Statutory Rules 1992 No. 3381
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Health Insurance (1992-1993 General Medical Services Table) Regulations
I, The Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.
Dated 20 October 1992.
BILL HAYDEN
Governor-General
By His Excellency’s Command,
B. HOWE
Minister of State for Health, Housing and Community Services
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Citation
1. These Regulations may be cited as the Health Insurance (1992-1993 General Medical Services Table) Regulations.
Commencement
2. These Regulations commence on 1 November 1992.
Repeal
3. Statutory Rules 1991 No. 351 and 1992 Nos. 70 and 191 are repealed.
General medical services table
4. The table of general medical services in the Schedule is prescribed for the purposes of subsection 4 (2) of the Health Insurance Act 1973.
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SCHEDULE Regulation 4
TABLE OF GENERAL MEDICAL SERVICES
RULES OF INTERPRETATION
General
1. (1) In this table, unless the contrary intention appears:
“attendance of a minor nature” or “minor attendance”, in relation to an attendance on a patient by a consultant physician, means an attendance that:
(a) is a second or subsequent attendance on the patient, in the course of a single course of treatment by the consultant physician, during which it is not necessary for the consultant physician to carry out a physical examination of the patient; and
(b) does not result in a substantial alteration to the treatment of the patient;
“institution” means a place (other than a hospital, a nursing home or accommodation for aged persons that is attached to a nursing home or situated within a nursing home complex) at which residential accommodation or day care is, or both residential accommodation and day care are, made available to:
(a) disadvantaged children; or
(b) juvenile offenders; or
(c) aged persons; or
(d) chronically ill psychiatric patients; or
(e) homeless persons; or
(f) unemployed persons; or
(g) persons suffering from alcoholism; or
(h) persons addicted to drugs; or
(i) physically or mentally handicapped persons;
“the Act” means the Health Insurance Act 1973.
SCHEDULE—continued
(2) In this table, a reference by number to an item in the series 65001 to 73921 (inclusive) is a reference to the item so numbered in the pathology services table.
(3) In this table, a reference by number to an item in the series 55000 to 61502 (inclusive) is a reference to the item so numbered in the diagnostic imaging services table.
(4) In this table, the symbol “(AU n)” (where n is a number) is explained in items 17901 to 17959 (inclusive).
(5) In these Rules, “referring practitioner”, in relation to a referral, means:
(a) in the case of all referrals—a medical practitioner; and
(b) if the referral is given to a specialist who is an ophthalmologist—an optometrist; and
(c) if the referral:
(i) arises out of a dental service given by a dental practitioner; and
(ii) is given to a specialist (but not a consultant physician);
a dental practitioner.
Meaning of symbols“(S)” and “(G)”
2. (1) An item including the symbol “(S)” applies only to a service given by a specialist (and not to a service given by a consultant physician) in the practice of his or her specialty:
(a) to a patient who has been referred to the specialist, if the service is the first given by the specialist after the referral; or
(b) to a patient who has been referred to the specialist:
(i) if the service is part of a single course of treatment given for the condition identified in the referral; or
(ii) if no condition was identified in the referral—for the condition identified by the specialist; and
the service is given within the period of validity of the referral applicable under regulation 12 of the Health Insurance Regulations; or
(c) to a patient who has declared that a written referral completed by a named referring practitioner has been lost, stolen or destroyed before the service was given, if the service is the first given by the specialist in accordance with the referral; or
(d) to a patient who has not been referred to the specialist if, in an emergency, the specialist decides that it is necessary in the patient’s interests to give the service as soon as practicable without a referral.
SCHEDULE—continued
(2) An item including the symbol “(G)” applies only to a service given otherwise than by a specialist in accordance with subrule (1).
Meaning of “single course of treatment” in certain circumstances
3. (1) In subrule 1 (1), rules 2 and 4 and items 104, 105, 106, 107, 108, 110, 116, 119, 122, 128 and 131, “single course of treatment” includes:
(a) the:
(i) initial attendance by a specialist or consultant physician; and
(ii) continuing management or treatment up to and including the stage when the patient is referred back to the care of the referring practitioner; and
(b) any subsequent review of the patient’s condition by the specialist or consultant physician that may be necessary, whether the review is initiated by the referring practitioner or the specialist or consultant physician.
(2) For the purposes of subrule (1), an unrelated illness that requires referral of the patient to the specialist’s or consultant physician’s care, initiates a new course of treatment for which a new referral is required.
(3) For the purposes of subrule (1), if:
(a) a referring practitioner considers it necessary for a patient’s condition to be reviewed; and
(b) the patient is attended by the specialist or consultant physician after the end of the period of validity of the last referral applicable under regulation 12 of the Health Insurance Regulations; and
(c) the patient was last attended by the specialist or consultant physician more than 9 months before the attendance mentioned in paragraph (b);
the attendance mentioned in paragraph (b) initiates a new course of treatment.
Interpretation of items 104 to 159 (inclusive)
4. (1) In items 104 to 159 (inclusive), “attendance”, in relation to an attendance on a patient by a specialist, or consultant physician, in the practice or his or her specialty if the patient is referred to him or her:
(a) includes an attendance by a specialist, or consultant physician, in the practice of his or her specialty:
(i) if the patient has declared that a written referral of the patient was completed by a medical practitioner
SCHEDULE—continued
(ii) if, in an emergency, the patient has not been referred to the specialist, or consultant physician, who decides that it is necessary in the patient’s interests to give the service mentioned in the item as soon as practicable without a referral; but
(b) does not include an attendance by a specialist, or consultant physician, in the practice of his or her specialty if:
(i) the attendance forms part of a single course of treatment in which the first service was given more than 12 months (or such other period, if any, set by the referring practitioner in, or in connection with, the referral) before the attendance; and
(ii) a later referral has not been given.
(2) In items 104 to 159 (inclusive), a reference to the referring of a patient to a specialist, or consultant physician, is a reference to the referring of a patient to a specialist, or consultant physician, by a referring practitioner.
Meaning of “professional attendance” in certain items
5. In items 3, 4, 13, 19, 20, 23, 24, 25, 33, 35, 36, 37, 38, 40, 43, 44, 47, 48, 50 and 51, “professional attendance” includes (but is not limited to) the provision in relation to a patient of 1 or more of the following services:
(a) the evaluation of the patient’s condition or conditions including, if applicable, evaluation using the health screening services mentioned in in subsection 19 (5) of the Act;
(b) the formulation of a plan for the management and, if applicable, for the treatment of the patient’s condition or conditions;
(c) the provision:
(i) of advice to the patient about the patient’s condition or conditions and, if applicable, about treatment; and
(ii) if the patient has so authorised, of advice to another person, or other persons, about the patient’s condition or conditions and, if applicable, about treatment;
(d) the recording of the clinical details of the service or services given to the patient.
SCHEDULE—continued
Meaning of “Amount under rule 6” in certain items
6. (1) In items 13, 19 and 20, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 3; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(2) In items 25, 33 and 35, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 23; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(3) In items 38, 40 and 43, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 36; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(4) In items 48, 50 and 51, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 44; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
SCHEDULE—continued
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(5) In items 81, 87 and 92, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 52; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
(6) In items 83, 89 and 93, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 53; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
(7) In items 84, 90 and 95, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 54; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
(8) In items 86, 91 and 96, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 57; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
SCHEDULE—continued
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
Items 10809 and 10929 not to apply in certain circumstances
7. Items 10809 and 10929 do not apply if the patient requires contact lenses only for 1 or more of the following reasons:
(a) because the patient does not want to wear spectacles for reasons of appearance; or
(b) because the patient wants contact lenses for work, or sporting, purposes; or
(c) because the patient has difficulty in using, or cannot use, spectacles for psychological reasons.
Application of items 10921 to 10929 (inclusive)
8. (1) For the purposes of items 10921 to 10929 (inclusive), a patient has an ocular condition which necessitates a further course of attention within 36 months of the previous initial consultation only in the circumstances mentioned in subrules (2) and (3).
(2) The patient requires a change in contact lens material, or basic lens parameters, other than a simple power change, because of:
(a) a structural, or functional, change in the eye; or
(b) an allergic response.
(3) A lost, damaged or otherwise unsatisfactory contact lens is replaced by an optometrist:
(a) who:
(i) does not have access to the original prescription; and
(ii) does a total refit where an item mentioned in subrule (1) applies; and
(b) who is not:
(i) the optometrist who initially fitted the contact lenses; or
(ii) an optometrist at, or operating from, the same practice location at which the optometrist who initially fitted the contact lenses practised when the contact lenses were initially fitted.
SCHEDULE—continued
Personal attendance by medical practitioners generally
9. (1) The items mentioned in subrule (2) apply only to a service given in the course of a personal attendance by a medical practitioner on a single patient on a single occasion.
(2) The items are 3 to 153 (inclusive), 157 to 164 (inclusive), 173 to 10815 (inclusive), 11012, 11015, 11018, 11021, 11212, 11303, 11500, 11600, 11627, 11630, 11712, 11921, 12000, 12003, 12100, 12103, 12106, 12109, 12112, 12115, 13000, 13003, 13006, 13009, 13100, 13103, 13106, 13109, 13112, 13209, 13300, 13303, 13306, 13309, 13312, 13315, 13318, 13400, 13500, 13503, 13600, 13603, 13606, 13700, 13703, 13706, 13709, 13800, 13803, 13806, 13900, 13903, 13906, 13909, 13912, 14200, 14203, 14206, 16000 to 16552 (inclusive) and 16558 to 51309 (inclusive).
(3) Items 154, 155, 156, 170, 171 and 172 apply only to a service given in the course of a personal attendance by a medical practitioner.
Personal attendance by certain medical practitioners
10. (1) The items mentioned in subrule (2) apply only to a service given in the course of a personal attendance by:
(a) a medical practitioner other than a medical practitioner employed by the proprietor of a hospital other than a private hospital; or
(b) a medical practitioner:
(i) who is employed by the proprietor of a hospital other than a private hospital; and
(ii) who gives the service otherwise than in the course of employment by that proprietor;
whether or not another person provides essential assistance to that medical practitioner in accordance with accepted medical practice.
(2) The items are 3 to 10815 (inclusive), 11012, 11015, 11018, 11021, 11212, 11303, 11500, 11600, 11627, 11630, 11712, 11921, 12000, 12003, 12100, 12103, 12106, 12109, 12112, 12115, 13000, 13003, 13006, 13009, 13100, 13103, 13106, 13109, 13112, 13209, 13300, 13303, 13306, 13309, 13312, 13315, 13318, 13400, 13500, 13503, 13600, 13603, 13606, 13700, 13703, 13706, 13709, 13800, 13803, 13806, 13900, 13903, 13906, 13909, 13912, 14200, 14203, 14206, 16000 to 16552 (inclusive) and 16558 to 51309 (inclusive).
SCHEDULE—continued
Certain services may be given by persons other than medical practitioners
11. (1) The items mentioned in subrule (2) apply whether the medical service is given by:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who is employed by a medical practitioner or, in accordance with accepted medical practice, acts under the supervision of a medical practitioner.
(2) The items are 11000, 11003, 11006, 11009, 11024, 11027, 11200, 11203, 11206, 11209, 11215, 11218, 11221, 11224, 11227, 11300, 11306, 11309, 11312, 11315, 11318, 11321, 11324, 11327, 11330, 11333, 11336, 11339, 11503, 11506, 11509, 11512, 11603, 11606, 11609, 11612, 11615, 11618, 11621, 11624, 11700, 11703, 11706, 11709, 11710, 11713, 11715, 11718, 11721, 11800, 11810, 11830, 11833, 11900, 11903, 11906, 11909, 11912, 11915, 11918, 12006, 12009, 12200, 12500 to 12530 (inclusive), 13200, 13203, 13206, 13212, 13215, 13218, 13221, 14050, 14053, 15000 to 15533 (inclusive) and 16555.
Conditions under which certain services to be provided
12. Items 11309, 11312, 11315, 11318 and 11321 apply only to a service given:
(a) in conditions that allow the establishment of determinate thresholds; and
(b) in a sound-attenuated environment with background noise conditions that comply with Australian Standard AS 1269-1983, of the Standards Association of Australia, as in force on 1 August 1987; and
(c) using calibrated equipment that complies with Australian Standard AS 2586-1983, of the Standards Association of Australia, as in force on 1 August 1987.
Application of items 51700 to 53455 (inclusive)
13. Items 51700 to 53455 (inclusive) apply only to a service given in the course of dental practice by a dental practitioner approved by the Minister for the purposes of the definition of “professional service” in subsection 3 (1) of the Act.
SCHEDULE—continued
Meaning of “administration of an anaesthetic” in items 18102 to 18118 (inclusive)
14. In items 18102 to 18118 (inclusive), “administration of an anaesthetic” means the administration of an anaesthetic in connection with a dental service, other than a dental service that is a prescribed medical service for the purposes of paragraph (b) of the definition of “professional service” in subsection 3 (1) of the Act.
Meaning of “prescribed locations” in item 18013
15. In item 18013, “prescribed locations” means:
(a) Royal North Shore Hospital, St Leonards, New South Wales;
(b) Royal Prince Alfred Hospital, Camperdown, New South Wales;
(c) Westmead Hospital, Westmead, New South Wales;
(d) Royal Melbourne Hospital, Parkville, Victoria;
(e) St Vincent’s Hospital, Fitzroy, Victoria;
(f) Alfred Group of Hospitals, Prahran, Victoria;
(g) Austin Hospital, Heidelberg, Victoria;
(h) Princess Alexandra Hospital, Woolloongabba, Queensland;
(i) Royal Brisbane Hospital, Herston, Queensland;
(j) Royal Adelaide Hospital, Adelaide, South Australia;
(k) Flinders Medical Centre, Bedford Park, South Australia;
(l) Sir Charles Gairdner Hospital, Nedlands, Western Australia;
(m) Royal Hobart Hospital, Hobart, Tasmania.
Meaning of “Amount under rule 16” in certain items
16. In an item mentioned in subparagraph (b) (i), (ii), (iii), (iv), (v) or (vi), “Amount under rule 16” means an amount equal to the sum of:
(a) the amount of the fee set out in the other item that applies to radiotherapy treatment of the kind mentioned in the first-mentioned item when given to 1 field only; and:
(b) the following amount:
(i) for item 15003—$12.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(ii) for item 15103—$13.40 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(iii) for item 15109—$16.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
SCHEDULE—continued
(iv) for item 15204—$21.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(v) for item 15208—$21.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(vi) for item 15214—$17.60 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.
Meaning of “Amount under rule 17” in certain items
17. In an item mentioned in subparagraph (b) (i) or (ii), “Amount under rule 17” means an amount equal to the sum of:
(a) the amount of the fee set out in the other item that applies to treatment, by a single dose of radiotherapy, of the kind mentioned in the first-mentioned item when given to 1 field only; and:
(b) the following amount:
(i) for item 15009—$13.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(ii) for item 15115—$33.50 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.
Meaning of “Amount under rule 18” in certain items
18. In an item to which paragraph (a) or (b) applies, “Amount under rule 18” means an amount equal to:
(a) for item 17977—85% of the fee, for the administration of an anaesthetic, for the item relating to an original amputation of the kind performed (being any of items 44324 to 44373 (inclusive)); or
(b) for item 44376—75% of the fee for the item relating to an original amputation of the kind performed (being any of items 44324 to 44373 (inclusive)).
Meaning of “(AD)” in items 75200 to 75854 (inclusive)
19. Items 75200 to 75854 (inclusive) that include the symbol “(AD)” apply only to a service given by a State registered dental practitioner practising as a dentist.
SCHEDULE—continued
Orthodontic services
20. (1) In this rule:
“accredited orthodontist” means:
(a) a dental practitioner who is registered or licensed as an orthodontist or oral surgeon under the relevant law; or
(b) a dental practitioner:
(i) who is not registered or licensed under the relevant law as an orthodontist or an oral surgeon or who practises in a State or Territory in which there is no provision for the registration or licensing of orthodontists or oral surgeons; and
(ii) whose qualifications or experience demonstrate to the Committee his or her competence in the field of orthodontics that is applicable to the giving of the services specified in items 75000 to 75051 (inclusive); and
(iii) who is accredited by the Minister for the purposes of this rule;
“Committee” means the Medical Benefits (Dental Practitioners) Advisory Committee established under section 136 of the National Health Act 1953;
“relevant law”, in relation to a service given to a patient, means the law of the State or Territory in which the service is given that provides for the registration or licensing of orthodontists or oral surgeons.
(2) Items 75000 to 75051 (inclusive) that include the symbol “(AO)” apply only to a service given by an accredited orthodontist.
Oral surgery services
21. (1) In this rule, “relevant law”, in relation to a service given to a patient, means the law of the State or Territory in which the service is given that provides for the registration or licensing of oral surgeons.
(2) Items 75200 to 75609 (inclusive) that include the symbol “(AOS)” apply only to a service given by a dental practitioner who is:
(a) registered under the relevant law as an oral surgeon; and
(b) a dental practitioner approved by the Minister for the purposes of the definition of “professional service” in subsection 3 (1) of the Act.
SCHEDULE—continued
Meaning of “report” in items 11000 to 12200 (inclusive)
22. In items 11000 to 12200 (inclusive), “report” means a report prepared by a medical practitioner.
Meaning of “treatment cycle of a patient”
23. In rule 24 and items 13200 to 13221 (inclusive), “treatment cycle of a patient” means a series of treatments of the patient that:
(a) begins:
(i) if treatment with superovulatory drugs is given—on the day on which that treatment begins; or
(ii) if treatment with superovulatory drugs is not given—on the first day of the menstrual cycle of the patient; and
(b) ends not more than 30 days after that day.
Certain services given as part of treatment cycle
24. If a service mentioned:
(a) in an item in subgroup 3 of group T1 (assisted reproductive services); and
(b) in another item outside that subgroup;
is given as part of a treatment cycle to which that subgroup applies, it is not a medical service for the purposes of that other item.
Services not to apply in certain pregnancy-related circumstances
25. Items 13200 to 13221 (inclusive) do not apply to a service in relation to a patient’s pregnancy, or intended pregnancy, that is, at the time of the service, the subject of an agreement, or arrangement, under which the patient makes provision for guardianship of, or custodial rights to, a child born as a result of the pregnancy to be transferred to another person.
Meaning of “embryology laboratory services” in items 13200 and 13206
26. In items 13200 and 13206, “embryology laboratory services” includes:
(a) egg recovery from aspirated follicular fluid; and
(b) insemination; and
(c) monitoring of fertilisation and embryo development; and
(d) preparation of gametes or embryos for transfer or freezing;
but does not include semen preparation.
SCHEDULE—continued
Meaning of “confinement” in certain items
27. In items 16506, 16507, 16510, 16513, 16516 and 16517, “confinement” includes:
(a) induction of labour by surgical or intravenous infusion methods; and
(b) forceps or vacuum extraction; and
(c) breech delivery; and
(d) management of multiple deliveries; and
(e) episiotomy; and
(f) repair of tears; and
(g) a medical service mentioned in item 16558 or 16561 when performed at the time of delivery; and
(h) evacuation of the products of conception by manual removal.
Certain procedures constitute a single operation
28. The procedures mentioned within item 16516, 16517, 16520, 16564, 16567, 16570 or 16573 constitute, for the purposes of that item, a single operation for the purposes of subsections 16 (2), (3) and (4) of the Act.
Meaning of “maxilla” in certain items
29. In items 45719 to 45752 (inclusive) and 52342 to 52375 (inclusive), “maxilla” includes the zygoma.
Items 46300 to 46510 (inclusive) apply only in certain circumstances
30. Items 46300 to 46510 (inclusive) apply only to a service given in the course of an operation on a hand or hands.
Meaning of “closed reduction” and “open reduction” in items 47000 to 50239 (inclusive)
31. In items 47000 to 50239 (inclusive):
“closed reduction”:
(a) means treatment of a dislocation or fracture by non-operative reduction; and
(b) includes the use of percutaneous fixation, or external splintage by cast or splints;
SCHEDULE—continued
“open reduction” means treatment of a dislocation or fracture by either:
(a) operative exposure including the use of any internal or external fixation; or
(b) non-operative (closed reduction) where intra-medullary fixation or external fixation is used.
Services in association with spinal fusion services
32. Items 48678, 48681, 48684, 48687 and 48690 apply only if the service is undertaken in association with a spinal fusion service to which item 48642, 48645, 48648, 48651, 48654, 48657, 48660, 48663, 48666, 48669, 48672 or 48675 applies.
Meaning of “Amount under rule 33” in items 51303 and 51803
33. In items 51303 and 51803, “Amount under rule 33”, in relation to an amount payable for assistance at an operation, means an amount equal to one-fifth of the sum of the fees payable under the Act for the services at that operation of the practitioner to whom the assistance was given.
Meaning of “Amount under rule 34” in item 51309
34. (1) In item 51309, “Amount under rule 34” in relation to an amount payable for assistance at a series, or combination, of operations, means an amount equal to one-fifth of the sum of the fees payable under the Act for the services at those operations of the practitioner to whom the assistance was given.
(2) For the purposes of subrule (1), the amount payable for the Caesarean section component of the operations is the fee applicable to item 16520.
SCHEDULE—continued
SERVICES AND FEES
CATEGORY 1—ATTENDANCES
GROUP A1—GENERAL PRACTITIONER
ATTENDANCES (NOT COVERED BY ANY OTHER
ITEM)
Subgroup 1—Vocationally registered
| 3 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered 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 attendence | 11.40 |
| 4 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered 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 | 28.50 |
| 13 | Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered 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 6 |
| 19 | Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered 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 6 |
SCHEDULE—continued
SERVICES AND FEES
| 20 | Professional attendance (not being a service to which any other item applies) at a nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in a nursing home or aged persons' accommodation (not being accommodation in a self contained unit) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
| 23 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to one 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 | 24.00 |
| 24 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered 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 aservice to which item 37 or 47 applies—each attendance | 41.00 |
SCHEDULE—continued
SERVICES AND FEES
| 25 | Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to one 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 6 |
| 33 | Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered 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 6 |
| 35 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 43 or 51 applies—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
| 36 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered 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 | 43.50 |
| 37 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered 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 47 applies—each attendance | 60.00 |
| 38 | Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered 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 1institution on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
| 40 | Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered 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 6 |
| 43 | Professional attendance (not being a service to which any other item applies) at a nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 51 applies—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
| 44 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered 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 | 64.00 |
| 47 | Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered 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 | 81.00 |
| 48 | Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered 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 6 |
SCHEDULE—continued
SERVICES AND FEES
| 50 | Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered 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 6 |
| 51 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
Subgroup 2—Other than vocationally registered
| 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 vocationally registered 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 vocationally registered 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 vocationally registered 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 vocationally registered general practitioner)—each attendance | 61.00 |
| 58 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 24.00 |
| 59 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 31.50 |
SCHEDULE—continued
SERVICES AND FEES
| 60 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 51.00 |
| 65 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 73.00 |
| 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 vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient | Amount under rule 6 |
| 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 vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient | Amount under rule 6 |
| 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 vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient | Amount under rule 6 |
| 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 vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
| 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 vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient | Amount under rule 6 |
| 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 vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient | Amount under rule 6 |
| 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 vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient | Amount under rule 6 |
| 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 vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on the one occasion—each patient | Amount under rule 6 |
| 92 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of not more than 5 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
| 93 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 5 minutes duration but not more than 25 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
| 95 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 25 minutes duration but not more than 45 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
SCHEDULE—continued
SERVICES AND FEES
| 96 | Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 45 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient | Amount under rule 6 |
Subgroup 3 - After hours
| 97 | Professional attendance being an attendance at other than consulting rooms, on not more than 1 patient on 1 occasion by a medical practitioner—each attendance 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 | 45.50 |
| 98 | Professional attendance being an attendance at consulting rooms, on not more than 1 patient on 1 occasion by a medical practitioner—each attendance 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, 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 | 45.50 |
SCHEDULE—continued
SERVICES AND FEES
GROUP A2 - SPECIALIST ATTENDANCES
TO WHICH NO OTHER ITEM APPLIES
| 104 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home, not being a service to which item 106 applies | 60.00 |
| 105 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home | 30.00 |
| 106 | Professional attendance by a specialist in the practice of his or her speciality where the patient is referred to him or her—an attendance (other than a second or subsequent attendance in a single course of treatment) at which refraction is performed by a specialist ophthalmologist, and the attendance results in the issuing of a prescription for spectacles or contact lenses, including any consultation on the same occasion and any other attendance on the same day (other than a service to which item 10801, 10802, 10803, 10804, 10805, 10806, 10807, 10808, 10809 or 10815 applies), where the attendance is at consulting rooms, hospital or nursing home | 49.50 |
| 107 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home | 88.00 |
| 108 | Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home | 56.00 |
SCHEDULE—continued
SERVICES AND FEES
GROUP A3—CONSULTANT PHYSICIAN
ATTENDANCES TO WHICH NO OTHER ITEM APPLIES
| 110 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/ or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner—initial attendance in a single course of treatment | 106.00 |
| 116 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/ or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner—each attendance (other than an attendance covered by item 119) subsequent to the first in a single course of treatment | 53.00 |
| 119 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner—each minor attendance subsequent to the first in a single course of treatment | 30.00 |
| 122 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner—initial attendance in a single course of treatment | 128.00 |
| 128 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner—each attendance (other than an attendance to which item 131 applies) subsequent to the first in a single course of treatment | 78.00 |
SCHEDULE—continued
SERVICES AND FEES
| 131 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner—each minor attendance subsequent to the first in a single course of treatment | 56.00 |
GROUP A4—CONSULTANT PSYCHIATRIST
ATTENDANCES TO WHICH NO OTHER ITEM APPLIES
| 134 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to hi or her by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 30.50 |
| 136 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 61.00 |
| 138 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 89.00 |
| 140 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 124.00 |
SCHEDULE—continued
SERVICES AND FEES
| 142 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 150.00 |
| 144 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 56.00 |
| 146 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 88.00 |
| 148 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 122.00 |
| 150 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 148.00 |
| 152 | Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 176.00 |
SCHEDULE—continued
SERVICES AND FEES
| 153 | Attendance for electroconvulsive therapy, including associated consultation (AU 3) | 40.00 |
| 154 | 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 2-9 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 | 35.00 |
| 155 | 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 | 46.00 |
| 156 | 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 | 68.00 |
| 157 | Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minute’s duration but less than 45 minutes duration, in the course of initial diagnostic evaluation of a patient | 37.00 |
SCHEDULE—continued
SERVICES AND FEES
| 158 | Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 45 minute’s duration, in the course of initial diagnostic evaluation of a patient | 83.00 |
| 159 | Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes duration, in the course of continuing management of a patient—payable not more than twice in any twelve month period | 37.00 |
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 life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 87.00 |
| 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 life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 142.00 |
| 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 life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 196.00 |
SCHEDULE—continued
SERVICES AND FEES
| 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 life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 250.00 |
| 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 life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 305.00 |
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 | 92.00 |
| 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 | 97.00 |
| 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 | 118.00 |
SCHEDULE—continued
SERVICES AND FEES
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 | 21.50 |
GROUP A8—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 consecutive months—patients with myopia of 4.0 dioptres or greater (spherical equivalent) in 1 eye | 86.00 |
| 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 consecutive months—patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | 86.00 |
| 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 consecutive months—patients with astigmatism of 3.0 dioptres or greater in 1 eye | 86.00 |
SCHEDULE—continued
SERVICES AND FEES
| 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 consecutive 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 less than 6/12 and if that corrected acuity would be improved by an additional 1 line on the Snellen chart by the use of a contact lens | 86.00 |
| 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 consecutive months—patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents) | 86.00 |
| 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 consecutive months—patients with subnormal corrected visual acuity of not greater than 6/30 in either eye, being patients for whom a contact lens is prescribed as part of a telescopic system | 86.00 |
| 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 consecutive 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 | 86.00 |
SCHEDULE—continued
SERVICES AND FEES
| 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 consecutive months—patients who, by reason of physical deformity, are unable to wear spectacles | 86.00 |
| 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 consecutive 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 and which condition must be specified on the patient's account | 86.00 |
| 10815 | Attendance for the refitting of contact lenses with keratometry and testing with trial lenses and the issue of a prescription being a subsequent fitting of contact lenses within a period of 36 months of the initial fitting to which an item of items 10801 to 10809 (inclusive) applies | 6.10 |
GROUP A9—OPTOMETRICAL
| 10900 | Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location—once only in a period of 24 months. | 49.50 |
| 10902 | Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has a significant change of visual function requiring complete reassessment which necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies. | 49.50 |
SCHEDULE—continued
SERVICES AND FEES
| 10903 | Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has new signs or symptoms, unrelated to the earlier course of attention, requiring complete reassessment that necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies. | 49.50 |
| 10904 | Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has a progressive disorder (excluding presbyopia) requiring complete reassessment that necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies. | 49.50 |
| 10908 | Professional attendance (not being an attendance relating to the prescription and fitting of contact lenses) that is the second attendance in a single course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. | 25.00 |
| 10909 | Professional attendance (not being an attendance relating to the prescription and fitting of contact lenses) that is the third or subsequent attendance in a single course of attention of a patient in respect of whom the attending optometrist has certified that, in his or her professional opinion, there is a need for that attendance, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. | 25.00 |
SCHEDULE—continued
SERVICES AND FEES
| 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, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with myopia of 4.0 dioptres or greater (spherical equivalent) in 1 eye. | 126.00 |
| 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, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye | 126.00 |
SCHEDULE—continued
SERVICES AND FEES
| 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, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with astigmatism of 3.0 dioptres or greater in 1 eye | 126.00 |
| 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, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—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 less than 6/12 and if that corrected acuity would be improved by an additional 1 line on the Snellen chart by the use of a contact lens | 126.00 |
SCHEDULE—continued
SERVICES AND FEES
| 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, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his/ or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents) | 126.00 |
| 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, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with subnormal corrected visual acuity of not greater than 6/30 in either eye, being patients for whom a contact lens is prescribed as part of a telescopic system | 126.00 |
SCHEDULE—continued
SERVICES AND FEES
| 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, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—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 | 126.00 |
| 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, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients who, by reason of physical deformity, are unable to wear spectacles | 126.00 |
SCHEDULE—continued
SERVICES AND FEES
| 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, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his/ or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—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 and which condition must be specified on the patient's account | 126.00 |
CATEGORY 2—DIAGNOSTIC PROCEDURES
AND INVESTIGATIONS
GROUP D1—MISCELLANEOUS
DIAGNOSTIC PROCEDURES AND
INVESTIGATIONS
Subgroup 1—NEUROLOGY
| 11000 | Electroencephalography, not associated with item 11003, 11006 or 11009 (AU 6) | 87.00 |
| 11003 | Electroencephalography, prolonged recording of at least three hours duration, not associated with item 11000, 11006 or 11009 | 230.00 |
| 11006 | Electroencephalography, emporosphenoidal | 118.00 |
| 11009 | Electrocorticography | 160.00 |
SCHEDULE—continued
SERVICES AND FEES
| 11012 | Neuromuscular electrodiagnosis—conduction studies on 1 nerve or electromyography of 1 or more muscles using concentic needle electrodes or both these examinations (not associated with item 11015 or 11018) | 79.00 |
| 11015 | Neuromuscular electrodiagnosis—conduction studies on 2 or 3 nerves with or without electromyography (not associated with item 11012 or 11018) | 106.00 |
| 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 associated with item 11012 or 11015) | 158.00 |
| 11021 | Neuromuscular electrodiagnosis—repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations | 106.00 |
| 11024 | Investigation of central nervous system evoked responses by computerised averaging techniques—1 or 2 studies | 80.00 |
| 11027 | Investigation of central nervous system evoked responses by computerised averaging techniques—3 or more studies | 120.00 |
Subgroup 2—Ophthalmology
| 11200 | Provocative test or tests for glaucoma, including water drinking | 28.50 |
| 11203 | Tonography—in the investigation or management of glaucoma, of 1 or both eyes—using an electrical tonography machine producing a directly recorded tracing | 48.50 |
| 11206 | Electroretinography of 1 or both eyes or electro-oculography of 1 or both eyes | 77.00 |
| 11209 | Electroretinography of 1 or both eyes and electro-oculography of 1 or both eyes | 114.00 |
| 11212 | Optic fundi, examination of following intravenous dye injection | 49.50 |
| 11215 | Retinal photography, multiple exposures, of 1 eye with intravenous dye injection | 96.00 |
| 11218 | Retinal photography, multiple exposures of both eyes with intravenous dye injection | 118.00 |
SCHEDULE—continued
SERVICES AND FEES
| 11221 | Full quantitative computerised perimetry—(automated absolute static threshold) performed by 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 | 67.00 |
| 11224 | Full quantitative computerised perimetry—(automated absolute static threshold) performed by 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 | 40.00 |
| 11227 | Full quantitative computerised perimetry—(automated absolute static threshold) performed by 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, an examination to which item 11221 or 11224 applies, being the third or subsequent examination in a 12 month period | 5.60 |
Subgroup 3—Otolaryngology
| 11300 | Brain stem evoked response audiometry (AU 6) | 136.00 |
| 11303 | Insertion of electrodes for the purpose of electrocochleography | 134.00 |
| 11306 | Non-determinate audiometry | 15.40 |
| 11309 | Audiogram, air conduction | 18.40 |
| 11312 | Audiogram, air and bone conduction or air conduction and speech discrimination | 26.00 |
| 11315 | Audiogram, air and bone conduction and speech | 34.50 |
| 11318 | Audiogram, air and bone conduction and speech, with other cochlear tests | 42.50 |
SCHEDULE—continued
SERVICES AND FEES
| 11321 | Glycerol induced cochlear function changes assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff's test) | 81.00 |
| 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 associated with a service to which item 11309, 11312, 11315 or 11318 applies | 23.00 |
| 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—in association with a service to which item 11309, 11312, 11315 or 11318 applies | 14.00 |
| 11330 | Impedance audiogram where the patient is not referred by a medical practitioner—1 examination in any 4 week period | 5.60 |
| 11333 | Caloric test of labyrinth or labyrinths | 31.50 |
| 11336 | Simultaneous bithermal caloric test of labyrinths | 31.50 |
| 11339 | Electronystagmography | 31.50 |
Subgroup 4—Respiratory
| 11500 | Bronchospirometry, including gas analysis | 118.00 |
| 11503 | Measurement of the mechanical or gas exchange function of the respiratory system, or of respiratory muscle function, or of ventilatory control mechanisms, using measurements of various parameters including pressures, volumes, flow, gas concentrations in inspired or expired air, alveolar gas or blood, electrical activity of muscles—each occasion at which 1 or more such tests are performed | 98.00 |
| 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 | 14.40 |
SCHEDULE—continued
SERVICES AND FEES
| 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 | 25.00 |
| 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 | 43.50 |
Subgroup 5—Vascular
| 11600 | Blood pressure monitoring by intravascular cannula (AU 4) | 48.50 |
| 11603 | Examination of peripheral vessels at rest (unilateral or bilateral) 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 lethysmography; (d) air plethysmography; (e) strain-guage plethysmography; (f) impedance plethysmography; (g) photo plethysmography; (not associated with items 11612 or 11615)—1 examination and report | 36.50 |
SCHEDULE—continued
SERVICES AND FEES
| 11606 | 2 examinations of the kind referred to in item 11603 and report (not associated with item 11612 or 11615) | 52.00 |
| 11609 | 3 or more examinations of the kind referred to in item 11603 and report (not associated with item 11612 or 11615) | 67.00 |
| 11612 | Examination of peripheral vessels and report, involving any of the techniques referred to in item 11603, with hard copy recording of wave forms before measured exercise using a treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral) | 67.00 |
| 11615 | Measurement of digital temperature, 1 or more digits, (unilateral or bilateral) and report, with hard copy recording of temperature before and for 10 minutes or more after cold stress testing | 53.00 |
| 11618 | Examination of carotid vessels (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 associated with item 55201, 55204, 55225 or 55231)—1 examination and report | 47.50 |
| 11621 | 2 examinations of the kind referred to in item 11618, and report (not associated with item 55201, 55204, 55225 or 55231) | 72.00 |
| 11624 | 3 examinations of the kind referred to in item 11618, and report (not associated with item 55201, 55204, 55225 or 55231) | 95.00 |
| 11627 | Pulmonary artery pressure monitoring during open heart surgery, in a person under 12 years of age | 162.00 |
| 11630 | Pulmonary artery pressure monitoring during open heart surgery, in a person over 12 years of age | 60.00 |
SCHEDULE—continued
SERVICES AND FEES
Subgroup 6—Cardiovascular
| 11700 | Twelve-lead electrocardiography, tracing and report | 24.50 |
| 11703 | Twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, not associated with an attendance item in this Schedule, or twelve-lead electrocardiography, tracing only | 12.20 |
| 11706 | Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram—interpretation and report | 51.00 |
| 11709 | Continuous ECG recording (Holter) of ambulatory patient for 12 or more hours involving recording, scanning analysis, interpretation and report, including resting ECG and the recording of other parameters | 132.00 |
| 11710 | Continuous ambulatory ECG monitoring for a minimum of 12 hours and for up to 7 days by a device with facility for the patient to activate permanent recording from magnetic tape or solid state memory for at least 20 seconds prior to each activation of recording and for at least 15 seconds after each activation, including analysis, interpretation and report of recordings | 130.00 |
| 11712 | Electrocardiographic monitoring during exercise (bicycle ergometer or treadmill) or pharmacological stress, involving the continuous attendance of a medical practitioner for not less than 20 minutes, with resting ECG and with or without recording of other parameters, on premises equipped with mechanical respirator and defibrillator | 120.00 |
| 11713 | Signal averaged electrocardiographic 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 | 49.00 |
| 11715 | Blood dye—dilution indicator test | 85.00 |
SCHEDULE—continued
SERVICES AND FEES
| 11718 | Implanted pacemaker testing involving electrocardiography, measurement of rate, width and amplitude of stimulus, including reprogramming when required, not associated with item 11700 or 11721 | 24.50 |
| 11721 | Implanted pacemaker testing of atrioventricular (AV) sequential, rate responsive, or antitachycardia pacemakers, including reprogramming when required, not associated with item 11700 or 11718 | 49.00 |
Subgroup 7—Gastroenterology and Colorectal
| 11800 | Oesophageal motility test, manometric | 122.00 |
| 11810 | Clinical assessment of gastro-oesophageal reflux disease involving 24 hour pH monitoring, including analysis, interpretation and report and including any associated consultation | 120.00 |
| 11830 | Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex | 92.00 |
| 11833 | Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency | 176.00 |
Subgroup 8—Genito-urinary Physiological Investigations
| 11900 | Urine flow study including peak urine flow measurement, not associated with item 11918 | 19.40 |
| 11903 | Cystometrography, not associated with items 11912, 11915, 11918, 11012-11027, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table | 78.00 |
| 11906 | Urethral pressure profilometry, not associated with items 11909, 11918, 11012-11027, 11921, 36800 or any item in Group 3 of the Diagnostic Imaging Services Table | 78.00 |
SCHEDULE—continued
SERVICES AND FEES
| 11909 | Urethral pressure profilometry with simultaneous measurement of urethral sphincter electromyography, not associated with items 11906, 11915, 11918, 36800 or any item in Group 3 of the Diagnostic Imaging Services Table | 116.00 |
| 11912 | Cystometrography with simultaneous measurement of rectal pressure, not associated with items 11903, 11915, 11918, 11012-11027, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table (AU 6) | 116.00 |
| 11915 | Cystometrography with simultaneous measurement of urethral sphincter electromyography, not associated with items 11903, 11909, 11912, 11918, 11012-11027, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table (AU 6) | 116.00 |
| 11918 | Cystometrography with simultaneous measurement of any 1 or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography; and all associated fluoroscopic imaging, not associated with items 11900-11915, 11012-11027, 11921 and 36800 (AU 6) | 300.00 |
| 11921 | Bladder washout test for localization of urinary infection—not including bacterial counts for organisms in specimens | 53.00 |
Subgroup 9—Allergy Testing
| 12000 | Skin sensitivity testing for allergens, using 1 to 20 allergens, not associated with item 12006 | 27.50 |
| 12003 | Skin sensitivity testing for allergens, using more than 20 allergens, not associated with item 12009 | 41.50 |
| 12006 | Epicutaneous patch testing in the investigation of allergic dermatitis, using 1 to 20 allergens | 27.50 |
| 12009 | Epicutaneous patch testing in the investigation of allergic dermatitis, using more than 20 allergens | 41.50 |
SCHEDULE—continued
SERVICES AND FEES
Subgroup 10—Intensive Care Management and Procedures
| 12100 | Arterial puncture and collection of blood for diagnostic purposes | 16.20 |
| 12103 | Intra-arterial cannulisation for the purpose of taking multiple arterial blood samples for blood gas analysis | 48.50 |
| 12106 | Counterpulsation by intra-aortic balloon—management on the first day, including percutaneous insertion, initial and subsequent consultations and monitoring of parameters | 380.00 |
| 12109 | Counterpulsation by intra-aortic balloon—management on each day subsequent to the first, including associated consultations and monitoring of parameters | 92.00 |
| 12112 | Circulatory support device, management of, on first day | 350.00 |
| 12115 | Circulatory support device, management of, on each day subsequent to the first | 81.00 |
Subgroup 11—Other Diagnostic Procedures and Investigations
| 12200 | Collection of specimen of sweat by iontophoresis | 26.00 |
GROUP D2—NUCLEAR MEDICINE (NON-IMAGING)
| 12500 | Blood volume estimation | 152.00 |
| 12503 | Erythrocyte radioactive uptake survival time test or iron kinetic test | 300.00 |
| 12506 | Gastrointestinal blood loss estimation involving examination of stool specimens | 215.00 |
| 12509 | Gastrointestinal protein loss | 152.00 |
| 12512 | Radioactive B12 absorption test—1 isotope | 74.00 |
| 12515 | Radioactive B12 absorption test—2 isotopes | 162.00 |
| 12518 | Thyroid uptake (using probe) | 74.00 |
| 12521 | Perchlorate discharge study | 89.00 |
| 12524 | Renal function test (without imaging procedure) | 112.00 |
| 12527 | Renal function test (associated with imaging and at least 2 blood samples) | 60.00 |
SCHEDULE—continued
SERVICES AND FEES
| 12530 | Whole body count—not associated with any other item | 89.00 |
CATEGORY 3—THERAPEUTIC PROCEDURES
GROUP T1—MISCELLANEOUS
THERAPEUTIC PROCEDURES
Subgroup 1—Hyperbaric Oxygen Therapy
| 13000 | Hyperbaric oxygen therapy where the medical practitioner is not in the chamber | 97.00 |
| 13003 | Hyperbaric oxygen therapy where the medical practitioner is confined in the chamber | 158.00 |
| 13006 | Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is not confined in the chamber | 132.00 |
| 13009 | Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is confined in the chamber | 194.00 |
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 | 96.00 |
| 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 | 50.00 |
| 13106 | Declotting of an arteriovenous shunt | 86.00 |
| 13109 | Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis—insertion and fixation of (AU 8) | 160.00 |
SCHEDULE—continued
SERVICES AND FEES
| 13112 | Peritoneal dialysis, establishment of by abdominal puncture and insertion of temporary catheter (including associated consultation) | 96.00 |
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 provided under item 13203, 13206 or 13218—being services rendered during 1 treatment cycle, if the duration of the treatment cycle is at least 9 days—a maximum of 6 claims per patient | 1,565.00 |
| 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 provided under item 13200, 13206, 13212, 13215 or 13218 | 390.00 |
| 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 item 13212 | 670.00 |
SCHEDULE—continued
SERVICES AND FEES
| 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 (S) | 67.00 |
| 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 item 13200 or 13206 (AU 9) | 285.00 |
| 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 item 13200 or 13206, being services rendered in 1 treatment cycle (AU 9) | 89.00 |
| 13218 | Preparation and transfer of frozen or donated embryos or both ova and sperm, to the female reproductive system, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in 1 treatment cycle but excluding a service provided under item 13200, 13203, 13206, 13212 or 13215 (AU 9) | 670.00 |
| 13221 | Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination | 41.00 |
Subgroup 4—Paediatric and Neonatal
| 13300 | Umbilical or scalp vein catheterisation in a neonate with or without infusion; or cannulation of a vein | 40.00 |
| 13303 | Umbilical artery catheterisation with or without infusion | 60.00 |
| 13306 | Blood transfusion with venesection and complete replacement of blood, including collection from donor | 235.00 |
| 13309 | Blood transfusion with venesection and complete replacement of blood, using blood already collected | 200.00 |
SCHEDULE—continued
SERVICES AND FEES
| 13312 | Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants | 20.00 |
| 13315 | Intra-uterine foetal blood transfusion using blood already collected, including necessary amniocentesis | 160.00 |
| 13318 | Central vein catheterisation (via jugular or subclavian vein) by open exposure, in a person under 12 years of age (AU 12) | 160.00 |
Subgroup 5—Cardiovascular
| 13400 | Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (AU 4) | 68.00 |
Subgroup 6—Gastroenterology
| 13500 | Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage | 128.00 |
| 13503 | Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage | 255.00 |
Subgroup 7—Perfusion
| 13600 | Perfusion of limb or organ using heart-lung machine or equivalent | 315.00 |
| 13603 | Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent | 450.00 |
| 13606 | Induced controlled hypothermia—total body | 77.00 |
Subgroup 8—Haematology
| 13700 | Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (AU 10) | 235.00 |
| 13703 | Administration of blood including collection from donor | 84.00 |
| 13706 | Administration of blood or bone marrow already collected | 59.00 |
SCHEDULE—continued
SERVICES AND FEES
| 13709 | Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation | 34.00 |
Subgroup 9—Intensive Care Management and Procedures
| 13800 | Central vein catheterisation (via jugular or subclavian vein) by percutaneous or open exposure, not covered by item 13318 (AU 6) | 60.00 |
| 13803 | Right heart balloon flotation using pulmonary artery catheter, monitoring of right heart and pulmonary wedge pressures, cardiac output and blood oximetry—management on the first day | 168.00 |
| 13806 | Right heart balloon flotation using pulmonary artery catheter, monitoring of right heart and pulmonary wedge pressures, cardiac output and blood oximetry—management on each day subsequent to the first day | 42.00 |
Subgroup 10—Chemotherapeutic procedures
| 13900 | Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent | 63.00 |
| 13903 | Administration of a cytotoxic agent by intravenous drip infusion or by introduction into the bladder | 46.00 |
| 13906 | Intra-arterial infusion or intra-arterial injection of a substance incorporating a cytotoxic agent, preparation for | 60.00 |
| 13909 | Intralymphatic infusion or intralymphatic injection of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium | 92.00 |
| 13912 | Intralymphatic insertion of needle or cannula for the introduction of radioactive material | 92.00 |
SCHEDULE—continued
SERVICES AND FEES
Subgroup 11—Dermatology
| 14050 | PUVA therapy or UVB therapy administered in whole body cabinet (not associated with item 14053), including associated consultations other than an initial consultation | 41.50 |
| 14053 | PUVA therapy or UVB therapy administered to localised body areas in a hand and foot cabinet (not associated with item 14050), including associated consultations other than an initial consultation | 41.50 |
Subgroup 12—Other Therapeutic Procedures
| 14200 | Gastric lavage in the treatment of ingested poison | 42.00 |
| 14203 | Hormone or living tissue implantation—by incision | 36.00 |
| 14206 | Hormone or living tissue implantation—by cannula | 25.00 |
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 any other item in this Group applies—each attendance at which fractionated treatment is given—1 field | 30.00 |
| 15003 | Radiotherapy, superficial—each attendance in a course of treatment where the course involves 3 or more radiotherapy treatments per week at which fractionated treatment is given separately to each of 2 or more fields | Amount under rule 16 |
| 15006 | Radiotherapy, superficial—attendance in relation to a condition for the treatment of which a single dose to 1 field only is given | 67.00 |
| 15009 | Radiotherapy, superficial—attendance in relation to a condition for the treatment of which a single dose is given separately to each of 2 or more fields | Amount under rule 17 |
| 15012 | Radiotherapy, superficial—each attendance at which treatment is given to an eye | 37.50 |
SCHEDULE—continued
SERVICES AND FEES
Subgroup 2—Orthovoltage
| 15100 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves 3 or more radiotherapy treatments per week at which fractionated treatment is given to 1 field only | 33.50 |
| 15103 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves 3 or more radiotherapy treatments per week at which fractionated treatment is given separately to each of 2 or more fields | Amount under rule 16 |
| 15106 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves not more than 2 radiotherapy treatments per week at which fractionated treatment is given to 1 field only | 39.50 |
| 15109 | Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves not more than 2 radiotherapy treatments per week at which fractionated treatment is given separately to each of 2 or more fields | Amount under rule 16 |
| 15112 | Radiotherapy, deep or orthovoltage—attendance in relation to a condition for the treatment of which a single dose to 1 field only is given (not being a service to which any other item in this Part applies) | 85.00 |
| 15115 | Radiotherapy, deep or orthovoltage—attendance in relation to a condition for the treatment of which only a single dose is separately given to each of 2 or more fields (not being a service to which any other item in this Group applies) | Amount under rule 17 |
Subgroup 3—Megavoltage
| 15203 | Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities—each attendance at which treatment is given—1 field | 33.00 |
| 15204 | Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities—each attendance at which treatment is given—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 16 |
SCHEDULE—continued
SERVICES AND FEES
| 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 field | 33.00 |
| 15208 | Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of 10 MV photons or greater, with electron facilities—each attendance at which treatment is given—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 16 |
| 15211 | Radiation oncology treatment, using cobalt unit or caesium teletherapy unit—each attendance at which treatment is given—1 field | 30.00 |
| 15214 | Radiation oncology treatment, using cobalt unit or caesium teletherapy unit—each attendance at which treatment is given—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields) | Amount under rule 16 |
Subgroup 4—Brachytherapy
| 15303 | Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 5) | 250.00 |
| 15304 | Intrauterine treatment alone using radioactive sealed sources having a half life greater than 115 days using automatic afterloading techniques (AU 5) | 250.00 |
| 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 (AU 5) | 475.00 |
| 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 (AU 5) | 475.00 |
| 15311 | Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 4) | 235.00 |
SCHEDULE—continued
SERVICES AND FEES
| 15312 | Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (AU 4) | 235.00 |
| 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 (AU 4) | 460.00 |
| 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 (AU 4) | 460.00 |
| 15319 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 5) | 285.00 |
| 15320 | Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (AU 5) | 285.00 |
| 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 (AU 4) | 510.00 |
| 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 (AU 4) | 510.00 |
| 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 (AU 7) | 555.00 |
| 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 (AU 7) | 550.00 |
SCHEDULE—continued
SERVICES AND FEES
| 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 (AU 6) | 525.00 |
| 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 (AU 6) | 525.00 |
| 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 (AU 5) | 475.00 |
| 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 (AU 5) | 475.00 |
| 15339 | Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block (AU 4) | 54.00 |
| 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 | 134.00 |
| 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 | 360.00 |
| 15348 | Subsequent applications of radioactive mould referred to in item 15342 or 15345—each attendance | 41.00 |
| 15351 | Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface | 82.00 |
SCHEDULE—continued
SERVICES AND FEES
| 15354 | Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface | 100.00 |
| 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 | 28.00 |
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 associated with item 15509) | 134.00 |
| 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 associated with item 15512) | 172.00 |
| 15506 | Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of three 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 associated with item 15515) | 255.00 |
| 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 associated with item 15500) | 116.00 |
| 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 associated with item 15503) | 150.00 |
| 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 associated with item 15506) | 215.00 |
SCHEDULE—continued
SERVICES AND FEES
| 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, or for brachytherapy with isodose calculations in a single plane | 42.50 |
| 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, or for brachytherapy for multiplane implants of up to 10 sources or ribbons | 188.00 |
| 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, or for brachytherapy using multiplane implants of more than 10 sources or ribbons | 350.00 |
| 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, or for brachytherapy with isodose calculations in a single plane | 43.50 |
| 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, or for brachytherapy for multiplane implants of up to 10 sources or ribbons | 194.00 |
| 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, or for brachytherapy using multiplane implants of more than 10 sources or ribbons | 370.00 |
SCHEDULE—continued
SERVICES AND FEES
GROUP T3—Therapeutic Nuclear Medicine
| 16000 | Administration of a therapeutic dose of a radioisotope—not being a service to which any other item in this Group applies | 28.50 |
| 16003 | Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis) (AU 5) | 460.00 |
| 16006 | Administration of a therapeutic dose of iodine 131 for thyroid cancer by single dose technique | 350.00 |
| 16009 | Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique | 240.00 |
| 16012 | Intravenous administration of a therapeutic dose of Phosphorous 32 | 210.00 |
GROUP T4—OBSTETRICS
| 16500 | Antenatal care (not including any service or services to which item 16516 or 16517 applies) where the attendances do not exceed 10—each attendance | 21.50 |
| 16503 | Antenatal care (not including any service or services to which item 16516 or 16517 applies) where the attendances exceed 10 | 215.00 |
| 16506 | Confinement and postnatal care for 9 days where the medical practitioner has not given the antenatal care (G) | 168.00 |
| 16507 | Confinement and postnatal care for 9 days where the medical practitioner has not given the antenatal care (S) | 285.00 |
| 16510 | Confinement as an independent procedure, including all related attendances (S) | 245.00 |
| 16513 | Confinement, incomplete, with or without postnatalcare for 9 days where the patient is referred to a specialist in the practice of his or her specialty or the patient's care is transferred to another medical practitioner for completion of the delivery | 112.00 |
| 16516 | Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for 9 days (G) | 475.00 |
SCHEDULE—continued
SERVICES AND FEES
| 16517 | Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (S) | 615.00 |
| 16520 | Caesarean section and postnatal care for 9 days where the patient has been referred to a specialist in the practice of his or her specialty or the patient's care has been transferred to another medical practitioner for management of the confinement and the practitioner who performed the Caesarean section did not provide the antenatal care | 440.00 |
| 16523 | 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 | 15.60 |
| 16526 | Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of—each attendance that is not a routine antenatal attendance | 15.60 |
| 16529 | 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 2 attendances in any 7 day period | 15.60 |
| 16532 | Pregnancy complicated by acute intercurrent infection, intrauterine 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 | 15.60 |
| 16535 | Cervix, purse string ligation of, for threatened miscarriage (G) (AU 6) | 116.00 |
| 16536 | Cervix, purse string ligation of, for threatened miscarriage (S) (AU 6) | 154.00 |
| 16539 | Cervix, removal of purse string ligature of, under general anaesthesia (AU 5) | 44.50 |
| 16542 | Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of—each attendance that is not a routine antenatal attendance | 15.60 |
SCHEDULE—continued
SERVICES AND FEES
| 16545 | Management of second trimester labour, with or without induction (G) | 168.00 |
| 16546 | Management of second trimester labour, with or without induction (S) | 210.00 |
| 16549 | Amnioscopy or amniocentesis | 44.50 |
| 16552 | Chorionic villus sampling including any associated imaging | 180.00 |
| 16555 | Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement) | 26.00 |
| 16558 | Version, external, under general anaesthesia (AU 6) | 44.50 |
| 16561 | Version, internal, under general anaesthesia (AU 6) | 80.00 |
| 16564 | Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 122.00 |
| 16567 | Treatment of post-partum haemorrhage by special procedures such as packing of uterus as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 122.00 |
| 16570 | Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 245.00 |
| 16573 | Third degree tear, repair of, involving anal sphincter muscles as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 184.00 |
SCHEDULE—continued
SERVICES AND FEES
GROUP T5—ASSISTANCE IN THE ADMINISTRATION OF AN ANAESTHETIC
| 17500 | Assistance in the administration of an anaesthetic where the administration of the anaesthetic is in connection with a medical service that contains the reference (AU 21), (AU 22), (AU 23), (AU 24), (AU 25), (AU 26), (AU 27), (AU 28), (AU 29), (AU 30), (AU 32), (AU 34), (AU 35), (AU 36), (AU 38), (AU 39), (AU 40), (AU 47), (AU 50) or (AU 59) | 96.00 |
GROUP T6—ANAESTHETICS
Subgroup 1—Examination by an Anaesthetist
| 17600 | Examination of a patient by other than a specialist in the practice of his or her speciality in preparation for the administration of an anaesthetic, being an examination carried out at a place other than an operating theatre or an anaesthetic induction room | 22.00 |
| 17603 | Examination of a patient by a specialist in the practice of his or her speciality in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered, being an examination carried out at a place other than an operating theatre or an anaesthetic induction room | 30.00 |
Subgroup 2—Administration of an Anaesthetic in connection with a Medical Service
| 17901 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 1) | 13.00 |
| 17902 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 2) | 26.00 |
SCHEDULE—continued
SERVICES AND FEES
| 17903 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 3) | 38.50 |
| 17904 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 4) | 52.00 |
| 17905 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 5) | 65.00 |
| 17906 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 6) | 77.00 |
| 17907 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 7) | 90.00 |
| 17908 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 8) | 104.00 |
| 17909 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 9) | 116.00 |
| 17910 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 10) | 130.00 |
| 17911 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 11) | 142.00 |
| 17912 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 12) | 154.00 |
| 17913 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 13) | 168.00 |
| 17914 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 14) | 180.00 |
SCHEDULE—continued
SERVICES AND FEES
| 17915 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 15) | 194.00 |
| 17916 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 16) | 205.00 |
| 17917 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 17) | 220.00 |
| 17918 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 18) | 230.00 |
| 17919 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 19) | 245.00 |
| 17920 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 20) | 260.00 |
| 17921 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 21) | 270.00 |
| 17922 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 22) | 285.00 |
| 17923 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 23) | 295.00 |
| 17924 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 24) | 310.00 |
| 17925 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 25) | 325.00 |
| 17926 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 26) | 335.00 |
SCHEDULE—continued
SERVICES AND FEES
| 17927 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 27) | 350.00 |
| 17928 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 28) | 360.00 |
| 17929 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 29) | 375.00 |
| 17930 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 30) | 385.00 |
| 17931 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 31) | 400.00 |
| 17932 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 32) | 415.00 |
| 17933 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 33) | 425.00 |
| 17934 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 34) | 440.00 |
| 17935 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 35) | 450.00 |
| 17936 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 36) | 465.00 |
| 17938 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 38) | 490.00 |
| 17939 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 39) | 505.00 |
SCHEDULE—continued
SERVICES AND FEES
| 17940 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 40) | 515.00 |
| 17942 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 42) | 540.00 |
| 17944 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 44) | 570.00 |
| 17946 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 46) | 595.00 |
| 17947 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 47) | 605.00 |
| 17950 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 50) | 645.00 |
| 17952 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 52) | 670.00 |
| 17958 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 58) | 750.00 |
| 17959 | Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 59) | 760.00 |
| 17965 | Administration of an anaesthetic in connection with radio-therapy | 77.00 |
| 17968 | Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, rotation of head followed by delivery | 90.00 |
| 17971 | Administration of an anaesthetic in connection with a medical service, being a medical service that does not contain a reference to a number of anaesthetic units | 13.00 |
| 17974 | Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure | 130.00 |
SCHEDULE—continued
SERVICES AND FEES
| 17977 | Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 44376 | Amount under rule 18 |
| 17980 | Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study | 104.00 |
| 17983 | Administration of an anaesthetic in connection with computerised axial tomography—body scan, plain study with or without contrast medium study | 104.00 |
| 17986 | Administration of an anaesthetic associated with the removal of phaeochromocytoma | 205.00 |
| 17989 | Administration of an anaesthetic associated with peripheral venous cannula | 52.00 |
| 17992 | Administration of an anaesthetic associated with peripheral venous cannulation by open exposure | 64.00 |
| 17995 | Administration of an anaesthetic associated with percutaneous central venous cannulation | 64.00 |
| 17998 | Administration of an anaesthetic associated with electrocochleography (insertion of electrodes and brain stem evoded response audiometry) | 142.00 |
| 18001 | Administration of an anaesthetic associated with manual removal of products of conception, treatment of postpartum haemorrhage or repair of third degree tear | 90.00 |
| 18004 | Administration of an anaesthetic associated with manipulative correction of acute inversion of uterus by vaginal approach | 104.00 |
| 18007 | Administration of an anaesthetic associated with caesarean section | 130.00 |
| 18010 | Administration of an anaesthetic associated with repair of episiotomy | 65.00 |
| 18013 | Administration of an anaesthetic in connection with magnetic resonance imaging services provided at prescribed locations | 142.00 |
SCHEDULE—continued
SERVICES AND FEES
Subgroup 3—Administration of an Anaesthetic in connection with a Dental Service
| 18102 | Administration by a medical practitioner of an anaesthetic in connection with a dental operation other than for teeth extraction or restorative dental work where the procedure is less than 15 minutes duration | 51.00 |
| 18103 | Administration by a medical practitioner of an anaesthetic in connection with a dental operation other than for teeth extraction or restorative dental work where the procedure is more than 15 minutes duration | 90.00 |
| 18105 | Administration by a medical practitioner of an anaesthetic for extraction of a tooth or teeth, not being a service to which item 18109 applies | 77.00 |
| 18109 | Administration by a medical practitioner of an anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone | 104.00 |
| 18113 | Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration | 77.00 |
| 18118 | Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration | 130.00 |
GROUP T7—REGIONAL OR FIELD NERVE BLOCKS
| 18200 | Regional or field nerve block, being 1 of the following nerve blocks—abdominal (in association with an intraperitoneal operation), brachial plexus, caudal, cervical plexus (not including the uterine cervix), epidural (peridural), ilio-inguinal, ilio- hypogastric, genito-femoral including all three nerves, intercostal (involving any 4 or more nerves, 1 or both sides), paravertebral (thoracic or lumbar), pudendal, retrobulbar with facial nerve, sacral or spinal (intrathecal) | 65.00 |
SCHEDULE—continued
SERVICES AND FEES
| 18203 | Maintenance of a regional or field nerve block referred to in item 18200 by the administration of local anaesthetic through an in situ needle or catheter, when performed other than by the operating surgeon | 28.50 |
| 18206 | Introduction of a narcotic, for the control of post-operative pain, into the epidural or intrathecal space in association with an operation | 35.50 |
| 18209 | Introduction at the end of an operation of a local anaesthetic into the caudal, lumbar or thoracic epidural space for the control of post-operative pain, in association with general anaesthesia | 35.50 |
| 18212 | Maintenance of narcotic analgesia referred to in item 18206 by the administration of a narcotic through an in situ needle or catheter, when performed other than by the operating surgeon | 28.50 |
| 18215 | Nerve block with local anaesthetic agent of the coeliac plexus, the lumbar sympathetic chain, the thoracic sympathetic chain, the glossopharyngeal nerve or the obturator nerve, with or without X-ray control (AU 8) | 97.00 |
| 18218 | Nerve block with alcohol, phenol or other neurolytic agent of the coeliac plexus, the splanchnic nerves, the lumbar sympathetic chain, the thoracic sympathetic chain or a cranial nerve (other than the trigeminal nerve) or an epidural or caudal block with or without X-ray control, localization by electrical stimulator or preliminary block with local anaesthetic (AU 8) | 108.00 |
| 18224 | Intravenous regional anaesthesia of limb by retrograde perfusion | 63.00 |
SCHEDULE—continued
SERVICES AND FEES
GROUP T8—SURGICAL OPERATIONS
Subgroup 1—General
| 30000 | Operative procedure on tissue, organ or region (not being a service to which any other item in this Group applies), including any consultation on the same occasion | 13.00 |
| 30003 | Dressing of localised burns (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation | 21.50 |
| 30006 | Dressing of burns, extensive, without anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation | 32.50 |
| 30009 | Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (G) (AU 7) | 42.50 |
| 30010 | Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (S) (AU 7) | 52.00 |
| 30013 | Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (G) (AU 10) | 92.00 |
| 30014 | Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (S) (AU 10) | 110.00 |
| 30017 | Excision, under general anaesthesia, of burns involving not more than 10% of body surface, where grafting is not carried out during the same operation (AU 10) | 230.00 |
| 30020 | Excision, under general anaesthesia, of burns involving more than 10% of body surface, where grafting is not carried out during the same operation (AU 15) | 445.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30023 | Debridement, under general anaesthesia or major regional or field block, of deep or extensive contaminated wound of soft tissue, including suturing of that wound when performed (AU 10) | 230.00 |
| 30026 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 cm long), superficial, not being a service to which any other item in Group T4 applies (AU 5) | 36.50 |
| 30029 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 centimetres long), involving deeper tissue, not being a service to which any other item in Group T4 applies (AU 6) | 63.00 |
| 30032 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 cm long), superficial (AU 7) | 58.00 |
| 30035 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 cm long), involving deeper tissue (AU 7) | 83.00 |
| 30038 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 cm long), superficial, not being a service to which any other item in Group T4 applies (AU 6) | 63.00 |
| 30041 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 cm long), involving deeper tissue, not being a service to which any other item in Group T4 (G) applies (AU 7) | 102.00 |
| 30042 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 cm long), involving deeper tissue, not being a service to which any other item in Group T4 applies (S) (AU 7) | 130.00 |
| 30045 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), superficial (AU 7) | 83.00 |
| 30048 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), involving deeper tissue (G) (AU 8) | 106.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30049 | Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), involving deeper tissue (S) (AU 8) | 130.00 |
| 30052 | Repair of full thickness laceration of ear, eyelid or nose with accurate apposition of each layer of tissue (AU 10) | 178.00 |
| 30055 | Dressing and removal of sutures requiring a general anaesthetic, not associated with any other item in this Group (AU 5) | 52.00 |
| 30058 | Control of post-operative haemorrhage under general anaesthesia following perineal or vaginal operations (AU 6) | 102.00 |
| 30061 | Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (AU 5) | 16.60 |
| 30064 | Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (AU 6) | 77.00 |
| 30067 | Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G) (AU 7) | 158.00 |
| 30068 | Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S) (AU 7) | 194.00 |
| 30071 | Biopsy of skin or mucous membrane, as an independent procedure (AU 5) | 36.50 |
| 30074 | Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G) (AU 6) | 83.00 |
| 30075 | Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S) (AU 6) | 106.00 |
| 30078 | Drill biopsy of lymph gland, deep tissue or organ, as an independent procedure (AU 5) | 34.00 |
| 30081 | Biopsy of bone marrow by trephine using an open approach (AU 5) | 77.00 |
| 30084 | Biopsy of bone marrow by trephine using a percutaneous approach with a Jamshidi needle or similar device (AU 5) | 41.50 |
| 30087 | Biopsy of bone marrow by aspiration or punch biopsy of synovial membrane (AU 5) | 21.00 |
| 30090 | Biopsy of pleura, percutaneous—one or more biopsies on any 1 occasion (AU 5) | 91.00 |
| 30093 | Needle biopsy of vertebra (AU 8) | 120.00 |
| 30094 | Percutaneous aspiration biopsy of deep organ using interventional techniques—but not including imaging (AU 6) | 134.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30096 | Scalene node biopsy (AU 5) | 130.00 |
| 30099 | Sinus, excision of, involving superficial tissue only (AU 6) | 63.00 |
| 30102 | Sinus, excision of, involving muscle and deep tissue (G) (AU 7) | 106.00 |
| 30103 | Sinus, excision of, involving muscle and deep tissue (S) (AU 7) | 130.00 |
| 30106 | Ganglion or small bursa, excision of (G) (AU 6) | 110.00 |
| 30107 | Ganglion or small bursa, excision of (S) (AU 6) | 154.00 |
| 30110 | Bursa (large), including olecranon, calcaneum or patella, excision of (G) (AU 6) | 200.00 |
| 30111 | Bursa (large), including olecranon, calcaneum or patella, excision of (S) (AU 6) | 260.00 |
| 30114 | Bursa, semimembranosus (Baker's cyst), excision of (AU 7) | 260.00 |
| 30117 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 30121, 30125, 30129, 30132 or 30195 applies (G) (AU 6) | 68.00 |
| 30118 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 30122, 30126, 30129, 30132 or 30195 applies (S) (AU 6) | 89.00 |
| 30121 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not being a service to which item 30195 applies (G) (AU 9) | 178.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30122 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not being a service to which item 30195 applies (S) (AU 9) | 230.00 |
| 30125 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not being a service to which item 30195 applies (G) (AU 13) | 240.00 |
| 30126 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not being a service to which item 30195 applies (S) (AU 13) | 285.00 |
| 30129 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 20 but not more than 50 lesions, not being a service to which item 30195 applies (AU 15) | 355.00 |
| 30132 | Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 50 lesions, not being a service to item 30195 applies (AU 17) | 485.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30135 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (G) (AU 6) | 100.00 |
| 30136 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (S) (AU 6) | 122.00 |
| 30139 | Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which any other item in this Group applies, involving muscle, bone or other deep tissue (G) (AU 8) | 138.00 |
| 30140 | Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which any other item in this Group applies, involving muscle, bone or other deep tissue (S) (AU 8) | 174.00 |
| 30143 | Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not being a service to which any other item in this Group applies (G) (AU 8) | 230.00 |
| 30144 | Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not being a service to which any other item in this Group applies (S) (AU 8) | 260.00 |
| 30147 | Malignant tumour, removal of, from skin, requiring wide and deep excision, other than removal of basal cell carcinoma (AU 8) | 280.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30150 | Malignant tumour, removal of, from skin, requiring wide and deep excision with immediate block dissection of lymph glands (AU 13) | 590.00 |
| 30153 | Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin graft (AU 8) | 355.00 |
| 30156 | Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin graft (AU 10) | 415.00 |
| 30159 | Malignant tumour, removal of, from any region involving a radical operation (not being a service to which any other item in this Group applies) (AU 13) | 590.00 |
| 30162 | Malignant tumour, removal of, from any region involving a limited operation, other than removal of basal cell carcinoma (not not being a service to which any other item in this Group applies) (AU 8) | 280.00 |
| 30165 | Lipectomy—transverse wedge excision of abdominal apron (AU 10) | 320.00 |
| 30168 | Lipectomy—wedge excision of skin or fat (not being a service to which item 30165 applies)—1 excision (AU 10) | 320.00 |
| 30171 | Lipectomy—wedge excision of skin or fat (not being a service to which item 30165 applies)—2 or more excisions (AU 12) | 485.00 |
| 30174 | Lipectomy—subumbilical excision with undermining of skin edges and strengthening of musculo-aponeurotic wall (AU 12) | 485.00 |
| 30177 | Lipectomy—radical abdominoplasty (Pitanguy type or similar) with excision of skin and subcutaneous tissue, repair of musculo-aponeurotic layer and transposition of umbilicus (AU 18) | 695.00 |
| 30180 | Axillary hyperhidrosis, wedge excision for (AU 7) | 96.00 |
| 30183 | Axillary hyperhidrosis, total excision of sweat gland bearing area (AU 10) | 172.00 |
| 30186 | Plantar wart, removal of (AU 5) | 33.50 |
SCHEDULE—continued
SERVICES AND FEES
| 30189 | Warts or molluscum contagiosum, removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital or approved day hospital facility, not associated with any other item in this Group (AU 6) | 104.00 |
| 30192 | Premalignant skin lesions, treatment of, by galvanocautery or electrodesiccation or cryocautery (10 or more lesions) (AU 4) | 28.00 |
| 30195 | Neoplastic skin lesions, excluding viral verrucae (common warts) and seborrheic keratoses, treatment by electrosurgical destruction, simple curettage or shave excision, not being a service to which item 30198, 30201 or 30204 applies—(1 or more lesions) (AU 4) | 44.50 |
| 30198 | Cancer of skin or mucous membrane, removal by serial curettage or liquid nitrogen cryosurgery using repeat freeze-thaw cycles, not being a service to which item 30201 or 30204 applies (AU 6) | 89.00 |
| 30201 | Cancer of skin or mucous membrane, removal by serial curettage or liquid nitrogen cryosurgery using repeat freeze-thaw cycles (more than 3 but not more than 10 lesions) (AU 9) | 225.00 |
| 30204 | Cancer of skin or mucous membrane, removal by serial curettage or liquid nitrogen cryosurgery using repeat freeze-thaw cycles (more than 10 lesions) (AU 13) | 285.00 |
| 30207 | Skin lesions, multiple injections with hydrocortisone or similar preparations | 31.50 |
| 30210 | Keloid and other skin lesions, extensive, multiple injections of hydrocortisone or similar preparations where undertaken in the operating theatre of a hospital or approved day-hospiatl facility (AU 5) | 114.00 |
| 30213 | Telangiectases or starburst vessels, diathermy or sclerosant injection of, including associated consultation—for a session of at least 20 minutes | 77.00 |
| 30216 | Haematoma, aspiration of (AU 4) | 19.20 |
SCHEDULE—continued
SERVICES AND FEES
| 30219 | Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of (excluding after-care) | 19.20 |
| 30222 | Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (G) (AU 5) | 83.00 |
| 30223 | Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding aftercare) (S) (AU 5) | 114.00 |
| 30224 | Percutaneous drainage of deep abscess using interventional techniques—but not including imaging (AU 7) | 168.00 |
| 30225 | Abscess drainage tube, exchange of using interventional techniques—but not including imaging (AU 5) | 188.00 |
| 30226 | Muscle, excision of (limited) or fasciotomy (AU 6) | 106.00 |
| 30229 | Muscle, excision of (extensive) (AU 7) | 192.00 |
| 30232 | Muscle, ruptured, repair of (limited), not associated with external wound (AU 7) | 158.00 |
| 30235 | Muscle, ruptured, repair of (extensive), not associated with external wound (AU 7) | 210.00 |
| 30238 | Fascia, deep, repair of, for herniated muscle (AU 7) | 106.00 |
| 30241 | Bone tumour, innocent, excision of, not being a service to which any other item in this Group applies (AU 7) | 250.00 |
| 30244 | Styloid process of temporal bone, removal of (AU 7) | 250.00 |
| 30247 | Parotid gland, total extirpation of (AU 15) | 520.00 |
| 30250 | Parotid gland, total extirpation of with preservation of facial nerve (AU 18) | 880.00 |
| 30253 | Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (AU 14) | 590.00 |
| 30256 | Submandibular gland, extirpation of (AU 8) | 315.00 |
| 30259 | Sublingual gland, extirpation of (AU 7) | 138.00 |
| 30262 | Salivary gland, dilatation or diathermy of duct (AU 6) | 41.50 |
| 30265 | Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (G) (AU 7) | 83.00 |
| 30266 | Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (S) (AU 7) | 106.00 |
| 30269 | Salivary gland, repair of cutaneous fistula of (AU 7) | 106.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30272 | Tongue, partial excision of (AU 7) | 210.00 |
| 30275 | Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation) (AU 18) | 1,240.00 |
| 30278 | Tongue tie, repair of, not being a service to which any other item in this Group applies (AU 6) | 32.50 |
| 30281 | Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged not less than 2 years, under general anaesthesia (AU 6) | 84.00 |
| 30282 | Ranula or mucous cyst of mouth, removal of (G) (AU 9) | 110.00 |
| 30283 | Ranula or mucous cyst of mouth, removal of (S) (AU 9) | 144.00 |
| 30286 | Branchial cyst, removal of (AU 9) | 280.00 |
| 30289 | Branchial fistula, removal of (AU 9) | 355.00 |
| 30292 | Cystic hygroma, removal of massive lesion requiring extensive excision—with or without thoracotomy (AU 11) | 675.00 |
| 30293 | Cervical oesophagostomy; or closure of cervical oesophagostomy with or without plastic repair (AU 13) | 315.00 |
| 30294 | Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction; or laryngopharyngectomy with tracheostomy and plastic reconstruction (AU 22) | 1,240.00 |
| 30296 | Thyroidectomy, total (AU 14) | 720.00 |
| 30297 | Thyroidectomy following previous thyroid surgery (AU 14) | 720.00 |
| 30306 | Total hemithyroidectomy (AU 12) | 565.00 |
| 30308 | Bilateral subtotal thyroidectomy (AU 12) | 565.00 |
| 30309 | Thyroidectomy, subtotal for thyrotoxicosis (AU 10) | 720.00 |
| 30310 | Thyroid, unilateral sub-total thyroidectomy or equivalent partial thyroidectomy (AU 10) | 320.00 |
| 30313 | Thyroglossal cyst, removal of (AU 10) | 192.00 |
| 30314 | Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone (AU 10) | 320.00 |
| 30315 | Parathyroid operation for hyperparathyroidism (AU 16) | 805.00 |
| 30317 | Cervical re-exploration for recurrent or persistent hyperparathyroidism (AU 20) | 960.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30318 | Mediastinum, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy) (AU 15) | 640.00 |
| 30320 | Mediastinum, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy) (AU 17) | 960.00 |
| 30321 | Retroperitoneal neuroendocrine tumour, removal of (AU 15) | 640.00 |
| 30323 | Retroperitoneal neuroendocrine tumour, removal of, requiring complex and extensive dissection (AU 26) | 960.00 |
| 30324 | Adrenal gland tumour, excision of (AU 20) | 960.00 |
| 30325 | Lymph glands of neck, limited excision of (AU 9) | 260.00 |
| 30328 | Lymph glands of neck, radical excision of (AU 20) | 695.00 |
| 30329 | Lymph glands of groin, limited excision of (AU 9) | 174.00 |
| 30330 | Lymph glands of groin, radical excision of (AU 13) | 505.00 |
| 30332 | Lymph glands of axilla, limited excision of (AU 9) | 174.00 |
| 30333 | Lymph glands of axilla, radical excision of (AU 13) | 505.00 |
| 30337 | Simple mastectomy with or without frozen section biopsy (G) (AU 9) | 230.00 |
| 30338 | Simple mastectomy with or without frozen section biopsy (S) (AU 9) | 315.00 |
| 30341 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G) (AU 7) | 138.00 |
| 30342 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S) (AU 7) | 180.00 |
| 30345 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (G) (AU 8) | 184.00 |
| 30346 | Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (S) (AU 8) | 230.00 |
| 30349 | Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (G) (AU 8) | 184.00 |
| 30350 | Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (S) (AU 8) | 230.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30353 | Breast, extended simple mastectomy with or without frozen section biopsy (AU 12) | 415.00 |
| 30356 | Subcutaneous mastectomy with or without frozen section biopsy (AU 12) | 385.00 |
| 30359 | Breast, radical or modified radical mastectomy with or without frozen section biopsy (AU 16) | 610.00 |
| 30360 | Fine needle breast biopsy, imaging guided—but not including imaging (AU 6) | 134.00 |
| 30361 | Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional techniques—but not including imaging (AU 6) | 134.00 |
| 30363 | Breast, core biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination (AU 7) | 97.00 |
| 30364 | Breast, exploration and drainage of haematoma, seroma or inflammatory condition including abscess, granulomatous mastitis or similar, when undertaken in the operating theatre of a hospital or day- hospital facility, excluding aftercare (AU 8) | 114.00 |
| 30366 | Breast, microdochotomy of, for benign or malignant condition (AU 12) | 235.00 |
| 30367 | Breast central ducts, excision of, for benign condition (AU 12) | 188.00 |
| 30369 | Accessory breast tissue, excision of (AU 8) | 188.00 |
| 30370 | Inverted nipple, surgical eversion of (AU 7) | 106.00 |
| 30372 | Accessory nipple, excision of (AU 7) | 89.00 |
| 30373 | Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (AU 9) | 340.00 |
| 30375 | Laparotomy involving caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel's diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty (adult) or drainage of pancreas (AU 11) | 365.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30376 | Laparotomy involving division of peritoneal adhesions (where no other intra-abdominal procedure is performed) (AU 14) | 365.00 |
| 30378 | Laparotomy involving division of adhesions in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes (AU 14) | 370.00 |
| 30379 | Laparotomy with division of extensive adhesions (duration greater than 2 hours) with or without insertion of long intestinal tube (AU 20) | 655.00 |
| 30381 | Faecal fistula, abdominal repair of, by simple excision of bowel (AU 12) | 495.00 |
| 30384 | Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (AU 14) | 775.00 |
| 30385 | Laparotomy for control of post-operative haemorrhage, where no other procedure is performed (AU 11) | 395.00 |
| 30387 | Laparotomy involving operation on abdominal viscera (including pelvic viscera), not being a service to which any other item in this Group applies (AU 12) | 445.00 |
| 30390 | Laparoscopy, diagnostic (AU 7) | 154.00 |
| 30391 | Laparoscopy, with biopsy (AU 7) | 200.00 |
| 30394 | Laparotomy for drainage of subphrenic abscess, pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause, with or without appendicectomy (AU 10) | 345.00 |
| 30400 | Laparotomy with insertion of portacath for administration of cytotoxic therapy including placement of reservoir (AU 11) | 445.00 |
| 30402 | Retroperitoneal abscess, drainage of, not involving laparotomy (AU 9) | 325.00 |
| 30403 | Ventral, incisional, or recurrent hernia or burst abdomen, repair of (AU 10) | 365.00 |
| 30406 | Paracentesis abdominis | 36.50 |
| 30409 | Liver biopsy, percutaneous (AU 6) | 122.00 |
| 30411 | Liver biopsy by wedge excision when performed in association with another intra-abdominal procedure (AU 11) | 63.00 |
| 30431 | Liver abscess, open abdominal drainage of (AU 11) | 365.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30439 | Operative cholangiography or operative pancreatography or intra-operative ultrasound (including 1 or more examinations performed during the one operation) (AU 10) | 130.00 |
| 30440 | Cholangiogram, percutaneous transhepatic, and biliary drainage, using interventional techniques—but not including imaging (AU 11) | 370.00 |
| 30442 | Choledochoscopy in association with another procedure (AU 7) | 130.00 |
| 30443 | Cholecystectomy (AU 11) | 520.00 |
| 30451 | Biliary drainage tube, exchange of, using interventional techniques—but not including imaging (AU 6) | 188.00 |
| 30454 | Choledochotomy (with or without cholecystectomy), with or without removal of calculi (AU 13) | 610.00 |
| 30455 | Choledochotomy (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis (AU 18) | 715.00 |
| 30458 | Transduodenal operation on sphincter of Oddi, involving one or more of, removal of calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with or without choledochotomy (AU 15) | 715.00 |
| 30460 | Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (AU 15) | 610.00 |
| 30461 | Radical resection of porta hepatis for gall bladder or common bile duct carcinoma with biliary-enteric anastomoses, not associated with item 30443, 30454, 30455, 30458 or 30460 (AU 19) | 1,040.00 |
| 30473 | Oesophagoscopy (not covered by Item 41816 or 41822), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with or without biopsy, not associated with Item 30444 or 30447 (AU 6) | 138.00 |
| 30475 | Endoscopy with balloon dilatation of gastric or gastroduodenal stricture (AU 7) | 250.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30476 | Oesophagoscopy (not covered by Item 41816 or 41822), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with endoscopic sclerosing injection of oesophageal or gastric varices, not associated with Item 30441 or 30447 (AU 7) | 192.00 |
| 30478 | Oesophagoscopy (not covered by item 41816, 41822 or 41825), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with one or more of the following endoscopic procedures—polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation, or sclerosing injection of bleeding upper gastointestional lesions, not associated with item 30473 or 30476 (AU 7) | 192.00 |
| 30479 | Endoscopic laser therapy for malignancy of upper or lower gastrointestinal tract (AU 12) | 335.00 |
| 30481 | Percutaneous endoscopic gastrostomy (initial procedure) (AU 10) | 250.00 |
| 30482 | Percutaneous endoscopic gastrostomy (repeat procedure) (AU 10) | 178.00 |
| 30484 | Endoscopic retrograde cholangio-pancreatography (AU 8) | 255.00 |
| 30485 | Endoscopic sphincterotomy with or without extraction of stones from common bile duct (AU 8) | 395.00 |
| 30487 | Small bowel intubation with biopsy | 128.00 |
| 30488 | Small bowel intubation—as an independent procedure | 63.00 |
| 30490 | Oesophageal prosthesis, insertion of, including endoscopy and dilatation (AU 9) | 370.00 |
| 30491 | Bile duct, endoscopic stenting of (including endoscopy and dilatation) (AU 11) | 390.00 |
| 30493 | Biliary manometry (AU 9) | 235.00 |
| 30494 | Endoscopic biliary dilatation (AU 11) | 295.00 |
| 30496 | Vagotomy, truncal or selective, with or without pyloroplasty or gastroenterostomy (AU 11) | 415.00 |
| 30497 | Vagotomy and antrectomy (AU 12) | 495.00 |
| 30499 | Vagotomy, highly selective (AU 13) | 590.00 |
| 30500 | Vagotomy, highly selective with duodenoplasty for peptic stricture (AU 15) | 630.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30502 | Vagotomy, highly selective, with dilatation of pylorus (AU 13) | 695.00 |
| 30503 | Vagotomy or antrectomy, or both, for peptic ulcer following previous operation for peptic ulcer (AU 11) | 780.00 |
| 30505 | Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision (AU 11) | 390.00 |
| 30506 | Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy (AU 13) | 680.00 |
| 30508 | Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy (AU 13) | 715.00 |
| 30509 | Bleeding peptic ulcer, control of, involving gastric resection (other than wedge resection) (AU 13) | 715.00 |
| 30511 | Morbid obesity, gastric reduction or gastroplasty for, by any method (AU 13) | 600.00 |
| 30512 | Morbid obesity, gastric by-pass for, by any method including anastomosis (AU 21) | 735.00 |
| 30514 | Morbid obesity, reversal surgical procedure (AU 22) | 1,085.00 |
| 30515 | Gastro-enterostomy (including gastro-duodenostomy) or entero-colostomy or entero-enterostomy (AU 12) | 495.00 |
| 30517 | Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction of (AU 14) | 650.00 |
| 30518 | Partial gastrectomy (AU 15) | 695.00 |
| 30520 | Gastric tumour, removal of, by local excision, not covered by item 30518 (AU 15) | 475.00 |
| 30521 | Gastrectomy, total, for benign disease (AU 19) | 1,020.00 |
| 30523 | Gastrectomy, sub-total radical, for carcinoma, (including splenectomy when performed) (AU 19) | 1,065.00 |
| 30524 | Gastrectomy, total radical, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) (AU 21) | 1,170.00 |
| 30526 | Gastrectomy, total, and including lower oesophagus, performed by left thoraco-abdominal incision or opening of diaghragmatic hiatus, (including splenectomy when performed) (AU 25) | 1,520.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30527 | Antireflux operation by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus—not covered by Item 30601 (AU 18) | 615.00 |
| 30529 | Antireflux operation by fundoplasty, with oesophagoplasty for stricture or short oesophagus (AU 20) | 920.00 |
| 30530 | Antireflux operation by cardiopexy, with or without fundoplasty (AU 20) | 550.00 |
| 30532 | Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus (AU 17) | 635.00 |
| 30533 | Oesophagogastric myotomy (heller's operation) via abdominal or thoracic approach, with fundoplasty, with or without closure of the diaphragmatic hiatus (AU 18) | 755.00 |
| 30535 | Oesophagectomy with gastric reconstruction by abdominal mobilisation and right thoracotomy (AU 27) | 2,020.00 |
| 30536 | Oesophagectomy involving gastric reconstruction by abdominal mobilisation, right thoracotomy and anastomosis in the neck—one surgeon (AU 31) | 1,210.00 |
| 30538 | Oesophagectomy involving gastric reconstruction by abdominal mobilisation, right thoracotomy and anastomosis in the neck—conjoint surgery, principal surgeon (including aftercare) (AU 31) | 840.00 |
| 30539 | Oesophagectomy involving gastric reconstructinon by abdominal mobilisation, right thoracotomy and anastomosis in the neck- conjoint surgery, co- surgeon | 615.00 |
| 30541 | Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement—one surgeon (AU 31) | 1,070.00 |
| 30542 | Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement—conjoint surgery, principal surgeon (including aftercare) (AU 31) | 725.00 |
| 30544 | Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement—conjoint surgery, co-surgeon | 530.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30545 | Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis)—one surgeon (AU 31) | 1,295.00 |
| 30547 | Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis)—conjoint surgery, principal surgeon (including aftercare) (AU 31) | 890.00 |
| 30548 | Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis)—conjoint surgery, co-surgeon | 665.00 |
| 30550 | Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck)—one surgeon (AU 31) | 1,455.00 |
| 30551 | Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck)—conjoint surgery, principal surgeon (including aftercare) (AU 31) | 1,005.00 |
| 30553 | Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck)—conjoint surgery, co-surgeon | 740.00 |
| 30554 | Oesophagectomy with reconstruction by free jejunal graft—one surgeon (AU 31) | 1,615.00 |
| 30556 | Oesophagectomy with reconstruction by free jejunal graft—conjoint surgery, principal surgeon (including aftercare) (AU 31) | 1,115.00 |
| 30557 | Oesophagectomy with reconstruction by free jejunal graft—conjoint surgery, co-surgeon | 825.00 |
| 30559 | Oesophagus, local excision for tumour of (AU 21) | 600.00 |
| 30560 | Oesophageal perforation, repair of, by thoracotomy (AU 25) | 665.00 |
| 30562 | Enterostomy or colostomy, closure of—not involving resection of bowel (AU 11) | 420.00 |
| 30563 | Colostomy or ileostomy, refashioning of (AU 10) | 420.00 |
| 30565 | Small intestine, resection of, without anastomosis (including formation of stoma) (AU 17) | 615.00 |
| 30566 | Small intestine, resection of, with anastomosis (AU 18) | 680.00 |
| 30568 | Intraoperative enterotomy for visualisation of the small intestine by endoscopy (AU 8) | 510.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30569 | Endoscopic examination of small bowel with flexible endoscope passed at laparotomy, with or without biopsies (AU 8) | 260.00 |
| 30571 | Appendicectomy, not covered by item 30574 (AU 8) | 315.00 |
| 30572 | Laparoscopic appendicectomy (AU 8) | 340.00 |
| 30574 | Appendicectomy, when performed in conjunction with any other intra-abdominal procedure through the same incision (AU 5) | 87.00 |
| 30575 | Pancreatic abscess, laparotomy and external drainage of, not requiring retro panreatic dissection (AU 11) | 360.00 |
| 30577 | Pancreatic necrosectomy for pancreatic necrosis or abscess formation requiring major pancreatic or retro pancreatic dissection, excluding aftercare (AU 24) | 765.00 |
| 30578 | Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour (AU 22) | 810.00 |
| 30580 | Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of duodenal tumour (AU 22) | 735.00 |
| 30581 | Endocrine tumour, exploration of pancreas or duodenum for, but no tumour found (AU 20) | 535.00 |
| 30583 | Distal pancreatectomy (AU 15) | 840.00 |
| 30584 | Pancreatico-duodenectomy, Whipple's operation, with or without preservation of pylorus (AU 30) | 1,240.00 |
| 30586 | Pancreatic cyst—anastomosis to stomach or duodenum (AU 13) | 495.00 |
| 30587 | Pancreatic cyst, anastomosis to Roux loop of jejunum (AU 14) | 510.00 |
| 30589 | Pancreatico-jejunostomy for pancreatitis or trauma (AU 18) | 880.00 |
| 30590 | Pancreatico-jejunostomy following previous pancreatic surgery (AU 20) | 970.00 |
| 30593 | Pancreatectomy, near total or total (including duodenum), with or without splenectomy (AU 30) | 1,330.00 |
| 30594 | Prancreatectomy for pancreatitis following previously attempted drainage procedure or partial resection (AU 20) | 1,535.00 |
| 30596 | Splenorrhaphy or partial splenectomy for trauma (AU 13) | 630.00 |
| 30597 | Splenectomy (AU 13) | 505.00 |
| 30599 | Splenectomy, for massive spleen (weighting more than 1500 grams) or involving thoraco-abdominal incision (AU 19) | 920.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30600 | Diaphragmatic hernia, traumatic, repair of (AU 17) | 550.00 |
| 30601 | Diaphragmatic hernia, congential, repair of, by thoracic or adbominal approach) (AU 14) | 675.00 |
| 30602 | Portal hypertension, porto caval shunt for (AU 24) | 1,095.00 |
| 30603 | Portal hypertension, meso caval shunt for (AU 24) | 1,155.00 |
| 30605 | Portal Hypertension, selective spleno renal shunt for (AU 24) | 1,315.00 |
| 30606 | Portal hypertension, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (AU 18) | 785.00 |
| 30612 | Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by item 30615 or 30625 (G) (AU 8) | 250.00 |
| 30614 | Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by item 30615 or 30625 (S) (AU 8) | 325.00 |
| 30615 | Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection (AU 10) | 365.00 |
| 30616 | Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (G) (AU 8) | 186.00 |
| 30617 | Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (S) (AU 8) | 250.00 |
| 30620 | Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (G) (AU 8) | 210.00 |
| 30621 | Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (S) (AU 8) | 285.00 |
| 30628 | Hydrocele, tapping of | 25.00 |
| 30631 | Hydrocele, removal of, when not associated with items 30638, 30641 and 30644 (AU 7) | 166.00 |
| 30632 | Pyloroplasty, infant, or pyloromyotomy (Ramstedt's operation) (AU 9) | 315.00 |
| 30633 | Intussusception, reduction of, by fluid | 166.00 |
| 30634 | Varicocele, surgical correction of when not associated with items 30638, 30641 and 30644, one procedure (G) (AU 7) | 166.00 |
| 30635 | Varicocele, surgical correction of when not associated with items 30638, 30641 and 30644 one procedure (S) (AU 7) | 205.00 |
| 30638 | Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (G) (AU 7) | 210.00 |
| 30641 | Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (S) (AU 7) | 285.00 |
SCHEDULE—continued
SERVICES AND FEES
| 30644 | Exploration of spermatic cord, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis (AU 8) | 365.00 |
| 30647 | Undescended testis, orchidopexy or transplantation of, with or without associated hernial repair (AU 8) | 365.00 |
| 30650 | Secondary detachment of testis from thigh (AU 6) | 80.00 |
| 30653 | Circumcision of a person under six months of age (AU 6) | 32.50 |
| 30656 | Circumcision of a person under ten years of age but not less than six months of age (AU 6) | 76.00 |
| 30659 | Circumcision of a person ten years of age or over (G) (AU 6) | 106.00 |
| 30660 | Circumcision of a person ten years of age or over (S) (AU 6) | 130.00 |
| 30663 | Haemorrhage, arrest of, following circumcision requiring general anaesthesia (AU 5) | 102.00 |
| 30666 | Paraphimosis, reduction of, under general anaesthesia, with or without dorsal incision, not associated with any other item in this Group (AU 5) | 33.50 |
| 30672 | Coccyx, excision of (AU 8) | 315.00 |
| 30675 | Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (G) (AU 8) | 210.00 |
| 30676 | Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (S) (AU 8) | 265.00 |
| 30679 | Pilonidal sinus, injection of sclerosant fluid under anaesthesia (AU 6) | 68.00 |
Subgroup 2—COLORECTAL
| 32000 | Large intestine, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (AU 18) | 725.00 |
| 32003 | Large intestine, resection of, with anastomosis, including right hemicolectomy (AU 20) | 760.00 |
| 32004 | Large intestine, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) without anastomosis, not associated with any other item in this Group (AU 20) | 810.00 |
| 32005 | Large intestine, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) with anastomosis, not associated with any other item in this Group (AU 22) | 915.00 |
SCHEDULE—continued
SERVICES AND FEES
| 32006 | Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma) (AU 20) | 810.00 |
| 32009 | Total colectomy and ileostomy (AU 22) | 960.00 |
| 32012 | Total colectomy and ileo-rectal anastomosis (AU 20) | 1,060.00 |
| 32015 | Total colectomy with excision of rectum and ileostomy—one surgeon (AU 20) | 1,302.50 |
| 32018 | Total colectomy with excision of rectum and ileostomy, combined synchronous operation; abdominal resection (including after-care) (AU 17) | 1,105.00 |
| 32021 | Total colectomy with excision of rectum and ileostomy, combined synchronous operation; perineal resection | 395.00 |
| 32024 | Rectum, high restorative anterior resection with intraperitoneal anastomosis (of the rectum) greater than 10 centimetres from the anal verge—excluding resection of sigmoid colon alone (AU 22) | 960.00 |
| 32027 | Rectum, low restorative anterior resection with extraperitoneal anastomosis (of the rectum) less than 10 centimetres from the anal verge (AU 26) | 1,250.00 |
| 32030 | Rectosigmoidectomy—(Hartmann's operation) (AU 15) | 725.00 |
| 32033 | Restoration of bowel following Hartmann's or similar operation, including dismantling of the stoma (AU 15) | 1,060.00 |
| 32036 | Sacrococcygeal and presacral tumour—excision of (AU 13) | 1,345.00 |
| 32039 | Rectum and anus, abdomino-perineal resection of—one surgeon (AU 17) | 1,080.00 |
| 32042 | Rectum and anus, abdomino-perineal resection of, combined synchronous operation, abdominal resection (AU 16) | 910.00 |
| 32045 | Rectum and anus, abdomino-perineal resection of, combined synchronous operation—perineal resection | 340.00 |
| 32046 | Rectum and anus, abdomino-perineal resection of, combined synchronous operation—perineal resection where the perineal surgeon also provides assistance to the abdominal surgeon | 525.00 |
| 32047 | Perineal proctectomy (AU 20) | 615.00 |
| 32048 | Abdomino-perineal pull through resection with colo-anal anastomosis (one or two stages), including associated colostomy (AU 30) | 1,345.00 |
SCHEDULE—continued
SERVICES AND FEES
| 32051 | Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy—one surgeon (AU 36) | 1,630.00 |
| 32054 | Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy—conjoint surgery, abdominal surgeon (including aftercare) (AU 30) | 1,500.00 |
| 32057 | Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir—conjoint surgery, perineal surgeon | 395.00 |
| 32060 | Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy—one surgeon (AU 30) | 1,630.00 |
| 32063 | Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy—conjoint surgery, abdominal surgeon (including aftercare) (AU 26) | 1,500.00 |
| 32066 | Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir,with or without temporary loop ileostomy—conjoint surgery, perineal surgeon | 395.00 |
| 32069 | Ileostomy reservoir, continent type, creation of, including conversion of existing ileostomy where appropriate (AU 30) | 1,205.00 |
| 32072 | Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy | 37.50 |
| 32075 | Sigmoidoscopic examination (with rigid sigmoidoscope), under general anaesthesia, with or without biopsy, not associated with any other item in this Group (AU 5) | 59.00 |
| 32078 | Sigmoidoscopic examination with diathermy or resection of one or more polyps where the time taken is less than or equal to 45 minutes (AU 7) | 132.00 |
| 32081 | Sigmoidoscopic examination with diathermy or resection of one or more polyps where the time taken is greater than 45 minutes (AU 10) | 182.00 |
| 32084 | Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure, with or without biopsy (AU 6) | 87.00 |
SCHEDULE—continued
SERVICES AND FEES
| 32087 | Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure with removal of one or more polyps—not covered by item 32078 (AU 10) | 160.00 |
| 32090 | Fibreoptic colonoscopy—examination of colon beyond the hepatic flexure with or without biopsy (AU 8) | 260.00 |
| 32093 | Fibreoptic colonoscopy—examination of colon beyond the hepatic flexure with removal of one or more polyps (AU 10) | 365.00 |
| 32094 | Endoscopic dilatation of colorectal strictures including colonoscopy (AU 10) | 390.00 |
| 32095 | Endoscopic examination of small bowel with flexible endoscope passed by stoma, with or without biopsies (AU 8) | 90.00 |
| 32096 | Rectal biopsy, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (AU 6) | 182.00 |
| 32099 | Rectal tumour of five centimetres or less in diameter, per anal submucosal excision of (AU 10) | 235.00 |
| 32102 | Rectal tumour of greater than five centimetres in diameter, indicated by pathological examination, per anal submucosal excision of (AU 14) | 445.00 |
| 32105 | Anorectal carcinoma—per anal full thickness excision of (AU 13) | 340.00 |
| 32108 | Rectal tumour, trans-sphincteric excision of (Kraske or similar operation) (AU 13) | 705.00 |
| 32111 | Rectal prolapse, Delorme procedure for (AU 10) | 445.00 |
| 32114 | Rectal stricture, per anal release of (AU 8) | 122.00 |
| 32117 | Rectal prolapse, abdominal repair of (AU 13) | 705.00 |
| 32120 | Rectal prolapse, perineal repair of (AU 6) | 182.00 |
| 32123 | Anal stricture, anoplasty for (AU 7) | 235.00 |
| 32126 | Anal incontinence, Parks' intersphincteric procedure for (AU 12) | 340.00 |
| 32129 | Anal sphincter, direct repair of (AU 12) | 445.00 |
| 32132 | Haemorrhoids or rectal prolapse—sclerotherapy for (AU 6) | 32.00 |
| 32135 | Haemorrhoids or rectal prolapse—rubber band ligation of with or without sclerotherapy, cryosurgery or infrared therapy for (AU 5) | 47.50 |
SCHEDULE—continued
SERVICES AND FEES
| 32138 | Haemorrhoidectomy (AU 8) | 260.00 |
| 32142 | Anal skin tags or anal polyps, excision of one or more of (AU 7) | 47.50 |
| 32145 | Anal skin tags or anal polyps, excision of one or more of, undertaken in the operating theatre of a hospital or approved day-hospital facility (AU 7) | 95.00 |
| 32147 | Perianal thrombosis, incision of (AU 7) | 32.00 |
| 32150 | Operation for fissure-in-ano including excision, or sphincterotomy but excluding dilatation only (AU 6) | 182.00 |
| 32153 | Anus, dilatation of, under general anaesthesia, with or without disimpaction of faeces, not associated with any other item in this Group (AU 4) | 49.50 |
| 32156 | Fistula in ano, subcutaneous, excision of (AU 7) | 93.00 |
| 32159 | Anal fistula, excision of, involving lower half of the anal sphincter mechanism (AU 7) | 235.00 |
| 32162 | Anal fistula, excision of, involving the upper half of the anal sphincter mechanism (AU 11) | 340.00 |
| 32165 | Anal fistula, repair of by mucosal flap advancement (AU 15) | 445.00 |
| 32166 | Anal fistula—readjustment of Seton (AU 7) | 146.00 |
| 32168 | Fistula wound—repair of, under general or regional anaesthetic, as an independent procedure (AU 7) | 93.00 |
| 32171 | Anorectal examination, with or without biopsy, under general anaesthetic, not associated with any other item in this Group (AU 6) | 63.00 |
| 32174 | Intra-anal, perianal or ischio-rectal abscess, drainage of (excluding aftercare) (AU 8) | 63.00 |
| 32175 | Intra-anal, perianal or ischio-rectal abscess, draining of, undertaken in the operating theatre of a hospital or approved day-hospital facility (excluding aftercare) (AU 8) | 114.00 |
| 32177 | Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is less than or equal to 45 minutes—not in association with item 35507 or 35508 (AU 6) | 122.00 |
SCHEDULE—continued
SERVICES AND FEES
| 32180 | Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is greater than 45 minutes—not in association with item 35507 or 35508 (AU 11) | 182.00 |
| 32183 | Intestinal sling procedure prior to radiotherapy (AU 15) | 255.00 |
| 32186 | Colonic lavage, total, intra-operative (AU 12) | 205.00 |
Subgroup 3—VASCULAR
| 32500 | Varicose veins, multiple simultaneous injections by continuous compression techniques including associated consultation—one or both legs—not associated with any other varicose veins operation on the same leg (excluding after-care) | 99.00 |
| 32503 | Varicose veins, multiple ligations, with or without local stripping or excision, including sub-fascial ligation of one or more deep perforating veins through separate incisions—one leg—not associated with item 32506, 32509 or 32530 on the same leg (AU 7) | 188.00 |
| 32506 | Varicose veins, high ligation and complete or partial stripping or excision of long or short saphenous vein or its major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins—one leg (AU 10) | 345.00 |
| 32509 | Varicose veins, high ligation and stripping or excision of both long and short saphenous veins or their major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins—one leg (AU 12) | 517.50 |
| 32512 | Long saphenous vein, complete dissection and ligation of, at the sapheno-femoral junction, for migrating thrombosis of long saphenous vein (AU 11) | 315.00 |
SCHEDULE—continued
SERVICES AND FEES
| 32515 | Varicose veins, complete dissection at sapheno- femoral junction, with or without ligation of long saphenous vein, with or without ligation of the major tributaries at sapheno-femoral junction—one leg (AU 6) | 230.00 |
| 32518 | Varicose veins, complete dissection at sapheno- popliteal junction, with or without ligation of the short saphenous vein, with or without ligation of the major tributaries at the sapheno-popliteal junction—one leg (AU 6) | 230.00 |
| 32521 | Varicose veins, sub-fascial ligation of single deep perforating vein not associated with any other varicose vein operation on the same leg—one leg (AU 6) | 142.00 |
| 32524 | Varicose veins, sub-fascial ligation of multiple deep perforating vein—one leg (Cockett's operation, Linton's operation or similar procedure) (AU 7) | 350.00 |
| 32527 | Groin or popliteal fossa, reoperation in, for recurrent sapheno-popliteal incompetence—one leg (AU 12) | 425.00 |
| 32530 | Groin or popliteal fossa, reoperation in, for recurrent sapheno-femoral incompetence or recurrent sapheno-popliteal incompetence with one or more of the following—multiple ligations, local stripping or excision of minor veins or sclerotherapy of minor veins—one leg (AU 13) | 555.00 |
| 32700 | Artery of neck, bypass using vein or synthetic material (AU 19) | 1,010.00 |
| 32703 | Internal carotid artery, transection and reanastomosis of, or resection of small length and reanastomosis of—with or without endarterectomy (AU 18) | 835.00 |
| 32706 | Internal carotid artery, re-operation for recurrent stenosis with by-pass by graft of vein or synthetic material (AU 19) | 1,195.00 |
| 32709 | Aorto-iliac or aorto-femoral grafting, straight or bifurcated (AU 21) | 985.00 |
| 32712 | Ilio-femoral by-pass grafting (AU 18) | 885.00 |
| 32715 | Axillary or subclavian to femoral bypass grafting to one or both femoral arteries (AU 19) | 885.00 |
| 32718 | Femoro-femoral or ilio-femoral cross-over bypass grafting (AU 18) | 835.00 |
| 32721 | Renal artery, bypass grafting to (AU 22) | 1,330.00 |
SCHEDULE—continued
SERVICES AND FEES
| 32724 | Renal arteries (both), bypass grafting to (AU 26) | 1,510.00 |
| 32727 | Spleno-renal arterial bypass grafting (AU 21) | 1,330.00 |
| 32730 | Mesenteric vessel (single), bypass grafting to (AU 18) | 1,145.00 |
| 32733 | Mesenteric vessels (multiple), bypass grafting to (AU 21) | 1,330.00 |
| 32736 | Inferior mesenteric artery, operation on, when performed in association with another intra-abdominal vascular operation (AU 17) | 290.00 |
| 32739 | Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with above knee anastomosis (AU 19) | 910.00 |
| 32742 | Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to below knee popliteal artery (AU 20) | 1,045.00 |
| 32745 | Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to tibio peroneal trunk or tibial or peroneal artery (AU 21) | 1,190.00 |
| 32748 | Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis within 5cms of the ankle joint (AU 22) | 1,295.00 |
| 32751 | Femoral artery bypass grafting using synthetic graft, with lower anastomosis above or below the knee (AU 18) | 835.00 |
| 32754 | Femoral artery bypass grafting, using a composite graft (synthetic material and vein) with lower anastomosis above or below the knee, including use of a cuff or sleeve of vein at one or both anastomoses (AU 20) | 1,045.00 |
| 32757 | Femoral artery sequential bypass grafting (using a vein or synthetic material) where an additional anastomosis is made to separately revascularise more than one artery—each additional artery revascularised beyond a femoral bypass (AU 16) | 290.00 |
| 32760 | Vein, harvesting of from leg or arm for bypass or replacement graft when not performed through same incision as operation—each vein (AU 9) | 285.00 |
SCHEDULE—continued
SERVICES AND FEES
| 32763 | Arterial bypass grafting, using vein or synthetic material, not covered by any other item in this Group (AU 18) | 835.00 |
| 32766 | Arterial or venous anastomosis, not covered by any other item in this Group, as an independent procedure (AU 15) | 555.00 |
| 32769 | Arterial or venous anastomosis not covered by any other item in this Group, when performed in combination with another vascular operation (including graft to graft anastomosis) (AU 15) | 192.00 |
| 33100 | Aneurysm of common or internal carotid artery, or both, replacement by graft of vein or synthetic material (AU 20) | 1,010.00 |
| 33103 | Thoracic aneurysm, replacement by graft (AU 35) | 1,420.00 |
| 33106 | Artery or vein bypass graft, patch grafting to using vein or synthetic material, not associated with any other vascular operation (AU 14) | 500.00 |
| 33109 | Thoraco-abdominal aneurysm, replacement by graft including re-implantation of arteries (AU 40) | 1,715.00 |
| 33112 | Suprarenal abdominal aortic aneurysm, replacement by graft including re-implantation of arteries (AU 35) | 1,490.00 |
| 33115 | Infrarenal abdominal aortic aneurysm, replacement by tube graft (AU 26) | 1,045.00 |
| 33118 | Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision of common iliac aneurysms) (AU 29) | 1,190.00 |
| 33121 | Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to one or both femoral arteries (with or without excision or bypass of commom iliac aneurysms) (AU 29) | 1,190.00 |
| 33124 | Aneurysm of iliac artery (common, external or internal), replacement by graft—unilateral (AU 18) | 855.00 |
| 33127 | Aneurysms of iliac arteries (common, external or internal), replacement by graft—bilateral (AU 20) | 1,120.00 |
| 33130 | Aneurysm of visceral artery, excision and repair by direct anastomosis or replacement by graft (AU 18) | 975.00 |
| 33133 | Aneurysm of visceral artery, dissection and ligation of arteries without restoration of continuity (AU 16) | 730.00 |
| 33136 | False aneurysm, repair of, at aortic anastomosis following previous aortic surgery (AU 25) | 1,845.00 |
SCHEDULE—continued
SERVICES AND FEES
| 33139 | False aneurysm, repair of, in iliac artery and restoration of arterial continuity (AU 19) | 1,120.00 |
| 33142 | False aneurysm, repair of, in femoral artery and restoration of arterial continuity (AU 18) | 1,045.00 |
| 33145 | Ruptured thoracic aortic aneurysm, replacement by graft (AU 38) | 1,795.00 |
| 33148 | Ruptured thoraco-abdominal aortic aneurysm, replacement by graft (AU 40) | 2,230.00 |
| 33151 | Ruptured suprarenal abdominal aortic aneurysm, replacement by graft (AU 38) | 2,120.00 |
| 33154 | Ruptured infrarenal abdominal aortic aneurysm, replacement by tube graft (AU 28) | 1,570.00 |
| 33157 | Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision or bypass of common iliac aneurysms) (AU 30) | 1,750.00 |
| 33160 | Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to one or both femoral arteries (AU 30) | 1,750.00 |
| 33163 | Ruptured iliac artery aneurysm, replacement by graft (AU 22) | 1,485.00 |
| 33166 | Ruptured aneurysm of visceral artery, replacement by anastomosis or graft (AU 22) | 1,485.00 |
| 33169 | Ruptured aneurysm of visceral artery, simple ligation of (AU 18) | 1,155.00 |
| 33172 | Aneurysm of major artery, replacement by graft, not covered by any other item in this Group (AU 21) | 900.00 |
| 33500 | Artery or arteries of neck, endarterectomy of, including closure by suture (where endarterectomy of one or more arteries is undertaken through one arteriotomy incision) (AU 17) | 800.00 |
| 33503 | Internal carotid artery, re-operation for recurrent stenosis with endarterectomy and closure by suture (AU 19) | 1,010.00 |
| 33506 | Innominate or subclavian artery, endarterectomy of, including closure by suture (AU 18) | 895.00 |
| 33509 | Aortic endarterectomy, including closure by suture, not associated with another procedure on the aorta (AU 18) | 925.00 |
SCHEDULE—continued
SERVICES AND FEES
| 33512 | Aorto-iliac endarterectomy (one or both iliac arteries), including closure by suture not associated with Item 33515 (AU 19) | 1,000.00 |
| 33515 | Aorto-femoral endarterectomy (one or both femoral arteries) or bilateral ilio-femoral endarterectomy, including closure by suture, not in association with Item 33512 (AU 20) | 1,075.00 |
| 33518 | Iliac endarterectomy, including closure by suture, not associated with another procedure on the iliac artery (AU 17) | 895.00 |
| 33521 | Ilio-femoral endarterectomy (one side), including closure by suture (AU 17) | 970.00 |
| 33524 | Renal artery, endarterectomy of (AU 19) | 1,145.00 |
| 33527 | Renal arteries (both), endarterectomy of (AU 21) | 1,330.00 |
| 33530 | Coeliac or superior mesenteric artery, endarterectomy of (AU 19) | 1,145.00 |
| 33533 | Coeliac and superior mesenteric artery, endarterectomy of (AU 20) | 1,330.00 |
| 33536 | Inferior mesenteric artery, endarterectomy of, not associated with any other item in this Group (AU 19) | 950.00 |
| 33539 | Artery of extremities, endarterectomy of, including closure by suture (AU 12) | 685.00 |
| 33542 | Extended deep femoral endarterectomy where the endarterectomy is at least 7cms long (AU 17) | 975.00 |
| 33545 | Artery or vein, patch grafting to by vein or synthetic material in association with another arterial or venous operation where patch is less than 3cm long (AU 13) | 192.00 |
| 33548 | Artery or vein, patch grafting to by vein or synthetic material in association with another arterial or venous operation where patch is 3cm long or greater (AU 14) | 390.00 |
| 33551 | Vein, harvesting of from leg or arm for patch when not performed through same incision as operation (AU 9) | 192.00 |
| 33554 | Endarterectomy, in association with an arterial bypass operation to prepare the site for anastomosis—each site (AU 16) | 100.00 |
| 33800 | Embolus, removal of, from artery of neck (AU 15) | 830.00 |
| 33803 | Embolectomy or thrombectomy, by abdominal approach, of an artery or bypass graft of trunk (AU 16) | 795.00 |
SCHEDULE—continued
SERVICES AND FEES
| 33806 | Embolectomy or thrombectomy, from an artery or bypass graft of extremities, or embolectomy of abdominal artery via the femoral artery (AU 11) | 570.00 |
| 33809 | Inferior vena cava or iliac vein, thrombectomy of (AU 12) | 705.00 |
| 33812 | Thrombus, removal of, from femoral or other similar large vein (AU 10) | 655.00 |
| 33815 | Major artery or vein of extremity, repair of wound of, with restoration of continuity, by lateral suture (AU 12) | 605.00 |
| 33818 | Major artery or vein of extremity, repair of wound of, with restoration of continuity, by direct anastomosis (AU 13) | 705.00 |
| 33821 | Major artery or vein of extremity, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (AU 15) | 805.00 |
| 33824 | Major artery or vein of neck, repair of wound of, with restoration of continuity, by lateral suture (AU 13) | 770.00 |
| 33827 | Major artery or vein of neck, repair of wound of, with restoration of continuity, by direct anastomosis (AU 14) | 900.00 |
| 33830 | Major artery or vein of neck, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (AU 16) | 1,035.00 |
| 33833 | Major artery or vein of abdomen, repair of wound of, with restoration of continuity by lateral suture (AU 16) | 940.00 |
| 33836 | Major artery or vein of abdomen, repair of wound of, with restoration of continuity by direct anastomosis (AU 17) | 1,120.00 |
| 33839 | Major artery or vein of abdomen, repair of wound of, with restoration of continuity by means of interposition graft (AU 18) | 1,310.00 |
| 33842 | Artery of neck, re-operation for bleeding or thrombosis after carotid or vertebral artery surgery (AU 12) | 645.00 |
| 33845 | Laparotomy for control of post operative bleeding or thrombosis after intra-abdominal vascular procedure, where no other procedure is performed (AU 14) | 450.00 |
| 33848 | Extremity, re-operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed (AU 12) | 450.00 |
| 34100 | Major artery of neck, elective ligation or exploration of, not associated with any other vascular procedure (AU 11) | 500.00 |
SCHEDULE—continued
SERVICES AND FEES
| 34103 | Great artery or great vein (including subclavian, axillary, iliac, femoral or politeal), ligation of, or exploration of, not associated with any other vascular procedure (AU 13) | 290.00 |
| 34106 | Artery or vein (including brachial, radial, ulnar or tibial), ligation of, by elective operation, or exploration of, not associated with any other vascular procedure (AU 9) | 205.00 |
| 34109 | Temporal artery, biopsy of (AU 7) | 240.00 |
| 34112 | Arterio-venous fistula of an extremity, dissection and ligation (AU 14) | 605.00 |
| 34115 | Arterio-venous fistula of the neck, dissection and ligation (AU 17) | 685.00 |
| 34118 | Arterio-venous fistula of the abdomen, dissection and ligation (AU 19) | 975.00 |
| 34121 | Arterio-venous fistula of an extremity, dissection and repair of, with restoration of continuity (AU 18) | 780.00 |
| 34124 | Arterio-venous fistula of the neck, dissection and repair of, with restoration of continuity (AU 18) | 855.00 |
| 34127 | Arterio-venous fistula of the abdomen, dissection and repair of, with restoration of continuity (AU 22) | 1,120.00 |
| 34130 | Surgically created arterio-venous fistula of an extremity, closure of (AU 10) | 350.00 |
| 34133 | Scalenotomy (AU 10) | 390.00 |
| 34136 | First rib, resection of portion of (AU 13) | 630.00 |
| 34139 | Cervical rib, removal of, or other operation for removal of thoracic outlet compression, not covered by any other item in this Group (AU 13) | 630.00 |
| 34142 | Coeliac artery, decompression of, for coeliac artery compression syndrome, as an independent procedure (AU 19) | 780.00 |
| 34145 | Popliteal artery, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle (AU 13) | 565.00 |
| 34148 | Carotid body tumour, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is less than 4cm in maximum diameter (AU 19) | 1,010.00 |
| 34151 | Carotid body tumour, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is greater than 4cm in maximum diameter (AU 19) | 1,385.00 |
SCHEDULE—continued
SERVICES AND FEES
| 34154 | Recurrent carotid body tumour, resection of, with or without repair or replacement of portion of common or internal carotid arteries (AU 19) | 1,650.00 |
| 34157 | Neck, excision of infected bypass graft, including closure of vessel or vessels (AU 15) | 835.00 |
| 34160 | Aorto-duodenal fistula, repair of, by suture of aorta and repair of duodenum (AU 24) | 1,570.00 |
| 34163 | Aorto-duodenal fistula, repair of, by insertion of aortic graft and repair of duodenum (AU 26) | 2,015.00 |
| 34166 | Aorto-duodenal fistula, repair of, by oversewing of abdominal aorta, repair of duodenum and axillo bifemoral grafting (AU 26) | 2,015.00 |
| 34169 | Infected bypass graft from trunk, excision of, including closure of arteries (AU 20) | 1,120.00 |
| 34172 | Infected axillo-femoral or femoro-femoral graft, excision of, including closure of arteries (AU 15) | 910.00 |
| 34175 | Infected bypass graft from extremities, excision of including closure of arteries (AU 15) | 835.00 |
| 34500 | Arteriovenous shunt, external, insertion of (AU 9) | 215.00 |
| 34503 | Arteriovenous anastomosis of upper or lower limb, in association with another venous or arterial operation (AU 14) | 290.00 |
| 34506 | Arteriovenous shunt, external, removal of (AU 5) | 148.00 |
| 34509 | Arteriovenous anastomosis of upper or lower limb, not in association with another venous or arterial operation (AU 14) | 690.00 |
| 34512 | Arteriovenous access device, insertion of (AU 14) | 760.00 |
| 34515 | Arteriovenous access device, thrombectomy of (AU 11) | 540.00 |
| 34518 | Stenosis of arteriovenous fistula or prosthetic arteriovenous access device, correction of (AU 14) | 905.00 |
| 34521 | Intra-abdominal artery or vein, cannulation of for infusion chemotherapy, by open operation (excluding aftercare) (AU 11) | 370.00 |
| 34524 | Arterial cannulation for infusion chemotherapy by open operation, not covered by item 34521 (excluding after-care) (AU 10) | 290.00 |
SCHEDULE—continued
SERVICES AND FEES
| 34527 | Central vein catheterisation by open exposure, using subcutaneous tunnel with pump or access port as with Hickman or Broviac catheter or other chemotherapy delivery device (AU 11) | 290.00 |
| 34530 | Hickman or broviac catheter, or other chemotherapy device, removal of (AU 10) | 290.00 |
| 34533 | Isolated limb perfusion, including cannulation of artery and vein at commencement of procedure, regional perfusion for chemotherapy, or other therapy, repair of arteriotomy and venotomy at conclusion of procedure (excluding aftercare) (AU 18) | 875.00 |
| 34800 | Inferior vena cava, plication, ligation, or application of caval clip (AU 13) | 570.00 |
| 34803 | Inferior vena cava, reconstruction of or bypass by vein or synthetic material (AU 24) | 1,260.00 |
| 34806 | Cross leg bypass grafting, saphenous to iliac or femoral vein (AU 14) | 685.00 |
| 34809 | Saphenous vein anastomosis to femoral or popliteal vein for femoral vein bypass (AU 14) | 685.00 |
| 34812 | Venous stenosis or occlusion, vein bypass for, using vein or synthetic material, not associated with item 34806 or 34809 (AU 13) | 825.00 |
| 34815 | Vein stenosis, patch angioplasty for, (excluding vein graft stenosis)—using vein or synthetic material (AU 15) | 685.00 |
| 34818 | Venous valve, plication or repair to restore valve competency (AU 25) | 750.00 |
| 34821 | Vein transplant to restore valvular function (AU 15) | 1,025.00 |
| 34824 | External stent, application of, to restore venous valve competency to superficial vein—one stent (AU 10) | 350.00 |
| 34827 | External stents, application of, to restore venous valve competency to superficial vein or veins—more than one stent (AU 11) | 425.00 |
| 34830 | External stent, application of, to restore venous valve competency to deep vein (one stent) (AU 11) | 500.00 |
SCHEDULE—continued
SERVICES AND FEES
| 34833 | External stents, application of, to restore venous valve competency to deep vein or veins (more than one stent) (AU 12) | 645.00 |
| 35000 | Lumbar sympathectomy (AU 11) | 500.00 |
| 35003 | Cervical or upper thoracic sympathectomy by any surgical approach (AU 16) | 645.00 |
| 35006 | Cervical or upper thoracic sympathectomy, where operation is a reoperation for previous incomplete sympathectomy by any surgical approach (AU 13) | 810.00 |
| 35009 | Lumbar sympathectomy, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (AU 11) | 630.00 |
| 35100 | Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, when debridement includes muscle, tendon or bone (AU 8) | 260.00 |
| 35103 | Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only (AU 9) | 166.00 |
| 35200 | Operative arteriography or venography, one or more of, performed during the course of an operative procedure on an artery or vein, one site (AU 8) | 120.00 |
| 35300 | Transluminal balloon angioplasty of one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 10) | 365.00 |
| 35303 | Transluminal balloon angioplasty of aortic arch branches, aortic visceral branches, or more than one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 12) | 465.00 |
| 35304 | Transluminal balloon angioplasty of one coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 10) | 365.00 |
SCHEDULE—continued
SERVICES AND FEES
| 35305 | Transluminal balloon angioplasty of more than one coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 12) | 465.00 |
| 35306 | Transluminal stent insertion including associated balloon dilatation for one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 11) | 430.00 |
| 35309 | Transluminal stent insertion including associated balloon dilatation for visceral arteries or veins, or more than one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 13) | 535.00 |
| 35310 | Transluminal stent insertion including associated balloon dilatation for coronary artery, percutaneous or by open exposure, excluding associated radiological services and preparation, and excluding aftercare (AU 13) | 535.00 |
| 35312 | Peripheral arterial atherectomy including associated balloon dilatation, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 13) | 610.00 |
| 35315 | Peripheral laser angioplasty including associated balloon dilatation, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 13) | 610.00 |
| 35318 | Peripheral arterial or venous catheterisation with administration of thrombolytic or chemotherapeutic agents, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (not associated with item 13903) (AU 6) | 250.00 |
| 35321 | Peripheral arterial catheterisation to administer agents to occlude arteries, vein or arterio-venous fistulae or to arrest haemorrhage, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 12) | 575.00 |
SCHEDULE—continued
SERVICES AND FEES
| 35324 | Angioscopy not combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (AU 8) | 215.00 |
| 35327 | Angioscopy combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (AU 6) | 108.00 |
| 35330 | Insertion of inferior vena caval filter, percutaneo |