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 7th 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 7th or 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 7th 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 |
14126 | Laser photocoagulation using laser light within the wave length of 510-1064nm in the treatment of port wine stains, haemangiomas, café-au-lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation-area of treatment more than 50 cm2 and up to 100 cm2 — where it can be demonstrated that a 7th or subsequent session (including any sessions to which items 14100 to 14118 and 30213 apply) is indicated in a 12 month period (Anaes.) | 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 7th or 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 7th or 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 7th or 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 |