Health Insurance (1990-91 General Medical Services Table) Regulations
I, THE GOVERNOR-GENERAL of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, hereby make the following Regulations under the Health Insurance Act 1973.
Dated 25 October 1990.
BILL HAYDEN
Governor-General
By His Excellency's Command,
B. HOWE
Minister of State for Community Services
and Health
–––––––––––
Citation
These Regulations may be cited as the Health Insurance (1990-91 General Medical Services Table) Regulations.
Commencement
These Regulations commence on 1 November 1990.
Repeal
Statutory Rules 1989 Nos. 230 and 329 and 1990 Nos. 83 and 250 are repealed.
General medical services table
The table of 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 MEDICAL SERVICES
RULES OF INTERPRETATION
In this table:
"item" means an item in the list of services and fees in this table;
"Division" means a Division of a Part of that list;
"Part" means a Part of that list.
If an item in Part 1, in Division 3 of Part 3 or in Part 4 includes the symbol "(S)", the item is taken to relate to the service specified in the item when rendered by a specialist in the practice of his or her specialty.
If an item in Part 1, in Division 3 of Part 3 or in Part 4 includes the symbol "(G)", the item is taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his or her specialty.
If an item (other than an item in Part 1, in Division 3 of Part 3 or in Part 4) includes the symbol "(S)", the item is taken to relate to a service specified in the item when rendered by a specialist in the practice of his or her specialty:
(a) to a patient who has been referred to the specialist, where the service is the first service rendered to the patient by the specialist after the referral; or
(b) to a patient who has been referred to the specialist, where the service constitutes part of a single course of treatment rendered to the patient for the condition identified in the referral, or, if no condition was identified in the referral, for the condition identified by the specialist, and that service is rendered within the period of 12 months (or such lesser period, if any, specified by the medical practitioner who referred the patient) after the day on which the first service rendered pursuant to that referral was rendered; or
Section 1 - Health Insurance (1990-91 General Medical Services Table) Regulations - Health Insurance (1990-91 General Medical Services Table) Regulations | Zoe
(c) to a patient who has declared that a written referral was completed by a specified medical practitioner and that the referral has been lost, stolen or destroyed before the rendering of the service, where that service is the first service rendered by the specialist pursuant to that referral or where that service constitutes part of a single course of treatment rendered to the patient for the condition identified by the specialist when he or she rendered the first service rendered to that patient after the making of the declaration and that service is rendered within the period of 12 months after the day on which the first service rendered pursuant to that referral was rendered; or
(d) to a patient who has not been referred to the specialist, where the specialist was, at the time that the service was rendered, of the opinion that it was necessary that that service be rendered as quickly as possible.
If an item (other than an item in Part 1, in Division 3 of Part 3 or in Part 4) includes the symbol "(G)", the item is taken to relate to the service specified in the item when rendered otherwise than by a specialist in accordance with rule 4.
A reference in rule 4 or 5 or in Part 1 to the referring of a patient to a specialist is a reference to a referring by a medical practitioner and:
(a) if the specialist concerned is an ophthalmologist—includes a reference to a referring by a registered optometrist or by a registered optician; and
SCHEDULE—continued
(b) if a referring arises out of a dental service rendered to the person who has been referred—includes a reference to a referring by a dental practitioner.
A reference in an item in Part 1 to an attendance by a specialist or consultant physician in the practice of his or her specialty if the patient is referred to him or her includes a reference to an attendance by a specialist or consultant physician in the practice of his or her specialty if:
(a) the patient has declared that a written referral in respect of the patient was completed by a medical practitioner named in the declaration and that the referral has been lost, stolen or destroyed before the attendance specified in the item; or
(b) the patient has not been referred to the specialist or consultant physician and the specialist or consultant physician was, at the time of the attendance specified in the item, of the opinion that it was necessary that that attendance occur as quickly as possible;
but does not include a reference to an attendance by a specialist or consultant physician in the practice of his or her specialty if the attendance forms part of a single course of treatment for which the first service was rendered on a day more than 12 months before the day on which that service was rendered, unless a later referral has been made.
(1) In the items in Parts 1, 2, 6 and 10 to which this rule applies, "attendance" means a physical attendance on not more than 1 person on a single occasion, other than an attendance on a person in the course of a group session.
(2) This rule applies to each of the following items:
(a) all items in Part 1 (other than items 170, 171 and 172);
(b) items 190, 192, 198, 246, 247, 248 and 273 in Part 2;
(c) items 821, 824, 890, 893 and 980 in Part 6;
(d) items 5264, 6835, 6904, 7601, 7605, 7694, 7697, 7701, 7706, 7774, 7781 and 7785 in Part 10.
(1) A service specified in:
(a) an item in Part 2, 3, 4, 5, 9 or 10; or
(b) an item in Part 6 to which rule 10 applies;
other than:
(c) item 290 in Part 2; or
(d) item 887, 888 or 889 in Part 6; or
(e) an item to which rule 8 applies; or
(f) an item in Part 10 that includes the symbol "D";
is a medical service only if the service is performed personally by a medical practitioner on not more than 1 patient on a single occasion.
(2) A service specified in:
(a) item 170, 171 or 172 in Part 1; or
(b) item 887, 888 or 889 in Part 6;
is a medical service only if the service is performed personally by a medical practitioner.
(1) A service specified in:
(a) an item in Part 1, 2, 3, 4, 5, 9 or 10; or
(b) an item in Part 6 to which this rule applies;
other than:
(c) item 180, 182, 184 or 186 in Part 1; or
(d) an item in Part 10 that includes the symbol "D";
SCHEDULE—continued
is a medical service for the purposes of the Act only if the service is rendered by a medical practitioner, being:
(e) a medical practitioner other than a medical practitioner employed by the proprietor of a hospital; or
(f) a medical practitioner who is employed by the proprietor of a hospital and renders that medical service otherwise than in the course of his or her employment by that proprietor;
whether or not essential assistance is provided, in accordance with accepted medical practice, to the medical practitioner rendering that service.
(2) This rule applies to each of the following items in Part 6, that is to say, items. 770, 774, 777, 787, 790, 810, 811, 813, 814, 819, 821, 824, 831, 833, 836, 839, 851, 852, 856, 886, 887, 888, 889, 890, 893, 895, 897, 902, 904, 907, 916, 917, 918, 922, 923, 924, 925, 931, 932, 934, 936, 938, 939, 940, 944, 947, 949, 950, 951, 953, 954, 956, 957, 960, 963, 968, 970, 974, 976, 977, 980, 987 and 989.
A service specified in item 290 or in an item in Part 6, 7A, 8, 8A, 9A or 11 (other than an item in Part 6 to which rule 10 applies) is a medical service for the purposes of this Act, whether the medical service is rendered 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.
A service to which an item in Division 5 of Part 6 relates (other than item 862, 877, 878, 879, 882, 883 or 884) is a medical service only if it is rendered:
(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, being that Standard 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, being that Standard as in force on 1 August 1987.
In Part 1, "institution" means a place (not being a hospital, nursing home, aged persons accommodation attached to a nursing home or aged persons accommodation 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.
If an item in Part 9A includes the symbol "(HR)", the item relates to the service specified in the item when rendered with the use of magnetic resonance imaging equipment of a recognised hospital or a radiology unit included in a prescribed class of radiology units.
SCHEDULE—continued
If an item (other than an item in Part 3) includes a symbol in parentheses consisting of the letters "AU" followed by a number, that symbol refers to an item in Part 3 in respect of the administration of an anaesthetic in connection with the medical service to which the first-mentioned item relates, being:
(a) if the anaesthetic is administered by a medical practitioner other than a specialist anaesthetist—the relevant item in Division 1 of Part 3; or
(b) if the anaesthetic is administered by a specialist anaesthetist—the relevant item in Division 2 of Part 3.
For the purposes of rule 14, each of the following classes of radiology units is a prescribed class of radiology units:
(a) radiology units operated by the Commonwealth;
(b) radiology units operated by a State or an authority of a State;
(c) radiology units operated by the Northern Territory;
(d) radiology units operated by the Australian Capital Territory Community and Health Service;
(e) radiology units operated by Australian tertiary education institutions.
If an item includes the symbol "(D)", the item relates to the service specified in the item when rendered 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).
A reference in an item in Division 1 of Part 3 to the administration of an anaesthetic is a reference to the administration of an anaesthetic by a medical practitioner other than a specialist anaesthetist.
A reference in an item in Division 2 of Part 3 to the administration of an anaesthetic is a reference to the administration of an anaesthetic by a specialist anaesthetist.
A reference in an item in Division 3 of Part 3 to the administration of an anaesthetic is a reference to the administration of an anaesthetic in connection with a dental service other than a service that is a prescribed medical service for the purposes of paragraph (b) of the definition of "professional service" in subsection 3(1).
In item 793, "group of practitioners" has the same meaning as in section 16A.
A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item that relates to a radiographic examination of the kind referred to in the first-mentioned item and:
(a) in the case of item 2732—$19.80; or
(b) in the case of item 2782—$21.00; or
(c) in the case of item 2798—$12.60.
A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item that relates to a course of radiotherapy treatment of the kind referred to in the first-mentioned item when given to 1 field only and:
(a) in the case of item 2863—$11.40 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; and
(b) in the case of item 2877—$12.60 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; and
(c) in the case of item 2881—$15.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; and
SCHEDULE—continued
(d) in the case of item 2889—$20.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; and
(e) in the case of item 2893—$16.60 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.
A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item that relates to treatment by a single dose of radiotherapy of the kind referred to in the first-mentioned item when given to 1 field only and:
(a) in the case of item 2871—$12.40 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; and
(b) in the case of item 2885—$31.50 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.
A reference in item 2953 to an amount under this rule, being an amount payable for assistance at an operation, is a reference to an amount equal to one-fifth of the sum of the fees payable under this Act for the services at that operation of the practitioner to whom the assistance was rendered.
(1) A reference in item 2957 to an amount under this rule, being an amount payable for assistance at a series or combination of operations, is a reference to an amount equal to one-fifth of the sum of the fees payable under this Act for the services at those operations of the practitioner to whom the assistance was rendered.
(2) For the purposes of subrule (1), the amount payable for the Caesarean section component of the operations is the fee applicable to item 210.
A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item that relates to a dislocation or fracture of the kind treated and:
(a) in the case of item 7483, 7809, 7812, 7817 or 7818—one-half of that fee; or
(b) in the case of item 7803, 7804, 7847 or 7849—one-third of that fee; or
(c) in the case of item 7823 or 7824—three-quarters of that fee.
A reference in item 482 or 553 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the administration of an anaesthetic that is referred to in the item relating to a dislocation of the kind treated (being an item relating to a dislocation that is referred to in items 7397 to 7472 (inclusive)); and
(b) one-half of the fee referred to in paragraph (a).
A reference in item 484 or 556 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is referred to in items 7505 to 7798 (inclusive)); and
(b) one-half of the fee referred to in paragraph (a).
A reference in item 483 or 554 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is referred to in items 7505 to 7798 (inclusive)); and
SCHEDULE—continued
(b) one-third of the fee referred to in paragraph (a).
A reference in item 485 or 557 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is referred to in items 7505 to 7798 (inclusive)); and
(b) three-quarters of the fee referred to in paragraph (a).
A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to:
(a) in the case of item 488 or 560—85% of the fee set out in the item relating to the administration of an anaesthetic that is referred to in the item relating to an amputation of the kind performed (being an item relating to an amputation that is referred to in items 4927 to 5055 (inclusive)); or
(b) in the case of item 5057—75% of the fee set out in the item relating to an amputation of the kind performed (being an item relating to an amputation that is referred to in items 4927 to 5055 (inclusive)).
A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to:
(a) in the case of item 7828, 7831, 7834 or 7836—one-half of the fee set out in the item that would, but for the first-mentioned item, relate to the reduction effected; or
(b) in the case of item 7839 or 7841—the fee set out in the item that would, but for that first-mentioned item, relate to the reduction effected; or
(c) in the case of item 7844—the fee set out in the item that relates to a simple and uncomplicated fracture of the part treated.
If an item in Part 11 includes the symbol "(C)", the item relates to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit that has computerised processing facilities capable of being used in the rendering of the service.
If an item in Part 11 includes the symbol "(NC)", the item relates to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit other than a nuclear medicine unit that has computerised processing facilities capable of being used in the rendering of the service.
If an item in Part 12 includes the symbol "(AD)", the item relates to the service specified in the item when rendered by an accredited dental practitioner.
37 (1). If an item in Part 12 includes the symbol "(AO)", the item relates to the service specified in the item when rendered by a recognised orthodontist.
(2) For the purposes of subrule (1) and Division 2 of Part 12, a person is a recognised orthodontist if the person is an accredited dental practitioner and:
(a) the person is registered or licensed as an orthodontist under a relevant law; or
(b) in the case of a person who is not so registered or licensed—the person, by means of his or her qualifications or experience, demonstrates to the Committee his or her competence in the field of orthodontics applicable to the rendering of the services specified in Division 1 of Part 12.
(3) In subrule (2):
"Committee" means the Medical Benefits (Dental Practitioners) Advisory Committee established under section 136 of the National Health Act 1953;
SCHEDULE—continued
"relevant law" means a law of the State or Territory in which the service is rendered that provides for the registration or licensing of dental practitioners or dentists as orthodontists.
If an item in Part 12 includes the symbol "(AOS)", the item relates to the service specified in the item when rendered by an accredited dental practitioner who is a dental practitioner approved by the Minister for the purposes of the definition of "professional service" in subsection 3(1).
A reference in items 8658 to 8669 (inclusive) to maxilla includes a reference to the zygoma.
A reference in item 6931 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the squint operation performed (being an operation covered by item 6922, 6924 or 6930); and
(b) one-quarter of the fee referred to in paragraph (a).
A reference in item 2455 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the service (being a service in Part 7a) in conjunction with which the service referred to in item 2455 is performed; and
(b) $108.00.
A service specified in item 186 or 851 is a medical service for the purposes of this Act only if the service is performed upon a patient in any of the following classes of patients:
(a) patients with myopia of greater than 4.0 dioptres (spherical equivalent) in the dominant eye;
(b) patients with manifest hyperopia of greater than 5.0 dioptres (spherical equivalent) in the dominant eye;
(c) patients with astigmatism of greater than 4.0 dioptres in the dominant eye;
(d) patients with astigmatism of greater than 3.0 dioptres in the dominant eye, requiring, for distance correction, a lens of plus power plus 3.0 dioptres or greater in 1 meridian;
(e) 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 more than 10% by the use of a contact lens;
(f) patients with anisometropia of greater than 4.0 dioptres (difference between spherical equivalents);
(g) 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;
(h) patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by:
(i) pathological mydriasis; or
(ii) aniridia; or
(iii) coloboma of the iris; or
(iv) pupillary malformation or distortion;
whether congenital, traumatic or surgical in origin;
(i) patients who, by reason of physical deformity, are unable to wear spectacles and in respect of whom a medical practitioner has prescribed, or recommended the prescription of, contact lenses;
SCHEDULE—continued
(j) patients in respect of whom a participating optometrist (in the case of a service specified in item 186) or a medical practitioner (in the case of a service specified in item 851) has certified that an ocular or a medical condition (other than a condition referred to in paragraphs (a) to (h) (inclusive)), requiring for correction the use of contact lenses, is present.
In Parts 6 and 8, "report" means a report prepared by a medical practitioner.
In items 194, 196, 198, 201, 204 and 205 "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 referred to in item 295 or 298 when performed at the time of delivery; and
(h) evacuation of the products of conception by manual removal;
but does not include a service referred to in an item in Division 2 of Part 2 (other than item 295 or 298).
In Part 1, "attendance of a minor nature" means an attendance by a consultant physician on a person, being an attendance that:
(a) is a second or subsequent attendance (in this rule called the "later attendance") in the course of a single course of treatment of that person by that consultant physician if it is not necessary for the consultant physician, in the course of the later attendance, to carry out a physical examination of the person; and
(b) does not result in a substantial alteration to the treatment of that person.
(1) In rules 4, 7 and 45 and items 104, 105, 107, 108, 110, 116, 119, 122, 128 and 131, a reference to a single course of treatment includes:
(a) the initial attendance by a specialist or consultant physician and the continuing management or treatment up to and including the stage when the patient is referred back to the care of the referring practitioner; and
(b) and any subsequent review of the patient's condition by the specialist or consultant physician that may be necessary, whether the review is initiated by either the referring practitioner of the specialist or consultant physician.
(2) For the purposes of subrule (1), occurrence in the patient of an unrelated illness, requiring referral of the patient to the specialist's or consultant physician's care, initiates a new course of treatment, in which case a new referral is required.
(3) For the purposes of subrule (1), if:
(a) the referring practitioner considers it necessary for the patient's condition to be reviewed; and
(b) the patient is seen by the specialist or consultant physician outside the currency of the last referral; and
(c) the patient was last seen by the specialist or consultant physician more than 9 months before the attendance;
the attendance initiates a new course of treatment.
(4) In subrule (3), "currency", in relation to the referral of a patient to a specialist, means the period of 12 months, or lesser period, applicable under paragraph 4 (b) or (c) to that referral.
SCHEDULE—continued
For the purposes of section 16, each operation referred to in item 204, 205, 210, 362, 363, 365 or 383 is a single operation.
A nuclear scanning service to which an item in Part 11 relates is a medical service for the purposes of this Act only if the preliminary examination of the patient, the estimation and administration of the dosage and performance of the scan are undertaken by a medical practitioner, or on behalf of a medical practitioner in the practitioner's presence, and the compilation of the final report is undertaken by the medical practioner.
A reference in item 8748 or 8749 to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item relating to the service (being a service in Part 11), in conjunction with which the service referred to in item 8748 or 8749 is performed and:
(a) in the case of item 8748—$84.00; and
(b) in the case of item 8749—$63.00.
A reference in item 8868 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the service (being a service in Part 11) in conjunction with which the service referred to in item 8868 is performed; and
(b) $168.00.
A reference in item 3, 4, 13, 19, 20, 23, 24, 25, 33, 35, 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 to a professional attendance may include (but is not limited to) the provision in relation to a patient of any 1 or more of the following services:
(a) the evaluation of the patient's medical condition or conditions including, if applicable, by use of the health screening services referred to in subsection 19(5);
(b) the formulation of a plan for the management and, if applicable, for the treatment of the medical condition or conditions present in the patient;
(c) the provision:
(i) of advice to the patient as to the medical condition or conditions present in the patient and, if applicable, their treatment; or
(ii) if the patient has so authorised, of advice to a person or persons other than the patient as to the medical condition or conditions present in the patient and, where applicable, their treatment;
(d) the recording of the clinical details of the service or services provided to the patient.
A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to:
(a) in the case of item 13, 19 or 20—the sum of the fee set out in item 3 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $16.00 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—$1.10; and
(b) in the case of item 25, 33 or 35—the sum of the fee set out in item 23 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $16.00 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—$1.10; and
SCHEDULE—continued
(c) in the case of item 38, 40 or 43—the sum of the fee set out in item 36 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $16.00 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—$1.10; and
(d) in the case of item 48, 50 or 51—the sum of the fee set out in item 44 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $16.00 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—$1.10; and
(e) in the case of item 81, 87 or 92—the sum of the fee set out in item 52 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.00 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—65 cents; and
(f) in the case of item 83, 89 or 93—the sum of ;the fee set out in item 53 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.00 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—65 cents; and
(g) in the case of item 84, 90 or 95—the sum of the fee set out in item 54 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.00 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—65 cents; and
(h) in the case of item 86, 91 or 96—the sum of the fee set out in item 57 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.00 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—65 cents.
A service that is rendered as part of a treatment cycle and specified in an item in Division 3A of Part 6 is not a medical service specified in an item that is not included in that Division.
A reference in an item in Division 3A of Part 6 to a treatment cycle is a reference to a series of treatments of a patient that begins:
(a) on the day on which the treatment with superovulatory drugs commences; or
(b) on the first day of a menstrual cycle of the patient;
and ends not more than 30 days after that day.
SCHEDULE—continued
A reference in item 840 or 842 to embryology laboratory services includes a reference to:
(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 a reference to semen preparation.
A service in relation to a patient's pregnancy, or intended pregnancy, that is the subject of an arrangement under which the patient agrees that guardianship or custodial rights in respect of a child born as a result of the pregnancy will be transferred to another person, is not a medical service for the purposes of an item in Division 3A of Part 6.
SERVICES AND FEES
Item
Medical service
Fee
PART 1
$
3
Professional attendance at consulting rooms (not being an attendance covered by any other item in this Part) 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
10.80
4
Professional attendance, other than an attendance covered by any other item in this Part 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
27.00
13
Professional attendance at an institution (not being an attendance covered by any other item in this Part) 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 one or more patients at the one institution on the one occasion—each patient
Amount under rule 52
19
Professional attendance at a hospital (not being an attendance covered by any other item in this Part) 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 one or more patients at the one hospital on the one occasion—each patient
Amount under rule 52
SCHEDULE—continued
Item
Medical service
Fee
20
Professional attendance (not being an attendance covered by any other item in this Part) 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 one or more patients at the one nursing home on the one occasion—each patient
Amount under rule 52
$
23
Professional attendance at consulting rooms (not being an attendance covered by any other item in this Part) 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 an attendance of the type otherwise covered by item 36 or 44—each attendance
22.50
24
Professional attendance, other than an attendance covered by any other item in this Part 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 one or more problems, OR a professional attendance of less than 20 minutes duration involving components of an attendance of the type otherwise covered by item 37 or 47—each attendance
38.50
25
Professional attendance at an institution (not being an attendance covered by any other item in this Part) 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 an attendance of the type otherwise covered by item 38 or 48—an attendance on one or more patients at the one institution on the one occasion—each patient
Amount under rule 52
SCHEDULE—continued
Item
Medical service
Fee
33
Professional attendance at a hospital (not being an attendance covered by any other item in this Part) 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 an attendance of the type otherwise covered by item 40 or 50—an attendance on one or more patients at the one hospital on the one occasion—each patient
Amount under rule 52
35
Professional attendance (not being an attendance covered by any other item in this Part) 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 one or more problems, OR a professional attendance of less than 20 minutes duration involving components of an attendance of the type otherwise covered by item 43 or 51—an attendance on one or more patients at the one nursing home on the one occasion—each patient
Amount under rule 52
$
36
Professional attendance at consulting rooms (not being an attendance covered by any other item in this Part) 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 one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by item 44—each attendance
41.00
37
Professional attendance, other than an attendance covered by any other item in this Part 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 one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by item 47— each attendance
57.00
SCHEDULE—continued
Item
Medical service
Fee
38
Professional attendance at an institution (not being an attendance covered by any other item in this Part) 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 one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by item 48—an attendance on one or more patients at the one institution on the one occasion—each patient
Amount under rule 52
40
Professional attendance at a hospital (not being an attendance covered by any other item in this Part) 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 one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by item 50—an attendance on one or more patients at the one hospital on the one occasion—each patient
Amount under rule 52
43
Professional attendance (not being an attendance covered by any other item in this Part) 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 one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by item 51— an attendance on one or more patients at the one nursing home on the one occasion—each patient
Amount under rule 52
$
44
Professional attendance at consulting rooms (not being an attendance covered by any other item in this Part) 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 one 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
60.00
SCHEDULE—continued
Item
Medical service
Fee
$
47
Professional attendance, other than an attendance covered by any other item in this Part 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 one 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
76.00
48
Professional attendance at an institution (not being an attendance covered by any other item in this Part) 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 one 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 one or more patients at the one institution on the one occasion— each patient
Amount under rule 52
50
Professional attendance at a hospital (not being an attendance covered by any other item in this Part) 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 one 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 one or more patients at the one hospital on the one occasion—each patient
Amount under rule 52
SCHEDULE—continued
Item
Medical service
Fee
51
Professional attendance (not being an attendance covered by any other item in this Part) 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 one 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 one or more patients at the one nursing home on the one occasion—each patient
Amount under rule 52
$
52
Professional attendance at consulting rooms of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
10.60
53
Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
20.50
54
Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
37.00
57
Professional attendance at consulting rooms of more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
59.00
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 an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
23.00
SCHEDULE—continued
Item
Medical service
Fee
$
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 an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
30.50
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 an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
49.50
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 an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
71.00
81
Professional attendance at an institution of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one institution on the one occasion—each patient
Amount under rule 52
83
Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one institution on the one occasion—each patient
Amount under rule 52
84
Professional attendance at an institution of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one institution on the one occasion—each patient
Amount under rule 52
86
Professional attendance at an institution of more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one institution on the one occasion—each patient
Amount under rule 52
87
Professional attendance at a hospital of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one hospital on the one occasion—each patient
Amount under rule 52
SCHEDULE—continued
Item
Medical service
Fee
89
Professional attendance at a hospital of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one hospital on the one occasion—each patient
Amount under rule 52
90
Professional attendance at a hospital of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one hospital on the one occasion—each patient
Amount under rule 52
91
Professional attendance at a hospital of more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one hospital on the one occasion—each patient
Amount under rule 52
92
Professional attendance (not being an attendance covered by any other item in this Part) 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 (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one nursing home on the one occasion—each patient
Amount under rule 52
93
Professional attendance (not being an attendance covered by any other item in this Part) 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 (not being an attendance covered by any other item in this Part) by $ medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one nursing home on the one occasion—each patient
Amount under rule 52
SCHEDULE—continued
Item
Medical service
Fee
95
Professional attendance (not being an attendance covered by any other item in this Part) 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 (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one nursing home on the one occasion-each patient
Amount under rule 52
96
Professional attendance (not being an attendance covered by any other item in this Part) 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 (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one nursing home on the one occasion—each patient
Amount under rule 52
97
Professional attendance being an attendance at other than consulting rooms, on not more than one patient on the one occasion by a medical practitioner—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. 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
$42.50
98
Professional attendance being an attendance at consulting rooms, on not more than one patient on the one occasion by a medical practitioner—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. 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
42.50
SCHEDULE—continued
Item
Medical service
Fee
$
101
Examination of a patient 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 (G)
20.50
102
Examination of a patient 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 (S)
28.50
104
Professional attendance by a specialist in the practice of his/her specialty where the patient is referred to him/ 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
57.00
105
Professional attendance by a specialist in the practice of his/her specialty where the patient is referred to him/ her—each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home
28.50
107
Professional attendance by a specialist in the practice of his/her specialty where the patient is referred to his/ 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
83.00
108
Professional attendance by a specialist in the practice of his/her specialty where the patient is referred to him/ 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
53.00
110
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/her by a medical practitioner— initial attendance in a single course of treatment.
100.00
116
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/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.
50.00
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/her by a medical practitioner— each minor attendance subsequent to the first in a single course of treatment.
28.50
122
Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than in psychiatry) where the patient is referred to him/her by a medical practitioner—initial attendance in a single course of treatment.
122.00
SCHEDULE—continued
Item
Medical service
Fee
$
128
Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than in psychiatry) where the patient is referred to him/her by a medical practitioner—each attendance (other than an attendance covered by item 131) subsequent to the first in a single course of treatment.
74.00
131
Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than in psychiatry) where the patient is referred to him/her by a medical practitioner—each minor attendance subsequent to the first in a single course of treatment.
53.00
134
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/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
29.00
136
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/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
58.00
138
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/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
84.00
140
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/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
116.00
142
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner— an attendance of more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home
142.00
144
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/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
53.00
SCHEDULE—continued
Item
Medical service
Fee
$
146
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/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
83.00
148
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/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
116.00
150
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/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
140.00
152
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/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
166.00
160
Professional attendance for a period of not less than 1 hour but less than 2 hours (not being an attendance covered by any other item in this Part) 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
82.00
161
Professional attendance for a period of not less than 2 hours but less than 3 hours (not being an attendance covered by any other item in this Part) 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
134.00
162
Professional attendance for a period of not less than 3 hours but less than 4 hours (not being an attendance covered by any other item in this Part) 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
186.00
163
Professional attendance for a period of not less than 4 hours but less than 5 hours (not being an attendance covered by any other item in this Part) 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
235.00
SCHEDULE—continued
Item
Medical service
Fee
$
164
Professional attendance for a period of 5 hours or more (not being an attendance covered by any other item in this Part) 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
285.00
170
Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his/ her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of two patients
87.00
171
Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his/ her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of three patients
92.00
172
Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his/ her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of four or more patients
112.00
Professional Attendances by Participating Optometrists
180
Professional attendance by a participating optometrist that is the sole or first attendance in a single course of attention of a patient. The Medicare benefit is payable in respect of attendances by a participating optometrist at, or operating from, the same practice location, only once in a period of twenty four consecutive months unless the examining optometrist has certified that, in his/her professional opinion, the person had an ocular condition which necessitated a further course of attention being commenced within twenty four months of the previous initial consultation
47.00
182
Professional attendance by a participating optometrist (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 covered by item 180
23.50
184
Professional attendance by a participating optometrist (not being an attendance relating to the prescription and fitting of contact lenses) that is the third or a subsequent attendance in a single course of attention of a patient in respect of whom the attending optometrist has certified on the patient's account that, in his/her professional opinion, there is a need for that attendance, being a course of attention in respect of which the first attendance is covered by item 180
23.50
SCHEDULE—continued
Item
Medical service
Fee
$
186
Professional attendances by a participating optometrist 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 covered by Item 180. The Medicare benefit is payable only once in a period of thirty six consecutive months unless the examining optometrist has certified on the patient's account that, in his/her professional opinion, the patient had an ocular condition which necessitated a further course of attention being commenced within thirty six months of the previous initial consultation
118.00
PART 2—OBSTETRICS
Division 1—General
190
Antenatal care (not including any service or services covered by item 204 or 205) where the attendances do not exceed ten—each attendance
20.50
192
Antenatal care (not including any service or services covered by item 204 or 205) where the attendances exceed ten
205.00
194
Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (G)
158.00
196
Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (S)
270.00
198
Confinement as an independent procedure, including all related attendances (S)
230.00
201
Confinement, incomplete, with or without postnatal care for nine 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
106.00
204
Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (G)
450.00
205
Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (S)
580.00
210
Caesarean section and postnatal care for nine 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
415.00
Division 2—Special Services
242
Treatment of habitual miscarriage by injection of hormones—each injection up to a maximum of twelve injections, where the injection is not administered during a routine antenatal attendance
14.80
SCHEDULE—continued
Item
Medical service
Fee
$
246
Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of—each attendance that is not a routine antenatal attendance
14.80
247
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 two attendances in any seven day period
14.80
248
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 one visit per day
Cervix, purse string ligation of, for threatened miscarriage (S) (AU 6)
146.00
267
Cervix, removal of purse string ligature of, under general anaesthesia (AU 5)
42.00
273
Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of—each attendance that is not a routine antenatal attendance
14.80
274
Management of second trimester labour, with or without induction (G)
158.00
275
Management of second trimester labour, with or without induction (S)
196.00
278
Amnioscopy or amniocentesis
42.00
280
Chorionic villus sampling including any associated imaging
170.00
290
Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement)
24.50
295
Version, external, under general anaesthesia (AU 6)
42.00
298
Version, internal, under general anaesthesia (AU 6)
76.00
362
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
116.00
363
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
116.00
365
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
230.00
SCHEDULE—continued
<table cellspacing="0" cellpadding="0" style="width:100%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td style="width:7.2%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Item</span></p></td><td style="width:82.92%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Medical service</span></p></td><td style="width:9.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Fee</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:82.92%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:9.88%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">383</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">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</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">172.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:6pt; margin-left:10.75pt; margin-bottom:1pt; text-indent:-10.75pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">PART 3—ANAESTHETICS</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 1</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Anaesthetics Administered by a Medical Practitioner other than a Specialist Anaesthetist</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">401</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 1)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">11.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">403</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 2)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">22.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">404</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 3)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">33.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">405</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 4)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">44.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">406</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">55.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">medical service, being a medical service which contains</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">the reference (AU 5)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">407</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 6)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">66.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">408</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 7)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">77.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">409</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 8)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">88.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">443</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 9)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">99.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">450</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 10)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">110.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">453</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 11)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">120.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">454</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 12)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">132.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">457</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 13)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">142.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">458</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 14)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">154.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.2%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">459</span></p></td><td style="width:82.92%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 15)</span></p></td><td style="width:9.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:10pt"><span style="font-family:'Times New Roman', serif">164.00</span></p></td></tr></tbody></table>
SCHEDULE—continued
Item
Medical service
Fee
$
460
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 16)
176.00
461
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 17)
186.00
462
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 18)
198.00
463
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 19)
210.00
464
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 20)
220.00
465
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 21)
230.00
466
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 22)
240.00
467
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 23)
250.00
468
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 24)
265.00
469
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 25)
275.00
470
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 26)
285.00
471
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 27)
295.00
472
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 28)
305.00
473
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 29)
315.00
474
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 30)
330.00
475
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 32)
350.00
476
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 36)
395.00
477
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 38)
415.00
SCHEDULE—continued
Item
Medical service
Fee
$
478
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 39)
425.00
479
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 40)
440.00
480
Administration of an anaesthetic in connection with radiotherapy
66.00
481
Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, delivery of second twin by manipulation, rotation of head followed by delivery—where an epidural needle or catheter has not been inserted earlier in labour
77.00
482
Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in items 7397 to 7472
Amount under rule 28
483
Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in items 7505 to 7798
Amount under rule 30
484
Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in items 7505 to 7798
Amount under rule 29
485
Administration of an anaesthetic in connection with the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in items 7505 to 7798
Amount under rule 31
486
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
11.00
487
Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure
110.00
488
Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 5057
Amount under rule 32
$
489
Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study
88.00
490
Administration of an anaesthetic in connection with computerised axial tomography—body scan, plain study with or without contrast medium study
88.00
492
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 34)
370.00
493
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 35)
385.00
497
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 47)
SCHEDULE—continued
Item
Medical service
Fee
$
Division 2—Anaesthetic Administered by a Specialist Anaesthetist
500
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 1)
12.20
505
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 2)
24.50
506
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 3)
36.50
509
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 4)
48.50
510
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 5)
61.00
513
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 6)
73.00
514
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 7)
85.00
517
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 8)
97.00
518
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 9)
110.00
521
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 10)
122.00
522
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 11)
134.00
523
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 12)
146.00
524
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 13)
158.00
525
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 14)
170.00
526
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 15)
182.00
527
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 16)
194.00
528
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 17)
205.00
529
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 18)
220.00
SCHEDULE—continued
Item
Medical service
Fee
$
531
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 19)
230.00
533
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 20)
245.00
535
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 21)
255.00
537
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 22)
270.00
538
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 23)
280.00
539
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 24)
290.00
540
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 25)
305.00
541
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 26)
315.00
542
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 27)
330.00
543
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 28)
340.00
544
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 29)
355.00
545
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 30)
365.00
546
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 32)
390.00
547
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 36)
440.00
548
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 38)
465.00
549
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 39)
475.00
550
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 40)
485.00
551
Administration of an anaesthetic in connection with radiotherapy
73.00
SCHEDULE—continued
Item
Medical service
Fee
$
552
Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, delivery of second twin by manipulation, rotation of head followed by delivery— where an epidural needle or catheter has not been inserted earlier in labour
85.00
553
Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in items 7397 to 7472
Amount under rule 28
554
Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in items 7505 to 7798
Amount under rule 30
556
Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in items 7505 to 7798
Amount under rule 29
557
Administration of an anaesthetic in connection with the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in items 7505 to 7798
Amount under rule 31
558
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
12.20
559
Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure
122.00
560
Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 5057
Amount under rule 32
$
561
Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study
97.00
562
Administration of an anaesthetic in connection with computerised axial tomography—body scan, plain study with or without contrast medium study
97.00
563
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 34)
415.00
564
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 35)
425.00
565
Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 47)
570.00
Division 3—Dental Anaesthetics
566
Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation (G)
44.00
567
Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation (S)
48.50
SCHEDULE—continued
Item
Medical service
Fee
$
568
Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth, not being a service covered by item 570 (G)
66.00
569
Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth, not being a service covered by item 571 (S)
73.00
570
Administration by a medical practitioner of an endotracheal anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (G)
88.00
571
Administration by a medical practitioner of an endotracheal anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (S)
97.00
572
Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (G)
66.00
573
Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (S)
73.00
574
Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration (G)
110.00
575
Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration (S)
122.00
576
Administration by a medical practitioner of an endotracheal anaesthetic in connection with a dental operation, not covered by any other item in this Part (G)
77.00
577
Administration by a medical practitioner of an endotracheal anaesthetic in connection with a dental operation, not covered by any other item in this Part (S)
85.00
PART 4—REGIONAL OR FIELD NERVE BLOCK
748
Regional or field nerve block, being one 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 3 nerves, intercostal (involving any four or more nerves, one or both sides) paravertebral (thoracic or lumbar), pudendal, retrobulbar with facial nerve; sacral or spinal (intrathecal)
62.00
751
Maintenance of a regional or field nerve block referred to in item 748 by the administration of local anaesthetic through an in situ needle or catheter, when performed other than by the operating surgeon
26.50
SCHEDULE—continued
<table cellspacing="0" cellpadding="0" style="width:100%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td style="width:7.46%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Item</span></p></td><td style="width:83.24%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Medical service</span></p></td><td style="width:9.3%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Fee</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.24%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:9.3%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">752</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Introduction of a narcotic, for the control of post-operative pain, into the epidural or intrathecal space in association with an operation</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">33.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">753</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">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</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">33.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">754</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Maintenance of narcotic analgesia referred to in item 752 by the administration of a narcotic through an in situ needle or catheter, when performed other than by the operating surgeon</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">26.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">755</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">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)</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">92.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">756</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">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)</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">102.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">760</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Intravenous regional anaesthesia of limb by retrograde perfusion (G)</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">764</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Intravenous regional anaesthesia of limb by retrograde perfusion (S)</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">59.00</span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:6pt; margin-left:10.75pt; margin-bottom:3pt; text-indent:-10.75pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">PART 5—ASSISTANCE IN ADMINISTRATION OF AN ANAESTHETIC</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">767</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Assistance in the administration of an anaesthetic where the administration of the anaesthetic is in connection with a medical service which 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) or (AU 47)</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">90.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:6pt; margin-left:10.75pt; margin-bottom:3pt; text-indent:-10.75pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">PART 6—MISCELLANEOUS PROCEDURES</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-left:10.75pt; margin-bottom:0pt; text-indent:-10.75pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 1</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">770</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Blood pressure monitoring by intravascular cannula (AU 4)</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">774</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Hyperbaric oxygen therapy where the medical practitioner is not in the chamber</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">92.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">777</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Hyperbaric oxygen therapy where the medical practitioner is confined in the chamber</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">148.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">780</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Urine flow study including peak urine flow measurement, not associated with item 786</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">18.40</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">781</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Cystometrography, not associated with items 784, 785, 786 810-817, 839, 5840 or any item in Part 8</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">74.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">782</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Urethral pressure profilometry, not associated with items 783, 786, 810-817, 839, 5840 or any item in Part 8</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">74.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.46%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">783</span></p></td><td style="width:83.24%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Urethral pressure profilometry with simultaneous measurement of urethral sphincter electromyography, not associated with items 782, 785, 786, 5840 or any item in Part 8</span></p></td><td style="width:9.3%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">110.00</span></p></td></tr></tbody></table>
SCHEDULE—continued
Item
Medical service
Fee
$
784
Cystometrography with simultaneous measurement of rectal pressure, not associated with items 781, 785, 786, 810-817 839, 5840 or any item in Part 8 (AU 6)
110.00
785
Cystometrography with simultaneous measurement of urethral sphincter electromyography, not associated with items 781, 783, 784, 786, 810-817, 839, 5840 or any item in Part 8 (AU 6)
110.00
786
Cystometrography with simultaneous measurement of any one or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography; and all associated fluoroscopic imaging, not associated with items 780-785, 810-817, 839 and 5840 (AU 6)
285.00
787
Administration of a general anaesthetic (including the administration of oxygen ) during hyperbaric therapy where the medical practitioner is not confined in the chamber
124.00
790
Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is confined in the chamber
184.00
Division 2
791
Ultrasonic cross-sectional echography, not associated with item 793, 794 or 913, where the patient is not referred by a medical practitioner for ultrasonic examination each ultrasonic examination not exceeding two examinations in any one pregnancy
32.00
793
Ultrasonic cross-sectional echography performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not associated with item 791, 794 or 913 and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member
93.00
794
Ultrasonic echography, unidimensional not associated with item 791, 793 or 913
56.00
795
Examination of peripheral vessels at rest (unilateral or bilateral) with hard copy recordings of wave forms, involving one of the following techniques—Doppler recordings (pulsed, continuous wave, or both) of blood flow velocity with or without pulse volume recordings; Doppler recordings involving real time fast fourier transform analysis; venous occlusion plethysmography; air plethysmography; strain-guage plethysmography; impedance plethysmography; or photo plethysmography (not associated with items 798 or 799)-—one examination and report
34.50
796
- two examinations of the kind referred to in item 795 and report (not associated with item 798 or 799)
48.50
797
- three or more examinations of the kind referred to in item 795 and report (not associated with item 798 or 799)
63.00
SCHEDULE—continued
Item
Medical service
Fee
$
798
Examination of peripheral vessels and report, involving any of the techniques referred to in item 795, 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)
63.00
799
Measurement of digital temperature, one 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
50.00
800
Examination of carotid vessels (unilateral or bilateral) with hard copy recordings of wave forms, involving one of the following techniques—Doppler real time fast fourier transform analysis; oculoplethysmography, phonoangiography or both; or periorbital Doppler examination (not associated with item 990, 991, 992 or 993)—one examination and report
45.00
801
- two examinations of the kind referred to in item 800, and report (not associated with item 990, 991, 992 or 993)
68.00
802
- three examinations of the kind referred to in item 800, and report (not associated with item 990, 991, 992 or 993)
90.00
803
Electroencephalography, not associated with item 804, 806 or 809 (AU 6)
82.00
804
Electroencephalography, prolonged recording of at least three hours duration, not associated with item 803, 806 or 809
215.00
806
Electroencephalography, temporosphenoidal
112.00
809
Electrocorticography
152.00
810
Neuromuscular electrodiagnosis—conduction studies on one nerve or electromyography of one or more muscles using concentric needle electrodes or both these examinations (not associated with item 811 or 813)
74.00
811
Neuromuscular electrodiagnosis—conduction studies on two or three nerves with or without electromyography (not associated with item 810 or 813)
100.00
813
Neuromuscular electrodiagnosis—conduction studies on four 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 810 or 811)
148.00
814
Neuromuscular electrodiagnosis—repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations
100.00
816
Investigation of central nervous system evoked responses by computerised averaging techniques—one or two studies
76.00
817
Investigation of central nervous system evoked responses by computerised averaging techniques—three or more studies
112.00
818
Brain stem evoked response audiometry (AU 6)
128.00
819
Insertion of electrodes for the purpose of electrocochleography
126.00
SCHEDULE—continued
Item
Medical service
Fee
$
Division 3
821
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 the one day
91.00
824
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 the one day
47.50
831
Declotting of an arteriovenous shunt
81.00
833
Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis—insertion and fixation of (AU 8)
152.00
836
Peritoneal dialysis, establishment of by abdominal puncture and insertion of temporary catheter (including associated consultation)
91.00
839
Bladder washout test for localization of urinary infection— not including bacterial counts for organisms in specimens
50.00
Division 3A
840
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 841, 842 or 847—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
1475.00
841
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 the 1 treatment cycle but excluding a service provided under item 840, 842, 845, 846 or 847
370.00
842
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 845
635.00
SCHEDULE—continued
Item
Medical service
Fee
843
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
$63.00
845
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 or similar procedures—only if rendered in conjunction with item 840 or 842 only if (AU 9)
270.00
846
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 840 or 842, being services rendered in 1 treatment cycle (AU 9)
84.00
847
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 840, 841, 842, 845 or 846 (AU 9)
635.00
848
Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination
38.50
Division 4
849
Provocative test or tests for glaucoma, including water drinking
27.00
850
Tonography—in the investigation or management of glaucoma, of one or both eyes—using an electrical tonography machine producing a directly recorded tracing
46.00
851
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—one service in any period of thirty six consecutive months
81.00
852
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 thirty six months of the initial fitting which is covered by item 851
5.80
853
Electroretinography of one or both eyes or electro-oculography of one or both eyes
73.00
854
Electroretinography of one or both eyes and electro-oculography of one or both eyes
108.00
856
Optic fundi, examination of following intravenous dye injection
46.50
859
Retinal photography, multiple exposures, of one eye with intravenous dye injection
91.00
860
Retinal photography, multiple exposures of both eyes with intravenous dye injection
112.00
SCHEDULE—continued
Item
Medical service
Fee
$
Division 5
862
Non-determinate audiometry
14.60
863
Audiogram, air conduction
17.40
865
Audiogram, air and bone conduction or air conduction and speech discrimination
24.50
870
Audiogram, air and bone conduction and speech
33.00
874
Audiogram, air and bone conduction and speech, with other cochlear tests
40.50
875
Glycerol induced cochlear function changes assessed by a minimum of four air conduction and speech discrimination tests (Klockoff's test)
77.00
877
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 covered by item 863, 865, 870 or 874
22.00
878
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 covered by item 863, 865, 870 or 874
13.20
879
Impedance audiogram where the patient is not referred by a medical practitioner—one examination in any four week period
5.30
882
Caloric test of labyrinth or labyrinths
29.50
883
Simultaneous bithermal caloric test of labyrinths
30.00
884
Electronystagmography
29.50
Division 6
886
Electroconvulsive therapy, including associated consultation (AU 3)
38.00
887
Group psychotherapy (including associated consultations) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his/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
33.00
888
Group psychotherapy (including associated consultations) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his/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
43.50
889
Group psychotherapy (including associated consultations) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his/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
64.00
SCHEDULE—continued
Item
Medical service
Fee
$
890
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/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 initial diagnostic evaluation of the patient, where that interview is at consulting rooms, hospital or nursing home
34.50
893
Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner, involving an interview of a person other than the patient of not less than 45 minutes duration in the course of initial diagnostic evaluation of the patient, where that interview is at consulting rooms, hospital or nursing home
78.00
Division 7
895
Umbilical or scalp vein catheterisation in a neonate with or without infusion; or cannulation of a vein
38.00
897
Umbilical artery catheterisation with or without infusion
56.00
902
Blood transfusion with venesection and complete replacement of blood, including collection from donor
220.00
904
Blood transfusion with venesection and complete replacement of blood, using blood already collected
190.00
907
Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants
19.00
Division 8
908
Twelve-lead electrocardiography, tracing and report
23.00
909
Twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, not associated with an attendance item in Part 1, or twelve-lead electrocardiography, tracing only
11.60
910
Two dimensional real time transoesophageal echocardiographic examination of the heart, not associated with any other echocardiographic examination
186.00
911
Two dimensional real time transoesophageal echocardiographic examination of the heart, associated with another echocardiographic examination
93.00
912
Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram—interpretation and report
48.00
913
Echocardiography, not covered by item 791 or 793
80.00
915
Continuous ECG monitoring (Holter) of an ambulatory patient for twelve or more hours involving recording, scanning analysis, interpretation and report, including resting ECG and the recording of other parameters
124.00
916
Electrocardiographic monitoring during exercise, with apparatus such as bicycle ergometer or treadmill, involving the continuous attendance of a medical practitioner for not less than 20 minutes, including resting electrocardiography and with or without recording of other parameters, on premises equipped with mechanical respirator and defibrillator
112.00
SCHEDULE—continued
Item
Medical service
Fee
$
917
Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (AU4)
64.00
918
Bronchospirometry, including gas analysis
112.00
920
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 one or more such tests are performed
92.00
921
Measurement of respiratory function involving a permanently recorded tracing performed before and after inhalation of bronchodilator—each occasion at which one or more such tests are performed
13.60
922
Perfusion of limb or organ using heart-lung machine or equivalent
295.00
923
Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent
425.00
924
Hyperthermic isolated limb perfusion including vascular cannulation by open operation and subsequent removal of catheters (AU 30)
670.00
925
Induced controlled hypothermia—total body
73.00
926
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 one or more such tests are performed
23.50
928
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 one or more such tests are performed
41.00
931
Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent
59.00
932
Administration of a cytotoxic agent by intravenous drip infusion or by introduction into the bladder
43.00
934
Intra-arterial infusion or intra-arterial injection of a substance incorporating a cytotoxic agent, preparation for
56.00
936
Intralymphatic infusion or intralymphatic injection of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium
87.00
938
Intralymphatic insertion of needle or cannula for the introduction of radio-active material
87.00
SCHEDULE—continued
Item
Medical service
Fee
$
939
Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (AU 10)
220.00
940
Administration of blood including collection from donor
79.00
944
Administration of blood or bone marrow already collected
55.00
947
Intra-uterine foetal blood transfusion using blood already collected, including necessary amniocentesis
152.00
949
Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation
32.00
950
Central vein catheterisation (via jugular or subclavian vein) by open exposure, in a person under twelve years of age (AU 12)
152.00
951
Central vein catheterisation (via jugular or subclavian vein) by percutaneous or open exposure, not covered by Item 950 (AU 6)
57.00
952
Blood dye—dilution indicator test
80.00
953
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
158.00
954
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
39.50
956
Arterial puncture and collection of blood for diagnostic purposes
15.40
957
Intra-arterial cannulisation for purpose of taking multiple arterial blood samples for blood gas analysis
46.00
958
Collection of specimen of sweat by iontophoresis
25.00
960
Hormone or living tissue implantation—by incision
34.00
963
Hormone or living tissue implantation—by cannula
23.50
966
Oesophageal motility test, manometric
116.00
968
Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage
120.00
970
Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage
240.00
974
Gastric lavage in the treatment of ingested poison
40.00
976
Counterpulsation by intra-aortic balloon—management on the first day, including percutaneous insertion, initial and subsequent consultations and monitoring of parameters
360.00
977
Counterpulsation by intra-aortic balloon—management on each day subsequent to the first, including associated consultations and monitoring of parameters
87.00
978
PUVA therapy or UVB therapy administered in whole body cabinet not associated with item 979 including associated consultations other than an initial consultation
39.00
979
PUVA therapy or UVB therapy administered to localised body areas in a hand and foot cabinet not associated with item 978 including associated consultations other than an initial consultation
39.00
SCHEDULE—continued
Item
Medical service
Fee
$
980
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
20.50
Division 9
987
Skin sensitivity testing for allergens, using one to twenty allergens
26.00
989
Skin sensitivity testing for allergens, using more than twenty allergens
39.00
990
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries), peripheral vessels, or intrathoracic or intra-abdominal vascular vessels (excluding cardiac and pregnancy related studies) (not associated with item 793)—one examination and report
160.00
991
- two or more examinations of the kind referred to in item 990 and report (not associated with item 793)
275.00
992
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography (not associated with item 793)—examination and report
192.00
993
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels and carotid vessels, with oculoplethysmography (not associated with item 793)—examination and report
310.00
995
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels, including any of the investigations covered by item 795, 796 or 797 (not associated with item 793)—examination and report
186.00
999
Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels, including any of the investigations covered by item 798 (not associated with item 793—examination and report
205.00
PART 7A—COMPUTERISED TOMOGRAPHY (EXCLUDING MAGNETIC RESONANCE IMAGING)
Division 1—Computerised Tomography on a Body Scanner
2400
Computerised tomography—scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (not covered by item 2447 or 2450)
138.00
2401
Computerised tomography—scan of brain with or without scan of internal auditory meatus with intravenous contrast medium (not covered by item 2448 or 2451)
192.00
SCHEDULE—continued
Item
Medical service
Fee
$
2402
Computerised tomography—scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2449 or 2452)
225.00
2403
Computerised tomography—scan of pituitary fossa by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain scan
460.00
2404
Computerised tomography—scan of orbits by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain scan
455.00
2405
Computerised tomography—scan of middle ear and temporal bone, unilateral or bilateral, detailed study by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain scan
445.00
2406
Computerised tomography—scan of temporal bones with air study (including reconstructions) and including intrathecal injection, not including an associated brain scan
355.00
2407
Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of one or more regions without intravenous contrast medium
250.00
2408
Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of one or more regions with intravenous contrast medium
265.00
2409
Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of one or more regions without and with intravenous contrast medium
375.00
2410
Computerised tomography—scan of soft tissues of neck including, larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of one or more regions without intravenous contrast medium (not covered by item 2444)
355.00
2411
Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of one or more regions with intravenous contrast medium (not covered by item 2445)
385.00
2412
Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of one or more regions without and with intravenous contrast medium (not covered by item 2446)
420.00
2413
Computerised tomography—scan of spine, one or more regions—25 slices or less without intravenous contrast medium
176.00
2414
Computerised tomography—scan of spine, one or more regions—25 slices or less with intravenous contrast medium
205.00
2415
Computerised tomography—scan of spine, one or more regions—25 slices or less without and with intravenous contrast medium
275.00
SCHEDULE—continued
Item
Medical service
Fee
$
2416
Computerised tomography—scan of spine, one or more regions—26 or more slices without intravenous contrast medium
250.00
2417
Computerised tomography—scan of spine, one or more regions—26 or more slices with intravenous contrast medium
275.00
2418
Computerised tomography—scan of spine, one or more regions—26 or more slices without and with intravenous contrast medium
385.00
2419
Computerised tomography—scan of spine, one or more regions with intrathecal contrast medium (not including the preparation by intrathecal injection of contrast medium)
250.00
2420
Computerised tomography—scan of chest (including lungs, mediastinum and pleura) without intravenous contrast medium (not covered by item 2438, 2441, 2444, 2447 or 2450)
250.00
2421
Computerised tomography—scan of chest (including lungs, mediastinum and pleura) with intravenous contrast medium (not covered by item 2439, 2442, 2445, 2448 or 2451)
285.00
2422
Computerised tomography—scan of chest (including lungs, mediastinum and pleura) without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440 2443, 2446, 2449 or 2452)
360.00
2423
Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium (not covered by item 2438, 2441, 2444 or 2450)
138.00
2424
Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis with intravenous contrast medium (not covered by item 2439, 2442, 2445 or 2451)
168.00
2425
Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446 or 2452)
275.00
2426
Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium (not covered by item 2438, 2441, 2444 or 2450)
210.00
2427
Computerised tomography—scan of upper abdomen and pelvis with intravenous contrast medium (not covered by item 2439, 2442, 2445 or 2451)
255.00
2428
Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446 or 2452)
360.00
2429
Computerised tomography—scan of extremities, one or more regions involving up to 20 slices without intravenous contrast medium
138.00
2430
Computerised tomography—scan of extremities, one or more regions involving up to 20 slices with intravenous contrast medium
168.00
SCHEDULE—continued
Item
Medical service
Fee
$
2431
Computerised tomography—scan of extremities, one or more regions involving up to 20 slices without and with intravenous contrast medium
205.00
2432
Computerised tomography—scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices without intravenous contrast medium
176.00
2433
Computerised tomography—scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices with intravenous contrast medium
205.00
2434
Computerised tomography—scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices without and with intravenous contrast medium
275.00
2435
Computerised tomography—scan of extremities, one or more regions involving more than 40 slices without intravenous contrast medium
250.00
2436
Computerised tomography—scan of extremities, one or more regions involving more than 40 slices with intravenous contrast medium
275.00
2437
Computerised tomography—scan of extremities, one or more regions involving more than 40 slices without and with intravenous contrast medium
350.00
2438
Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) without intravenous contrast medium (not covered by item 2441, 2444 or 2450)
250.00
2439
Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) with intravenous contrast medium (not covered by item 2442, 2445 or 2451)
290.00
2440
Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) without and with intravenous contrast medium (not covered by item 2443 2446 or 2452)
365.00
2441
Computerised tomography—scan of chest, abdomen and pelvis without intravenous contrast medium (not covered by item 2444)
325.00
2442
Computerised tomography—scan of chest, abdomen and pelvis with intravenous contrast medium (not covered by item 2445)
365.00
2443
Computerised tomography—scan of chest, abdomen and pelvis without and with intravenous contrast medium (not covered by item 2446)
510.00
2444
Computerised tomography—scan of neck, chest, abdomen and pelvis without intravenous contrast medium
465.00
2445
Computerised tomography—scan of neck, chest, abdomen and pelvis with intravenous contrast medium
510.00
2446
Computerised tomography—scan of neck, chest, abdomen and pelvis without and with intravenous contrast medium
615.00
2447
Computerised tomography—scan of brain and chest without intravenous contrast medium
250.00
2448
Computerised tomography—scan of brain and chest with intravenous contrast medium
290.00
SCHEDULE—continued
<table cellspacing="0" cellpadding="0" style="width:100%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td style="width:7.68%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Item</span></p></td><td style="width:82.5%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Medical service</span></p></td><td style="width:9.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Fee</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:82.5%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:9.82%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2449</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Computerised tomography—scan of brain and chest without and with intravenous contrast medium</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">400.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2450</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without intravenous contrast medium</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">355.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2451</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain with intravenous contrast medium</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">400.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2452</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without and with intravenous contrast medium</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">510.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2453</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Computerised tomography—pelvimetry</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">138.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2454</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Computerised tomography—dynamic scan of region not associated with any other item in this part</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">168.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2455</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Computerised tomography—dynamic scan of region when associated with another item in this Part</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Amount under rule 41</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 2</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Computerised Tomography on a Brain Scanner</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2458</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Computerised tomography—scan of brain without intravenous contrast medium</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">70.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2459</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Computerised tomography—scan of brain with intravenous contrast medium</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">85.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2460</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Computerised tomography—scan of brain without and with intravenous contrast medium</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">132.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:6pt; margin-left:10.75pt; margin-bottom:2pt; text-indent:-10.75pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">PART 8—RADIOLOGICAL SERVICES</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:26.7pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 1</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Radiographic Examination of Extremities and Report (with or without Fluoroscopy)</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2502</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Digits or phalanges—all or any of either hand or either foot (when the service is rendered otherwise than by a specialist in the practice of his/her specialty)</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">29.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2505</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Digits or phalanges—all or any of either hand or either foot (when the service is rendered by a specialist in the practice of his/her specialty)</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">38.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2508</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Hand, wrist, forearm, elbow or arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his/her specialty)</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">29.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2512</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Hand, wrist, forearm, elbow or arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his/her specialty)</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">38.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2516</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his/her specialty)</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">39.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2520</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his/her specialty)</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">52.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2524</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered otherwise than by a specialist in the practice of his/her specialty)</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">31.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2528</span></p></td><td style="width:82.5%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:2pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered by a specialist in the practice of his/her specialty)</span></p></td><td style="width:9.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:2pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">42.00</span></p></td></tr></tbody></table>
SCHEDULE—continued
<table cellspacing="0" cellpadding="0" style="width:100%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td style="width:7.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Item</span></p></td><td style="width:83.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Medical service</span></p></td><td style="width:8.42%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Fee</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.88%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:8.42%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2532</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Foot, ankle and lower leg; or upper leg and knee (when the service is rendered otherwise than by a specialist in the practice of his/her specialty)</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">48.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2537</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Foot, ankle and lower leg; or upper leg and knee (when the service is rendered by a specialist in the practice of his/her specialty)</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 2</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Radiographic Examination of Shoulder or Hip Joint and Report</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2539</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Shoulder or scapula (when the service is rendered otherwise than by a specialist in the practice of his/her specialty)</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">39.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2541</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Shoulder or scapula (when the service is rendered by a specialist in the practice of his/her specialty)</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">52.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2543</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Clavicle (when the service is rendered otherwise than by a specialist in the practice of his/her specialty)</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">31.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2545</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Clavicle (when the service is rendered by a specialist in the practice of his/her specialty)</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">42.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2548</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Hip joint</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2551</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Pelvic girdle</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">59.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2554</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Sacro-iliac joints</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">59.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2557</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">96.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 3</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Radiographic Examination of Head and Report</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2560</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Skull (calvarium)</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">63.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2563</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Sinuses</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2566</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Mastoids</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">63.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2569</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Petrous temporal bones</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">63.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2573</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Facial bones—orbit, maxilla or malar—any or all</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2576</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Mandible</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2579</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Salivary calculus</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2581</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Nose</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2583</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Eye</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2585</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Temporo-mandibular joints</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">48.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2587</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Teeth—single area</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">32.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2589</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Teeth—full mouth</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">76.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2590</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Teeth—orthopantomography</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2591</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Palatopharyngeal studies with fluoroscopic screening</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">63.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2593</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Palatopharyngeal studies without fluoroscopic screening</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">48.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2595</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Larynx</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">42.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 4</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Radiographic Examination of Spine and Report</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2597</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine—cervical</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">63.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2599</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine—thoracic</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">54.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2601</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine—lumbo-sacral</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">74.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2604</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine—sacro-coccygeal</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">45.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2607</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine—two regions</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">93.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2609</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine—three or more regions</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">128.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2611</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine—functional views of one area</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">20.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 5</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Bone Age Study and Skeletal Surveys</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2614</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Bone age study, wrist and knee</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2617</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Bone age study, wrist</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">38.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2621</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Skeletal survey involving four or more regions</span></p></td><td style="width:8.42%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">87.00</span></p></td></tr></tbody></table>
SCHEDULE—continued
<table cellspacing="0" cellpadding="0" style="width:100%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td style="width:6.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Item</span></p></td><td style="width:85.02%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Medical service</span></p></td><td style="width:8.4%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Fee</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:85.02%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:8.4%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 6</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Radiographic Examination of Thoracic Region and Report</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2625</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Chest (lung fields) by direct radiography (when the service is rendered otherwise than by a specialist in the practice of his/her specialty)</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">34.50</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2627</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Chest (lung fields) by direct radiography (when the service is rendered by a specialist in the practice of his/her specialty)</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2630</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Chest (lung fields) by direct radiography with fluoroscopic screening</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">59.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2634</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Thoracic inlet or trachea</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">38.50</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2638</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Chest by miniature radiography</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">21.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2642</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Cardiac examination (including barium swallow) (when the service is rendered otherwise than by a specialist in the practice of his/her specialty)</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">44.50</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2646</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Cardiac examination (including barium swallow) (when the service is rendered by a specialist in the practice of his/her specialty)</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">59.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2655</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Sternum or ribs on one side</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">42.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2656</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Sternum and ribs on one side, or ribs on both sides</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">55.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2657</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Sternum and ribs on both sides</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">67.00</span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division </span><span style="font-family:'Times New Roman', serif">7—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Radiographic Examination of Urinary Tract and Report</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2665</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Plain renal only</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2672</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Drip-infusion pyelography</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">128.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2676</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Intravenous pyelography, including preliminary plain film</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">120.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2678</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Intravenous pyelography, including preliminary plain film and limited tomography involving up to three tomographic cuts</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">150.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2681</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Intravenous pyelography, including preliminary plain film with delayed examination for the cysto-ureteric reflex</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">152.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2687</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Antegrade or retrograde pyelography including preliminary plain film</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">96.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2690</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Retrograde cystography or retrograde urethrography</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">64.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2694</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Retrograde micturating cysto-urethrography</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">76.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2697</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Retro-peritoneal pneumogram</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">48.00</span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 8</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Radiographic Examination of Alimentary Tract and Biliary System (with or without Fluoroscopy) and Report</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2699</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Plain abdominal only (when the service is rendered otherwise than by a specialist in the practice of his/her specialty) not associated with item 2709, 2711, 2714 or 2720</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">34.50</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2703</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Plain abdominal only (when the service is rendered by a specialist in the practice of his/her specialty) not associated with item 2709, 2711, 2714 or 2720</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2706</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Oesophagus, with or without examination for foreign body or barium swallow</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">65.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2709</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest and with or without preliminary plain film</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">89.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2711</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest and with or without preliminary plain film</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">106.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2714</span></p></td><td style="width:85.02%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Barium or other opaque meal, small bowel series only, with or without preliminary plain film</span></p></td><td style="width:8.4%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">76.00</span></p></td></tr></tbody></table>
SCHEDULE—continued
<table cellspacing="0" cellpadding="0" style="width:100%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td style="width:7.96%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Item</span></p></td><td style="width:82.68%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Medical service</span></p></td><td style="width:9.36%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Fee</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:82.68%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:9.36%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2716</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Opaque enema</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">89.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2718</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Opaque enema, including air contrast study</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">106.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2720</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Graham's test (cholecystography), with or without preliminary abdominal radiograph</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">76.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2722</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Cholegraphy direct—operative or post-operative</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">74.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2724</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Cholegraphy—intravenous</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">106.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2726</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Cholegraphy—percutaneous transhepatic</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">87.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2728</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Cholegraphy—drip infusion</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">144.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.75pt; margin-bottom:1pt; text-indent:-10.75pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 9</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Radiographic Examination for Localization of Foreign Bodies and Report</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2730</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Foreign body in eye (special method, Sweet's or other)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">64.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2732</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Foreign body, localization of and report, not covered by any other item in this Part</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Amount under rule 22</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 10</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Radiographic Examination of Breasts and Report</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2734</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Radiographic examination of both breasts (with or without thermography) and report where the patient is referred with a specific request for this procedure and there is reason to suspect the presence of malignancy in the breasts because of the past occurrence of breast malignancy in the patient or members of the patient's family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner (S)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">76.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2736</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Radiographic examination of one breast (with or without thermography) and report where the patient is referred with a specific request for this procedure and there is reason to suspect the presence of malignancy in the breast because of the past occurrence of breast malignancy in the patient or members of the patient's family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner (S)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:49.6pt; margin-bottom:1pt; text-indent:-49.6pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 11—Radiographic Examination in Connection with Pregnancy and Report</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2738</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Pregnant uterus</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">47.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2740</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Pelvimetry or placentography</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">87.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2742</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Control X-rays associated with intrauterine foetal blood transfusion</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">64.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.75pt; margin-bottom:1pt; text-indent:-10.75pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 12</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Radiographic Examination with Opaque or Contrast Media and Report</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2744</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Serial angiocardiography (rapid cassette changing)—each series (AU 8)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">81.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2746</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Serial angiocardiography (single plane—direct roll-film method)—each series (AU 8)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">112.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2748</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Serial angiocardiography (bi-plane—direct roll-film method)—each series (AU 8)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">112.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2750</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Serial angiocardiography (indirect roll-film method)—each series (AU 8)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">112.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2751</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Selective coronary arteriography</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">295.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2752</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Discography—one disc</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">67.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2754</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Dacryocystography—one side</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.96%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">2756</span></p></td><td style="width:82.68%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Encephalography</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">100.00</span></p></td></tr></tbody></table>
SCHEDULE—continued
<table cellspacing="0" cellpadding="0" style="width:100%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td style="width:7.18%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Item</span></p></td><td style="width:83.88%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Medical service</span></p></td><td style="width:8.94%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Fee</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.88%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:8.94%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2758</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Cerebral angiography—one side</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">76.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2760</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Cerebral ventriculography</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">87.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2762</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Hysterosalpingography</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">65.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2764</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Bronchography—one side</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">96.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2766</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Arteriography, peripheral—one side</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">96.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2768</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Phlebography—one side</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">96.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2770</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Aortography</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">96.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2772</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Splenography</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">96.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2773</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Myelography, one region</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">116.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2774</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Myelography, two regions</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">192.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2775</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Myelography, three regions</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">260.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2776</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Selective arteriography per injection and film run</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">96.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2778</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Sialography—one side</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">65.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2780</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Vasoepididymography—one side</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">65.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2782</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Sinuses and fistulae</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Amount under rule 22</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2784</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Laryngography with contrast media</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">$</span></p><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">48.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2786</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Pneumoarthrography</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">41.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2788</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Arthrography—contrast</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">48.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2790</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Arthrography—double contrast</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">84.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2792</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Lymphangiography, including follow up radiography</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">64.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2794</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Pneumomediastinum</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">59.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 13—Tomography and Report</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2796</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Tomography, any part and report</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">59.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 14—Stereoscopic Examination and Report</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2798</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Stereoscopic examination of any area and report</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Amount under rule 22</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 15—Fluoroscopic Examination and Report</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2800</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Examination with general anaesthesia (not associated with a radiographic examination) (AU 7)</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">42.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2802</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Examination without general anaesthesia (not associated with a radiographic examination)</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">29.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 15A</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Examination not otherwise covered</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2804</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Radiographic examination of any part and report not covered by any other item in this Part</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">20.00</span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 16—Preparation for Radiological Procedure, being the injection of Opaque or Contrast Media or the Removal of Fluid and its Replacement by Air, Oxygen or other Contrast Media or other Similar Preparation</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2805</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Encephalography (AU 10)</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">176.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2807</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Cerebral angiography, one side—percutaneous, catheter or open exposure (AU 10)</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">124.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2811</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Cerebral ventriculography (AU 10)</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">168.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2813</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Dacryocystography—one side</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">38.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2815</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Bronchography—one or both sides (AU 8)</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">59.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2817</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Aortography (AU 8)</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">69.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2819</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Arteriography (peripheral) or phlebography—one vessel (AU 6)</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">51.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2823</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Splenography (AU 6)</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">42.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.18%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">2825</span></p></td><td style="width:83.88%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">Retroperitoneal pneumogram</span></p></td><td style="width:8.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:8pt"><span style="font-family:'Times New Roman', serif">46.00</span></p></td></tr></tbody></table>
SCHEDULE—continued
Item
Medical service
Fee
$
2827
Selective arteriogram or phlebogram (AU 6)
42.00
2831
Percutaneous injection of radio-opaque material into renal pelvis or into a renal cyst (including aspiration of the cyst) for antegrade pyelography
59.00
2833
Pneumoarthrography or pneumoperitoneum
47.00
2834
Preparation for contrast arthrography or double contrast arthrography excluding arthrography of the joints between articular processes of the vertebrae
47.00
2837
Drip-infusion pyelography or drip-infusion cholegraphy
35.50
2839
Retrograde micturating cystourethrography
66.00
2841
Hysterosalpingography (AU 6)
59.00
2843
Discography—one disc (AU 5)
38.50
2844
Preparation for discography using Metrizamide contrast medium
59.00
2845
Intraosseous venography
44.00
2847
Myelography, not covered by item 2848 (AU 11)
116.00
2848
Myelography, using Metrizamide (Amipaque) contrast medium (AU 11)
162.00
2849
Cisternal puncture
76.00
2851
Sinus or fistula injection into
20.00
2852
Preparation for sialography
53.00
2853
Lymphangiography—one side
116.00
2855
Laryngography
59.00
2857
Pneumomediastinum
76.00
2859
Cholegram, percutaneous transhepatic (AU 11)
116.00
PART 8A—RADIOTHERAPY
2861
Radiotherapy, superficial (including treatment with x-rays, radium rays or other radioactive substances) not covered by any other item in this Part—each attendance at which fractionated treatment is given—one field
28.00
2863
Radiotherapy, superficial—each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields
Amount under rule 23
$
2869
Radiotherapy, superficial—attendance in relation to a condition for the treatment of which a single dose to one field only is given
63.00
2871
Radiotherapy, superficial—attendance in relation to a condition for the treatment of which a single dose is given separately to each of two or more fields
Amount under rule 24
$
2873
Radiotherapy, superficial—each attendance at which treatment is given to an eye
35.50
2875
Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given to one field only
31.50
2877
Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves three or more radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields
Amount under rule 23
SCHEDULE—continued
Item
Medical service
Fee
$
2879
Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given to one field only
37.50
2881
Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves not more than two radiotherapy treatments per week at which fractionated treatment is given separately to each of two or more fields
Amount under rule 23
2883
Radiotherapy, deep or orthovoltage—attendance in relation to a condition for the treatment of which a single dose to one field only is given (not being an attendance covered by any other item in this Part)
$80.00
2885
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 two or more fields (not being an attendance covered by any other item in this Part)
Amount under rule 24
2887
Radiation oncology treatment, using a linear accelerator— each attendance at which treatment is given—one field
$31.00
2889
- two or more fields up to a maximum of five additional fields (rotational therapy being three fields)
Amount under rule 23
2891
Radiation oncology treatment, using cobalt unit or caesium teletherapy unit—each attendance at which treatment is given—one field
$28.50
2893
- two or more fields up to a maximum of five additional fields (rotational therapy being three fields)
Amount under rule 23
2894
Intrauterine treatment alone using radioactive sealed sources having a half-life of greater than 115 days (AU5)
235.00
2895
Intrauterine treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum (AU 5)
450.00
2896
Intravaginal treatment alone using radioactive sealed sources having a half-life of greater than 11.5 days (AU 4)
220.00
2897
Intravaginal treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum (AU 4)
435.00
2898
Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of greater than 115 days (AU 5)
270.00
Sealed Radioactive Sources
2899
Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium, or tantalum (AU 5)
480.00
2900
Implantation of a sealed radioactive source (having a halflife 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 (AU 7)
520.00
SCHEDULE—continued
Item
Medical service
Fee
$
2902
Implantation of a sealed radioactive source (having a halflife of less than 115 days including iodine, gold, iridium or tantalum) to a site (including tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure (AU 6)
495.00
2903
Implantation of a sealed radioactive source (having a halflife 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 (AU 5)
450.00
2908
Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block (AU 4)
51.00
2910
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
126.00
2911
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
340.00
2912
Subsequent applications of radioactive mould referred to in item 2910 or 2911—each attendance
39.00
2914
Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface
78.00
2916
Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface
94.00
2918
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
26.50
2927
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 2932)
126.00
2929
Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of a single area, where views in more than one plane are required for treatment by multiple fields, or of two areas (not associated with Item 2934)
162.00
2930
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 2936)
245.00
2932
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 2927)
110.00
2934
Radiation field setting using a diagnostic x-ray unit of a single area, where views in more than one plane are required for treatment by multiple fields, or of two areas (not associated with Item 2929)
142.00
SCHEDULE—continued
Item
Medical service
Fee
$
2936
Radiation field setting using a diagnostic x-ray unit 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 2930)
205.00
2938
Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to one area with up to two shielding blocks, or for brachytherapy with isodose calculations in a single plane
40.00
2940
Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by three or more fields, or by a single field or parallel opposed fields to two areas, or where wedges are used, or for brachytherapy for multiplane implants of up to 10 sources or ribbons
178.00
2942
Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to three 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
330.00
2943
Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to one area with up to two shielding blocks, or for brachytherapy with isodose calculations in a single plane
41.00
2944
Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by three or more fields, or by a single field or parallel opposed fields to two areas, or where wedges are used, or for brachytherapy for multiplane implants of up to 10 sources or ribbons
184.00
2945
Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to three 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
PART 9—ASSISTANCE AT OPERATIONS
2951
Assistance at any operation for which the fee exceeds $168 but does not exceed $300 or at a series or a combination of operations where the fee for at least one of the operations exceeds $168 but where the fee for the series or combination of operations does not exceed $300
57.00
2953
Assistance at any operation for which the fee exceeds $300 or at a combination of operations for which the aggregate fee exceeds $300 provided that the fee for at least one of the operations exceeds $168
Amount under rule 25
2955
Assistance at a delivery involving Caesarean section
$83.00
SCHEDULE—continued
Item
Medical service
Fee
2957
Assistance at a series or combination of operations, one of which is a delivery involving Caesarean section
Amount under rule 26
PART 9A—MAGNETIC RESONANCE IMAGING
2980
Magnetic resonance imaging—examination of any part or parts of body (HR)
$315.00
PART 10—OPERATIONS
Division 1—General Surgical
3004
Operative procedure on tissue, organ or region not covered by any other item in this Part, including any consultation on the same occasion
12.20
3006
Dressing of localized burns (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation
20.50
3012
Dressing of burns, extensive, without anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation
31.00
3016
Dressing of localized burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (G) (AU 7)
40.50
3022
Dressing of localized burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (S) (AU 7)
49.00
3027
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)
87.00
3033
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)
104.00
3038
Excision, under general anaesthesia, of burns involving not more than 10 per cent of body surface, where grafting is not carried out during the same operation (AU 10)
215.00
3039
Excision, under general anaesthesia, of burns involving more than 10 per cent of body surface, where grafting is not carried out during the same operation (AU 15)
420.00
3041
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)
215.00
3046
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), superficial, not covered by any item in Part 2 (AU 5)
34.50
3050
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 covered by any item in Part 2 (AU 6)
60.0060.00
SCHEDULE—continued
Item
Medical service
Fee
$
3058
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), superficial (AU 7)
55.00
3059
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), superficial (D) (AU 7)
55.00
3063
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), involving deeper tissue (AU 7)
78.00
3068
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), involving deeper tissue (D) (AU 7)
78.00
3073
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), superficial, not covered by any item in Part 2 (AU 6)
60.00
3082
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), involving deeper tissue, not covered by any item in Part 2 (G) (AU 7)
96.00
3087
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), involving deeper tissue, not covered by any item in Part 2 (S) (AU 7)
122.00
3092
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial (AU 7)
78.00
3095
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial (D) (AU 7)
78.00
3098
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue (G) (AU 8)
100.00
3101
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue (S) (AU 8)
124.00
3103
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue (D) (AU 8)
124.00
3104
Repair of full thickness laceration of ear, eyelid or nose with accurate apposition of each layer of tissue (AU 10)
168.00
3106
Dressing and removal of sutures requiring a general anaesthetic, not associated with any other item in this Part (AU 5)
49.00
3110
Control of post-operative haemorrhage under general anaesthesia following perineal or vaginal operations (AU 6)
96.00
3113
Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (AU 5)
15.60
3114
Superficial foreign body, removal of, as an independent procedure (D) (AU 5)
15.60
3116
Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (AU 6)
73.00
SCHEDULE—continued
Item
Medical service
Fee
$
3117
Subcutaneous foreign body, removal of, as an independent procedure (D) (AU 6)
73.00
3120
Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G) (AU 7)
148.00
3124
Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S) (AU 7)
184.00
3128
Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (D) (AU 7)
184.00
3130
Biopsy of skin or mucous membrane, as an independent procedure (AU 5)
34.50
3134
Biopsy of skin or mucous membrane, as an independent procedure (D) (AU 5)
34.50
3135
Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G) (AU 6)
78.00
3142
Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S) (AU 6)
100.00
3147
Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (D) (AU 6)
100.00
3148
Drill biopsy of lymph gland, deep tissue or organ, as an independent procedure (AU 5)
32.00
3157
Biopsy of bone marrow by trephine using an open approach (AU 5)
73.00
3158
Biopsy of bone marrow by trephine using a percutaneous approach with a Jamshidi needle or similar device (AU 5)
39.00
3159
Biopsy of bone marrow by aspiration or punch biopsy of synovial membrane (AU 5)
19.60
3161
Biopsy of pleura, percutaneous—one or more biopsies on any one occasion (AU 5)
85.00
3162
Needle biopsy of vertebra (AU 8)
114.00
3168
Scalene node biopsy (AU 5)
122.00
3173
Sinus, excision of, involving superficial tissue only (AU 6)
60.00
3175
Sinus, excision of, involving superficial tissue only (D) (AU 6)
60.00
3178
Sinus, excision of, involving muscle and deep tissue (G) (AU 7)
100.00
3183
Sinus, excision of, involving muscle and deep tissue (S) (AU 7)
122.00
3187
Sinus, excision of, involving muscle and deep tissue (D) (AU 7)
122.00
3194
Ganglion or small bursa, excision of (G) (AU 6)
104.00
3199
Ganglion or small bursa, excision of (S) (AU 6)
146.00
3208
Bursa (large), including olecranon, calcaneum or patella, excision of (G) (AU 6)
190.00
3213
Bursa (large), including olecranon, calcaneum or patella, excision of (S) (AU 6)
245.00
3217
Bursa, semimembranosus (Baker's cyst), excision of (AU 7)
245.00
3219
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 covered by item 3221, 3223, 3225, 3226 or 3349 (G) (AU 6)
64.00
SCHEDULE—continued
Item
Medical service
Fee
$
3220
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 covered by item 3222, 3224, 3225, 3226 or 3349 (S) (AU 6)
84.00
3221
Tumours, cysts, ulcers or scars (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, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by item 3349 (G) (AU 9)
168.00
3222
Tumours, cysts, ulcers or scars (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, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by item 3349 (S) (AU 9)
215.00
3223
Tumours, cysts, ulcers or scars (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, and the procedure is performed on more than 10 but not more than 20 lesions, not covered by item 3349 (G) (AU 13)
225.00
3224
Tumours, cysts, ulcers or scars (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, and the procedure is performed on more than 10 but not more than 20 lesions, not covered by item 3349 (S) (AU 13)
270.00
3225
Tumours, cysts, ulcers or scars (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, and the procedure is performed on more than 20 but not more than 50 lesions, not covered by item 3349 (AU 15)
335.00
3226
Tumours, cysts, ulcers or scars (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, and the procedure is performed on more than 50 lesions, not covered by item 3349 (AU 17)
460.00
3229
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 covered by item 3230 (D) (AU 6)
84.00
SCHEDULE—continued
Item
Medical service
Fee
$
3230
Tumours, cysts, ulcers or scars (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, and the procedure is performed on more than 3 but not more than 10 lesions (D) (AU 9)
215.00
3233
Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (G) (AU 6)
95.00
3237
Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (S) (AU 6)
114.00
3245
Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (D) (AU 6)
114.00
3247
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 5 mm 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 covered by any other item in this Part, involving muscle, bone or other deep tissue (G) (AU 8)
132.00
3253
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 5 mm 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 covered by any other item in this Part, involving muscle, bone or other deep tissue (S) (AU 8)
164.00
3258
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 5 mm 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 covered by any other item in this Part, involving muscle, bone or other deep tissue (D) (AU 8)
164.00
3261
Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not covered by any other item in this Part (G) (AU 8)
215.00
3265
Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not covered by any other item in this Part (S) (AU 8)
245.00
SCHEDULE—continued
Item
Medical service
Fee
$
3268
Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not covered by any other item in this Part (D) (AU 8)
245.00
3271
Malignant tumour, removal of, from skin, requiring wide and deep excision, other than removal of basal cell carcinoma (AU 8)
265.00
3276
Malignant tumour, removal of, from skin, requiring wide and deep excision with immediate block dissection of lymph glands (AU 13)
555.00
3281
Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin graft (AU 8)
335.00
3284
Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin graft (D) (AU 8)
335.00
3289
Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin graft (AU 10)
390.00
3290
Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin graft (D) (AU 10)
390.00
3295
Malignant tumour, removal of, from any region involving a radical operation (not being an operation covered by any other item in this Part) (AU 13)
555.00
3301
Malignant tumour, removal of, from any region involving a limited operation, other than removal of basal cell carcinoma (not being an operation covered by any other item in this Part) (AU 8)
265.00
3306
Lipectomy—transverse wedge excision of abdominal apron (AU 10)
300.00
3307
Lipectomy—wedge excision of skin or fat not covered by item 3306—one excision (AU 10)
300.00
3308
Lipectomy—wedge excision of skin or fat not covered by item 3306—two or more excisions (AU 12)
460.00
3310
Lipectomy—subumbilical excision with undermining of skin edges and strengthening of musculo-aponeurotic wall (AU 12)
460.00
3311
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)
655.00
3314
Axillary hyperidrosis, wedge excision for (AU 7)
91.00
3315
Axillary hyperhidrosis, total excision of sweat gland bearing area (AU 10)
164.00
3320
Plantar wart, removal of (AU 5)
31.50
3347
Warts, removal of, by any method (other than by chemical means) under general anaesthesia or under a regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day hospital facility, not associated with any other item in this Part (AU 6)
98.00
3348
Premalignant skin lesions, treatment of, by galvanocautery or electrodesiccation or cryocautery (10 or more lesions) (AU 4)
26.50
SCHEDULE—continued
Item
Medical service
Fee
$
3349
Neoplastic skin lesions, excluding viral verrucae (common warts) and seborrheic keratoses, treatment by electrosurgical destruction, simple curettage or shave excision, not covered by item 3350, 3351 or 3352— (one or more lesions) (AU 4)
42.00
3350
Cancer of skin or mucous membrane, removal by serial curettage or liquid nitrogen cryosurgery using repeat freeze-thaw cycles, not covered by item 3351 or 3352 (AU 6)
84.00
3351
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)
210.00
3352
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)
270.00
3356
Skin lesions, multiple injections with hydrocortisone or similar preparations
29.50
3363
Keloid, extensive, multiple injections of hydrocortisone or similar preparations under general anaesthesia (AU 5)
108.00
3366
Haematoma, aspiration of (AU 4)
18.20
3371
Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of (excluding after-care)
18.20
3379
Large haematoma, large abscess, (including ischio-rectal abscess), carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (G) (AU 5)
78.00
3384
Large haematoma, large abscess, (including ischio-rectal abscess), carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (S) (AU 5)
108.00
3386
Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (D) (AU 5)
108.00
3391
Muscle, excision of (limited) or fasciotomy (AU 6)
100.00
3393
Muscle, excision of (limited) (D) (AU 6)
100.00
3399
Muscle, excision of (extensive) (AU 7)
182.00
3400
Muscle, excision of (extensive) (D) (AU 7)
182.00
3404
Muscle, ruptured, repair of (limited), not associated with external wound (AU 7)
148.00
3407
Muscle, ruptured, repair of (extensive), not associated with external wound (AU 7)
196.00
3417
Fascia, deep, repair of, for herniated muscle (AU 7)
100.00
3425
Bone tumour, innocent, excision of, not covered by any other item in this Part (AU 7)
235.00
3427
Bone tumour, innocent, excision of, not covered by any other item in this Part (D) (AU 7)
235.00
3431
Styloid process of temporal bone, removal of (AU 7)
235.00
3437
Parotid gland, total extirpation of (AU 15)
490.00
3444
Parotid gland, total extirpation of with preservation of facial nerve (AU 18)
830.00
3450
Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (AU 14)
555.00
3455
Submandibular gland, extirpation of (AU 8)
295.00
SCHEDULE—continued
Item
Medical service
Fee
$
3456
Submandibular gland, extirpation of (D) (AU 8)
295.00
3459
Sublingual gland, extirpation of (AU 7)
132.00
3462
Sublingual gland, extirpation of (D) (AU 7)
132.00
3465
Salivary gland, dilatation or diathermy of duct (AU 6)
39.00
3466
Salivary gland, dilatation or diathermy of duct (D) (AU 6)
39.00
3468
Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, one more such procedures (G) (AU 7)
78.00
3472
Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, one or more such procedures (S) (AU 7)
100.00
3475
Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, one or more such procedures (D) (AU 7)
100.00
3477
Salivary gland, repair of cutaneous fistula of (AU 7)
100.00
3480
Tongue, partial excision of (AU 7)
196.00
3483
Tongue, partial excision of (D) (AU 7)
196.00
3495
Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation) (AU 18)
1170.00
3496
Tongue tie, repair of, not covered by any other item in this Part (AU 6)
31.00
3500
Tongue tie, repair of, not covered by any other item in this Part (D) (AU 6)
31.00
3505
Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged not less than 2 years, under general anaesthesia (AU 6)
79.00
3507
Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged not less than 2 years, under general anaesthesia (D) (AU 6)
79.00
3509
Ranula or mucous cyst of mouth, removal of (G) (AU 9)
104.00
3516
Ranula or mucous cyst of mouth, removal of (S) (AU 9)
136.00
3521
Ranula or mucous cyst of mouth, removal of (D) (AU 9)
136.00
3526
Branchial cyst, removal of (AU 9)
265.00
3530
Branchial fistula, removal of (AU 9)
335.00
3532
Cystic hygroma, removal of massive lesion requiring extensive excision—with or without thoracotomy (AU 11)
635.00
3542
Thyroidectomy, total, or thyroidectomy following previous hemithyroidectomy or following previous unilateral or bilateral sub-total thyroidectomy (AU 14)
655.00
3547
Parathyroid tumour, removal of (AU 13)
730.00
3555
Parathyroid glands, removal of, other than for tumour (AU 16)
830.00
3557
Cervical re-exploration for recurrent or persistent hyperparathyroidism (AU 20)
890.00
3563
Total hemithyroidectomy or bilateral sub-total thyroidectomy, with or without exposure of recurrent laryngeal nerve (AU 12)
550.00
3576
Thyroid, excision of localised tumour of, or unilateral sub-total thyroidectomy (AU 10)
345.00
3581
Thyroglossal cyst, removal of (AU 10)
260.00
3591
Thyroglossal cyst and fistula, removal of (AU 10)
385.00
SCHEDULE—continued
Item
Medical service
Fee
$
3597
Cervical oesophagostomy; or closure of cervical oesophagostomy with or without plastic repair (AU 13)
295.00
3616
Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction; or laryngopharyngectomy with tracheostomy and plastic reconstruction (AU 22)
1170.00
3618
Lymph glands of neck, limited excision of (AU 9)
245.00
3622
Lymph glands of neck, radical excision of (AU 20)
655.00
3634
Lymph glands of groin or axilla, limited excision of (AU 9)
164.00
3638
Lymph glands of groin or axilla, radical excision of (AU 13)
480.00
3647
Simple mastectomy with or without frozen section biopsy (G) (AU 9)
215.00
3652
Simple mastectomy with or without frozen section biopsy (S) (AU 9)
295.00
3654
Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G) (AU 7)
132.00
3664
Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S) (AU 7)
170.00
3668
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)
174.00
3673
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)
215.00
3678
Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (G) (AU 8)
174.00
3683
Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (S) (AU 8)
215.00
3698
Breast, extended simple mastectomy with or without frozen section biopsy (AU 12)
390.00
3700
Subcutaneous mastectomy with or without frozen section biopsy (AU 12)
365.00
3702
Breast, radical or modified radical mastectomy with or without frozen section biopsy (AU 16)
575.00
3707
Nipple, inverted, surgical eversion of (AU 7)
100.00
3718
Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (AU 9)
320.00
3719
Liver biopsy by wedge excision when performed in association with another intra-abdominal procedure (AU 11)
59.00
SCHEDULE—continued
Item
Medical service
Fee
$
3722
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)
345.00
3726
Laparotomy involving division of peritoneal adhesions where no other intra-abdominal procedure is performed (AU 14)
345.00
3727
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)
350.00
3728
Laparotomy with division of extensive adhesions of duration greater than 2 hours with or without insertion of long intestinal tube (AU 20)
615.00
3730
Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (AU 14)
730.00
3734
Laparotomy for control of post-operative haemorrhage, where no other procedure is performed (AU 11)
375.00
3745
Laparotomy involving operation on abdominal viscera (including pelvic viscera), not covered by any other item in this Part (AU 12)
420.00
3750
Subphrenic abscess, drainage of (AU 10)
345.00
3752
Liver biopsy, percutaneous (AU 6)
116.00
3754
Liver tumour, removal of other than by biopsy (AU 13)
390.00
3759
Liver, massive resection of or lobectomy (AU 18)
995.00
3764
Liver abscess, abdominal drainage of (AU 11)
345.00
3783
Hydatid cyst of liver, peritoneum or viscus, drainage procedure for (AU 11)
390.00
3789
Operative cholangiography (including one or more cholegrams performed during the one operation) or operative pancreatography (AU 10)
124.00
3793
Cholecystectomy (G) (AU 11)
390.00
3798
Cholecystectomy (S) (AU 11)
490.00
3818
Choledochoscopy (AU 7)
124.00
3820
Choledochotomy (with or without cholecystectomy), including dilatation of sphincter of Oddi and removal of calculi (AU 13)
575.00
3822
Choledochotomy (with or without cholecystectomy), including dilatation of sphincter of Oddi and removal of calculi with choledochoduodenostomy, choledochogastrostomy or choledochoenterostomy (AU 18)
675.00
3825
Transduodenal operation on sphincter of Oddi, including dilatation, removal of calculi, sphincterotomy and sphincteroplasty with or without choledochotomy, with or without cholecystectomy (AU 15)
675.00
3831
Cholecystoduodenostomy, cholecystogastrostomy or cholecystoenterostomy with or without enteroenterostomy (AU 15)
575.00
SCHEDULE—continued
Item
Medical service
Fee
$
3834
Operation for reconstruction of hepatic duct or common bile duct for correction of strictures or atresia including all necessary anastomoses, not associated with item 3793, 3798, 3820, 3822, 3825 or 3831 (AU 19)
985.00
3847
Oesophagoscopy (not covered by item 5464 or 5480), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with or without biopsy, not associated with item 3849 or 3851 (AU 6)
130.00
3849
Oesophagoscopy (not covered by item 5464 or 5480), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with endoscopic sclerosing injection of oesophageal or gastric varices, not associated with item 3847 or 3851 (AU 7)
182.00
3851
Oesophagoscopy (not covered by item 5464, 5480 or 5486), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with one or more of the following procedures—polypectomy, removal of foreign body, diathermy coagulation of bleeding upper gastrointestional lesions, not associated with item 3847 or 3849 (AU 7)
182.00
3853
Oesophageal prosthesis, insertion of, including endoscopy and dilatation (AU 9)
Enterostomy or colostomy, closure of—not involving resection of bowel (AU 11)
395.00
3988
Colostomy or ileostomy, refashioning of (AU 10)
395.00
4003
Intussusception, reduction of, by fluid
156.00
4012
Intussusception, laparotomy and resection of (AU 14)
635.00
4038
Small intestine, resection of, without anastomosis (including formation of stoma) (AU 17)
580.00
4042
Small intestine, resection of, with anastomosis (AU 18)
645.00
4044
Large intestine, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (AU 18)
685.00
4045
Large intestine, resection of, with anastomosis, including right hemicolectomy (AU 20)
715.00
4046
Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma) (AU 15)
765.00
4047
Total colectomy and ileostomy (AU 22)
905.00
4048
Total colectomy and ileo-rectal anastomosis (AU 20)
1000.00
4052
Total colectomy with excision of rectum and ileostomy— one surgeon (AU 20)
1231.75
4054
Total colectomy with excision of rectum and ileostomy, combined synchronous operation; abdominal resection (including after-care) (AU 17)
1045.00
4059
Total colectomy with excision of rectum and ileostomy, combined synchronous operation; perineal resection
375.00
4065
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)
905.00
4067
Rectum, low restorative anterior resection with extraperitoneal anastomosis (of the rectum) less than 10 centimetres from the anal verge (AU 26)
1180.00
4070
Rectosigmoidectomy—(Hartmann's operation) (AU 15)
660.00
4071
Restoration of bowel continuity following Hartmann's operation, including dismantling of colostomy (AU 15)
1000.00
4074
Appendicectomy, not covered by item 4084 (G) (AU 8)
235.00
4080
Appendicectomy, not covered by item 4084 (S) (AU 8)
295.00
4084
Appendicectomy, when performed in conjunction with any other intra-abdominal procedure and through the same incision (AU 5)
82.00
4093
Laparotomy for drainage of pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause; with or without appendicectomy (AU 10)
330.00
4099
Small bowel intubation with biopsy
120.00
4104
Small bowel intubation, as an independent procedure
Splenorrhaphy or partial splenectomy for trauma (AU 13)
595.00
4141
Splenectomy for trauma (AU 13)
480.00
SCHEDULE—continued
Item
Medical service
Fee
$
4144
Splenectomy, other than for trauma (AU 13)
490.00
4173
Retroperitoneal tumour, removal of (AU 15)
575.00
4179
Sacrococcygeal and presacral tumour—excision of (AU 13)
1270.00
4185
Retroperitoneal abscess, drainage of, not involving laparotomy (AU 9)
310.00
4192
Laparoscopy, diagnostic (AU 7)
146.00
4193
Laparoscopy, with biopsy (AU 7)
190.00
4194
Laparoscopy, involving puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or any other procedure—one or more procedures with or without biopsy—not associated with item 4193, 6611 or 6612 (AU 7)
270.00
4197
Paracentesis abdominis
34.50
4202
Rectum and anus, abdominoperineal resection of: one surgeon (AU 17)
Abdomino-perineal pull through resection with colo-anal anastomosis (one or two stages), including associated colostomy (AU 30)
1270.00
4218
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)
1540.00
4219
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)
1415.00
4220
Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir—conjoint surgery, perineal surgeon
375.00
4222
Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by item 4233, 4258 or 4262 (G) (AU 8)
235.00
4227
Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by item 4233, 4258 or 4262 (S) (AU 8)
310.00
4228
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)
1540.00
4229
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)
1415.00
4230
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
375.00
SCHEDULE—continued
Item
Medical service
Fee
$
4231
Ileostomy reservoir, continent type, creation of, including conversion of existing ileostomy where appropriate (AU 30)
1140.00
4233
Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection (AU 10)
345.00
4238
Diaphragmatic hernia, traumatic, repair of (AU 17)
515.00
4241
Diaphragmatic hernia, congential, repair of, by thoracic or adbominal approach) (AU 14)
635.00
4242
Antireflux operation involving insertion of prosthetic device—not associated with Item 4241, 4243, 4244 or 4245 (AU 11)
390.00
4243
Antireflux operation by fundoplasty via abdominal or
600.00
thoracic approach, with or without closure of the diaphragmatic hiatus—not covered by item 4241 or 4242 (AU 18)
4244
Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus (AU 17)
600.00
4245
Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with fundoplasty, with or without closure of the diaphragmatic hiatus (AU 18)
710.00
4246
Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (G) (AU 8)
176.00
4249
Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (S) (AU 8)
235.00
4251
Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (G) (AU 8)
200.00
4254
Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (S) (AU 8)
270.00
4258
Ventral, incisional, lumbar or recurrent hernia or burst abdomen, repair of'(G) (AU 10)
295.00
4262
Ventral, incisional, lumbar or recurrent hernia or burst abdomen, repair of (S) (AU 10)
345.00
4265
Hydrocele, tapping of
23.50
4266
Hydrocele, removal of, when not associated with items 4288, 4293 and 4296
158.00
4269
Varicocele, surgical correction of when not associated with items 4288, 4293 and 4296, one procedure (G) (AU 7)
156.00
4273
Varicocele, surgical correction of when not associated with items 4288, 4293 and 4296 one procedure (S) (AU 7)
194.00
4288
Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (G) (AU 7)
200.00
4293
Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (S) (AU 7)
270.00
4296
Exploration of spermatic cord, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis (AU 8)
345.00
4307
Undescended testis, orchidopexy or transplantation of, with or without associated hernial repair (AU 8)
345.00
4313
Secondary detachment of testis from thigh (AU 6)
76.00
4319
Circumcision of a person under six months of age, where medically indicated (AU 6)
31.00
4327
Circumcision of a person under ten years of age but not less than six months of age (AU 6)
72.00
SCHEDULE—continued
Item
Medical service
Fee
$
4338
Circumcision of a person ten years of age or over (G) (AU 6)
100.00
4345
Circumcision of a person ten years of age or over (S) (AU 6)
124.00
4351
Paraphimosis, reduction of, under general anaesthesia, with or without dorsal incision, not associated with any other item in this Part (AU 5)
31.50
4354
Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy
35.50
4363
Sigmoidoscopic examination (with rigid sigmoidoscope), under general anaesthesia, with or without biopsy, not associated with any other item in this Part (AU 5)
55.00
4365
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)
124.00
4368
Sigmoidoscopic examination with diathermy or resection of one or more polyps where the time taken is greater than 45 minutes (AU 10)
170.00
4380
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)
170.00
4383
Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure, with or without biopsy (AU 6)
82.00
4386
Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure with removal of one or more polyps—not covered by item 4365 (AU 10)
152.00
4388
Fibreoptic colonoscopy—examination of colon beyond the hepatic flexure with or without biopsy (AU 8)
245.00
4394
Fibreoptic colonoscopy—examination of colon beyond the hepatic flexure with removal of one or more polyps (AU 10)
345.00
4395
Rectal tumour of five centimetres or less in diameter, per anal submucosal excision of (excluding snare diathermy) (AU 10)
220.00
4397
Rectal tumour of greater than five centimetres in diameter, per anal submucosal excision of (AU 14)
420.00
4398
Anorectal carcinoma—per anal full thickness excision of (AU 13)
320.00
4399
Rectal tumour, trans-sphincteric excision of (Kraske or similar operation) (AU 13)
665.00
4410
Rectal prolapse, Delorme procedure for (AU 10)
420.00
4411
Rectal stricture, per anal release of (AU 8)
116.00
4413
Rectal prolapse, abdominal repair of (AU 13)
665.00
4455
Anus, dilatation of, under general anaesthesia, with or without disimpaction of faeces, not associated with any other item in this Part (AU 4)
46.50
4467
Rectal prolapse, perineal repair of (AU 6)
170.00
4482
Anal stricture, anoplasty for (AU 7)
220.00
4492
Anal incontinence, Parks' intersphincteric procedure for (AU 12)
320.00
4493
Anal sphincter, direct repair of (AU 12)
420.00
4507
Haemorrhoids or rectal prolapse—sclerotherapy for (AU 6)
30.00
SCHEDULE—continued
Item
Medical service
Fee
$
4509
Haemorrhoids or rectal prolapse—rubber band ligation of, with or without sclerotherapy, cryosurgery or infra red therapy for (AU 5)
45.00
4527
Haemorrhoidectomy (AU 8)
245.00
4533
Anal polyps, excision of one or more of (AU 5)
59.00
4535
Anal skin tags, excision of one or more of (AU 7)
30.00
4536
Perianal thrombosis, incision of (AU 7)
30.00
4544
Operation for fissure-in-ano including excision, or sphincterotomy but excluding dilatation only (AU 6)
170.00
4557
Fistula in ano, subcutaneous, excision of (AU 7)
88.00
4572
Anal fistula, excision of, involving lower half of the anal sphincter mechanism (AU 7)
220.00
4574
Anal fistula, excision of, involving the upper half of the anal sphincter mechanism (AU 11)
320.00
4575
Anal fistula, repair of by mucosal flap advancement (AU 15)
420.00
4576
Fistula wound—review of, under general anaesthetic (AU 7)
88.00
4578
Anorectal examination, with or without biopsy, under general anaesthetic, not associated with any other item in this Part (AU 6)
59.00
4580
Intra-anal, perianal or ischio-rectal abscess, drainage of (excluding aftercare) (AU 8)
59.00
4583
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 (AU 6)
116.00
4584
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 (AU 11)
170.00
4586
Intestinal sling procedure prior to radiotherapy (AU 15)
245.00
4588
Colonic lavage, total, intra-operative (AU 12)
120.00
4590
Faecal fistula, repair of (AU 12)
465.00
4606
Coccyx, excision of (AU 8)
295.00
4611
Pilonidal sinus or cyst or sacral sinus or cyst, excision of in a person ten years of age or over (G) (AU 8)
200.00
4617
Pilonidal sinus or cyst or sacral sinus or cyst, excision of in a person ten years of age or over (S) (AU 8)
250.00
4622
Pilonidal sinus, injection of sclerosant fluid under anaesthesia (AU 6)
64.00
4630
Telangiectases or starburst vessels, subcutaneous diathermy or sclerosant injection of, including associated consultation
73.00
Vascular Surgery
4633
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)
93.00
SCHEDULE—continued
Item
Medical service
Fee
$
4637
Varicose veins, multiple ligations, with or without local stripping or excision, including sub-fascial ligation of one or or more deep perforating veins through separate incisions—one leg—not associated with item 4641, 4649 or 4664 on the same lee (AU 7)
178.00
4641
Varicose veins, high ligation and stripping or excision of long or short saphenous vein or its major tributaries, with or without multiple ligations, local stripping or excision of minor veins—one leg (AU 10)
330.00
4649
Varicose veins, high ligation and stripping or excision of both long and short saphenous veins or their major tributaries, with or without multiple ligations, local stripping or excision of minor veins—one leg (AU 12)
495.00
4651
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)
215.00
4655
Varicose veins, high ligation of short saphenous vein at saphenous popliteal junction—one leg (AU 6)
215.00
4658
Varicose veins, sub-fascial ligation of single deep perforating vein—one leg—not associated with any other varicose operation on the same leg (AU 6)
134.00
4662
Varicose veins, sub-fascial ligation of multiple deep perforating veins (Cockett's operation) (AU 7)
335.00
4664
Re-operation for recurrent sapheno-femoral or sapheno-popliteal incompetence, with or without multiple ligations, local stripping or excision—one leg (AU 13)
360.00
4665
Cross-leg by-pass graft—saphenous to femoral vein (AU 11)
550.00
4688
Artery or vein or artery and vein (including brachial, radial, ulnar or tibial), ligation of, by elective operation or repair of surgically created fistula (AU 7)
200.00
4690
Great artery or great vein (including jugular, subclavian, axillary, iliac, femoral or popliteal) ligation of (AU 8)
335.00
4693
Major artery or vein of neck or extremity, repair of wound of, with restoration of continuity (AU 13)
480.00
4695
Microvascular repair using operating microscope with restoration of continuity of artery or vein of distal extremity or digit (AU 14)
725.00
4696
Major artery or vein of abdomen including aorta and vena cava, repair of wound of, with restoration of continuity (AU 16)
790.00
4699
Arterio-venous fistula, dissection and repair of, with restoration of continuity (not in association with haemodialysis) (AU 10)
795.00
4702
Arterio-venous fistula, dissection and ligation of (not in association with haemodialysis) (AU 10)
480.00
4705
Innominate, subclavian or any intra-abdominal artery, endarterectomy of, with closure by simple suture or patch graft, including harvesting of vein (AU 19)
795.00
4709
Artery of neck or extremities, endarterectomy of, with closure by simple suture or patch graft, including harvesting of vein (AU 15)
725.00
SCHEDULE—continued
Item
Medical service
Fee
$
4715
Great artery or great vein (including carotid, jugular, subclavian, axillary, iliac, femoral or popliteal) ligation of involving gradual occlusion by mechanical device (AU 10)
345.00
4721
Inferior vena cava, plication or ligation of (AU 12)
465.00
4733
Internal carotid artery, repositioning of (AU 13)
390.00
4738
Arterial patch graft including harvesting of vein (AU 12)
480.00
4744
Aorto-iliac or aorto-femoral or other intra-abdominal straight or bifurcate graft, with or without local endarterectomy to prepare artery for anastomosis (AU 19)
890.00
4749
Axillary or subclavian to femoral by-pass graft or other extra-abdominal arterial by-pass graft, using a synthetic graft, with or without local endarterectomy to prepare artery for anastomosis (AU 16)
855.00
4754
Arterial by-pass graft using synthetic graft, with or without local endarterectomy (AU 16)
890.00
4755
Femoral artery by-pass graft using synthetic or vein graft, including harvesting of vein, with below knee anastomosis (AU 20)
1005.00
4756
Micro-arterial or micro-venous graft using operating microscope (AU 22)
1350.00
4762
Arterial anastomosis not associated with any other arterial operation, with or without local endarterectomy to prepare artery for anastomosis (AU 16)
795.00
4764
Microvascular anastomosis of artery or vein using operating microscope, for reimplantation of limb or digit or free transfer of tissue (AU 38)
1180.00
4766
Portal hypertension, vascular anastomosis for (AU 21)
890.00
4778
Embolus, removal of, from an artery or by-pass graft of neck or extremities (AU 12)
465.00
4784
Embolus or thrombus, removal of, from artery or prosthetic graft of trunk (AU 15)
600.00
4789
Thrombus, removal of, from femoral, iliac or other similar large vein (AU 12)
420.00
4791
Abdominal aortic aneurysm, excision of and insertion of graft (AU 26)
985.00
4792
Thoraco-abdominal aneurysm, excision of and insertion of graft, including reanastomosis of visceral vessels (AU 40)
1675.00
4794
Ruptured abdominal aortic aneurysm, excision of and insertion of graft, or repair of aorto-duodenal fistula, including repair of aorta and duodenum (AU 26)
1170.00
4798
Aneurysm of major artery, excision of and insertion of graft (AU 18)
830.00
4801
Excision of infected prosthetic by-pass graft from neck or extremities, including closure of vessel or vessels (AU 14)
565.00
4802
Excision of infected prosthetic by-pass graft from trunk, including closure of vessel or vessels (AU 18)
710.00
4806
Intra-aortic balloon for counterpulsation, operation for insertion by arteriotomy, or removal of and arterioplasty (excluding repair by patch graft) (AU 14)
335.00
4808
Arteriovenous shunt, external, insertion of (AU 9)
158.00
4812
Arteriovenous shunt, external, removal of (AU 5)
124.00
SCHEDULE—continued
Item
Medical service
Fee
$
4813
Transluminal balloon angioplasty of coronary artery and dilatation of vessel, using interventional imaging techniques (AU 12)
345.00
4814
Transluminal balloon angioplasty of peripheral vessel and dilatation of vessel, using interventional imaging techniques (AU 12)
345.00
4817
Arteriovenous anastomosis, direct, of upper or lower limb (AU 14)
655.00
4822
Cannulation of intra-abdominal artery or vein for infusion chemotherapy, by open operation (excluding after-care) (AU 13)
325.00
4823
Arterial cannulation for infusion chemotherapy, by open operation, not covered by item 4822 (excluding aftercare) (AU 10)
215.00
4824
Central vein catheterisation by open exposure, using subcutaneous tunnel with pump or access port as with a Hickman or Broviac catheter, not covered by item 4825 (AU 8)
245.00
4825
Central vein catheterisation by open exposure, using subcutaneous tunnel with pump or access port as with a Hickman or Broviac catheter, in children under the age or 12 years (AU 12)
245.00
4829
Percutaneous epidural implant for chronic pain—insertion of (one or two stages), not involving laminectomy (AU 8)
420.00
4830
Percutaneous epidural implant for chronic pain—removal of (AU 7)
73.00
Operations for Acute Osteomyelitis
4832
Operation on phalanx (AU 7)
82.00
4838
Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, skull, mandible or maxilla (other than alveolar margins)—one bone (AU 10)
136.00
4841
Operation on mandible or maxilla (other than alveolar margins)—one bone (D) (AU 10)
136.00
4844
Operation on humerus or femur—one bone (AU 10)
235.00
4853
Operation on spine or pelvic bones—one bone (AU 13)
235.00
Operations for Chronic Osteomyelitis
4860
Operation on scapula, sternum, clavicle, rib, ulna, radius, metacarpus, carpus, phalanx, tibia, fibula, metatarsus, tarsus, mandible or maxilla (other than alveolar margins)— one bone or any combination of adjoining bones (AU 12)
235.00
4862
Operation on mandible or maxilla or mandible and maxilla (other than alveolar margins) (D) (AU 12)
235.00
4864
Operation on humerus or femur—one bone (AU 11)
235.00
4867
Operation on spine or pelvic bones—one bone (AU 12)
390.00
4870
Operation on skull (AU 12)
310.00
4877
Operation on any combination of adjoining bones, being bones referred to in item 4864, 4867 or 4870 (AU 12)
390.00
Division 2—Amputation or Disarticulation of Limb
4927
One digit of hand (G) (AU 6)
104.00
4930
One digit of hand (S) (AU 6)
128.00
4934
Two digits of one hand (G) (AU 7)
156.00
SCHEDULE—continued
Item
Medical service
Fee
$
4940
Two digits of one hand (S) (AU 7)
192.00
4943
Three digits of one hand (G) (AU 8)
184.00
4948
Three digits of one hand (S) (AU 8)
225.00
4950
Four digits of one hand (G) (AU 9)
205.00
4954
Four digits of one hand (S) (AU 9)
250.00
4957
Five digits of one hand (G) (AU 10)
235.00
4961
Five digits of one hand (S) (AU 10)
295.00
4965
Finger or thumb, including metacarpal or part of metacarpal—each digit (G) (AU 6)
122.00
4969
Finger or thumb, including metacarpal or part of metacarpal—each digit (S) (AU 6)
152.00
4972
Hand, midcarpal or transmetacarpal (G) (AU 7)
152.00
4976
Hand, midcarpal or transmetacarpal (S) (AU 7)
196.00
4979
Hand, forearm or through arm (AU 8)
235.00
4983
At shoulder (AU 12)
390.00
4987
Interscapulothoracic (AU 15)
795.00
4990
One digit of foot (G) (AU 6)
78.00
4993
One digit of foot (S) (AU 6)
96.00
4995
Two digits of one foot (G) (AU 7)
118.00
4997
Two digits of one foot (S) (AU 7)
146.00
4999
Three digits of one foot (G) (AU 8)
136.00
5002
Three digits of one foot (S). (AU 8)
168.00
5006
Four digits of one foot (G) (AU 9)
156.00
5009
Four digits of one foot (S) (AU 9)
192.00
5015
Five digits of one foot (G) (AU 10)
176.00
5018
Five digits of one foot (S) (AU 10)
220.00
5024
Toe, including metatarsal or part of metatarsal—each toe (G) (AU 7)
96.00
5029
Toe, including metatarsal or part of metatarsal—each toe (S) (AU 7)
122.00
5034
Foot at ankle (Syme, Pirogoff types) (AU 8)
235.00
5038
Foot, midtarsal or transmetatarsal (AU 7)
196.00
5050
Through thigh, at knee or below knee (AU 10)
345.00
5051
At hip (AU 14)
480.00
5055
Hindquarter (AU 17)
985.00
5057
Amputation stump, reamputation of, to provide adequate skin and muscle cover
Amount under rule 32
Division 3—Ear, Nose and Throat
5059
Ear, removal of foreign body in, otherwise than by simple syringing (AU 4)
$55.00
5062
Ear, removal of foreign body in, involving incision of external auditory canal (AU 6)
158.00
5066
Aural polyp, removal of (AU 4)
96.00
5068
External auditory meatus, surgical removal of keratosis obturans from, not covered by any other item in this Part (AU 9)
108.00
5069
Meatoplasty involving removal of cartilage or bone or both cartilage and bone not covered by item 5070 (AU 9)
390.00
5070
Meatoplasty involving removal of cartilage or bone or both cartilage and bone associated with items 5078, 5091, 5095, 5098 or 5100 (AU 7)
255.00
SCHEDULE—continued
Item
Medical service
Fee
$
5072
External auditory meatus, removal of exostoses in (AU 12)
620.00
5073
Correction of auditory canal stenosis, including meatoplasty, with or without grafting (AU 12)
655.00
5074
Reconstruction of external auditory canal in association with items 5095, 5098, 5100 (AU 9)
Myringoplasty, post-aural or endaural approach with or without mastoid inspection (AU 12)
635.00
5079
Atticotomy without reconstruction of the bony defect, with or without myringoplasty (AU 12)
760.00
5080
Atticotomy with reconstruction of the bony defect with or without myringoplasty (AU 14)
850.00
5081
Ossicular chain reconstruction (AU 12)
725.00
5085
Ossicular chain reconstruction and myringoplasty (AU 13)
795.00
5087
Mastoidectomy (cortical) (AU 12)
345.00
5091
Obliteration of the mastoid cavity (AU 10)
460.00
5093
Mastoidectomy, intact wall technique, with myringoplasty (AU 16)
1060.00
5094
Mastoidectomy, intact wall technique, with myringoplasty and ossicular chain reconstruction (AU 18)
1250.00
5095
Mastoidectomy (radical or modified radical) (AU 13)
725.00
5098
Bastoidectomy (radical or modified radical) and myringoplasty (AU 13)
795.00
5100
Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruction (AU 14)
985.00
5101
Revision of mastoidectomy (radical, modified radical or intact wall), including myringoplasty (AU 16)
725.00
5102
Decompression of facial nerve in its mastoid portion (AU 13)
795.00
5106
Labyrinthotomy or destruction of labyrinth (AU 12)
685.00
5108
Cerebello-pontine angle tumour, removal of by two surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approach— transmastoid, translabyrinthine or retromastoid procedure (including aftercare) (AU 39)
1620.00
5112
Cerebello-pontine angle tumour, removal of by two surgeons operating conjointly, by transmastoid, translabyrinthine approach—intracranial procedure (including aftercare)
1620.00
5113
Skull base tumour, removal of by infra-temporal approach (AU 40)
1865.00
5114
Partial temporal bone resection for removal of tumour involving mastoidectomy with or without decompression of facial nerve (AU 28)
1280.00
5115
Total temporal bone resection for removal of tumour (AU 32)
1740.00
5116
Endolymphatic sac, transmastoid decompression with or without drainage of (AU 12)
Internal auditory meatus, exploration by middle cranial fossa approach with cranial nerve decompression (AU 23)
1155.00
5127
Fenestration operation—each ear (AU 11)
795.00
5131
Venous graft to fenestration cavity (AU 12)
390.00
5138
Stapedectomy (AU 11)
725.00
5143
Stapes mobilisation (AU 10)
465.00
5147
Round window surgery including repair or cochleotomy (AU11)
725.00
5148
Cochlear implant, insertion of, including mastoidectomy (AU 23)
1260.00
5152
Glomus tumour, transtympanic removal of (AU 12)
550.00
5158
Glomus tumour, transmastoid removal of, including mastoidectomy (AU 13)
795.00
5162
Abscess or inflammation of middle ear, operation for (excluding after-care) (AU 7)
96.00
5166
Middle ear, exploration of (AU 9)
345.00
5172
Middle ear, insertion of tube for drainage of (including myringotomy) (AU 7)
158.00
5173
Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or without myringoplasty (AU 10)
760.00
5174
Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or without myringoplasty with ossicular chain reconstruction (AU 16)
950.00
5176
Perforation of tympanum, cauterisation or diathermy of (AU 6)
31.50
5177
Excision of rim of eardrum perforation, not associated with myringoplasty (AU 6)
95.00
5182
Ear toilet requiring use of operating microscope and microinspection of tympanic membrane with or without general anaesthesia (AU 7)
73.00
5186
Tympanic membrane, microinspection of one or both ears under general anaesthesia, not associated with any other item in this Part (AU 7)
73.00
5192
Examination of nasal cavity or post-nasal space or nasal cavity and post-nasal space, under general anaesthesia, not associated with any other item in this Part (AU 6)
48.00
5196
Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after-care) (AU 8)
82.00
5201
Nose, removal of foreign body in, other than by simple probing (AU 6)
52.00
5205
Nasal polyp or polypi (simple), removal of
55.00
5210
Nasal polyp or polypi (requiring admission to hospital), removal of (G) (AU 7)
114.00
5214
Nasal polyp or polypi (requiring admission to hospital), removal of (S) (AU 7)
146.00
5217
Nasal septum, septoplasty, submucous resection or closure of septal perforation (AU 9)
320.00
SCHEDULE—continued
Item
Medical service
Fee
$
5229
Cauterisation (other than by chemical means) or cauterisation by chemical means when performed under general anaesthesia or diathermy of septum, turbinates or pharynx—one or more of these procedures (including any consultation on the same occasion) not associated with any other operation on the nose (AU 6)
67.00
5230
Nasal haemorrhage, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (AU 7)
60.00
5233
Cryotherapy to nose in the treatment of nasal haemorrhage (AU 7)
108.00
5234
Division of nasal adhesions, with or without stenting not associated with any other operation on the nose and not performed during the post-operative period of a nasal operation (AU 6)
78.00
5235
Dislocation of turbinate or turbinates, one or both sides, not associated with any other item in this Part (AU 6)
48.00
5237
Turbinectomy or turbinectomies, partial or total, unilateral (AU 6)
Maxillary antrum, proof puncture and lavage of (AU 6)
21.50
5249
Maxillary antrum, proof puncture and lavage of (D) (AU 6)
21.50
5254
Maxillary antrum, proof puncture and lavage of—under general anaesthesia (requiring admission to hospital), not associated with any other item in this Part (AU 6)
61.00
5259
Maxillary antrum, proof puncture and lavage of—under general anaesthesia (D) (AU 6)
61.00
5264
Maxillary antrum, lavage of—each attendance at which the procedure is performed, including any associated consultation (AU 6)
18.20
5268
Maxillary artery, transantral ligation of (AU 9)
295.00
5270
Antrostomy (radical) (AU 9)
345.00
5274
Antrostomy (radical) (D) (AU 9)
345.00
5277
Antrostomy (radical) with transantral ethmoidectomy or transantral vidian neurectomy (AU 10)
405.00
5280
Antrum, intranasal operation on or removal of foreign body from (AU 8)
196.00
5282
Antrum, intranasal operation on or removal of foreign body from (D) (AU 8)
196.00
5284
Antrum, drainage of, through tooth socket (AU 7)
78.00
5286
Antrum, drainage of, through tooth socket (D) (AU 7)
78.00
5288
Oro-antral fistula, clastic closure of (AU 11)
390.00
5291
Oro-antral fistula, plastic closure of (D) (AU 11)
390.00
5292
Ethmoidal artery or arteries, transorbital ligation of (unilateral) (AU 10)
300.00
5293
Lateral rhinotomy with removal of tumour (AU 12)
595.00
5295
Fronto-nasal ethmoidectomy with or without sphenoidectomy (AU 9)
515.00
5298
Radical fronto-ethmoidectomy with osteoplastic flap (AU 13)
675.00
5301
Frontal sinus or ethmoidal sinuses, intranasal operation on (AU 9)
320.00
5305
Frontal sinus, catheterisation of (AU 6)
39.00
5308
Frontal sinus, trephine of (AU 6)
225.00
SCHEDULE—continued
Item
Medical service
Fee
$
5318
Frontal sinus, radical obliteration of (AU 10)
515.00
5320
Ethmoidal sinuses, external operation on (AU 10)
405.00
5330
Sphenoidal sinus, intranasal operation on (AU 10)
196.00
5343
Eustachian tube, catheterisation of (AU 6)
31.00
5345
Division of pharyngeal adhesions (AU 7)
78.00
5348
Post nasal space, direct examination of, with or without biopsy (AU 7)
82.00
5349
Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx and larynx (AU 7)
Pharyngeal pouch, removal of, with or without cricopharyngeal myotomy (AU 16)
465.00
5357
Pharyngeal pouch, endoscopic resection of (Dohlman's operation) (AU 14)
390.00
5358
Cricopharyngeal myotomy with or without inversion of pharyngeal pouch (AU 10)
390.00
5360
Pharyngotomy (lateral), with or without total excision of tongue (AU 6)
465.00
5361
Partial pharyngectomy via pharyngotomy (AU 12)
635.00
5362
Partial pharyngectomy via pharyngotomy with partial or total glossectomy (AU 14)
785.00
5363
Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (G) (AU 7)
146.00
5366
Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (S) (AU 7)
196.00
5389
Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (G) (AU 8)
184.00
5392
Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (S) (AU 8)
245.00
5396
Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (G) (AU 9)
76.00
5401
Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (S) (AU 9)
96.00
5407
Adenoids, removal of (G) (AU 6)
78.00
5411
Adenoids, removal of (S) (AU 6)
108.00
5431
Lingual tonsil or lateral pharyngeal bands, removal of (AU 7)
60.00
5445
Peritonsillar abscess (quinsy), incision of (AU 7)
46.50
5449
Uvulotomy (AU 6)
23.50
5456
Vallecular or pharyngeal cysts, removal of (AU 8)
235.00
5464
Oesophagoscopy (with rigid oesophagoscope) (AU 6)
124:00
5470
Oesophageal and anastomic stricture, endoscopic dilatation of (AU 7)
230.00
5480
Oesophagoscopy (with rigid oesophagoscope) with biopsy (AU 7)
158.00
5486
Oesophagoscopy (with rigid oesophagoscope) with removal of foreign body (AU 7)
235.00
5490
Oesophageal stricture, dilatation of, without oesophagoscopy (AU 6)
34.50
5492
Oesophagus, endoscopic pneumatic dilatation of (AU 8)
235.00
5498
Laryngectomy (total) (AU 20)
855.00
SCHEDULE—continued
Item
Medical service
Fee
$
5499
Vertical hemi-laryngectomy including tracheostomy (AU 17)
820.00
5500
Supraglottic laryngectomy including tracheostomy (AU 21)
1010.00
5508
Laryngopharyngectomy or primary restoration of alimentary continuity after laryngopharyngectomy using stomach or bowel (AU 20)
890.00
5520
Larynx, direct examination of the supraglottic, glottic and subglottic regions, not associated with any other procedure on the larynx nor with the administration of a general anaesthetic (AU 8)
124.00
5524
Larynx, direct examination of, with biopsy (AU 8)
182.00
5530
Larynx, direct examination of, with removal of tumour (AU 9)
196.00
5534
Microlaryngoscopy (AU 8)
192.00
5538
Microlaryngoscopy with removal of juvenile papillomata (AU 10)
330.00
5539
Microlaryngoscopy with removal of papillomata by laser surgery (AU 13)
400.00
5540
Microlaryngoscopy with removal of tumour (AU 9)
270.00
5541
Microlaryngoscopy with arytenoidectomy (AU 13)
410.00
5542
Teflon injection into vocal cord (AU 9)
300.00
5545
Larynx, fractured, operation for (AU 15)
390.00
5556
Larynx, external operation on, or laryngofissure, with or without cordectomy (AU 13)
390.00
5557
Laryngoplasty or tracheoplasty, including tracheostomy (AU 17)
635.00
5572
Tracheostomy (G) (AU 10)
122.00
5598
Tracheostomy (S) (AU 10)
158.00
5601
Trachea, removal of foreign body in (AU 7)
118.00
5605
Bronchoscopy, as an independent procedure (AU 7)
118.00
5611
Bronchoscopy with one or more endobronchial biopsies or other diagnostic or therapeutic procedures (AU 8)
156.00
5613
Bronchus, removal of foreign body in (AU 9)
245.00
5615
Fibreoptic bronchoscopy with one or more transbronchial lung biopsies, with or without bronchial or broncho-alveolar lavage, with or without the use of interventional imaging (AU 8)
170.00
5617
Endoscopic laser resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures (AU 15)
400.00
5619
Bronchoscopy with dilatation of tracheal stricture (AU 7)
164.00
Division 4—Urological
5636
Adrenal gland, excision of—partial or total (AU 12)
615.00
5642
Renal transplant, not covered by items 5644 and 5645 (AU 24)
925.00
5644
Renal transplant, performed by vascular surgeon and urologist operating together—vascular anastomosis, including after-care (AU 24)
615.00
5645
Renal transplant, performed by vascular surgeon and urologist operating together—ureterovesical anastomosis, including after-care
520.00
5647
Donor nephrectomy (cadaver), one or both kidneys
520.00
5654
Nephrectomy, complete (G) (AU 11)
510.00
5661
Nephrectomy, complete (S) (AU 11)
615.00
SCHEDULE—continued
Item
Medical service
Fee
$
5663
Nephrectomy, complete, complicated by previous surgery on the same kidney (AU 13)
860.00
5665
Nephrectomy, partial (AU 13)
735.00
5666
Nephrectomy, partial, complicated by previous surgery on the same kidney (AU 15)
1045.00
5667
Nephrectomy, radical, with enbloc dissection of lymph nodes, with or without adrenalectomy (AU 17)
860.00
5675
Nephro-ureterectomy, complete, including associated bladder repair and any associated endoscopic procedure (AU 17)
770.00
5679
Kidney, fused, renal symphysiotomy for (AU 14)
615.00
5683
Kidney or perinephric area, exploration of, with or without drainage of, by open exposure, not covered by any other item in this Part (AU 10)
460.00
5691
Nephrolithotomy or pyelolithotomy, or both, through the same skin incision, for one or two stones (AU 12)
735.00
5699
Nephrolithotomy or pyelolithotomy, or both, extended, for staghorn stone or 3 or more stones, including one or more of the following: nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (AU 12)
860.00
5700
Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post-treatment care for three days, including pre-treatment consultations, unilateral (AU 12)
460.00
5705
Ureterolithotomy (AU 11)
555.00
5715
Nephrostomy or pyelostomy, open, as an independent procedure (AU 11)
495.00
5721
Nephropexy, as an independent procedure (AU 9)
340.00
5724
Renal cyst or cysts, excision or unroofing of (AU 11)
430.00
5726
Renal biopsy (closed) (AU 6)
114.00
5734
Pyeloplasty,by open exposure (AU 14)
615.00
5737
Pyeloplasty in congenitally abnormal kidney or solitary kidney, by open exposure (AU 14)
675.00
5738
Pyeloplasty, complicated by previous surgery on the same kidney, by open exposure (AU 15)
860.00
5741
Divided ureter, repair of (AU 13)
615.00
5744
Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, not associated with any other procedure performed on the kidney, renal pelvis or renal pedicle (AU 13)
770.00
5747
Ureterectomy, complete or partial, with or without associated bladder repair, not associated with item 5889 (AU 12)
495.00
5753
Ureter, replacement of. by bowel (AU 12)
860.00
5763
Ureter, transplantation of. into skin (AU10)
495.00
5773
Ureter, reimplantation into bladder (AU 12)
615.00
5780
Ureter, reimplantation into bladder with psoas hitch or Boari flap or both (AU 12)
735.00
5785
Ureter, transplantation of, into intestine (AU 12)
615.00
5799
Ureter, transplantation of, into another ureter (AU 12)
615.00
5804
Ureter, transplantation of, into isolated intestinal segment, unilateral (AU 14)
735.00
5807
Ureters, transplantation of, into isolated intestinal segment, bilateral (AU 16)
860.00
SCHEDULE—continued
Item
Medical service
Fee
$
5808
Intestinal urinary reservoir, continent, formation of, including formation of non-return valves and implantation of ureters (one or both) into reservoir (AU 27)
1540.00
5809
Intestinal urinary conduit or ureterostomy, revision of (AU 13)
495.00
5812
Ureter, exploration of, with or without drainage of, as an independent procedure (AU 11)
430.00
5821
Ureterolysis, with or without repositioning of ureter, for retroperitoneal fibrosis, ovarian vein syndrome or similar condition (AU 11)
495.00
5831
Reduction ureteroplasty (AU 14)
430.00
5837
Closure of cutaneous ureterostomy (AU 9)
310.00
Operations on the Bladder (Closed)
5840
Bladder, catheterisation of , where no other procedure is performed (AU 4)
18.40
5841
Ureteroscopy, with or without any one or more of; cystoscopy, ureteric meatotomy, ureteric dilatation and pyeloscopy, not associated with item 5842, 5843, 5845, 5851, 5878 or 5885 (AU 7)
310.00
5842
Ureteroscopy as described in item 5841, plus one or more of extraction of stone, biopsy or diathermy (AU 9)
430.00
5843
Ureteroscopy as described in item 5841, plus destruction of stone with ultrasound, electrohydraulic shock waves, or laser, with extraction of fragments (AU 11)
555.00
5845
Cystoscopy with urethroscopy, with or without urethral dilatation, not associated with any other urological endoscopic procedure on the lower urinary tract except item 6070 (AU 5)
110.00
5846
Cystoscopy, with or without urethroscopy, for the treatment of penile warts or urethral warts, not associated with item 3347 (AU 6)
158.00
5847
Cystoscopy, with ureteric catheterisation including fluoroscopic imaging of the upper urinary tract, unilateral or bilateral, not associated with item 5851 or 5855 (AU 6)
184.00
5849
Cystoscopy with one or more .of; ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis, unilateral, not associated with item 5851 or 5855 (AU 6)
215.00
5851
Cystoscopy with ureteric catheterisation, unilateral or bilateral, not associated with item 5847 or 5849 (AU 5)
142.00
5853
Cystoscopy, with controlled hydro-dilatation of the bladder (AU 5)
152.00
5855
Cystoscopy, with ureteric meatotomy (AU 5)
136.00
5864
Cystoscopy with removal of foreign body (AU 6)
184.00
5868
Cystoscopy with biopsy of bladder, not associated with item 5845, 5855, 5871, 5875, 5878, 5881, 6005, 6006 or 6027 (AU 6)
152.00
5871
Cystoscopy with resection or diathermy of bladder tumour or other lesion of the bladder or prostate, not associated with item 5875 (AU 6)
215.00
SCHEDULE—continued
Item
Medical service
Fee
$
5872
Cystoscopy with lavage of blood clots from bladder including any associated diathermy of prostate or bladder and not associated with item 5845 and items 5853 to 5888 and items 6005 and 6006 (AU 8)
215.00
5875
Cystoscopy with diathermy or resection of multiple bladder tumours in more than two quadrants of the bladder or solitary tumour greater than 2 centimetres in diameter (AU 6)
460.00
5878
Cystoscopy with resection of ureterocele (AU 5)
152.00
5879
Cystoscopy with injection into bladder wall (AU 5)
152.00
5881
Cystoscopy with endoscopic incision or resection of external sphincter, bladder neck or both (AU 7)
310.00
5885
Endoscopic manipulation or extraction of ureteric calculus (AU 6)
245.00
5886
Endoscopic examination of intestinal conduit or reservoir (AU 5)
110.00
5888
Litholapaxy, with or without cystoscopy (AU 7)
310.00
Operations on the Bladder (Open)
5889
Bladder, partial excision of (AU 13)
495.00
5891
Bladder, repair of rupture (G) (AU 13)
355.00
5894
Bladder, repair of rupture (S) (AU 13)
430.00
5897
Cystostomy or cystotomy, suprapubic, not covered by item 5903 and not associated with other open bladder procedure (G) (AU 8)
220.00
5901
Cystostomy or cystotomy, suprapubic, not covered by item 5903 and not associated with other open bladder procedure (S) (AU 8)
275.00
5903
Suprapubic stab cystotomy (AU 6)
62.00
5905
Bladder, total excision of (AU 29)
710.00
5919
Bladder tumours, suprapubic diathermy of (AU 10)
460.00
5929
Bladder diverticulum, excision or obliteration of (AU 10)
495.00
5935
Vesical fistula, cutaneous, operation for (AU 12)
275.00
5936
Cutaneous vesicostomy, establishment of (AU 9)
275.00
5941
Vesico-vaginal fistula, closure of by abdominal approach (AU 12)
Bladder stress incontinence, suprapubic procedure for, not covered by item 6406 (AU 9)
460.00
5981
Bladder enlargement using intestine (AU 23)
1110.00
5982
Bladder extrophy closure, not involving sphincter reconstruction (AU 14)
495.00
Operations on the Prostate
6001
Prostatectomy, open (AU 13)
675.00
6005
Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services covered by item 5881, 6039, 6066 or 6069 (AU 10)
770.00
SCHEDULE—continued
Item
Medical service
Fee
$
6006
Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services covered by items 5881, 6039, 6066 and 6069 continuation of, within 10 days of initial procedure which had to be discontinued for medical reasons (AU 9)
370.00
6017
Prostate, total excision of (AU 13)
860.00
6022
Prostate, open perineal biopsy or open drainage of abscess (AU 6)
184.00
6027
Prostate, biopsy of, endoscopic, with or without cystoscopy (AU 6)
275.00
6030
Prostate, needle biopsy of, or injection into (AU 5)
92.00
6033
Prostatic abscess, endoscopic drainage of (AU 7)
310.00
Operations on the Uretha, Penis or Scrotum
6036
Urethral sounds, passage of, as an independent procedure (AU 5)
31.00
6039
Urethral stricture, dilatation of (AU 5)
49.50
6040
Urethra, repair of rupture of distal section (AU 9)
430.00
6041
Urethra, repair of rupture of prostatic or membranous segment (AU 10)
615.00
6044
Urethral fistula, closure of (AU 8)
184.00
6047
Urethroscopy, as an independent procedure (AU 5)
92.00
6053
Urethroscopy, with any one or more of; biopsy, diathermy or removal of foreign body or stone (AU 7)
184.00
6066
Urethral meatotomy, external (AU 4)
62.00
6069
Urethrotomy or urethrostomy, internal or external (AU 5)
152.00
6070
Urethrotomy, optical, for urethral stricture (AU 5)
215.00
6077
Urethrectomy, partial or complete, for removal of tumour (AU 9)
430.00
6079
Urethro-vaginal fistula, closure of (AU 9)
370.00
6083
Urethro-rectal fistula, closure of (AU 10)
495.00
6085
Peri-urethral injection of Teflon, including urethroscopy and cystoscopy (AU 5)
Hypospadias or epispadias, with or without chordee, correction of, as a staged procedure, first stage (AU 10)
310.00
6110
Hypospadias or epispadias, with or without chordee, correction of, as a staged procedure, second stage (AU 11)
460.00
6118
Hypospadias or epispadias, with or without chordee, correction of, as one stage procedure, not covered by item 6100 (AU 13)
555.00
6146
Urethra, excision of prolapse of (AU 7)
124.00
6152
Urethral diverticulum, excision of (AU 8)
310.00
6155
Urethral sphincter, reconstruction by bladder tubularisation technique or similar procedure (AU 16)
770.00
SCHEDULE—continued
Item
Medical service
Fee
$
6157
Urethra, operation for correction of male urinary incontinence, not covered by item 6158 or 6161 (AU 9)
495.00
6158
Artificial urinary sphincter, insertion of cuff, perineal approach (AU 10)
495.00
6159
Artificial urinary sphincter, insertion of cuff, abdominal approach (AU 16)
770.00
6160
Artificial urinary sphincter, insertion of pressure regulating balloon and pump (AU 8)
215.00
6161
Artificial urinary sphincter, revision or removal of, with or without replacement (AU 12)
615.00
6162
Priapism, decompression by glanular stab cavernosospongiosum shunt or penile aspiration with or without lavage (AU 7)
152.00
6166
Priapism, shunt operation for, not covered by item 6162 (AU 10)
495.00
6175
Urethral valve, destruction of, including cystoscopy and urethroscopy (AU 7)
245.00
6179
Penis, partial amputation of (AU 8)
310.00
6184
Penis, complete or radical amputation of (AU 12)
615.00
6189
Penis, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (AU 8)
310.00
6194
Penis, repair of avulsion (AU 12)
615.00
6199
Penis, injection of, for investigation or treatment of impotence, priapism or Peyronie's plaque
31.00
6204
Penis, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting (AU 8)
370.00
6205
Penis, surgery to inhibit rapid penile drainage causing impotence, by ligation of deep veins to Bucks fascia including one or deep cavernosal veins, with or without pharmological test (AU 7)
245.00
6207
Penis, lengthening by translocation of corpora (AU 14)
615.00
6208
Penis, artificial erection device, insertion of, into one or both corpora (AU 8)
650.00
6213
Penis, artificial erection device, insertion of pump and pressure regulating reservoir (AU 11)
215.00
6214
Penis, artificial erection device, complete or partial revision or removal of components, with or without replacement (AU 11)
615.00
6215
Penis, frenuloplasty as an independent procedure (AU 5)
62.00
6216
Scrotum, partial excision of (AU 7)
184.00
Operations on Testes, Vasa or Seminal Vesicles
6221
Spermatocele or epididymal cyst, excision of, one or both (G) (AU 6)
152.00
6224
Spermatocele or epididymal cyst, excision of, one or both (S) (AU 6)
184.00
6228
Exploration of scrotal contents, with or without fixation and with or without biopsy, unilateral (AU 5)
184.00
6231
Retroperitoneal lymph node dissection, unilateral, not associated with item 5667 (AU 12)
615.00
6234
Retroperitoneal lymph node dissection, unilateral, not associated with item 5667, following previous similar retroperitoneal dissection, retroperitoneal irradiation or chemotherapy (AU 24)
925.00
SCHEDULE—continued
Item
Medical service
Fee
$
6236
Epididymectomy (AU 8)
184.00
6245
Vaso-vasostomy or vaso-epididymostomy, unilateral, using the operating microscope (AU 14)
460.00
6247
Vaso-vasostomy or vaso-epididymostomy, unilateral (AU 9)
184.00
6249
Vasotomy or vasectomy, unilateral or bilateral (G) (AU 5)
128.00
6253
Vasotomy or vasectomy, unilateral or bilateral (S) (AU 5)
152.00
Division 5—Gynaecological
6258
Gynaecological examination under anaesthesia, not associated with any other item in this Part (AU 5)
54.00
6262
Intra-uterine contraceptive device, introduction of, not associated with any other item in this Part (AU 5)
35.50
6264
Intra-uterine contraceptive device, removal of under general anaesthesia, not associated with any other item in this Part (AU 5)
35.50
6271
Hymenectomy (AU 5)
60.00
6274
Bartholin's cyst, excision of (G) (AU 7)
120.00
6277
Bartholin's cyst, excision of (S) (AU 7)
148.00
6278
Bartholin's cyst or gland, marsupialisation of (G) (AU 6)
77.00
6280
Bartholin's cyst or gland, marsupialisation of (S) (AU 6)
97.00
6284
Bartholin's abscess, incision of (AU 5)
38.50
6290
Urethra or urethral caruncle, cauterisation of (AU 4)
38.50
6292
Urethral caruncle, excision of (G) (AU 6)
77.00
6296
Urethral caruncle, excision of (S) (AU 6)
97.00
6299
Clitoris, amputation of, where medically indicated (AU 7)
180.00
6301
Vulvoplasty or labioplasty, where medically indicated, not associated with Item 6302 (AU 9)
235.00
6302
Vulva, wide local excision of suspected malignancy; or hemivulvecomy; or superficial vulvectomy, (including colposcopically directed CO2 laser), one or more procedures (AU 9)
235.00
6303
Colposcopically directed CO2 laser therapy for intraepithelial neoplasia of the cervix, vagina, vulva, urethra or anal canal, including associated biopsies— one anatomical site (AU 5)
182.00
6304
Colposcopically directed CO2 laser therapy for intraepithelial neoplasia of the cervix, vagina, vulva, urethra or anal canal, including associated biopsies— two or more anatomical sites (AU 6)
210.00
6305
Colposcopically directed CO2 laser therapy for condylomata, unsuccessfully treated by other methods (AU 6)
122.00
6307
Vulvectomy (radical) for malignancy (AU 17)
445.00
6308
Pelvic lymph glands, excision of (radical) (AU 15)
455.00
6313
Vagina, dilatation of, as an independent procedure including any associated consultation (AU 4)
29.00
6321
Vagina, removal of simple tumour—(including Gartner duct cyst) (AU 8)
142.00
6325
Vagina, partial or complete removal of (AU 13)
455.00
6327
Vaginal reconstruction for congenital absence, gynatresia or urogenital sinus (AU 18)
455.00
6332
Vaginal septum, excision of, for correction of double vagina (AU 12)
265.00
SCHEDULE—continued
Item
Medical service
Fee
$
6336
Plastic repair to enlarge vaginal orifice (AU 9)
106.00
6342
Colpotomy, not covered by any other item in this Part (AU 6)
82.00
6347
Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 6358, 6363, 6367 or 6373 (G) (AU 10)
230.00
6352
Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 6358, 6363, 6367 or 6373 (S) (AU 10)
285.00
6358
Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 6367 or 6373 (G) (AU 10)
285.00
6363
Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 6367 or 6373 (S) (AU 10)
355.00
6367
Donald-Fothergill or Manchester operation for genital prolapse (G) (AU 10)
340.00
6373
Donald-Fothergill or Manchester operation for genital prolapse (S) (AU 10)
450.00
6389
Urethrocele, operation for (AU 9)
116.00
6396
Operation involving abdominal approach for repair of enterocoele or suspension of vaginal vault or enterocoele and suspension of vaginal vault (AU 9)
355.00
6398
Vaginal repair of enterocele with or without repair of rectocele, not associated with item 6347, 6352, 6358, 6363, 6367, 6373, 6396, 6518, 6519 or 6544, and where on a previous occasion there had been performed surgery reflected by a procedure in item 6347, 6352, 6458, 6363, 6367, 6373, 6396, 6518, 6519 or 6544 (AU 8)
355.00
6401
Fistula between genital and urinary or alimentary tracts, repair of, not covered by item 5941, 6079 or 6083 (AU 13)
Cervix, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix (AU 5)
42.50
6413
Cervix, removal of polyp or polypi, with or without dilatation of cervix, not associated with item 6411 (AU 5)
42.00
6415
Examination of lower female genital tract by a Hinselmann-type colposcope in a patient with a previous abnormal cervical smear or a history of maternal ingestion of oestrogen or where a patient, because of suspicious signs of cancer, has been referred by another medical practitioner (AU 5)
42.50
6430
Cervix, cone biopsy, amputation or repair of, not covered by item 6367 or 6373 (G) (AU 7)
116.00
6431
Cervix, cone biopsy, amputation or repair of, not covered by item 6367 or 6373 (S) (AU 7)
142.00
SCHEDULE—continued
Item
Medical service
Fee
$
6446
Cervix, dilatation of, under general anaesthesia, not covered by item 6460,6464 or 6469 (AU 5)
54.00
6447
Endometrial biopsy where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding (AU 5)
35.50
6451
Hysteroscopy with dilatation of cervix under general anaesthesia (AU 7)
71.00
6452
Hysteroscopy with endometrial biopsy or suction curettage, or both (AU 7)
55.00
6453
Hysteroscopy with uterine adhesiolysis or polypectomy or tubal catheterization or removal of IUD which cannot be removed by other means, one or more of (AU 8)
144.00
6454
Hysteroscopy and laparoscopy under general anaesthesia involving either myomectomy or resection of uterine septum, or both (AU 10)
290.00
6460
Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (G) (AU 5)
90.00
6464
Uterus, curettage of, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (S) (AU 5)
122.00
6469
Evacuation of the contents of the gravid uterus by curettage or suction curettage not covered by item 6460 or 6464 (AU 5)
146.00
6483
Uterus—colposcopy, cervical biopsy and radical diathermy of (AU 8)
136.00
6508
Hysterotomy or uterine myomectomy, abdominal (AU 10)
355.00
6513
Hysterectomy, abdominal, subtotal or total, with or without removal of uterine adnexae (G) (AU 11)
355.00
6517
Hysterectomy, abdominal, sub total or total, with or without removal of uterine adnexae (S) (AU 11)
450.00
6518
Hysterectomy, vaginal, with or without uterine curettage, not covered by item 6544 (G) (AU 11)
355.00
6519
Hysterectomy, vaginal, with or without uterine curettage, not covered by item 6544 (S) (AU 11)
450.00
6532
Hysterectomy, abdominal, with excision of ovarian, paraovarian, broad ligament or other adnexal cyst or mass, one or more, with conservation of the ovaries (G) (AU 12)
465.00
6533
Hysterectomy, abdominal, with excision of ovarian, para-ovarian, broad ligament or other adnexal cyst or mass, one or more, with conservation of the ovaries (S) (AU 12)
595.00
6536
Radical hysterectomy with radical excision of pelvic lymph glands (with or without excision of uterine adnexae) for proven malignancy including excision of any one more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum (AU 17)
840.00
SCHEDULE—continued
Item
Medical service
Fee
$
6542
Radical hysterectomy without gland dissection (with or without excision of uterine adnexae) for proven malignancy including excision of any one or more of parametrium, paracolpos, upper vagina or contiguous pelvic peritoneum (AU 17)
640.00
6543
Hysterectomy, abdominal, with radical excision of pelvic lymph glands, with or without removal of uterine adnexae (AU 19)
675.00
6544
Hysterectomy, vaginal, (with or without uterine curettage) with salpingectomy, oophorectomy or excision of ovarian cyst, one or more, one or both sides (AU 12)
505.00
6553
Ectopic gestation, removal of (G) (AU 9)
285.00
6557
Ectopic gestation, removal of (S) (AU 9)
355.00
6570
Bicornuate uterus, plastic reconstruction for (AU 14)
385.00
6585
Uterus, suspension or fixation of, as an independent procedure (G) (AU 8)
235.00
6594
Uterus, suspension or fixation of, as an independent procedure (S) (AU 8)
315.00
6611
Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (G) (AU 8)
215.00
6612
Sterilisation by transection or resection of fallopian tubes, via abdominal or vaginal routes or via laparoscopy using diathermy or any other method (S) (AU 8)
265.00
6613
Sterilisation by interruption of fallopian tubes when performed in conjunction with Caesarean section (AU 5)
106.00
6631
Tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, one or more procedures (AU 11)
425.00
6632
Microsurgical tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, one or more procedures (AU 16)
Hydrotubation of Fallopian tubes as a non-repetitive procedure not associated with any other item in this Part (AU 7)
45.00
6639
Rubin test for patency of Fallopian tubes (AU 7)
45.00
6641
Fallopian tubes, hydrotubation of, as a repetitive postoperative procedure (AU 7)
29.00
6643
Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—one such procedure not associated with hysterectomy (G) (AU 9)
240.00
6644
Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—one such procedure not associated with hysterectomy (S) (AU 9)
300.00
6648
Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—two or more such procedures, unilateral or bilateral, not associated with hysterectomy (G) (AU 10)
290.00
SCHEDULE—continued
Item
Medical service
Fee
$
6649
Laparotomy, involving oophorectomy, salpingectomy, salpingo-oophorectomy, removal of ovarian, parovarian, fimbrial or broad ligament cyst—two or more such procedures, unilateral or bilateral, not associated with hysterectomy (S) (AU 10)
365.00
6655
Radical or debulking operation for advanced gynaecological malignancy, with or without omentectomy (AU 16)
450.00
6658
Retro-peritoneal lymph node biopsies from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy (AU 19)
320.00
6659
Infra-colic omentectomy with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy (AU 19)
320.00
Division 6—Ophthalmological
6686
Ophthalmologic^ examination under general anaesthesia, not associated with any other item in this Part (AU 5)
68.00
6688
Eye, enucleation of, with or without sphere implant (AU 8)
320.00
6692
Eye, enucleation of, with insertion of integrated implant (AU 9)
405.00
6697
Globe, evisceration of (AU 8)
320.00
6699
Globe, evisceration of, and insertion of intrascleral ball or cartilage (AU 9)
405.00
6701
Anophthalmic orbit, insertion of cartilage or artificial implant as a delayed procedure, or removal of implant from socket (AU 9)
235.00
6703
Orbit, skin graft to, as a delayed procedure (AU 7)
136.00
6705
Contracted socket, reconstruction including mucous membrane grafting and stent mould (AU 11)
270.00
6707
Orbit, exploration with or without biopsy, requiring removal of bone (AU 9)
420.00
6709
Orbit, exploration of, with drainage or biopsy not requiring removal of bone (AU 8)
270.00
6715
Orbit, exenteration of, with or without skin graft and with or without temporalis muscle transplant (AU 11)
555.00
6722
Orbit, exploration of, with removal of tumour or foreign body, requiring removal of bone (AU 12)
790.00
6724
Orbit, exploration of, with removal of tumour or of foreign body (AU 10)
335.00
6728
Eyeball, perforating wound of, not involving intraocular structures—repair involving suture of cornea or sclera, or both, not covered by item 6807 (AU 10)
420.00
6730
Eyeball, perforating wound of, with incarceration or prolapse of uveal tissue—repair (AU 12)
490.00
6736
Eyeball, perforating wound of, with incarceration of lens or vitreous—repair (AU 12)
685.00
6740
Intraocular foreign body, magnetic removal from anterior segment (AU 10)
270.00
6742
Intraocular foreign body, nonmagnetic removal from anterior segment (AU 11)
345.00
6744
Intraocular foreign body, magnetic removal from posterior segment (AU 10)
490.00
SCHEDULE—continued
Item
Medical service
Fee
$
6747
Intraocular foreign body, nonmagnetic removal from posterior segment (AU 12)
685.00
6752
Abscess (intraorbital), drainage of (AU 6)
78.00
6754
Tarsal cyst, extirpation of (AU 6)
55.00
6758
Tarsal cartilage, excision of (AU 8)
310.00
6762
Ectropion, tarsal cauterisation for
78.00
6766
Tarsorrhaphy (AU 8)
184.00
6767
Cryotherapy or electrolysis epilation for trichiasis—each treatment (AU 6)
34.50
6768
Canthoplasty, medial or lateral (AU 9)
225.00
6772
Lacrimal gland, excision of palpebral lobe (AU 8 )
136.00
6774
Lacrimal sac, excision of, or operation on (AU 8)
335.00
6778
Dacryocystorhinostomy (AU 11)
465.00
6786
Conjunctivorhinostomy including dacryocystorhinostomy and fashioning of conjunctival flans (AU 12)
565.00
6792
Lacrimal canalicular system, establishment of patency by open operation (AU 8)
420.00
6796
Lacrimal canaliculus, immediate repair of (AU 8)
310.00
6799
Nasolacrimal tube (unilateral) replacement of, under general anaesthesia, or lacrimal passages, probing for obstruction, unilateral or bilateral, with or without lavage (AU 4)
96.00
6802
Lacrimal passages, lavage of, unilateral, not associated with item 6799 (excluding after-care) (AU 4)
32.00
6805
Punctum snip operation (AU 4)
91.00
6807
Conjunctival peritomy or repair of corneal laceration by conjunctival flap (AU 6)
78.00
6810
Conjunctival graft over cornea (AU 7)
250.00
6818
Cornea or sclera, removal of imbedded foreign body from (excluding after-care) (AU 8)
48.00
6820
Corneal scars, removal of, by partial keratectomy (AU 8)
136.00
6824
Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after-care) (AU 8)
48.00
6828
Cornea, transplantation of, full thickness, including collection of implant (AU 13)
890.00
6832
Cornea, transplantation of, superficial or lamellar, including collection of transplant (AU 11)
600.00
6833
Refractive keratoplasty (excluding radial keratotomy) following corneal grafting or intraocular operation including any measurements and calculations associated with the procedure (AU 10)
600.00
6835
Conjunctiva, cautery of, including treatment of pannus—each attendance at which treatment is given including any associated consultation (AU 4)
40.50
6837
Pterygium, removal of (AU 6)
182.00
6842
Pinguecula, removal of (AU 6)
78.00
6846
Limbic tumour, removal of (AU 7)
184.00
6848
Lens extraction (AU 11)
520.00
6852
Artificial lens, insertion of (AU 11)
290.00
6857
Artificial lens, removal or repositioning of by open operation—not associated with item 6852 (AU 9)
310.00
6858
Artificial lens, removal of and replacement with a different lens (AU 12)
530.00
6859
Cataract, juvenile, removal of, including subsequent needlings (AU 11)
795.00
SCHEDULE—continued
Item
Medical service
Fee
$
6861
Capsulectomy or removal of vitreous via the anterior chamber by any method, not associated with any other intraocular operation on that eye (AU 9)
345.00
6862
Capsulectomy by posterior chamber sclerotomy or removal of vitreous or vitreous bands from the anterior chamber by posterior chamber sclerotomy, by cutting and suction and replacement by saline, Hartmann's or similar solution, not associated with any other intraocular operation on that eye—one or both procedures (AU 15)
375.00
6863
Vitrectomy by posterior chamber sclerotomy—including the removal of vitreous, division of bands or removal of pre-retinal membranes by cutting and suction and replacement by saline, Hartmann's or similar solution, not associated with any other intraocular operation on that eye (AU 25)
890.00
6864
Capsulectomy or lensectomy by posterior chamber sclerotomy associated with the removal of vitreous or division of vitreous bands or removal of pre-retinal membrane from the posterior chamber by cutting and suction and replacement by saline, Hartmann's or similar solution, not associated with any other intraocular operation (AU 25)
1010.00
6865
Capsulotomy, needling or paracentesis for diagnosis or relief of tension (AU 7)
200.00
6871
Anterior chamber, irrigation of blood from, as an independent procedure (AU 7)
420.00
6873
Glaucoma, filtering and allied operations in the treatment of (AU 10)
635.00
6879
Goniotomy (AU 10)
465.00
6881
Division of anterior or posterior synechiae, as an independent procedure (AU 9)
345.00
6885
Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure (AU 10)
345.00
6889
Iris, light coagulation of (AU 6)
235.00
6894
Tumour, involving ciliary body or ciliary body and iris, excision of (AU 12)
725.00
6898
Cyclodiathermy or cyclocryotherapy (AU 8)
196.00
6900
Detached retina, diathermy or cryotherapy for, not associated with item 6902 (AU 11)
600.00
6902
Detached retina, resection of, or buckling operation for, or revision operation for (AU 15)
890.00
6904
Photocoagulation, treatment to one or both eyes (AU 10)
235.00
6906
Detached retina, removal of encircling silicone band from (AU 8)
110.00
6908
Retina, cryotherapy to, as an independent procedure (AU 13)
390.00
6914
Retrobulbar transillumination, as an independent procedure (AU 5)
60.00
6918
Retrobulbar injection of alcohol or other drug, as an independent procedure
46.50
6920
Injection of botulinus toxin for blepharospasm or strabismus including all such injections on any one day
30.00
6922
Squint, operation for, on one or both eyes, the operation involving a total of one or two muscles (AU 8)
390.00
SCHEDULE—continued
Item
Medical service
Fee
$
6924
Squint, operation for, on one or both eyes, the operation involving a total of three or more muscles (AU 9)
465.00
6929
Readjustment of adjustable sutures, one or both eyes, as an independent procedure following an operation for correction of squint (AU 6)
126.00
6930
Squint, muscle transplant for (Hummelsheim type, etc.) (AU 9)
465.00
6931
Recurrent squint operation, one or both eyes, being an operation referred to in item 6922, 6924 or 6930 where there has been two or more previous squint operations on the eye or eyes (AU 10)
Amount under rule 40
6932
Ruptured medial palpebral ligament or ruptured extraocular muscle, repair of (AU. 9)
$270.00
6938
Resuturing of wound following intraocular procedures with or without excision of prolapsed iris (AU 9)
270.00
Division 7—Thoracic
6939
Thoracic cavity, aspiration of, for diagnostic purposes, not associated with item 6941
26.50
6941
Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample
46.00
6942
Pericardium, paracentesis of (excluding after-care) (AU 6)
74.00
6953
Intercostal drain, insertion of, not involving resection of rib (excluding after-care) (AU 7)
74.00
6954
Percutaneous needle biopsy of lung (AU 7)
112.00
6955
Empyema, radical operation for, involving resection of rib (AU 13)
315.00
6958
Thoracotomy, exploratory, with or without biopsy (AU 11)
610.00
6962
Thoracotomy with pulmonary decortication (AU 17)
905.00
6964
Thoracotomy for pleurectomy or pleurodesis; or enucleation of hydatid cysts (AU 16)
655.00
6966
Thoracoplasty (complete) (AU 21)
905.00
6968
Thoracoplasty (in stages)—each stage (AU 14)
475.00
6972
Pectus excavatum or pectus carinatum, radical correction of (AU 16)
800.00
6974
Thoracoscopy, with or without division of pleural adhesions (AU 7)
190.00
6980
Pneumonectomy or lobectomy (AU 18)
905.00
6986
Oesophagectomy with direct anastomosis or with stomach transposition (AU 23)
905.00
6988
Oesophagectomy with interposition of small or large bowel (AU 27)
1130.00
6992
Mediastinum, cervical exploration of, with or without biopsy (AU 10)
270.00
6995
Pericardium, transthoracic drainage of (other than for treatment of constrictive pericarditis) (AU 14)
655.00
6999
Intrathoracic operation on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum or on more than one of those organs, not covered by any other item in this Part (AU 28)
905.00
7001
Right heart catheterisation, including fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection and exercise stress test (AU 12)
295.00
SCHEDULE—continued
Item
Medical service
Fee
$
7003
Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture—including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (AU 12)
355.00
7006
Right heart catheterisation with left heart catheterisation via the right heart or by any other procedure—including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (AU 14)
425.00
7007
Cardiac Electrophysiological Study—up to and including 3 catheter investigation of any one or more of—syncope, atrio-ventricular conduction, sinus node function or simple ventricular tachycardia studies, not in association with item 7008 (AU 19)
550.00
7008
Cardiac Electrophysiological Study—4 or more catheter supraventricular tachycardia investigation; or complex ventricular tachycardia investigation involving multiple ventricular tachycardia inductions, or multiple catheter mapping, or acute intravenous anti-arryhthmic drug testing with pre and post drug inductions; or catheter ablation; or intra-operative mapping; or electrophysiological services during defibrillator implantation or testing—not in association with item 7007 (AU 12)
915.00
7011
Selective coronary arteriography—placement of catheters and injection of opaque material (AU 14)
300.00
7013
Selective coronary arteriography—placement of catheters and injection of opaque material with right or left heart catheterisation, or both (AU 16)
495.00
7021
Permanent internal pacemaker and myocardial electrodes, insertion or replacement of by thoracotomy (AU 11)
800.00
7028
Permanent transvenous electrode, insertion or replacement of (AU 12)
395.00
7033
Permanent pacemaker, insertion or replacement of (AU 12)
250.00
7042
Temporary transvenous pacemaking electrode, insertion of (AU 11)
200.00
7044
Open heart surgery for congenital heart disease in children up to two years, excluding patent ductus arteriosus (AU 38)
1280.00
7046
Open heart surgery for single valve replacement, atrial septal defect, pulmonary valvotomy, congenital heart disease (not covered by item 7044) or any other open heart operation not covered by any other item in this Part (AU 32)
1280.00
7057
Open heart surgery on more than one valve or involving more than one chamber (AU 38)
1845.00
7066
Coronary artery or arteries, direct surgery to, employing cardiopulmonary by-pass (AU 36)
1460.00
Division 8—Neurosurgical
7079
Injection into trigeminal ganglion or primary branch of trigeminal nerve with alcohol, cortisone, phenol, etc (AU 8)
182.00
SCHEDULE—continued
Item
Medical service
Fee
$
7081
Intrathecal injection of alcohol or phenol
190.00
7085
Lumbar puncture, or spinal or epidural injection not covered by item 748 or 752 (AU 5)
50.00
7089
Cisternal puncture
57.00
7099
Ventricular puncture (not including burr-hole)
128.00
7118
Cutaneous nerve (including digital nerve), primary repair of (AU 8)
158.00
7119
Cutaneous nerve (including digital nerve), secondary repair of (AU 9)
205.00
7120
Cutaneous nerve (including digital nerve), primary repair of, using the operating microscope (AU 9)
235.00
7121
Cutaneous nerve (including digital nerve), secondary repair of, using the operating microscope (AU 10)
310.00
7124
Nerve trunk, primary repair of (AU 8)
295.00
7128
Nerve trunk, primary repair of (D) (AU 8)
295.00
7129
Nerve trunk, primary repair of, using the operating microscope (AU 11)
475.00
7132
Nerve trunk, secondary repair of (AU 9)
320.00
7133
Neurolysis of nerve trunk, internal (interfasicular), using the operating microscope (AU 11)
300.00
7134
Nerve trunk, secondary repair of (D) (AU 9)
320.00
7138
Nerve trunk, secondary repair of, using the operating microscope (AU 12)
515.00
7139
Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft (AU 9)
510.00
7140
Nerve graft to cutaneous nerve (including digital nerve) (AU 12)
440.00
7141
Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques (AU 16)
765.00
7143
Nerve, transposition of (AU 8)
295.00
7146
Nerve, transposition of (D) (AU 8)
295.00
7148
Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (G) (AU 8)
124.00
7152
Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (S) (AU 8)
156.00
7153
Percutaneous neurotomy of posterior divisions of spinal nerves by any method on one or more occasions within a thirty day period, including any spinal, epidural or regional nerve block given at the time of such neurotomy (AU 6)
99.00
7156
Neurectomy, neurotomy or removal of tumour from deep peripheral nerve (AU 10)
295.00
7157
Radiofrequencv trigeminal gangliotomv (AU 8)
295.00
7170
Neurectomy, intracranial or radical as in tic douloureux (AU 16)
790.00
7171
Intracranial microsurgical decompresion of cranial nerve, posterior cranial fossa approach including Jannetta's operation (AU 25)
1025.00
7175
Exploration of brachial plexus, not covered by any other item in this Part (AU 11)
245.00
7178
Neurolysis by open operation without transposition, not associated with item 7133 (G) (AU 7)
174.00
7182
Neurolysis by open operation without transposition, not associated with item 7133 (S) (AU 7)
215.00
SCHEDULE—continued
Item
Medical service
Fee
$
7184
Subdural haemorrhage, tap for, each tap (AU 6)
55.00
7186
Burr-hole, single, preparatory to ventricular puncture or for inspection purpose—not included in any other items (AU 11)
156.00
7190
Insertion of ventricular reservoir, or insertion of intracranial pressure monitoring device, including burr-hole, as an independent procedure (excluding after care (AU 12)
250.00
7192
Intracranial tumour, biopsy of, or intracranial cyst, drainage of via burr-hole—including burr-hole (AU 10)
315.00
7194
Intracranial tumour, biopsy or decompression of via osteoplastic flap OR biopsy and decompression of via osteoplastic flap (AU 18)
655.00
7198
Craniotomy for removal of glioma, metastatic carcinoma or any other tumour in cerebrum, cerebellum or brain stem—not covered by any other item in this Part (AU 25)
1080.00
7203
Craniotomy for removal of meningioma, pinealoma, cranio-pharyngioma, or any other intracranial tumour— not covered by any other item in this Part (AU 25)
1620.00
7204
Hypophysectomy or removal of pituitary tumour by transcranial or transphenoidal approach (AU 25)
1180.00
7212
Intracranial haemorrhage, burr-hole craniotomy for— including burr-holes (AU 11)
315.00
7216
Intracranial haemorrhage, osteoplastic craniotomy or extensive craniectomy and removal of haematoma (AU 18)
725.00
7231
Fracture of skull, depressed or comminuted, operation for (AU 12)
480.00
7240
Fractured skull, compound, without dural penetration, operation for (AU 12)
620.00
7244
Fractured skull, compound or complicated, with dural penetration and brain damage, operation for (AU 14)
725.00
7248
Fractured skull, with rhinorrhoea or otorrhea, cranioplasty and repair of (AU 16)
725.00
7251
Reconstructive cranioplasty (AU 16)
600.00
7265
Aneurysm, or arteriovenous malformation, clipping or reinforcement of sac (AU 28)
1620.00
7270
Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping (AU 24)
855.00
7274
Aneurysm, or arteriovenous fistula, cervical carotid ligation for(AU 10)
420.00
7279
Craniotomy, involving osteoplastic flap, for re-opening post-operatively for haemorrhage, swelling etc (AU 16)
480.00
7283
Intracranial abscess, excision of (AU 17)
950.00
7287
Intracranial infection, drainage of, via burr-hole—including burr-hole (AU 10)
315.00
7291
Craniectomy for osteomyelitis of skull (AU 10)
480.00
7298
Leucotomy or lobotomy for psychiatric causes (AU 15)
600.00
7312
Intracranial stereotactic procedure by any method, including burr-holes, preparation for ventriculography and localisation of lesion (AU 17)
Craniostenosis, operation for—more than one suture (AU 20)
675.00
7328
Arachnoidal cyst, operation for (AU 15)
610.00
7331
Laminectomy for exploration or removal of intervertebral disc or discs (AU 12)
635.00
7336
Laminectomy for recurrent disc lesion or spinal stenosis (AU 13)
725.00
7338
Laminectomy, multi-level, for the treatment of spinal canal stenosis (AU 16)
955.00
7341
Laminectomy for extradural tumour or abscess (AU 12)
725.00
7346
Laminectomy for intradural lesion or open cordotomy (AU 13)
890.00
7353
Laminectomy and radical excision of intramedullary tumour or arteriovenous malformation (AU 1-4)
1080.00
7355
Laminectomy followed by posterior fusion—not covered by items 7361 and 7365 (AU 18)
725.00
7361
Laminectomy followed by posterior fusion, performed by neuro-surgeon and orthopaedic surgeon operating together—laminectomy including after-care (AU 18)
380.00
7365
Laminectomy followed by posterior fusion, performed by neuro-surgeon and orthopaedic surgeon operating together—posterior fusion, including after-care
380.00
7370
Spinal rhizolysis involving exposure of spinal nerve roots, with or without laminectomy (AU 16)
635.00
7373
Intradiscal injection of chymopapain (DISEASE)—one disc (AU 8)
270.00
7376
Sympathectomy (cervicl, lumbar, thoracic, sacral or presacral) (AU 10)
475.00
7381
Percutaneous cordotomy (AU 9)
420.00
Division 9—Treatment of DislocationsDislocations Not Requiring Open Operations
7397
Mandible (AU 4)
31.50
7402
Mandible (D) (AU 4)
31.50
7410
Clavicle (AU 4)
49.00
7412
Shoulder—first or second dislocation (AU 4)
60.00
7416
Shoulder—third or subsequent dislocation—requiring anaesthesia (AU 4)
49.00
7419
Shoulder—third or subsequent dislocation—not requiring anaesthesia
39.00
7423
Elbow (AU 4)
73.00
7426
Carpus (AU 4)
46.50
7430
Carpus on radius and ulna (G) (AU 4)
95.00
7432
Carpus on radius and ulna (S) (AU 4)
118.00
7435
Finger (AU 4)
20.00
7436
Metacarpophalangeal joint of thumb (AU 4)
60.00
7440
Hip (G) (AU 5)
152.00
7443
Hip (S) (AU 5)
196.00
7446
Knee(G)(AU4)
110.00
7451
Knee (S) (AU 4)
136.00
SCHEDULE—continued
<table cellspacing="0" cellpadding="0" style="width:100%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td style="width:6.7%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Item</span></p></td><td style="width:83.94%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Medical service</span></p></td><td style="width:9.36%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Fee</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.94%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:9.36%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7457</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Patella (AU 4)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.50</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7461</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Ankle (AU 5)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">78.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7464</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Toe (AU4)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">23.50</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7468</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Tarsus (AU 4)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">60.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7472</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine (cervical or lumbar), without fracture (AU 7)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">182.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Dislocations Requiring Open Operation</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7480</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Treatment of a dislocation requiring open operation, being a dislocation referred to in item 7397, 7410, 7416, 7419, 7426, 7435, 7457 or 7464</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">79.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7483</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Treatment of a dislocation requiring open operation, being a dislocation referred to in an item (other than an item referred to in item 7480 or an item that includes the symbol "(D)") under the heading "Dislocations not requiring Open Operation" in this Division</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Amount under rule 27</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7485</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Treatment of a dislocation of the mandible requiring open operation (D)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">79.00</span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 10</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Treatment of Fractures</span></p><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Simple and Uncomplicated Fractures Not Requiring Open Operation</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7505</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Terminal phalanx of finger or thumb (AU 4)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">29.50</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7508</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Proximal phalanx of finger or thumb (G) (AU 4)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">61.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7512</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Proximal phalanx of finger or thumb (S) (AU 4)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">91.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7516</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Middle phalanx of finger (AU 4)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">40.50</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7520</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">One or more metacarpals, not involving base of first metacarpal joint (G) (AU 4)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">91.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7524</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">One or more metacarpals, not involving base of first metacarpal joint (S) (AU 4)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">124.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7527</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">First metacarpal involving carpometacarpal joint (Bennett's fracture) (G) (AU 4)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">104.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7530</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">First metacarpal involving carpometacarpal joint (Bennett's fracture) (S) (AU 4)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">146.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7533</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Carpus (excluding navicular) (AU 5)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">46.50</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7535</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Navicular or carpal scaphoid (G) (AU 5)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">91.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7538</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Navicular or carnal scaphoid (S) (AU 5)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">108.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7540</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Colles' fracture of wrist (G) (AU 5)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">122.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7544</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Colles' fracture of wrist (S) (AU 5)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">182.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7547</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Distal end of radius or ulna, involving wrist (AU 5)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">91.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7550</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Radius (G) (AU 5)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">104.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7552</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Radius (S) (AU 5)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">146.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7559</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Ulna (G) (AU 5)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">95.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7563</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Ulna (S) (AU 5)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">114.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7567</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Humerus or both shafts of forearm (G) (AU 6)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">136.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7572</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Humerus or both shafts of forearm (S) (AU 6)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">200.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7588</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Clavicle or sternum (G) (AU 6)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">64.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7593</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Clavicle or sternum (S) (AU 6)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">91.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7597</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Scapula (AU 6)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">78.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7601</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">One or more ribs—each attendance (G) (AU 7)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">20.50</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7605</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">One or more ribs—each attendance (S) (AU 7)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">28.50</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7608</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Pelvis (excluding symphysis pubis) or sacrum (G) (AU 8)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">118.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7610</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Pelvis (excluding symphysis pubis) or sacrum (S) (AU 8)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">156.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7615</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Symphysis pubis (G) (AU 7)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">91.00</span></p></td></tr><tr style="height:1pt"><td style="width:6.7%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7619</span></p></td><td style="width:83.94%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Symphysis pubis (S) (AU 7)</span></p></td><td style="width:9.36%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:1pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">118.00</span></p></td></tr></tbody></table>
SCHEDULE—continued
Item
Medical service
Fee
$
7624
Femur (G) (AU 8)
270.00
7627
Femur (S) (AU 8)
345.00
7632
Fibula or tarsus (excepting os calcis or os talus) (G) (AU 6)
68.00
7637
Fibula or tarsus (excepting os calcis or os talus) (S) (AU 6)
98.00
7641
Tibia or patella (G) (AU 6)
108.00
7643
Tibia or patella (S) (AU 6)
146.00
7647
Ankle (Pott's fracture) with or without dislocation, os calcis (calcaneus), os talus or both shafts of leg (G) (AU 7)
176.00
7652
Ankle (Pott's fracture) with or without dislocation, os calcis (calcaneus), os talus or both shafts of leg (S) (AU 7)
235.00
7673
Metatarsals—one or more (G) (AU 5)
62.00
7677
Metatarsals—one or more (S) (AU 5)
91.00
7681
Phalanx of toe (other than great toe) (AU 4)
24.50
7683
More than one phalanx of toe (other than great toe) (AU 4)
39.00
7687
Distal phalanx of great toe (AU 4)
61.00
7691
Proximal phalanx of great toe (AU 4)
61.00
7694
Skull, not requiring operation—each attendance (G)
20.50
7697
Skull, not requiring operation—each attendance (S)
28.50
7701
Nasal bones, not requiring reduction—each attendance (G)
20.50
7706
Nasal bones, not requiring reduction—each attendance (S)
28.50
7709
Nasal bones, requiring reduction (G) (AU 6)
114.00
7712
Nasal bones, requiring reduction (S) (AU 6)
158.00
7715
Nasal bones, requiring reduction and involving osteotomies (AU 8)
320.00
7719
Maxilla or mandible, unilateral or bilateral, not requiring splinting
104.00
7720
Maxilla or mandible, unilateral or bilateral, not requiring splinting (D)
104.00
7722
Maxilla or mandible, requiring splinting or wiring of teeth, not associated with item 7725—each procedure to a maximum of three such procedures (AU 13)
270.00
7723
Maxilla or mandible, requiring splinting or wiring of teeth, not associated with item 7726—each procedure to a maximum of three such procedures (D) (AU 13)
270.00
7725
Maxilla or mandible, circumosseous fixation of—each procedure to a maximum of three such procedures (AU 15)
290.00
7726
Maxilla or mandible, circumosseous fixation of—each procedure to a maximum of three such procedures (D) (AU 15)
290.00
7728
Maxilla or mandible, external skeletal fixation of—each procedure to a maximum of three such procedures (AU 15)
310.00
7729
Maxilla or mandible, external skeletal fixation of—each procedure to a maximum of three such procedures (D) (AU 15)
310.00
7764
Zygoma (G) (AU 7)
79.00
7766
Zygoma (S) (AU 7)
108.00
SCHEDULE—continued
<table cellspacing="0" cellpadding="0" style="width:100%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td style="width:7.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Item</span></p></td><td style="width:83.14%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Medical service</span></p></td><td style="width:9.54%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Fee</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.14%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:9.54%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7770</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Zygoma (D) (AU 7)</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">104.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7774</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine (excluding sacrum), transverse process or bone other than vertebral body, not requiring immobilisation in plaster—each attendance (G)</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">20.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7777</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine (excluding sacrum), transverse process or bone other than vertebral body, not requiring immobilisation in plaster—each attendance (S)</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">28.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7781</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilisation in plaster—each attendance (G)</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">20.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7785</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilisation in plaster—each attendance (S)</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">28.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7789</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine (excluding sacrum), transverse process or bone other than vertebral body requiring immobilisation in plaster or traction by skull calipers (AU 9)</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">136.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7793</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine (excluding sacrum), vertebral body, without involvement of cord, requiring immobilisation in plaster or traction by skull calipers (AU 9)</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">235.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7798</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Spine (excluding sacrum), vertebral body, with involvement of cord (AU 9)</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">600.00</span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Simple and Uncomplicated Fractures Requiring Open Operation</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7802</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Treatment of a simple and uncomplicated fracture requiring open operation being a fracture referred to in item 7505, 7508, 7516, 7533, 7601, 7605, 7681, 7683, 7687, 7691, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">79.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7803</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in an item (other than an item referred to in item 7802 or an item that includes the symbol "(D)") under the heading "Simple and Uncomplicated Fractures Not Requiring Open Operation" in this Division</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Amount under rule 27</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7804</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in item 7720, 7723, 7726, 7729 or 7770 (D)</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Amount under rule 27</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7808</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Treatment of a simple and uncomplicated fracture requiring internal fixation, being a fracture referred to in item 7505, 7516, 7533, 7601, 7605, 7681, 7683, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">79.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7809</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Treatment of a simple and uncomplicated fracture requiring internal fixation, being a fracture referred to in an item (other than an item referred to in item 7808 or an item that includes the symbol "(D)") under the heading "Simple and Uncomplicated Fractures Not Requiring Open Operation" in this Division</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Amount under rule 27</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7812</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Treatment of a simple and uncomplicated fracture requiring internal fixation, being a fracture referred to in item 7720, 7723, 7726, 7729 or 7770 (D)</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Amount under rule 27</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Compound Fractures Requiring Open Operation</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic"></span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">7815</span></p></td><td style="width:83.14%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-left:10.8pt; margin-bottom:3pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Treatment of a compound fracture requiring open operation, being a fracture referred to in item 7505, 7516, 7533, 7601, 7605, 7681, 7683, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785</span></p></td><td style="width:9.54%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:3pt; margin-bottom:3pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">79.00</span></p></td></tr></tbody></table>
SCHEDULE—continued
Item
Medical service
Fee
7817
Treatment of a compound fracture requiring open operation, being a fracture referred to in an item (other than an item referred to in item 7815 or an item that includes the symbol "(D)") under the heading "Simple and Uncomplicated Fractures Not Requiring Open Operation" in this Division
Amount under rule 27
7818
Treatment of a compound fracture requiring open operation, being a fracture referred to in item 7720, 7723, 7726, 7729 or 7770 (D)
Amount under rule 27
Complicated Fractures Requiring Open Operation
$
7821
Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in item 7505, 7516, 7601, 7605, 7681, 7683, 7694, 7697, 7701, 7706, 7774, 7777, 7781 or 7785
79.00
7823
Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in an item (other than an item referred to in item 7821 or an item that includes the symbol "(D)") under the heading "Simple and Uncomplicated Fractures Not Requiring Open Operation" in this Division
Amount under rule 27
7824
Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in item 7720, 7723, 7726, 7729 or 7770 (D)
Amount under rule 27
General
7828
Initial reduction (without full post-operative treatment) in a series of two or more reductions of a fracture, being a reduction that would, but for this item, be covered by an item (other than an item that includes the symbol "(D)") under the heading "Simple and Uncomplicated Fractures Not Requiring Open Operation" in this Division
Amount under rule 31
7831
Initial reduction (without full post-operative treatment) in a series of two or more reductions of a fracture, being a reduction that would, but for this item, be covered by item 7720, 7723, 7726, 7729 or 7770 (D)
Amount under rule 31
7834
Each subsequent reduction (without full post-operative treatment) in a series (other than the final reduction), being a reduction that would, but for this item, be covered by an item (other than an item that includes the symbol"(D)") under the heading "Simple and Uncomplicated Fractures Not Requiring Open Operation" in this Division
Amount under rule 31
7836
Each subsequent reduction (without full post-operative treatment) in a series (other than the final reduction), being a reduction that would, but for this item, be covered by item 7720, 7723, 7726, 7729 or 7770 (D)
Amount under rule 3
7839
Final reduction (including full post-operative treatment) in a series, being a reduction that would, but for this item, be covered by an item (other than an item that includes the symbol "D)") under the heading "Simple and Uncomplicated Fractures Not Requiring Open Operation" in this Division
Amount under rule 33
SCHEDULE—continued
Item
Medical service
Fee
7841
Final reduction (including full post-operative treatment) in a series, being a reduction that would, but for this item, be covered by item 7720, 7723, 7726, 7729 or 7770 (D)
Amount under rule 33
7844
Treatment of avulsion of epiphysis of any part referred to in an item under the heading "Simple and Uncomplicated Fractures Not Requiring Open Operation" in this Division
Amount under rule 33
7847
Treatment of a closed fracture, involving a joint surface, being a fracture referred to in an item (other than an item that includes the symbol"(D)") under the heading "Simple and Uncomplicated Fractures Not Requiring Open Operation" in this Division
Amount under rule 27
7849
Treatment of a closed fracture, involving a joint surface, being a fracture referred to in item 7720, 7723, 7726, 7729 or 7770 (D)
Amount under rule 27
Division 11—Orthopaedic
$
7853
Accessory or sesamoid bone, removal of (AU 6)
190.00
7855
Bone cysts, injection of steroids into (AU 8)
136.00
7857
Epicondylitis, open operation for (AU 6)
190.00
7861
Digital nail, removal of (AU 5)
23.50
7864
Incision for pulp space infection, paronychia or other acute infection of hands or feet, not covered by any other item in this Part (excluding after-care) (AU 5)
20.00
7868
Middle palmar, thenar or hypothenar spaces, drainage of (AU 6)
48.00
7874
Nail bed, excision or wedge resection of (G) (AU 6)
110.00
7875
Nail bed, excision or wedge resection of (S) (AU 6)
146.00
7883
Insertion of orthopaedic pin or wire, as an independent procedure (AU 5)
82.00
7886
Removal of one or more buried wire, pin, screw, rod, nail or plate requiring incision under regional or general anaesthesia (AU 8)
124.00
7888
Insertion of orthopaedic pin or wire where no other surgical procedure is performed (D) (AU 5)
82.00
7898
Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (AU 11)
655.00
7902
Temporo-mandibular meniscectomy (AU 9)
245.00
7907
Temporo-mandibular meniscectomy (D) (AU 9)
245.00
7911
Manipulation of joint, joints, spine, joint and spine or joints and spine, under general anaesthesia, not associated with any other item in this Part (G) (AU 4)
76.00
7915
Manipulation of joint, joints, spine, joint and spine or joints and spine, under general anaesthesia, not associated with any other item in this Part (S) (AU 4)
95.00
7926
Spine, application of plaster jacket (AU 6)
122.00
7928
Risser jacket, localizer or turn-buckle jacket, application of, body only
200.00
7932
Risser jacket, localizer or turn-buckle jacket, application of, body and head
200.00
7934
Scoliosis, spinal fusion for (AU 23)
1025.00
7937
Scoliosis, re-exploration for adjustment or removal of Harrington rods or similar devices (AU 12)
335.00
SCHEDULE—continued
Item
Medical service
Fee
$
7938
Anterior correction of scoliosis (Dwyer procedure) of not more than four spaces; or spinal fusion for scoliosis or kyphosis with use of Harrington distraction rod (AU 23)
1280.00
7939
Anterior correction of scoliosis (Dwyer procedure) of more than four spaces; or spinal fusion for scoliosis or kyphosis with use of Harrington distraction and compression rods (AU 29)
1620.00
7940
Application of halo for spinal fusion in the treatment of scoliosis, not covered by item 7934 (AU 8)
225.00
7942
Bone graft to spine, posterior, not covered by item 7945, 7967 or 7969 (AU 14)
480.00
7945
Bone graft to spine, postero-lateral fusion (AU 14)
850.00
7947
Anterior interbody spinal fusion to cervical spine—one level (AU 14)
730.00
7951
Anterior interbody spinal fusion to cervical spine—more than one level (AU 15)
945.00
7957
Anterior interbody spinal fusion to lumbar or thoracic spine—one level (AU 15)
850.00
7961
Anterior interbody spinal fusion to lumbar or thoracic spine—more than one level (AU 15)
1140.00
7967
Bone graft to spine with laminectomy and posterior interbody fusion—one level (AU 15)
830.00
7969
Bone graft to spine with laminectomy and posterior interbody fusion—more than one level (AU 18)
1140.00
7975
Bone graft to femur (AU 11)
575.00
7977
Bone graft to tibia (AU 10)
460.00
7980
Carpal scaphoid, fracture of, reduction and screw fixation (AU 10)
320.00
7983
Bone graft to humerus or to radius and ulna (AU 10)
575.00
7993
Bone graft to radius or ulna (AU 8)
405.00
7999
Bone graft to scaphoid (AU 9)
380.00
8001
Bone graft to other bones, not covered by any other item in this Part (AU 8)
335.00
8003
Carpal bone, replacement of, by silicone or other implant, including any necessary tendon transfers (AU 9)
505.00
8006
Bone graft not covered by any other item in this Part (D) (AU 8)
335.00
8009
Shoulder—removal of calcium deposit from cuff (AU 8)
190.00
8014
Shoulder—arthrotomy (AU 7)
200.00
8017
Shoulder—arthroplasty or plastic reconstruction (AU 11)
515.00
8019
Shoulder—arthrodesis or arthrectomy (AU 11)
610.00
8022
Finger or other small joint—arthrodesis, arthrectomy or arthroplasty (AU 5)
Other large joint—arthrodesis, arthrectomy, arthroplasty or total synovectomy of (AU 10)
315.00
8040
Other large joint—arthrotomy (AU 8)
225.00
8044
Hip—arthrodesis (AU 15)
800.00
8048
Hip—arthrectomy (AU 15)
555.00
SCHEDULE—continued
Item
Medical service
Fee
$
8053
Hip—arthroplasty (Austin Moore, Girdlestone or similar procedure) (AU 10)
555.00
8069
Joint—arthroplasty, total replacement of hip (McKee-Farrer, Charnley or similar procedure), wrist, knee, elbow, shoulder or ankle (AU 17)
790.00
8070
Joint—arthroplasty, revision operation for total replacement of hip, knee, elbow, shoulder or ankle with removal of prosthesis and replacement with new prosthesis (AU 20)
1025.00
8072
Shoulder, elbow, wrist, hip or ankle—arthroscopic examination of (AU 6)
148.00
8074
Hip—arthrotomy including removal of prosthesis (AU 9)
405.00
8080
Knee—diagnostic arthroscopy not associated with a procedure performed through the arthroscope (AU 6)
148.00
8082
Knee—arthrotomy, including one or more of, removal of loose body, removal of foreign body, biopsy or lateral capsular release, not associated with item 8085, 8088, 8090 or 8092 (AU 6)
270.00
8085
Knee—single meniscectomy, repair of one collateral ligament, patellectomy, operation for recurrent dislocation of patella, single transfer of ligament for rotary instability, single transfer of tendon for rotary instability or any other single procedure not covered by any other item in this Part—one procedure (AU 8)
320.00
8088
Knee—total synovectomy, arthrectomy, arthrodesis, repair of cruciate ligaments, replacement of cruciate ligaments, reconstruction of cruciate ligaments, arthroscopic surgery for meniscectomy, chondroplasty, removal of loose body or removal of foreign body—one procedure (AU 9)
500.00
8090
Knee—operation comprising two or more procedures covered by item 8082, 8085 or 8088, but not covered by item, 8092 (AU 11)
500.00
8092
Knee—three or more procedures for correction of rotary instability involving injury to cruciate ligaments, comprising as a minimum, medial, lateral and intraarticular procedures (AU 12)
635.00
8105
Joint or other synovial cavity, aspiration of, injection into, or both of these procedures; payable on not more than 25 occasions in any twelve month period (AU 5)
21.50
8113
Joint, repair of capsule or ligament of, or internal fixation of to stabilize joint (AU 7)
270.00
8116
Foot or ankle region—triple arthrodesis (AU 9)
460.00
8120
Calcanean sour, removal of (AU 6)
245.00
8131
Hallux valgus or rigidus, correction of, with osteotomy or osteotomy of phalanx or metatarsal (Keller's arthroplasty); or total replacement of the first metatarsophalangeal joint (AU 7)
340.00
8135
Hallux valgus, correction of, with osteotomy or osteotomy of phalanx or metatarsal and transplantation of adductor hallucis tendon (AU 8)
460.00
8151
Hammer toe, correction of (G) (AU 6)
148.00
8153
Hammer toe, correction of (S) (AU 6)
184.00
8158
Cervical rib, removal of (AU 11)
405.00
8159
Removal of the first rib by axillary approach (AU 13)
565.00
8161
Scalenotomy (AU 8)
320.00
SCHEDULE—continued
Item
Medical service
Fee
$
8166
Acromion or coraco-acromion ligament, removal of (AU 7)
245.00
8169
Excision of exostosis of small bone including simple removal of bunion (G) (AU 6)
148.00
8173
Excision of exostosis of small bone including simple removal of bunion (S) (AU 6)
184.00
8175
Excision of exostosis of small bone (D) (AU 6)
184.00
8179
Excision of exostosis of large bone or excision of osteoma of palate (G) (AU 6)
182.00
8182
Excision of exostosis of large bone or excision of osteoma of palate (S) (AU 6)
225.00
8185
Osteotomy or osteectomy of phalanx, metacarpal or metatarsal (AU 6)
190.00
8187
Osteotomy of phalanx, metacarpal or metatarsal, with internal fixation (AU 6)
200.00
8190
Osteotomy or osteectomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus (AU 7)
200.00
8193
Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, with internal fixation (AU 7)
245.00
8195
Osteotomy or osteectomy of tibia or humerus (AU 7)
270.00
8198
Osteotomy or osteectomy of femur or pelvic bone (AU 8)
460.00
8201
Osteotomy of tibia, humerus, femur or pelvic bone, with internal fixation (AU 11)
655.00
8206
Osteotomy of femur—sub-trochanteric (AU 11)
460.00
8209
Vertebral body, total or sub-total excision of, including bone graft or other form of fixation (AU 26)
1065.00
8211
Osteotomy and distraction for lengthening of limb (AU 8)
460.00
8214
Removal of distracting apparatus from limb, without internal fixation (AU 6)
110.00
8217
Removal of distracting apparatus from limb, with internal fixation (AU 7)
225.00
8219
Flexor tendon of hand, primary suture of (G) (AU 8)
192.00
8222
Flexor tendon of hand, primary suture of (S) (AU 8)
245.00
8225
Flexor tendon of hand, secondary suture of (AU 9)
270.00
8227
Extensor tendon of hand, primary suture of (G) (AU 8)
100.00
8230
Extensor tendon of hand, primary suture of (S) (AU 8)
122.00
8233
Extensor tendon of hand, secondary suture of (AU 9)
190.00
8235
Achilles tendon or other large tendon, suture of (G) (AU 9)
240.00
8238
Achilles tendon or other large tendon, suture of (S) (AU 9)
300.00
8241
Tendon of foot, primary suture of (AU 8)
122.00
8243
Tendon of foot, secondary suture of (AU 8)
182.00
8246
Tenotomy, subcutaneous, one or more tendons (AU 4)
V6.0U
8249
Tenotomy, open, with or without tenoplasty (AU 7)
184.00
8251
Tendon or ligament transplantation, not covered by any other item in this Part (AU 8)
335.00
8257
Tendon graft (AU 8)
460.00
8259
Insertion of artificial tendon prosthesis in preparation for tendon grafting (AU 10)
340.00
8262
Achilles tendon or other large tendon—operation for lengthening (AU 9)
200.00
SCHEDULE—continued
Item
Medical service
Fee
$
8267
Tendon sheath, incision of, or open operation for stenosing tendovaginitis (AU 6)
148.00
8275
Tenolysis of flexor tendon following tendon injury, repair or graft (AU 8)
215.00
8279
Tenolysis of extensor tendon following tendon injury, repair or graft (AU 7)
124.00
8282
Tendon sheath of finger or thumb, synovectomy of (AU 8)
164.00
8283
Synovectomy of metacarpophalangeal or metatarsophalangeal joint (AU 8)
215.00
8287
Synovectomy of interphalangeal joint (AU 8)
152.00
8290
Synovectomy of wrist, extensor or flexor tendon of wrist, carpometacarpal joint or inferior radio ulnar joint (AU 11)
365.00
8294
Cicatricial flexion contracture of joint, correction of, involving tissues deeper than skin and subcutaneous tissue (AU 9)
Congenital dislocation of hip—manipulation and plaster (one hip) (AU 6)
132.00
8334
Talipes equinovarus, calcaneus valgus, pes planus, metatarsus varus, genu varum or genu valgum— manipulation under general anaesthesia (AU 5)
32.00
8336
Talipes equinovarus, calcaneus valgus, pes planus, metatarsus varus, genu varum or genu valgum— manipulation and plaster under general anaesthesia (AU 6)
40.50
8349
Epiphysitis (Perthes' Calve's or Scheuermann's) plaster for (AU 5)
66.00
8351
Epiphysitis (Sever's, Kohler's, Keinbock's or Schlatter's) plaster for (AU 5)
40.50
8352
Contractures, manipulation under general anaesthesia, not covered by any other item in this Part (AU 5)
32.00
8354
Contractures, manipulation and plaster under general anaesthesia, not covered by any other item in this Part (AU 5)
49.00
SCHEDULE—continued
Item
Medical service
Fee
$
8356
Spastic paralysis—manipulation and plaster (one limb) (AU 5)
49.00
Division 12—Paediatric
Operations for Correction of Congenital Abnormalities
8378
Hypertelorism, correction of (AU 14)
610.00
8380
Choanal atresia, plastic repair of (AU 16)
600.00
8382
Choanal atresia, repair of by puncture and dilatation (AU 11)
148.00
8384
Macrocheilia, macroglossia or macrostomia, operation for (AU 13)
320.00
8386
Torticollis, operation for (AU 7)
245.00
8388
Oesophagus, correction of congenital stenosis by oesophagectomy and anastomosis (AU 21)
730.00
8390
Tracheo-oesophageal fistula (with or without atresia), ligation and division of (AU 20)
730.00
8392
Oesophageal atresia, with or without fistula, correction of (AU 23)
905.00
8394
Neonatal alimentary obstruction, laparotomy for, with or without resection, including reduction of volvulus (AU 15)
635.00
8397
Anal sphincterotomy as an independent procedure for Hirschsprung's disease (AU 6)
178.00
8398 8400
Hirschsprung's disease, rectosigmoidectomy for (AU 22) Exomphalos or gastroschisis, operation for (AU 13)
830.00 725.00
8402
Exomphalos or gastroschisis, operation for, by plastic flap (AU 14)
805.00
8406
Ano-rectal malformation, perineal anoplasty, primary or secondary repair (AU 10)
270.00
8408
Ano-rectal malformation, rectoplasty, primary or secondary repair, not covered by item 8406 (AU 18)
790.00
8410
Contracted bladder neck (congenital), wedge excision or perurethral resection of (AU 11)
405.00
8412
Urachal fistula, operation for (AU 11)
345.00
8414
Sphincter reconstruction for ectopia vesicae, ectopia cloacae or congenital incontinence (AU 12)
800.00
8418
Urethral valves or urethral membrane, open removal of (AU 12)
480.00
8422
Lymphangiectasis of limb (Milroy's disease)—limited excision of (AU 14)
245.00
8424
Lymphangiectasis of limb (Milroy's disease)—radical excision of (AU 18)
550.00
Operations for Excision of Congenital Abnormalities
8428
Extra digit, ligation of pedicle (AU 4)
32.00
8430
Extra digit, amputation of (AU 6)
82.00
8432
Dermoid, periorbital or superficial nasal, excision of (G) (AU 8)
118.00
8434
Dermoid, periorbital or superficial nasal, excision of (S) (AU 8)
152.00
8436
Dermoid, orbital, excision of (AU 8)
320.00
8440
Dermoid of nose, excision of, with intranasal extension (AU 8)
380.00
8442
Myelomeningocele—excision of sac (AU 13)
460.00
8444
Myelomeningocele—extensive, requiring formal repair with skin flaps or Z plasty (AU 15)
675.00
SCHEDULE—continued
<table cellspacing="0" cellpadding="0" style="width:100%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td style="width:7.32%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Item</span></p></td><td style="width:83.86%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Medical service</span></p></td><td style="width:8.82%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Fee</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.86%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:8.82%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 13</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Plastic and Reconstructive</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Meticulous Plastic Repair Designed to Obtain Maximal Functional or Cosmetic Results Including the Preparation of the Defect Requiring Repair</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8448</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Single stage local muscle flap repair, simple, small (AU 11)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">250.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8449</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Single stage large muscle flap repair, (pectoralis major, gastrocnemius, gracilis or similar large muscle) (AU 17)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">420.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8450</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Dermo-fat or fascia graft (including transplant or muscle flap) (AU 12)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">315.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8452</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Abrasive therapy, limited area (AU 6)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">118.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8454</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Abrasive therapy, extensive area (AU 7)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">265.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8458</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Angioma, cauterisation of or injection into, under general anaesthetic (AU 7)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">62.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8460</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Angioma, cauterisation of or injection into, under general anaesthetic (D) (AU 7)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">62.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8462</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Angioma of skin, and subcutaneous tissue or mucous surface, small, excision and repair of (AU 7)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">91.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8464</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Angioma of skin and subcutaneous tissue or mucous surface, small, excision and repair of (D) (AU 7)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">91.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8466</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of (AU 9)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">114.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8468</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of (D) (AU 9)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">114.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8470</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Angioma, involving deeper tissue, small, excision and repair of (AU 9)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">146.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8472</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Angioma, involving deeper tissue, large, excision and repair of (AU 10)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">215.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8474</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Haemangioma of neck, deep-seated, excision of (AU 10)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">380.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8476</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Major excision and grafting for lvmphoedema (AU 15)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">515.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8478</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Foreign implants, insertion of, for contour reconstruction (AU 10)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">315.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8479</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Foreign implants, insertion of, for contour reconstruction (D) (AU 10)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">315.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:6pt; margin-left:10.75pt; margin-bottom:1pt; text-indent:-10.75pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Skin Flap Surgery</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8480</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Single stage local flap repair, simple, small, excluding flap for male pattern baldness (AU 7)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">190.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8482</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Single stage local flap repair, simple, small (D) (AU 7)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">190.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8484</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Single stage local flap repair, complicated or large, excluding flap for male pattern baldness (AU 10)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">270.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8485</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Direct flap repair (cross arm, abdominal or similar), first stage (AU 11)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">315.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8486</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Direct flap repair (cross arm, abdominal or similar), second stage (AU 9)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">156.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8487</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Direct flap repair, cross leg, first stage (AU 13)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">675.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8488</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Direct flap repair, cross leg, second stage (AU 10)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">300.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8490</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Direct flap repair, small (cross finger or similar), first stage (AU 7)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">174.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8492</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Direct flap repair, small (cross finger or similar), second stage (AU 7)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">78.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8494</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Indirect flap or tubed pedicle, formation of (AU 10)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">295.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8496</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Indirect flap or tubed pedicle, delay of (AU 8)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">156.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.32%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8498</span></p></td><td style="width:83.86%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Indirect flap or tubed pedicle, preparation of intermediate or final site and attachment to the site (AU 10)</span></p></td><td style="width:8.82%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">315.00</span></p></td></tr></tbody></table>
SCHEDULE—continued
Item
Medical service
Fee
$
8500
Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure (AU 8)
245.00
8502
Direct, indirect or local flap repair, revision of graft (AU 7)
174.00
Free Grafts
8504
Free grafts (split skin or pinch grafts) on granulating areas, small (AU 7)
136.00
8506
Free grafts (split skin or pinch grafts) on granulating areas, small (D) (AU 7)
136.00
8508
Free grafts (split skin) on granulating areas, extensive (AU 11)
270.00
8509
Free grafts (split skin) to burns, including excision of burned tissue—involving not more than 2.5 per centum of total body surface (AU 8)
200.00
8510
Free grafts (split skin) to burns, including excision of burned tissue—involving more than 2.5 per centum of total body surface (AU 14)
465.00
8511
Free grafts (homograft split skin) to burns, including excision of burned tissue—involving more than 2.5 per centum of total body surface (AU 13)
420.00
8512
Free grafts (split skin) including elective dissection, small (AU 8)
190.00
8514
Free grafts (split skin) including elective dissection, small (D) (AU 8)
190.00
8516
Free grafts (split skin) including elective dissection, extensive; or inlay graft using a mould, insertion of and removal of mould (AU 11)
390.00
8518
Free full thickness grafts, excluding grafts for male pattern baldness (AU 9)
315.00
8520
Free full thickness grafts (D) (AU 9)
315.00
Other Grafts and Miscellaneous Procedures
8522
Revision under general anaesthesia of facial or neck scar not more than 3 cm. in length (AU 8)
146.00
8524
Revision under general anaesthesia of facial or neck scar more than 3 cm. in length (AU 9)
196.00
8528
Mammaplasty, reduction (unilateral), with or without repositioning of nipple (AU 10)
600.00
8530
Augmentation mammaplasty for significant breast asymmetry where the augmentation is limited to one breast (AU 10)
495.00
8531
Augmentation mammaplasty (unilateral), following mastectomy (AU 9)
495.00
8532
Breast reconstruction (unilateral), using a latissimus dorsi or other large myocutaneous flap, including repair of secondary skin defect (AU 20)
730.00
8533
Breast reconstruction using breast sharing technique (first stage) including breast reduction, transfer of complex skin and breast tissue flap, split skin graft to pedicle of flap or other similar procedure (AU 15)
830.00
8534
Breast reconstruction using breast sharing technique (second stage) including division of pedicle, insetting of breast flap, with closure of donor site or other similar procedure (AU 12)
305.00
SCHEDULE—continued
Item
Medical service
Fee
$
8535
Hair transplantation for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not covered by any other item in this Part (AU 11)
315.00
8536
Breast reconstruction (unilateral), following mastectomy, using tissue expansion—insertion of tissue expansion unit and all attendances for subsequent expansion injections (AU 9)
710.00
8537
Breast reconstruction (unilateral), following mastectomy, using tissue expansion—removal of tissue expansion unit and insertion of permanent prosthesis (AU 9)
410.00
8538
Nipple or areola or both, reconstruction of by any technique (AU 10)
Neurovascular island flap, or free transfer of tissue with vascular or neurovascular pedicle, including repair of secondary defect excluding flap for male pattern baldness (AU 15)
730.00
8543
Tissue expansion not covered by items 8536/8537— insertion of tissue expansion unit and all attendances for subsequent expansion injections (AU 10)
710.00
8544
Macrodactyly, plastic reduction of, each finger (AU 8)
220.00
8546
Facial nerve paralysis, free fascia graft for (AU 12)
480.00
8548
Facial nerve paralysis, muscle transfer or graft for (AU 13)
555.00
8551
Meloplasty for correction of facial asymmetry due to soft tissue abnormality where the meloplasty is limited to one side of the face (AU 14)
590.00
8552
Orbital cavity, reconstruction of walls or floor or both walls and floor with or without foreign implant (AU 12)
320.00
8553
Orbital cavity, bone or cartilage graft to orbital walls or floor or both walls and floor including reduction of prolapsed or entrapped orbital contents (AU 14)
375.00
8554
Maxilla, resection of (AU 17)
600.00
8556
Mandible, resection of (AU 15)
465.00
8558
Mandible, resection of (D) (AU 15)
465.00
8560
Mandible, segmental resection of, for tumours (AU 13)
390.00
8562
Mandible, segmental resection of, for tumours (D) (AU 13)
390.00
8568
Mandible, hemi-mandibular reconstruction with bone graft, not associated with item 8556 (AU 15)
550.00
8570
Mandible, condylectomy (AU 11)
315.00
8572
Mandible, condylectomy (D) (AU 11)
315.00
8582
Whole thickness reconstruction of eyelid other than by direct suture only (AU 10)
390.00
8584
Reduction of upper eyelid for skin redundancy obscuring vision, herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring, or, in respect of one of these conditions, the restoration of symmetry of the contralateral upper eyelid (AU 7)
156.00
8585
Reduction of lower eyelid for herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring, or, in respect of one of these conditions, the restoration of symmetry of the contralateral lower eyelid (AU 8)
215.00
SCHEDULE—continued
Item
Medical service
Fee
$
8586
Correction of ptosis (unilateral) (AU 12)
515.00
8588
Ectropion or entropion, correction of (unilateral) (AU 9)
215.00
8592
Symblepharon, grafting for (AU 8)
315.00
8594
Rhinoplasty, correction of lateral or alar cartilages or columella, one or more (AU 10)
340.00
8596
Rhinoplasty, correction of bony vault only (AU 10)
390.00
8598
Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose (AU 12)
675.00
8600
Rhinoplasty involving autogenous bone or cartilage graft (excluding nasal or septal cartilage) (AU 13)
850.00
8601
Contour restoration of one region of face using autogenous bone or cartilage graft (not covered by item 8600) (AU 18)
850.00
8602
Rhinoplasty, secondary revision of (AU 10)
98.00
8604
Rhinophyma, correction of (AU 9)
235.00
8606
Composite graft (chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid (AU 11)
335.00
8608
Lop ear, bat ear or similar deformity, correction of (AU 8)
345.00
8612
Congenital atresia, reconstruction of external auditory canal (AU 11)
465.00
8614
Full thickness wedge excision of lip or eyelid, with repair by direct sutures (AU 8)
215.00
8616
Vermilionectomy (AU 8)
215.00
8618
Lip or eyelid reconstruction using full thickness flap (Abbe or similar), first stage (AU 11)
555.00
8620
Lip or eyelid reconstruction using full thickness flap (Abbe or similar), second stage (AU 4)
162.00
8622
Cleft lip, unilateral—primary repair, (AU 12)
420.00
8624
Cleft lip, complete primary repair, one stage, bilateral (AU 14)
575.00
8628
Cleft lip, secondary correction, partial or incomplete (AU 10)
Pharyngeal flap or pharyngoplasty, with or without tonsillectomy (AU 15)
490.00
SCHEDULE—continued
Item
Medical service
Fee
$
8658
Unilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (AU 14)
645.00
8659
Unilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 14)
645.00
8660
Bilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (AU 18)
820.00
8661
Bilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 18)
820.00
8662
Osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site (AU 22)
935.00
8663
Osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 22)
935.00
8664
Bilateral osteotomies or osteectomies of mandible or maxilla involving two such procedures of each jaw including transposition of nerves and vessels and bone grafts taken from the same site (AU 26)
1070.00
8665
Bilateral osteotomies or osteectomies of mandible or maxilla involving two such procedures of each jaw including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 26)
1070.00
8666
Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (AU 32)
1180.00
8667
Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 32)
1180.00
8668
Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (AU 34)
1285.00
8669
Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 34)
1285.00
8670
Genioplasty not associated with item 8658, 8660, 8662, 8664, 8666, or 8668 including transposition of nerves and vessels and bone grafts taken from the site (AU 10)
500.00
SCHEDULE—continued
Item
Medical service
Fee
$
8671
Genioplasty not associated with item 8659, 8661, 8663, 8665, 8667 or 8669 including transposition of nerves and vessels and bone grafts taken from the site (D) (AU 10)
500.00
8672
Genioplasty associated with item 8658, 8660, 8662 or 8664 (AU 8)
290.00
8673
Genioplasty associated with item 8659, 8661, 8663 or 8665 (D) (AU 8)
Peri-orbital correction of Treacher Collins Syndrome, with rib and iliac bone grafts (AU 30)
1165.00
8678
Correction of unilateral orbital dystopia—total repositioning of one orbit intra-cranial (AU 35)
1165.00
8679
Correction of unilateral orbital dystopia—sub-total repositioning of one orbit, extra-cranial (AU 18)
855.00
8680
Unilateral fronto-orbital advancement (AU 19)
655.00
8681
Cranial vault reconstruction for oxycephaly, brachycephaly, turricephaly or similar condition—(bilateral frontoorbital advancement) (AU 39)
1110.00
8682
Reconstruction of glenoid fossa, zygomatic arch and temporal bone (Obwegeser technique) (AU 19)
1095.00
8683
Construction of absent condyle and ascending ramus in hemifacial microsomia (AU 15)
590.00
PART 11—NUCLEAR MEDICINE
8701
Blood volume estimation
144.00
8703
Erythrocyte radioactive uptake survival time test or iron kinetic test
280.00
8705
Gastrointestinal blood loss estimation involving examination of stool specimens
200.00
8707
Gastrointestinal protein loss
144.00
8714
Radioactive B12 absorption test—one isotope
70.00
8715
Radioactive B12 absorption test—two isotopes
152.00
8718
Thyroid uptake (using probe)
70.00
8719
Perchlorate discharge study
84.00
8722
Renal function test (without imaging procedure)
106.00
8725
Renal function test (associated with imaging and at least 2 blood samples)
56.00
8726
Whole body count—not associated with any other item
84.00
8727
Myocardial perfusion study using thallium—single study for stress OR reperfusion (C)
345.00
8728
Myocardial perfusion study using thallium—single study for stress OR reperfusion (NC)
255.00
8732
Myocardial perfusion study using thallium—combined study for stress AND reperfusion (C)
545.00
8733
Myocardial perfusion study using thallium—combined study for stress AND reperfusion (NC)
405.00
8734
Myocardial infarct-avid imaging study (C)
200.00
8735
Myocardial infarct-avid imaging study (NC)
150.00
8740
Gated cardiac blood pool (equilibrium) study (C)
235.00
8741
Gated cardiac blood pool study with intervention (C)
290.00
8744
Cardiac first pass blood flow study, cardiac shunt study or cardiac output study (not part of other investigation) (C)
176.00
SCHEDULE—continued
Item
Medical service
Fee
$
8745
Cardiac first pass blood flow study, cardiac shunt study or cardiac output study (not part of other investigation) (NC)
130.00
8748
Cardiac first pass blood flow study, cardiac shunt study or cardiac output study when associated with another item in this Part (C)
Amount under rule 49
8749
Cardiac first pass blood flow study, cardiac shunt study or cardiac output study when associated with another item in this Part (NC)
Amount under rule 49
$
8751
Lung perfusion study (C)
166.00
8752
Lung perfusion study (NC)
124.00
8753
Lune ventilation studv using Xel27 gas (O
275.00
8754
Lung ventilation study using Xel27 gas (NC)
210.00
8757
Lung ventilation study using Xel33 gas (C)
156.00
8758
Lung ventilation study using Xel33 gas (NC)
116.00
8761
Lung ventilation study using aerosol (C)
192.00
8762
Lung ventilation study using aerosol (NC)
144.00
8765
Lung perfusion study and lung ventilation study using either Xel27 or Xel33 gas (C)
300.00
8766
Lung perfusion study and lung ventilation study using either Xel27 or Xel33 gas (NC)
220.00
8767
Lung perfusion study and lung ventilation study using aerosol (C)
330.00
8768
Lung perfusion study and lung ventilation study using aerosol (NC)
250.00
8771
Liver and spleen study (colloid) (C)
198.00
8772
Liver and spleen study (colloid) (NC)
148.00
8775
Red blood cell spleen or liver study (C)
200.00
8776
Red blood cell spleen or liver study (NC)
150.00
8777
Hepatobiliary study (C)
320.00
8778
Hepatobiliary study (NC)
240.00
8781
Bowel haemorrhage study (C)
370.00
8782
Bowel haemorrhage study (NC)
275.00
8785
Meckel's diverticulum study (C)
170.00
8786
Meckel's diverticulum study (NC)
128.00
8789
Salivary study (C)
170.00
8790
Salivary study (NC)
128.00
8791
Gastro-oesophageal reflux study (C)
365.00
8792
Gastro-oesophaeeal reflux study (NC)
270.00
8795
Oesophaeeal clearance study (C)
110.00
8796
Oesophaeeal clearance study (NO
82.00
8801
Gastric emptying study using single tracer (C)
545.00
8802
Gastric emptying study using dual tracer (C)
580.00
8805
Renal study with or without dynamic flow study and with or without computer extraction of functional parameters (C)
250.00
8809
Renal study with intervention (C)
305.00
8810
Renal study with intervention (NO
225.00
8811
Cystoureterogram (O
188.00
8812
Cystoureterogram (NC)
142.00
8815
Testicular study (C)
124.00
8816
Testicular study (NC)
93.00
8819
Brain study with blood brain barrier agent (C)
168.00
8820
Brain study with blood brain barrier agent (NC)
126.00
8822
Cerebro-spinal fluid transport study (C)
660.00
SCHEDULE—continued
Item
Medical service
Fee
$
8823
Cerebro-spinal fluid transport study (NC)
495.00
8826
Cerebro-spinal fluid shunt patency study (C)
172.00
8827
Cerebro-spinal fluid shunt patency study (NC)
128.00
8830
Dynamic blood flow study or regional blood volume quantitative study (not associated with any other item in this Part) (C)
91.00
8831
Dynamic blood flow study or regional blood volume quantitative study (not associated with any other item in this Part) (NC)
68.00
8832
Bone study—whole body (C)
365.00
8833
Bone study—whole body (NC)
270.00
8834
Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (C)
455.00
8835
Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (NC)
345.00
8836
Whole body study using iodine (C)
415.00
8837
Whole body study using iodine (NC)
310.00
8838
Whole body study using gallium (C)
415.00
8839
Whole body study using gallium (NC)
310.00
8840
Whole body study using cells labelled with technetium (C)
370.00
8841
Whole body study using cells labelled with technetium (NC)
275.00
8842
Bone marrow study—whole body (C)
365.00
8843
Bone marrow study—whole body (NC)
270.00
8844
Repeat whole body study on different occasion using same administration of radiopharmaceutical (C)
168.00
8845
Repeat whole body study on different occasion using same administration of radiopharmaceutical (NC)
126.00
8846
Localised bone or joint study including flow and blood pool studies (C)
255.00
8847
Localised bone or joint study including flow and blood pool studies (NC)
190.00
8848
Localised bone, joint, tumour, infection or inflammation seeking study using gallium (C)
305.00
8849
Localised bone, joint, tumour, infection or inflammation seeking study using gallium (NC)
225.00
8851
Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (C)
260.00
8852
Localised bone, joint, tumour, infection or inflammation seeking study using cells labelled with technetium (NC)
194.00
8853
Repeat localised bone, joint, tumour, infection or inflammation seeking study on different occasion using same administration of radiopharmaceutical (C)
112.00
8854
Repeat localised bone, joint, tumour, infection or inflammation seeking study on different occasion using same administration of radiopharmaceutical (NC)
84.00
8855
Venography (including blood pool study, active uptake study or dynamic blood flow study) (C)
200.00
8856
Venography (including blood pool study, active uptake study or dynamic blood flow study) (NC)
150.00
8857
Lymphoscintigraphy (C)
260.00
8858
Lymphoscintigraphy (NC)
194.00
8859
Thyroid Study (C)
116.00
8860
Thyroid Study (NC)
86.00
8861
Thyroid uptake study performed on gamma camera (C)
56.00
SCHEDULE—continued
<table cellspacing="0" cellpadding="0" style="width:100%; margin-bottom:0pt; border-collapse:collapse"><tbody><tr style="height:1pt"><td style="width:7.58%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Item</span></p></td><td style="width:83.08%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Medical service</span></p></td><td style="width:9.34%; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Fee</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.08%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:9.34%; border-top:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8862</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Thyroid uptake study performed on gamma camera (NC)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">42.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8863</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Parathyroid (C)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">290.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8864</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Adrenal Study using Selenocholesterol (C)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">665.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8865</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Adrenal Study using Selenocholesterol (NC)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">500.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8866</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Adrenal Study (not covered by Item 8864/8865) (C)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">340.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8867</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Adrenal Study (not covered by Item 8864/8865) (NC)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">255.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8868</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Single photon emission tomography when associated with another item in this Part (C)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Amount under rule 50</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">$</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8869</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Tear Duct Study (C)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">170.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8870</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Tear Duct Study (NC)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">128.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8871</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Particle perfusion study (intra-arterial) or Le Veen Shunt study (C)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">192.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8872</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Particle perfusion study (intra-arterial) or Le Veen Shunt study (NC)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">144.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8873</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Study of region or organ not covered by any other item in this Part (C)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">11.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8874</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Study of region or organ not covered by any other item in this Part (NC)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8.30</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8878</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Administration of a therapeutic dose of a radioisotope— not covered by any other item in this Part</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">27.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8880</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis) (AU 5)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">435.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8882</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">330.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8884</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Administration of a therapeutic dose of Iodine L31 for thyrotoxicosis by single dose technique</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">225.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8886</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Intravenous administration of a therapeutic dose of Phosphorous 32</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">196.00</span></p></td></tr><tr style="height:1pt"><td colspan="3" style="padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:6pt; margin-left:10.75pt; margin-bottom:1pt; text-indent:-10.75pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">PART 12—SERVICES FOR THE TREATMENT OF CLEFT LIP AND CLEFT</span></p><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">PALATE CONDITIONS</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:center; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif; font-style:italic">Division 1</span><span style="font-family:'Times New Roman', serif">—</span><span style="font-family:'Times New Roman', serif; font-style:italic">Orthodontic Services</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif"></span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8901</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Professional attendance not covered by item 8902 (AO)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">27.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8902</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Professional attendance and treatment planning where treatment is deferred (AO)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">55.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8903</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Production of dental study models not associated with item 8902 or with a service covered by item 8914, 8915, 8917, 8918, 8919, 8922, 8923, 8924, 8925, or 8928 (AO)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">27.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8905</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Orthodontic radiography—orthopantomography (AO)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">45.50</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8906</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Orthodontic radiography—anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings (AO)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">72.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8907</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings (AO)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">99.00</span></p></td></tr><tr style="height:1pt"><td style="width:7.58%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">8908</span></p></td><td style="width:83.08%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-left:10.8pt; margin-bottom:1pt; text-indent:-10.8pt; text-align:justify; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography (AO)</span></p></td><td style="width:9.34%; padding-right:2pt; padding-left:2pt; vertical-align:top"><p style="margin-top:2pt; margin-bottom:1pt; text-align:right; line-height:normal; font-size:9pt"><span style="font-family:'Times New Roman', serif">126.00</span></p></td></tr></tbody></table>
SCHEDULE—continued
Item
Medical service
Fee
$
8909
Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings, orthopantomography and hand-wrist studies (including growth prediction) (AO)
154.00
8914
Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations— where one appliance is used (AO)
365.00
8915
Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations— where two appliances are used (AO)
435.00
8917
Deciduous dentition treatment—maxillary arch expansion, including supply of appliances and all associated consultations, treatment planning and retention services beyond the period of active treatment (AO)
485.00
8918
Deciduous and permanent dentition treatment-incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment (AO)
800.00
8919
Deciduous and permanent dentition treatment (not being treatment associated with treatment covered by item 8918)—lateral arch expansion and incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated attendances, treatment-planning and retention services beyond the period of active treatment (AO)
1105.00
8922
Permanent dentition treatment (not being treatment associated with treatment covered by item 8924 or 8925)—single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—initial three months of active treatment (AO)
365.00
8923
Permanent dentition treatment (not being treatment associated with treatment covered by item 8924 or 8925)—single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—each three months of active treatment after the first for a maximum of a further 33 months (AO)
138.00
8924
Permanent dentition treatment (not being treatment associated with treatment covered by item 8922 or 8923)—two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—initial three months of active treatment (AO)
715.00
SCHEDULE—continued
Item
Medical service
Fee
$
8925
Permanent dentition treatment (not being treatment associated with treatment covered by item 8922 or 8923)—two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment—each three months of active treatment after the first for a maximum of a further 33 months (AO)
190.00
8928
Pre-sugical or post-sugrical jaw growth guidance using removable appliances, including supply of appliances and all associated consultations and treatment-planning (AO)
485.00
Division 2—Oral Surgical Services
8931
Removal of tooth or tooth fragment (not being treatment covered by item 8936, 8937, 8938, 8939, 8940 or 8941), where the patient is referred by a recognized orthodontist (AD)
36.50
8932
Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by a recognized orthodontist (AD)
55.00
8933
Removal of each additional tooth or tooth fragment at the same attendance at which a service referred to in item 8931 or 8932 is rendered (AD)
18.20
Surgical Extractions
8936
Surgical removal of erupted tooth, where the patient is referred by a recognized orthodontist (AOS)
110.00
8937
Surgical removal of tooth with soft tissue impaction, where the patient is referred by a recognized orthodontist (AOS)
126.00
8938
Surgical removal of tooth with partial bone impaction, where the patient is referred by a recognized orthodontist (AOS)
144.00
8939
Surgical removal of tooth with complete bone impaction, where the patient is referred by a recognized orthodontist (AOS)
162.00
8940
Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by a recognized orthodontist (AOS)
91.00
8941
Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by a recognized orthodontist (AOS)
110.00
Other Surgical Procedures
8945
Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS)
154.00
8946
Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by a recognized orthodontist (AOS)
182.00
8947
Surgical repositioning of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS)
182.00
8948
Transplantation of tooth bud, where the patient is referred by a recognized orthodontist (AOS)
270.00
SCHEDULE—continued
Item
Medical service
Fee
$
Division 3—General and Prosthodontic Services
8960
Attendance comprising consultation, preventive treatment and prophylaxis, of not less than thirty minutes duration—each attendance to a maximum of three attendances in any period of twelve months (AD)
55.00
8961
Provision and fitting of acrylic base partial denture, including retainers—one tooth (AD)
220.00
8962
Provision and fitting of acrylic base partial denture, including retainers—two teeth (AD)
255.00
8963
Provision and fitting of acrylic base partial denture, including retainers—three teeth (AD)
305.00
8964
Provision and fitting of acrylic base partial denture, including retainers—four teeth (AD)
340.00
8965
Provision and fitting of acrylic base partial denture, including retainers—five to nine teeth (AD)
415.00
8966
Provision and fitting of acrylic base partial denture, including retainers—ten to twelve teeth (AD)
485.00
8971
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers— one tooth (AD)
390.00
8972
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers— two teeth (AD)
455.00
8973
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers— three teeth (AD)
520.00
8974
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers— four teeth (AD)
575.00
8975
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers— five to nine teeth (AD)
705.00
8976
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers— ten to twelve teeth (AD)
805.00
8980
Provision and fitting of retainers (not being treatment associated with treatment covered by item 8961, 8962, 8963, 8964, 8965, 8966, 8971, 8972, 8973, 8974, 8975 or 8976)—each retainer (AD)
18.20
8982
Adjustment of partial denture (not being treatment associated with treatment covered by item 8961, 8962, 8963, 8964, 8965, 8966, 8971, 8972, 8973, 8974, 8975 or 8976) (AD)
27.00
8984
Reclining of partial denture by laboratory process and associated fitting (AD)
136.00
8986
Remodelling and fitting of partial denture of more than four teeth (AD)
162.00
8988
Repair to cast metal base of partial denture—one or more points (AD)
81.00
8990
Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD)
81.0081.00
NOTE
1. Notified in the Commonwealth of Australia Gazette on 31 October 1990.