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SR 1992 No. 338 Regulations as made
Principal Regulations; Repeals the Health Insurance (1991-1992 General Medical Services Table) Regulations.
Tabling HistoryDate
Tabled HR05-Nov-1992
Tabled Senate05-Nov-1992
Gazetted 27 Oct 1992
Date of repeal 01 Nov 1993
Repealed by Health Insurance (1993-1994 General Medical Services Table) Regulations
Table of contents.
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Citation
Commencement
Repeal
General medical services table
General
Meaning of symbols (S) and (G)
Meaning of single course of treatment in certain circumstances
Interpretation of items 104 to 159 (inclusive)
Meaning of professional attendance in certain items
Meaning of Amount under rule 6 in certain items
Items 10809 and 10929 not to apply in certain circumstances
Application of items 10921 to 10929 (inclusive)
Personal attendance by medical practitioners generally
Personal attendance by certain medical practitioners
Certain services may be given by persons other than medical practitioners
Conditions under which certain services to be provided
Application of items 51700 to 53455 (inclusive)
Meaning of administration of an anaesthetic in items 18102 to 18118 (inclusive)
Meaning of prescribed locations in item 18013
Meaning of Amount under rule 16 in certain items
Meaning of Amount under rule 17 in certain items
Meaning of Amount under rule 18 in certain items
Meaning of (AD) in items 75200 to 75854 (inclusive)
Orthodontic services
Oral surgery services
Meaning of report in items 11000 to 12200 (inclusive)
Meaning of treatment cycle of a patient
Certain services given as part of treatment cycle
Services not to apply in certain pregnancy-related circumstances
Meaning of embryology laboratory services in items 13200 and 13206
Meaning of confinement in certain items
Certain procedures constitute a single operation
Meaning of maxilla in certain items
Items 46300 to 46510 (inclusive) apply only in certain circumstances
Meaning of closed reduction and open reduction in items 47000 to 50239 (inclusive)
Services in association with spinal fusion services
Meaning of Amount under rule 33 in items 51303 and 51803
Meaning of Amount under rule 34 in item 51309

Statutory Rules 1992   No. 3381

__________________

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

____________

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.

________________

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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

 

Item

Service

Fee

$

 

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, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 11)

365.00

 

Subgroup 4—Gynaecological

 

35500

Gynaecological examination under anaesthesia, not associated with any other item in this Group (AU 5)

57.00

35503

Intra-uterine contraceptive device, introduction of, not associated with any other item in this Group (AU 5)

38.00

35506

Intra-uterine contraceptive device, removal of under general anaesthesia, not associated with any other item in this Group (AU 5)

38.00

35507

Vulval or vaginal 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 32177 or 32180 (AU 6)

122.00

35508

Vulval or vaginal 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 32177 or 32180 (AU 11)

182.00

35509

Hymenectomy  (AU 5)

63.00

35512

Bartholin's cyst, excision of  (G) (AU 7)

126.00

35513

Bartholin's cyst, excision of (S) (AU 7)

156.00

35516

Bartholin's cyst or gland, marsupialisation of  (G) (AU 6)

82.00

35517

Bartholin's cyst or gland, marsupialisation of  (S) (AU 6)

102.00