closed chest procedures (including rigid oesophagoscopy, bronchoscopy or transvenous pacemaker), not being a service to which another item in this subgroup applies		102.90
20522		Initiation of management of anaesthesia for needle biopsy of pleura		68.60
20524		Initiation of management of anaesthesia for pneumocentesis		68.60
20526		Initiation of management of anaesthesia for thoracoscopy		171.50
20528		Initiation of management of anaesthesia for mediastinoscopy		137.20
20540		Initiation of management of anaesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, or mediastinum, not being a service to which another item in this subgroup applies		222.95
20542		Initiation of management of anaesthesia for pulmonary decortication		257.25
20546		Initiation of management of anaesthesia for pulmonary resection with thoracoplasty		257.25
20548		Initiation of management of anaesthesia for intrathoracic repair of trauma to trachea and bronchi		257.25
20560		Initiation of management of anaesthesia for open procedures on the heart, pericardium or great vessels of chest		343.00
Subgroup 5 —Spine and spinal cord
20600		Initiation of management of anaesthesia for procedures on cervical spine or spinal cord, or both, not being a service to which another item in this subgroup applies		171.50
20604		Initiation of management of anaesthesia for posterior cervical laminectomy with the patient in the sitting position		222.95
20620		Initiation of management of anaesthesia for procedures on thoracic spine or spinal cord, or both, not being a service to which another item in this subgroup applies		171.50
20622		Initiation of management of anaesthesia for thoracolumbar sympathectomy		222.95
20630		Initiation of management of anaesthesia for procedures in lumbar region, not being a service to which another item in this subgroup applies		137.20
20632		Initiation of management of anaesthesia for lumbar sympathectomy		120.05
20634		Initiation of management of anaesthesia for chemonucleolysis		171.50
20670		Initiation of management of anaesthesia for extensive spine or spinal cord procedures, or both		222.95
20680		Initiation of management of anaesthesia for manipulation of spine when performed in the operating theatre of a hospital or day hospital facility		51.45
20690		Initiation of management of anaesthesia for percutaneous spinal procedures, not being a service to which another item in this subgroup applies		85.75
Subgroup 6 — Upper abdomen
20700		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the upper anterior abdominal wall, not being a service to which another item in this subgroup applies		51.45
20702		Initiation of management of anaesthesia for percutaneous liver biopsy		68.60
20705		Initiation of management of anaesthesia for diagnostic laparoscopy procedures		102.90
20706		Initiation of management of anaesthesia for laparoscopic procedures in the upper abdomen, not being a service to which another item in this subgroup applies		120.05
20730		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the upper posterior abdominal wall, not being a service to which another item in this subgroup applies		85.75
20740		Initiation of management of anaesthesia for upper gastrointestinal endoscopic procedures		85.75
20745		Initiation of management of anaesthesia for upper gastrointestinal endoscopic procedures in association with acute gastrointestinal haemorrhage		102.90
20750		Initiation of management of anaesthesia for hernia repairs in upper abdomen, not being a service to which another item in this subgroup applies		68.60
20752		Initiation of management of anaesthesia for repair of incisional hernia or wound dehiscence, or both		102.90
20754		Initiation of management of anaesthesia for procedures on an omphalocele		120.05
20756		Initiation of management of anaesthesia for transabdominal repair of diaphragmatic hernia		154.35
20770		Initiation of management of anaesthesia for procedures on major upper abdominal blood vessels		257.25
20790		Initiation of management of anaesthesia for procedures within the peritoneal cavity in upper abdomen including cholecystectomy, gastrectomy, laparoscopic nephrectomy or bowel shunts		137.20
20791		Initiation of management of anaesthesia for gastric reduction or gastroplasty for the treatment of morbid obesity		171.50
20792		Initiation of management of anaesthesia for partial hepatectomy (excluding liver biopsy)		222.95
20793		Initiation of management of anaesthesia for extended or trisegmental hepatectomy		257.25
20794		Initiation of management of anaesthesia for pancreatectomy, partial or total		205.80
20798		Initiation of management of anaesthesia for neuro endocrine tumour removal in the upper abdomen		171.50
Subgroup 7 — Lower abdomen
20800		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the lower anterior abdominal walls, not being a service to which another item in this subgroup applies		51.45
20802		Initiation of management of anaesthesia for lipectomy of the lower abdomen		85.75
20805		Initiation of management of anaesthesia for diagnostic laparoscopic procedures		102.90
20806		Initiation of management of anaesthesia for laparoscopic procedures in the lower abdomen		120.05
20810		Initiation of management of anaesthesia for lower intestinal endoscopic procedures		68.60
20815		Initiation of management of anaesthesia for extracorporeal shock wave lithotripsy to urinary tract		102.90
20820		Initiation of management of anaesthesia for procedures on the skin, its derivatives or subcutaneous tissue of the lower posterior abdominal wall		85.75
20830		Initiation of management of anaesthesia for hernia repairs in lower abdomen, not being a service to which another item in this subgroup applies		68.60
20832		Initiation of management of anaesthesia for repair of incisional herniae or wound dehiscence, or both, of the lower abdomen		102.90
20840		Initiation of management of anaesthesia for all procedures within the peritoneal cavity in lower abdomen, including appendicectomy, not being a service to which another item in this subgroup applies		102.90
20841		Initiation of management of anaesthesia for bowel resection, including laparoscopic bowel resection, not being a service to which another item in this subgroup applies		137.20
20842		Initiation of management of anaesthesia for amniocentesis		68.60
20844		Initiation of management of anaesthesia for abdominoperineal resection, including pull through procedures, ultra low anterior resection and formation of bowel reservoir		171.50
20845		Initiation of management of anaesthesia for radical prostatectomy		171.50
20846		Initiation of management of anaesthesia for radical hysterectomy		171.50
20848		Initiation of management of anaesthesia for pelvic exenteration		171.50
20850		Initiation of management of anaesthesia for caesarean section		205.80
20855		Initiation of management of anaesthesia for caesarean hysterectomy		257.25
20860		Initiation of management of anaesthesia for extraperitoneal procedures in lower abdomen, including those on the urinary tract, not being a service to which another item in this subgroup applies		102.90
20862		Initiation of management of anaesthesia for renal procedures, including upper one-third of ureter		120.05
20864		Initiation of management of anaesthesia for total cystectomy		171.50
20866		Initiation of management of anaesthesia for adrenalectomy		171.50
20867		Initiation of management of anaesthesia for neuro endocrine tumour removal in the lower abdomen		171.50
20868		Initiation of management of anaesthesia for renal transplantation (donor or recipient)		171.50
20880		Initiation of management of anaesthesia for procedures on major lower abdominal vessels, not being a service to which another item in this subgroup applies		257.25
20882		Initiation of management of anaesthesia for inferior vena cava ligation		171.50
20884		Initiation of management of anaesthesia for percutaneous umbrella insertion		85.75
Subgroup 8 — Perineum
20900		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the perineum (including biopsy of male genital system), not being a service to which another item in this subgroup applies		51.45
20902		Initiation of management of anaesthesia for anorectal procedures (including endoscopy or biopsy, or both)		68.60
20904		Initiation of management of anaesthesia for radical perineal procedures, including radical perineal prostatectomy or radical vulvectomy		120.05
20906		Initiation of management of anaesthesia for vulvectomy		68.60
20910		Initiation of management of anaesthesia for transurethral procedures (including urethrocyctoscopy), not being a service to which another item in this subgroup applies		68.60
20912		Initiation of management of anaesthesia for transurethral resection of bladder tumour or tumours		85.75
20914		Initiation of management of anaesthesia for transurethral resection of prostate		120.05
20916		Initiation of management of anaesthesia for bleeding post-transurethral resection		120.05
20920		Initiation of management of anaesthesia for procedures on male external genitalia, not being a service to which another item in this subgroup applies		51.45
20924		Initiation of management of anaesthesia for procedures on undescended testis, unilateral or bilateral		68.60
20926		Initiation of management of anaesthesia for radical orchidectomy, inguinal approach		68.60
20928		Initiation of management of anaesthesia for radical orchidectomy, abdominal approach		102.90
20930		Initiation of management of anaesthesia for orchiopexy, unilateral or bilateral		68.60
20932		Initiation of management of anaesthesia for complete amputation of penis		68.60
20934		Initiation of management of anaesthesia for complete amputation of penis with bilateral inguinal lymphadenectomy		102.90
20936		Initiation of management of anaesthesia for complete amputation of penis with bilateral inguinal and iliac lymphadenectomy		137.20
20938		Initiation of management of anaesthesia for insertion of penile prosthesis		68.60
20940		Initiation of management of anaesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium), not being a service to which another item in this subgroup applies		51.45
20942		Initiation of management of anaesthesia for colpotomy, colpectomy or colporrhaphy		68.60
20943		Initiation of management of anaesthesia for transvaginal oocyte collection		68.60
20944		Initiation of management of anaesthesia for vaginal hysterectomy		102.90
20946		Initiation of management of anaesthesia for vaginal delivery		137.20
20948		Initiation of management of anaesthesia for purse string ligation of cervix, or removal of purse string ligature, or removal of purse string ligature		68.60
20950		Initiation of management of anaesthesia for culdoscopy		85.75
20952		Initiation of management of anaesthesia for hysteroscopy		68.60
20954		Initiation of management of anaesthesia for correction of inverted uterus		171.50
Subgroup 9 — Pelvis (except hip)
21100		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the anterior pelvic region (anterior to iliac crest), except external genitalia		51.45
21110		Initiation of management of anaesthesia for procedures on the skin, its derivatives or subcutaneous tissue of the pelvic region (posterior to iliac crest), except perineum		85.75
21120		Initiation of management of anaesthesia for procedures on the bony pelvis		102.90
21130		Initiation of management of anaesthesia for body cast application or revision, when performed in the operating theatre of a hospital or day hospital facility		51.45
21140		Initiation of management of anaesthesia for interpelviabdominal (hindquarter) amputation		257.25
21150		Initiation of management of anaesthesia for radical procedures for tumour of the pelvis, except hindquarter amputation		171.50
21160		Initiation of management of anaesthesia for closed procedures involving symphysis pubis or sacroiliac joint, when performed in the operating theatre of a hospital or day hospital facility		68.60
21170		Initiation of management of anaesthesia for open procedures involving symphysis pubis or sacroiliac joint		68.60
Subgroup 10 — Upper leg (except knee)
21195		Initiation of management of anaesthesia for procedures on the skins or subcutaneous tissue of the upper leg		51.45
21199		Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of the upper leg		68.60
21200		Initiation of management of anaesthesia for closed procedures involving hip joint, when performed in the operating theatre of a hospital or day hospital facility		68.60
21202		Initiation of management of anaesthesia for arthroscopic procedures of the hip joint		68.60
21210		Initiation of management of anaesthesia for open procedures involving hip joint, not being a service to which another item in this subgroup applies		102.90
21212		Initiation of management of anaesthesia for hip disarticulation		171.50
21214		Initiation of management of anaesthesia for total hip replacement or revision		171.50
21220		Initiation of management of anaesthesia for closed procedures involving upper two-third of femur, when performed in the operating theatre of a hospital or day hospital facility		68.60
21230		Initiation of management of anaesthesia for open procedures involving upper two-third of femur, not being a service to which another item in this subgroup applies		102.90
21232		Initiation of management of anaesthesia for above knee amputation		85.75
21234		Initiation of management of anaesthesia for radical resection of the upper two-third of femur		137.20
21260		Initiation of management of anaesthesia for procedures involving veins of upper leg, including exploration		68.60
21270		Initiation of management of anaesthesia for procedures involving arteries of upper leg, including bypass graft, not being a service to which another item in this subgroup applies		137.20
21272		Initiation of management of anaesthesia for femoral artery ligation		68.60
21274		Initiation of management of anaesthesia for femoral artery embolectomy		102.90
21280		Initiation of management of anaesthesia for microsurgical reimplantation of upper leg		257.25
Subgroup 11 — Knee and popliteal area
21300		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the knee or popliteal area, or both		51.45
21321		Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of knee or popliteal area, or both		68.60
21340		Initiation of management of anaesthesia for closed procedures on lower one-third of femur, when performed in the operating theatre of a hospital or day hospital facility		68.60
21360		Initiation of management of anaesthesia for open procedures on lower one-third of femur		85.75
21380		Initiation of management of anaesthesia for closed procedures on knee joint when performed in the operating theatre of a hospital or day hospital facility		51.45
21382		Initiation of management of anaesthesia for arthroscopic procedures of knee joint		68.60
21390		Initiation of management of anaesthesia for closed procedures on upper ends of tibia, fibula or patella, or any of them, when performed in the operating theatre of a hospital or day hospital facility		51.45
21392		Initiation of management of anaesthesia for open procedures on upper ends of tibia, fibula or patella, or any of them		68.60
21400		Initiation of management of anaesthesia for open procedures on knee joint, not being a service to which another item in this subgroup applies		68.60
21402		Initiation of management of anaesthesia for total knee replacement		120.05
21403		Initiation of management of anaesthesia for bilateral knee replacement		171.50
21404		Initiation of management of anaesthesia for disarticulation of knee		85.75
21420		Initiation of management of anaesthesia for cast application, removal or repair, involving knee joint, undertaken in a hospital or approved day hospital facility		51.45
21430		Initiation of management of anaesthesia for procedures on veins of knee or popliteal area, not being a service to which another item in this subgroup applies		68.60
21432		Initiation of management of anaesthesia for repair of arteriovenous fistula of knee or popliteal area		85.75
21440		Initiation of management of anaesthesia for procedures on arteries of knee or popliteal area, not being a service to which another item in this subgroup applies		137.20
Subgroup 12 — Lower leg (below knee)
21460		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of lower leg, ankle, or foot		51.45
21461		Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, or fascia of lower leg, ankle, or foot, not being a service to which another item in this subgroup applies		68.60
21462		Initiation of management of anaesthesia for all closed procedures on lower leg, ankle, or foot		51.45
21464		Initiation of management of anaesthesia for arthroscopic procedure of ankle joint		68.60
21472		Initiation of management of anaesthesia for repair of achilles tendon		85.75
21474		Initiation of management of anaesthesia for gastrocnemius recession		85.75
21480		Initiation of management of anaesthesia for open procedures on bones of lower leg, ankle, or foot, including amputation, not being a service to which another item in this subgroup applies		68.60
21482		Initiation of management of anaesthesia for radical resection of bone involving lower leg, ankle or foot		85.75
21484		Initiation of management of anaesthesia for osteotomy or osteoplasty of tibia or fibula		85.75
21486		Initiation of management of anaesthesia for total ankle replacement		120.05
21490		Initiation of management of anaesthesia for lower leg cast application, removal or repair, undertaken in a hospital or approved day hospital facility		51.45
21500		Initiation of management of anaesthesia for procedures on arteries of lower leg, including bypass graft, not being a service to which another item in this subgroup applies		137.20
21502		Initiation of management of anaesthesia for embolectomy of the lower leg		102.90
21520		Initiation of management of anaesthesia for procedures on veins of lower leg, not being a service to which another item in this subgroup applies		68.60
21522		Initiation of management of anaesthesia for venous thrombectomy of the lower leg		85.75
21530		Initiation of management of anaesthesia for microsurgical reimplantation of lower leg, ankle or foot		257.25
21532		Initiation of management of anaesthesia for microsurgical reimplantation of toe		137.20
Subgroup 13 — shoulder and axilla
21600		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the shoulder or axilla		51.45
21610		Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of shoulder or axilla, including axillary dissection		85.75
21620		Initiation of management of anaesthesia for closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint, when performed in the operating theatre of a hospital or day hospital facility		68.60
21622		Initiation of management of anaesthesia for arthroscopic procedures of shoulder joint		85.75
21630		Initiation of management of anaesthesia for open procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint, not being a service to which another item in this subgroup applies		85.75
21632		Initiation of management of anaesthesia for radical resection involving humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint		102.90
21634		Initiation of management of anaesthesia for shoulder disarticulation		154.35
21636		Initiation of management of anaesthesia for interthoracoscapular (forequarter) amputation		257.25
21638		Initiation of management of anaesthesia for total shoulder replacement		171.50
21650		Initiation of management of anaesthesia for procedures on arteries of shoulder or axilla, not being a service to which another item in this subgroup applies		137.20
21652		Initiation of management of anaesthesia for procedures for axillary-brachial aneurysm		171.50
21654		Initiation of management of anaesthesia for bypass graft of arteries of shoulder or axilla		137.20
21656		Initiation of management of anaesthesia for axillary-femoral bypass graft		171.50
21670		Initiation of management of anaesthesia for procedures on veins of shoulder or axilla		68.60
21680		Initiation of management of anaesthesia for shoulder cast application, removal or repair, not being a service to which another item in this subgroup applies, when undertaken in a hospital or approved day hospital facility		51.45
21682		Initiation of management of anaesthesia for shoulder spica application, when undertaken in a hospital or approved day hospital facility		68.60
Subgroup 14 — Upper arm and elbow
21700		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the upper arm or elbow		51.45
21710		Initiation of management of anaesthesia for procedures on nerves, muscles, tendons, fascia or bursae of upper arm or elbow, not being a service to which another item in this subgroup applies		68.60
21712		Initiation of management of anaesthesia for open tenotomy of the upper arm or elbow		85.75
21714		Initiation of management of anaesthesia for tenoplasty of the upper arm or elbow		85.75
21716		Initiation of management of anaesthesia for tenodesis for rupture of long tendon of biceps		85.75
21730		Initiation of management of anaesthesia for closed procedures on the upper arm or elbow, when performed in the operating theatre of a hospital or day hospital facility		51.45
21732		Initiation of management of anaesthesia for arthroscopic procedures of elbow joint		68.60
21740		Initiation of management of anaesthesia for open procedures on the upper arm or elbow, not being a service to which another item in this subgroup applies		85.75
21756		Initiation of management of anaesthesia for radical procedures on the upper arm or elbow		102.90
21760		Initiation of management of anaesthesia for total elbow replacement		120.05
21770		Initiation of management of anaesthesia for procedures on arteries of upper arm, not being a service to which another item in this subgroup applies		137.20
21772		Initiation of management of anaesthesia for embolectomy of arteries of the upper arm		102.90
21780		Initiation of management of anaesthesia for procedures on veins of upper arm, not being a service to which another item in this subgroup applies		68.60
21790		Initiation of management of anaesthesia for microsurgical reimplantation of upper arm		257.25
Subgroup 15 — Forearm wrist and hand
21800		Initiation of management of anaesthesia for procedures on the skin or subcutaneous tissue of the forearm, wrist or hand		51.45
21810		Initiation of management of anaesthesia for procedures on the nerves, muscles, tendons, fascia, or bursae of the forearm, wrist or hand		68.60
21820		Initiation of management of anaesthesia for closed procedures on the radius, ulna, wrist, or hand bones, when performed in the operating theatre of a hospital or day hospital facility		51.45
21830		Initiation of management of anaesthesia for open procedures on the radius, ulna, wrist, or hand bones, not being a service to which another item in this subgroup applies		68.60
21832		Initiation of management of anaesthesia for total wrist replacement		120.05
21834		Initiation of management of anaesthesia for arthroscopic procedures of the wrist joint		68.60
21840		Initiation of management of anaesthesia for procedures on the arteries of forearm, wrist or hand, not being a service to which another item in this subgroup applies		137.20
21842		Initiation of management of anaesthesia for embolectomy of artery of forearm, wrist or hand		102.90
21850		Initiation of management of anaesthesia for procedures on the veins of forearm, wrist or hand, not being a service to which another item in this subgroup applies		68.60
21860		Initiation of management of anaesthesia for forearm, wrist, or hand cast application, removal or repair, when undertaken in a hospital or approved day hospital facility		51.45
21870		Initiation of management of anaesthesia for microsurgical reimplantation of forearm, wrist or hand		257.25
21872		Initiation of management of anaesthesia for microsurgical reimplantation of a finger		137.20
Subgroup 16 — Anaesthesia for burns
21878		Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves not more than 3% of total body surface		51.45
21879		Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves more than 3% but less than 10% of total body surface		85.75
21880		Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 10% or more but less than 20% of total body surface		120.05
21881		Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 20% or more but less than 30% of total body surface		154.35
21882		Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 30% or more but less than 40% of total body surface		188.65
21883		Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 40% or more but less than 50% of total body surface		222.95
21884		Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 50% or more but less than 60% of total body surface		275.25
21885		Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 60% or more but less than 70% of total body surface		291.55
21886		Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 70% or more but less than 80% of total body surface		325.85
21887		Initiation of management of anaesthesia for excision or debridement of burns, with or without skin grafting, where the area of burn involves 80% or more of total body surface		360.15
Subgroup 17 — Anaesthesia for radiological or other diagnostic or therapeutic procedures
21900		Initiation of management of anaesthesia for injection procedure for hysterosalpingography		51.45
21906		Initiation of management of anaesthesia for injection procedure for myelography — lumbar or thoracic		85.75
21908		Initiation of management of anaesthesia for injection procedure for myelography — cervical		102.90
21910		Initiation of management of anaesthesia for injection procedure for myelography — posterior fossa		154.35
21912		Initiation of management of anaesthesia for injection procedure for discography — lumbar or thoracic		85.75
21914		Initiation of management of anaesthesia for injection procedure for discography — cervical		102.90
21915		Initiation of management of anaesthesia for peripheral arteriogram		85.75
21916		Initiation of management of anaesthesia for arteriograms — cerebral, carotid or vertebral		85.75
21918		Initiation of management of anaesthesia for retrograde arteriogram: brachial or femoral		85.75
21922		Initiation of management of anaesthesia for computerised axial tomography scanning, magnetic resonance scanning or digital subtraction angiography scanning		120.05
21925		Initiation of management of anaesthesia for retrograde cystography, retrograde urethrography or retrograde cystourethrography		68.60
21926		Initiation of management of anaesthesia for fluoroscopy		85.75
21927		Initiation of management of anaesthesia for barium enema or other opaque study of the small bowel		85.75
21930		Initiation of management of anaesthesia for bronchography		102.90
21935		Initiation of management of anaesthesia for phlebography		85.75
21936		Initiation of management of anaesthesia for heart — 2 dimensional real time transoesophageal examination		102.90
21939		Initiation of management of anaesthesia for peripheral venous cannulation		51.45
21941		Initiation of management of anaesthesia for cardiac catheterisation (including coronary arteriography, ventriculography or cardiac mapping)		120.05
21943		Initiation of management of anaesthesia for central vein catheterisation or insertion of right heart balloon catheter (via jugular, subclavian or femoral vein) by percutaneous or open exposure		85.75
21945		Initiation of management of anaesthesia for lumbar puncture, cisternal puncture, or epidural injection		85.75
21949		Initiation of management of anaesthesia for harvesting of bone marrow for the purpose of transplantation		85.75
21952		Initiation of management of anaesthesia for muscle biopsy for malignant hyperpyrexia		171.50
21955		Initiation of management of anaesthesia for electroencephalography		85.75
21959		Initiation of management of anaesthesia for brain stem evoked response audiometry		85.75
21962		Initiation of management of anaesthesia for electrocochleography by extratympanic method or transtympanic membrane insertion method		85.75
21965		Initiation of management of anaesthesia as a therapeutic procedure where it can be demonstrated that there is a clinical need for anaesthesia		85.75
21969		Initiation of management of anaesthesia during hyperbaric therapy, where the medical practitioner is not confined in the chamber (including the administration of oxygen)		137.20
21970		Initiation of management of anaesthesia during hyperbaric therapy, where the medical practitioner is confined in the chamber (including the administration of oxygen)		257.25
21973		Initiation of management of anaesthesia for brachytherapy using radioactive sealed sources		85.75
21976		Initiation of management of anaesthesia for therapeutic nuclear medicine		85.75
21980		Initiation of management of anaesthesia for radiotherapy		85.75
Subgroup 18 — Miscellaneous
21990		Initiation of management of anaesthesia, being a service to which another item in this subgroup or in Subgroups 1 to 17 or 20 would have applied if the procedure in connection with which the service is provided had not been discontinued		51.45
21992		Initiation of management of anaesthesia performed on a person under the age of 10 years in connection with a procedure covered by an item that does not include the word ‘(Anaes.)’		68.60
21997		Initiation of management of anaesthesia in connection with a procedure covered by an item that does not include the word ‘(Anaes.)’, not being a service to which item 21965 or 21992 applies, where it can be demonstrated that

Federal Register of Legislation - Australian Government

Primary content

Health Insurance (General Medical Services Table) Regulations 2001