Section 1 - Health Insurance (1992-1993 General Medical Services Table) Regulations - Health Insurance (1992-1993 General Medical Services Table) Regulations | Zoe
Health Insurance (1992-1993 General Medical Services Table) Regulations
I, The Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.
Dated 20 October 1992.
BILL HAYDEN
Governor-General
By His Excellency’s Command,
B. HOWE
Minister of State for Health, Housing and Community Services
____________
Citation
These Regulations may be cited as the Health Insurance (1992-1993 General Medical Services Table) Regulations.
Commencement
These Regulations commence on 1 November 1992.
Repeal
Statutory Rules 1991 No. 351 and 1992 Nos. 70 and 191 are repealed.
General medical services table
The table of general medical services in the Schedule is prescribed for the purposes of subsection 4 (2) of the Health Insurance Act 1973.
________________
SCHEDULE Regulation 4
TABLE OF GENERAL MEDICAL SERVICES
RULES OF INTERPRETATION
General
(1) In this table, unless the contrary intention appears:
“attendance of a minor nature” or “minor attendance”, in relation to an attendance on a patient by a consultant physician, means an attendance that:
(a) is a second or subsequent attendance on the patient, in the course of a single course of treatment by the consultant physician, during which it is not necessary for the consultant physician to carry out a physical examination of the patient; and
(b) does not result in a substantial alteration to the treatment of the patient;
“institution” means a place (other than a hospital, a nursing home or accommodation for aged persons that is attached to a nursing home or situated within a nursing home complex) at which residential accommodation or day care is, or both residential accommodation and day care are, made available to:
(a) disadvantaged children; or
(b) juvenile offenders; or
(c) aged persons; or
(d) chronically ill psychiatric patients; or
(e) homeless persons; or
(f) unemployed persons; or
(g) persons suffering from alcoholism; or
(h) persons addicted to drugs; or
(i) physically or mentally handicapped persons;
“the Act” means the Health Insurance Act 1973.
SCHEDULE—continued
(2) In this table, a reference by number to an item in the series 65001 to 73921 (inclusive) is a reference to the item so numbered in the pathology services table.
(3) In this table, a reference by number to an item in the series 55000 to 61502 (inclusive) is a reference to the item so numbered in the diagnostic imaging services table.
(4) In this table, the symbol “(AU n)” (where n is a number) is explained in items 17901 to 17959 (inclusive).
(5) In these Rules, “referring practitioner”, in relation to a referral, means:
(a) in the case of all referrals—a medical practitioner; and
(b) if the referral is given to a specialist who is an ophthalmologist—an optometrist; and
(c) if the referral:
(i) arises out of a dental service given by a dental practitioner; and
(ii) is given to a specialist (but not a consultant physician);
a dental practitioner.
Meaning of symbols“(S)” and “(G)”
(1) An item including the symbol “(S)” applies only to a service given by a specialist (and not to a service given by a consultant physician) in the practice of his or her specialty:
(a) to a patient who has been referred to the specialist, if the service is the first given by the specialist after the referral; or
(b) to a patient who has been referred to the specialist:
(i) if the service is part of a single course of treatment given for the condition identified in the referral; or
(ii) if no condition was identified in the referral—for the condition identified by the specialist; and
the service is given within the period of validity of the referral applicable under regulation 12 of the Health Insurance Regulations; or
(c) to a patient who has declared that a written referral completed by a named referring practitioner has been lost, stolen or destroyed before the service was given, if the service is the first given by the specialist in accordance with the referral; or
(d) to a patient who has not been referred to the specialist if, in an emergency, the specialist decides that it is necessary in the patient’s interests to give the service as soon as practicable without a referral.
SCHEDULE—continued
(2) An item including the symbol “(G)” applies only to a service given otherwise than by a specialist in accordance with subrule (1).
Meaning of “single course of treatment” in certain circumstances
(1) In subrule 1 (1), rules 2 and 4 and items 104, 105, 106, 107, 108, 110, 116, 119, 122, 128 and 131, “single course of treatment” includes:
(a) the:
(i) initial attendance by a specialist or consultant physician; and
(ii) continuing management or treatment up to and including the stage when the patient is referred back to the care of the referring practitioner; and
(b) any subsequent review of the patient’s condition by the specialist or consultant physician that may be necessary, whether the review is initiated by the referring practitioner or the specialist or consultant physician.
(2) For the purposes of subrule (1), an unrelated illness that requires referral of the patient to the specialist’s or consultant physician’s care, initiates a new course of treatment for which a new referral is required.
(3) For the purposes of subrule (1), if:
(a) a referring practitioner considers it necessary for a patient’s condition to be reviewed; and
(b) the patient is attended by the specialist or consultant physician after the end of the period of validity of the last referral applicable under regulation 12 of the Health Insurance Regulations; and
(c) the patient was last attended by the specialist or consultant physician more than 9 months before the attendance mentioned in paragraph (b);
the attendance mentioned in paragraph (b) initiates a new course of treatment.
Interpretation of items 104 to 159 (inclusive)
(1) In items 104 to 159 (inclusive), “attendance”, in relation to an attendance on a patient by a specialist, or consultant physician, in the practice or his or her specialty if the patient is referred to him or her:
(a) includes an attendance by a specialist, or consultant physician, in the practice of his or her specialty:
(i) if the patient has declared that a written referral of the patient was completed by a medical practitioner
SCHEDULE—continued
(ii) if, in an emergency, the patient has not been referred to the specialist, or consultant physician, who decides that it is necessary in the patient’s interests to give the service mentioned in the item as soon as practicable without a referral; but
(b) does not include an attendance by a specialist, or consultant physician, in the practice of his or her specialty if:
(i) the attendance forms part of a single course of treatment in which the first service was given more than 12 months (or such other period, if any, set by the referring practitioner in, or in connection with, the referral) before the attendance; and
(ii) a later referral has not been given.
(2) In items 104 to 159 (inclusive), a reference to the referring of a patient to a specialist, or consultant physician, is a reference to the referring of a patient to a specialist, or consultant physician, by a referring practitioner.
Meaning of “professional attendance” in certain items
In items 3, 4, 13, 19, 20, 23, 24, 25, 33, 35, 36, 37, 38, 40, 43, 44, 47, 48, 50 and 51, “professional attendance” includes (but is not limited to) the provision in relation to a patient of 1 or more of the following services:
(a) the evaluation of the patient’s condition or conditions including, if applicable, evaluation using the health screening services mentioned in in subsection 19 (5) of the Act;
(b) the formulation of a plan for the management and, if applicable, for the treatment of the patient’s condition or conditions;
(c) the provision:
(i) of advice to the patient about the patient’s condition or conditions and, if applicable, about treatment; and
(ii) if the patient has so authorised, of advice to another person, or other persons, about the patient’s condition or conditions and, if applicable, about treatment;
(d) the recording of the clinical details of the service or services given to the patient.
SCHEDULE—continued
Meaning of “Amount under rule 6” in certain items
(1) In items 13, 19 and 20, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 3; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(2) In items 25, 33 and 35, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 23; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(3) In items 38, 40 and 43, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 36; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(4) In items 48, 50 and 51, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 44; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $17.00 divided by the number of patients so attended; or
SCHEDULE—continued
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.15.
(5) In items 81, 87 and 92, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 52; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
(6) In items 83, 89 and 93, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 53; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
(7) In items 84, 90 and 95, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 54; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
(8) In items 86, 91 and 96, “Amount under rule 6” means an amount equal to the sum of:
(a) the fee set out in item 57; and:
(b) either:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.50 divided by the number of patients so attended; or
SCHEDULE—continued
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—70 cents.
Items 10809 and 10929 not to apply in certain circumstances
Items 10809 and 10929 do not apply if the patient requires contact lenses only for 1 or more of the following reasons:
(a) because the patient does not want to wear spectacles for reasons of appearance; or
(b) because the patient wants contact lenses for work, or sporting, purposes; or
(c) because the patient has difficulty in using, or cannot use, spectacles for psychological reasons.
Application of items 10921 to 10929 (inclusive)
(1) For the purposes of items 10921 to 10929 (inclusive), a patient has an ocular condition which necessitates a further course of attention within 36 months of the previous initial consultation only in the circumstances mentioned in subrules (2) and (3).
(2) The patient requires a change in contact lens material, or basic lens parameters, other than a simple power change, because of:
(a) a structural, or functional, change in the eye; or
(b) an allergic response.
(3) A lost, damaged or otherwise unsatisfactory contact lens is replaced by an optometrist:
(a) who:
(i) does not have access to the original prescription; and
(ii) does a total refit where an item mentioned in subrule (1) applies; and
(b) who is not:
(i) the optometrist who initially fitted the contact lenses; or
(ii) an optometrist at, or operating from, the same practice location at which the optometrist who initially fitted the contact lenses practised when the contact lenses were initially fitted.
SCHEDULE—continued
Personal attendance by medical practitioners generally
(1) The items mentioned in subrule (2) apply only to a service given in the course of a personal attendance by a medical practitioner on a single patient on a single occasion.
Certain services may be given by persons other than medical practitioners
(1) The items mentioned in subrule (2) apply whether the medical service is given by:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who is employed by a medical practitioner or, in accordance with accepted medical practice, acts under the supervision of a medical practitioner.
Conditions under which certain services to be provided
Items 11309, 11312, 11315, 11318 and 11321 apply only to a service given:
(a) in conditions that allow the establishment of determinate thresholds; and
(b) in a sound-attenuated environment with background noise conditions that comply with Australian Standard AS 1269-1983, of the Standards Association of Australia, as in force on 1 August 1987; and
(c) using calibrated equipment that complies with Australian Standard AS 2586-1983, of the Standards Association of Australia, as in force on 1 August 1987.
Application of items 51700 to 53455 (inclusive)
Items 51700 to 53455 (inclusive) apply only to a service given in the course of dental practice by a dental practitioner approved by the Minister for the purposes of the definition of “professional service” in subsection 3 (1) of the Act.
SCHEDULE—continued
Meaning of “administration of an anaesthetic” in items 18102 to 18118 (inclusive)
In items 18102 to 18118 (inclusive), “administration of an anaesthetic” means the administration of an anaesthetic in connection with a dental service, other than a dental service that is a prescribed medical service for the purposes of paragraph (b) of the definition of “professional service” in subsection 3 (1) of the Act.
Meaning of “prescribed locations” in item 18013
In item 18013, “prescribed locations” means:
(a) Royal North Shore Hospital, St Leonards, New South Wales;
(b) Royal Prince Alfred Hospital, Camperdown, New South Wales;
(c) Westmead Hospital, Westmead, New South Wales;
(d) Royal Melbourne Hospital, Parkville, Victoria;
(e) St Vincent’s Hospital, Fitzroy, Victoria;
(f) Alfred Group of Hospitals, Prahran, Victoria;
(g) Austin Hospital, Heidelberg, Victoria;
(h) Princess Alexandra Hospital, Woolloongabba, Queensland;
(i) Royal Brisbane Hospital, Herston, Queensland;
(j) Royal Adelaide Hospital, Adelaide, South Australia;
(k) Flinders Medical Centre, Bedford Park, South Australia;
(l) Sir Charles Gairdner Hospital, Nedlands, Western Australia;
(m) Royal Hobart Hospital, Hobart, Tasmania.
Meaning of “Amount under rule 16” in certain items
In an item mentioned in subparagraph (b) (i), (ii), (iii), (iv), (v) or (vi), “Amount under rule 16” means an amount equal to the sum of:
(a) the amount of the fee set out in the other item that applies to radiotherapy treatment of the kind mentioned in the first-mentioned item when given to 1 field only; and:
(b) the following amount:
(i) for item 15003—$12.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(ii) for item 15103—$13.40 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(iii) for item 15109—$16.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
SCHEDULE—continued
(iv) for item 15204—$21.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(v) for item 15208—$21.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(vi) for item 15214—$17.60 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.
Meaning of “Amount under rule 17” in certain items
In an item mentioned in subparagraph (b) (i) or (ii), “Amount under rule 17” means an amount equal to the sum of:
(a) the amount of the fee set out in the other item that applies to treatment, by a single dose of radiotherapy, of the kind mentioned in the first-mentioned item when given to 1 field only; and:
(b) the following amount:
(i) for item 15009—$13.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; or
(ii) for item 15115—$33.50 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.
Meaning of “Amount under rule 18” in certain items
In an item to which paragraph (a) or (b) applies, “Amount under rule 18” means an amount equal to:
(a) for item 17977—85% of the fee, for the administration of an anaesthetic, for the item relating to an original amputation of the kind performed (being any of items 44324 to 44373 (inclusive)); or
(b) for item 44376—75% of the fee for the item relating to an original amputation of the kind performed (being any of items 44324 to 44373 (inclusive)).
Meaning of “(AD)” in items 75200 to 75854 (inclusive)
Items 75200 to 75854 (inclusive) that include the symbol “(AD)” apply only to a service given by a State registered dental practitioner practising as a dentist.
SCHEDULE—continued
Orthodontic services
(1) In this rule:
“accredited orthodontist” means:
(a) a dental practitioner who is registered or licensed as an orthodontist or oral surgeon under the relevant law; or
(b) a dental practitioner:
(i) who is not registered or licensed under the relevant law as an orthodontist or an oral surgeon or who practises in a State or Territory in which there is no provision for the registration or licensing of orthodontists or oral surgeons; and
(ii) whose qualifications or experience demonstrate to the Committee his or her competence in the field of orthodontics that is applicable to the giving of the services specified in items 75000 to 75051 (inclusive); and
(iii) who is accredited by the Minister for the purposes of this rule;
“Committee” means the Medical Benefits (Dental Practitioners) Advisory Committee established under section 136 of the National Health Act 1953;
“relevant law”, in relation to a service given to a patient, means the law of the State or Territory in which the service is given that provides for the registration or licensing of orthodontists or oral surgeons.
(2) Items 75000 to 75051 (inclusive) that include the symbol “(AO)” apply only to a service given by an accredited orthodontist.
Oral surgery services
(1) In this rule, “relevant law”, in relation to a service given to a patient, means the law of the State or Territory in which the service is given that provides for the registration or licensing of oral surgeons.
(2) Items 75200 to 75609 (inclusive) that include the symbol “(AOS)” apply only to a service given by a dental practitioner who is:
(a) registered under the relevant law as an oral surgeon; and
(b) a dental practitioner approved by the Minister for the purposes of the definition of “professional service” in subsection 3 (1) of the Act.
SCHEDULE—continued
Meaning of “report” in items 11000 to 12200 (inclusive)
In items 11000 to 12200 (inclusive), “report” means a report prepared by a medical practitioner.
Meaning of “treatment cycle of a patient”
In rule 24 and items 13200 to 13221 (inclusive), “treatment cycle of a patient” means a series of treatments of the patient that:
(a) begins:
(i) if treatment with superovulatory drugs is given—on the day on which that treatment begins; or
(ii) if treatment with superovulatory drugs is not given—on the first day of the menstrual cycle of the patient; and
(b) ends not more than 30 days after that day.
Certain services given as part of treatment cycle
If a service mentioned:
(a) in an item in subgroup 3 of group T1 (assisted reproductive services); and
(b) in another item outside that subgroup;
is given as part of a treatment cycle to which that subgroup applies, it is not a medical service for the purposes of that other item.
Services not to apply in certain pregnancy-related circumstances
Items 13200 to 13221 (inclusive) do not apply to a service in relation to a patient’s pregnancy, or intended pregnancy, that is, at the time of the service, the subject of an agreement, or arrangement, under which the patient makes provision for guardianship of, or custodial rights to, a child born as a result of the pregnancy to be transferred to another person.
Meaning of “embryology laboratory services” in items 13200 and 13206
In items 13200 and 13206, “embryology laboratory services” includes:
(a) egg recovery from aspirated follicular fluid; and
(b) insemination; and
(c) monitoring of fertilisation and embryo development; and
(d) preparation of gametes or embryos for transfer or freezing;
but does not include semen preparation.
SCHEDULE—continued
Meaning of “confinement” in certain items
In items 16506, 16507, 16510, 16513, 16516 and 16517, “confinement” includes:
(a) induction of labour by surgical or intravenous infusion methods; and
(b) forceps or vacuum extraction; and
(c) breech delivery; and
(d) management of multiple deliveries; and
(e) episiotomy; and
(f) repair of tears; and
(g) a medical service mentioned in item 16558 or 16561 when performed at the time of delivery; and
(h) evacuation of the products of conception by manual removal.
Certain procedures constitute a single operation
The procedures mentioned within item 16516, 16517, 16520, 16564, 16567, 16570 or 16573 constitute, for the purposes of that item, a single operation for the purposes of subsections 16 (2), (3) and (4) of the Act.
Meaning of “maxilla” in certain items
In items 45719 to 45752 (inclusive) and 52342 to 52375 (inclusive), “maxilla” includes the zygoma.
Items 46300 to 46510 (inclusive) apply only in certain circumstances
Items 46300 to 46510 (inclusive) apply only to a service given in the course of an operation on a hand or hands.
Meaning of “closed reduction” and “open reduction” in items 47000 to 50239 (inclusive)
In items 47000 to 50239 (inclusive):
“closed reduction”:
(a) means treatment of a dislocation or fracture by non-operative reduction; and
(b) includes the use of percutaneous fixation, or external splintage by cast or splints;
SCHEDULE—continued
“open reduction” means treatment of a dislocation or fracture by either:
(a) operative exposure including the use of any internal or external fixation; or
(b) non-operative (closed reduction) where intra-medullary fixation or external fixation is used.
Services in association with spinal fusion services
Items 48678, 48681, 48684, 48687 and 48690 apply only if the service is undertaken in association with a spinal fusion service to which item 48642, 48645, 48648, 48651, 48654, 48657, 48660, 48663, 48666, 48669, 48672 or 48675 applies.
Meaning of “Amount under rule 33” in items 51303 and 51803
In items 51303 and 51803, “Amount under rule 33”, in relation to an amount payable for assistance at an operation, means an amount equal to one-fifth of the sum of the fees payable under the Act for the services at that operation of the practitioner to whom the assistance was given.
Meaning of “Amount under rule 34” in item 51309
(1) In item 51309, “Amount under rule 34” in relation to an amount payable for assistance at a series, or combination, of operations, means an amount equal to one-fifth of the sum of the fees payable under the Act for the services at those operations of the practitioner to whom the assistance was given.
(2) For the purposes of subrule (1), the amount payable for the Caesarean section component of the operations is the fee applicable to item 16520.
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
CATEGORY 1—ATTENDANCES
GROUP A1—GENERAL PRACTITIONER
ATTENDANCES (NOT COVERED BY ANY OTHER
ITEM)
Subgroup 1—Vocationally registered
3
Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—each attendence
11.40
4
Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—each attendance
28.50
13
Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient
Amount under rule 6
19
Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient
Amount under rule 6
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
20
Professional attendance (not being a service to which any other item applies) at a nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in a nursing home or aged persons' accommodation (not being accommodation in a self contained unit) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient
Amount under rule 6
23
Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to one or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 36 or 44 applies—each attendance
24.00
24
Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management, plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of aservice to which item 37 or 47 applies—each attendance
41.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
25
Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to one or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 38 or 48 applies—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient
Amount under rule 6
33
Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 40 or 50 applies—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient
Amount under rule 6
35
Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or a professional attendance of less than 20 minutes duration involving components of a service to which item 43 or 51 applies—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient
Amount under rule 6
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
36
Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 44 applies—each attendance
43.50
37
Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 47 applies—each attendance
60.00
38
Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 48 applies—an attendance on 1 or more patients at 1institution on 1 occasion—each patient
Amount under rule 6
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
40
Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 50 applies—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient
Amount under rule 6
43
Professional attendance (not being a service to which any other item applies) at a nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or a professional attendance of less than 40 minutes duration involving components of a service to which item 51 applies—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient
Amount under rule 6
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
44
Professional attendance at consulting rooms (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan—each attendance
64.00
47
Professional attendance, other than a service to which any other item applies, and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan—each attendance
81.00
48
Professional attendance at an institution (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient
Amount under rule 6
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
50
Professional attendance at a hospital (not being a service to which any other item applies) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient
Amount under rule 6
51
Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or a professional attendance of at least 40 minutes duration for implementation of a management plan—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient
Amount under rule 6
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
Subgroup 2—Other than vocationally registered
52
Professional attendance at consulting rooms of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
11.00
53
Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
21.00
54
Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
38.00
57
Professional attendance at consulting rooms of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
61.00
58
Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
24.00
59
Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
31.50
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
60
Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
51.00
65
Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance
73.00
81
Professional attendance at an institution of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient
Amount under rule 6
83
Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient
Amount under rule 6
84
Professional attendance at an institution of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient
Amount under rule 6
86
Professional attendance at an institution of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 institution on 1 occasion—each patient
Amount under rule 6
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
87
Professional attendance at a hospital of not more than 5 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient
Amount under rule 6
89
Professional attendance at a hospital of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient
Amount under rule 6
90
Professional attendance at a hospital of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on 1 occasion—each patient
Amount under rule 6
91
Professional attendance at a hospital of more than 45 minutes duration (not being a service to which any other item applies) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 hospital on the one occasion—each patient
Amount under rule 6
92
Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of not more than 5 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient
Amount under rule 6
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
93
Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 5 minutes duration but not more than 25 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient
Amount under rule 6
95
Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 25 minutes duration but not more than 45 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient
Amount under rule 6
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
96
Professional attendance (not being a service to which any other item applies) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 45 minutes duration by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on 1 or more patients at 1 nursing home on 1 occasion—each patient
Amount under rule 6
Subgroup 3 - After hours
97
Professional attendance being an attendance at other than consulting rooms, on not more than 1 patient on 1 occasion by a medical practitioner—each attendance on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment
45.50
98
Professional attendance being an attendance at consulting rooms, on not more than 1 patient on 1 occasion by a medical practitioner—each attendance on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period, where the patient's medical condition requires immediate treatment, and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance
45.50
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
GROUP A2 - SPECIALIST ATTENDANCES
TO WHICH NO OTHER ITEM APPLIES
104
Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home, not being a service to which item 106 applies
60.00
105
Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home
30.00
106
Professional attendance by a specialist in the practice of his or her speciality where the patient is referred to him or her—an attendance (other than a second or subsequent attendance in a single course of treatment) at which refraction is performed by a specialist ophthalmologist, and the attendance results in the issuing of a prescription for spectacles or contact lenses, including any consultation on the same occasion and any other attendance on the same day (other than a service to which item 10801, 10802, 10803, 10804, 10805, 10806, 10807, 10808, 10809 or 10815 applies), where the attendance is at consulting rooms, hospital or nursing home
49.50
107
Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home
88.00
108
Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her—each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home
56.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
GROUP A3—CONSULTANT PHYSICIAN
ATTENDANCES TO WHICH NO OTHER ITEM APPLIES
110
Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/ or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner—initial attendance in a single course of treatment
106.00
116
Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/ or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner—each attendance (other than an attendance covered by item 119) subsequent to the first in a single course of treatment
53.00
119
Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner—each minor attendance subsequent to the first in a single course of treatment
30.00
122
Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner—initial attendance in a single course of treatment
128.00
128
Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner—each attendance (other than an attendance to which item 131 applies) subsequent to the first in a single course of treatment
78.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
131
Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner—each minor attendance subsequent to the first in a single course of treatment
56.00
GROUP A4—CONSULTANT PSYCHIATRIST
ATTENDANCES TO WHICH NO OTHER ITEM APPLIES
134
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to hi or her by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at consulting rooms, hospital or nursing home
30.50
136
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at consulting rooms, hospital or nursing home
61.00
138
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at consulting rooms, hospital or nursing home
89.00
140
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home
124.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
142
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home
150.00
144
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home
56.00
146
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home
88.00
148
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home
122.00
150
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home
148.00
152
Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner—an attendance of more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home
176.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
153
Attendance for electroconvulsive therapy, including associated consultation (AU 3)
40.00
154
Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a group of 2-9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a medical practitioner—each patient
35.00
155
Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a medical practitioner—each patient
46.00
156
Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his or her specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a medical practitioner—each patient
68.00
157
Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minute’s duration but less than 45 minutes duration, in the course of initial diagnostic evaluation of a patient
37.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
158
Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 45 minute’s duration, in the course of initial diagnostic evaluation of a patient
83.00
159
Professional attendance by a consultant physician in the practice of his or her recognised specialty of psychiatry, where the patient is referred to him or her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes duration, in the course of continuing management of a patient—payable not more than twice in any twelve month period
37.00
GROUP A5—PROLONGED ATTENDANCES
TO WHICH NO OTHER ITEM APPLIES
160
Professional attendance for a period of not less than 1 hour but less than 2 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients
87.00
161
Professional attendance for a period of not less than 2 hours but less than 3 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients
142.00
162
Professional attendance for a period of not less than 3 hours but less than 4 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients
196.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
163
Professional attendance for a period of not less than 4 hours but less than 5 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients
250.00
164
Professional attendance for a period of 5 hours or more (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients
305.00
GROUP A6—GROUP THERAPY
170
Professional attendance for the purpose of group therapy of not less than 1 hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of 2 patients
92.00
171
Professional attendance for the purpose of group therapy of not less than 1 hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of 3 patients
97.00
172
Professional attendance for the purpose of group therapy of not less than 1 hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of 4 or more patients
118.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
GROUP A7—ACUPUNCTURE
173
Attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed
21.50
GROUP A8—CONTACT LENSES
10801
Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with myopia of 4.0 dioptres or greater (spherical equivalent) in 1 eye
86.00
10802
Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye
86.00
10803
Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with astigmatism of 3.0 dioptres or greater in 1 eye
86.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
10804
Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is less than 6/12 and if that corrected acuity would be improved by an additional 1 line on the Snellen chart by the use of a contact lens
86.00
10805
Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents)
86.00
10806
Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients with subnormal corrected visual acuity of not greater than 6/30 in either eye, being patients for whom a contact lens is prescribed as part of a telescopic system
86.00
10807
Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity—whether congenital, traumatic or surgical in origin
86.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
10808
Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients who, by reason of physical deformity, are unable to wear spectacles
86.00
10809
Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription—1 service in any period of 36 consecutive months—patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10806, 10807 or 10808 applies) requiring the use of a contact lens for correction and which condition must be specified on the patient's account
86.00
10815
Attendance for the refitting of contact lenses with keratometry and testing with trial lenses and the issue of a prescription being a subsequent fitting of contact lenses within a period of 36 months of the initial fitting to which an item of items 10801 to 10809 (inclusive) applies
6.10
GROUP A9—OPTOMETRICAL
10900
Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location—once only in a period of 24 months.
49.50
10902
Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has a significant change of visual function requiring complete reassessment which necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies.
49.50
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
10903
Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has new signs or symptoms, unrelated to the earlier course of attention, requiring complete reassessment that necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies.
49.50
10904
Professional attendance that is the sole or first attendance in a single course of attention of a patient by a participating optometrist at, or operating from, the same practice location, where the patient has a progressive disorder (excluding presbyopia) requiring complete reassessment that necessitates a comprehensive optometric consultation within 24 months of the previous initial or comprehensive consultation to which item 10900, 10902, 10903 or 10904 applies.
49.50
10908
Professional attendance (not being an attendance relating to the prescription and fitting of contact lenses) that is the second attendance in a single course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies.
25.00
10909
Professional attendance (not being an attendance relating to the prescription and fitting of contact lenses) that is the third or subsequent attendance in a single course of attention of a patient in respect of whom the attending optometrist has certified that, in his or her professional opinion, there is a need for that attendance, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies.
25.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
10921
All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with myopia of 4.0 dioptres or greater (spherical equivalent) in 1 eye.
126.00
10922
All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in 1 eye
126.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
10923
All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with astigmatism of 3.0 dioptres or greater in 1 eye
126.00
10924
All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is less than 6/12 and if that corrected acuity would be improved by an additional 1 line on the Snellen chart by the use of a contact lens
126.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
10925
All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his/ or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents)
126.00
10926
All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients with subnormal corrected visual acuity of not greater than 6/30 in either eye, being patients for whom a contact lens is prescribed as part of a telescopic system
126.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
10927
All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by: pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity—whether congenital, traumatic or surgical in origin
126.00
10928
All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients who, by reason of physical deformity, are unable to wear spectacles
126.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
10929
All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is a service to which item 10900, 10902, 10903 or 10904 applies. The Medicare benefit is payable only once in a period of 36 consecutive months for any of these items, unless the examining optometrist has certified on the patient's account that, in his/ or her professional opinion the patient had an ocular condition that necessitated a further course of attention being commenced within 36 months of the previous initial consultation—patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10926, 10927 or 10928 applies) requiring the use of a contact lens for correction and which condition must be specified on the patient's account
126.00
CATEGORY 2—DIAGNOSTIC PROCEDURES
AND INVESTIGATIONS
GROUP D1—MISCELLANEOUS
DIAGNOSTIC PROCEDURES AND
INVESTIGATIONS
Subgroup 1—NEUROLOGY
11000
Electroencephalography, not associated with item 11003, 11006 or 11009 (AU 6)
87.00
11003
Electroencephalography, prolonged recording of at least three hours duration, not associated with item 11000, 11006 or 11009
230.00
11006
Electroencephalography, emporosphenoidal
118.00
11009
Electrocorticography
160.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
11012
Neuromuscular electrodiagnosis—conduction studies on 1 nerve or electromyography of 1 or more muscles using concentic needle electrodes or both these examinations (not associated with item 11015 or 11018)
79.00
11015
Neuromuscular electrodiagnosis—conduction studies on 2 or 3 nerves with or without electromyography (not associated with item 11012 or 11018)
106.00
11018
Neuromuscular electrodiagnosis—conduction studies on 4 or more nerves with or without electromyography or recordings from single fibres of nerves and muscles or both of these examinations (not associated with item 11012 or 11015)
158.00
11021
Neuromuscular electrodiagnosis—repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations
106.00
11024
Investigation of central nervous system evoked responses by computerised averaging techniques—1 or 2 studies
80.00
11027
Investigation of central nervous system evoked responses by computerised averaging techniques—3 or more studies
120.00
Subgroup 2—Ophthalmology
11200
Provocative test or tests for glaucoma, including water drinking
28.50
11203
Tonography—in the investigation or management of glaucoma, of 1 or both eyes—using an electrical tonography machine producing a directly recorded tracing
48.50
11206
Electroretinography of 1 or both eyes or electro-oculography of 1 or both eyes
77.00
11209
Electroretinography of 1 or both eyes and electro-oculography of 1 or both eyes
114.00
11212
Optic fundi, examination of following intravenous dye injection
49.50
11215
Retinal photography, multiple exposures, of 1 eye with intravenous dye injection
96.00
11218
Retinal photography, multiple exposures of both eyes with intravenous dye injection
118.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
11221
Full quantitative computerised perimetry—(automated absolute static threshold) performed by a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, bilateral—to a maximum of 2 examinations (including examinations to which item 11224 applies) in any 12 month period
67.00
11224
Full quantitative computerised perimetry—(automated absolute static threshold) performed by a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, unilateral—to a maximum of 2 examinations (including examinations to which item 11221 applies) in any 12 month period
40.00
11227
Full quantitative computerised perimetry—(automated absolute static threshold) performed by a specialist in the practice of his or her specialty, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, an examination to which item 11221 or 11224 applies, being the third or subsequent examination in a 12 month period
5.60
Subgroup 3—Otolaryngology
11300
Brain stem evoked response audiometry (AU 6)
136.00
11303
Insertion of electrodes for the purpose of electrocochleography
134.00
11306
Non-determinate audiometry
15.40
11309
Audiogram, air conduction
18.40
11312
Audiogram, air and bone conduction or air conduction and speech discrimination
26.00
11315
Audiogram, air and bone conduction and speech
34.50
11318
Audiogram, air and bone conduction and speech, with other cochlear tests
42.50
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
11321
Glycerol induced cochlear function changes assessed by a minimum of 4 air conduction and speech discrimination tests (Klockoff's test)
81.00
11324
Impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a specialist in the practice of his or her specialty, where the patient is referred by a medical practitioner—not associated with a service to which item 11309, 11312, 11315 or 11318 applies
23.00
11327
Impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a specialist in the practice of his or her specialty, where the patient is referred by a medical practitioner—in association with a service to which item 11309, 11312, 11315 or 11318 applies
14.00
11330
Impedance audiogram where the patient is not referred by a medical practitioner—1 examination in any 4 week period
5.60
11333
Caloric test of labyrinth or labyrinths
31.50
11336
Simultaneous bithermal caloric test of labyrinths
31.50
11339
Electronystagmography
31.50
Subgroup 4—Respiratory
11500
Bronchospirometry, including gas analysis
118.00
11503
Measurement of the mechanical or gas exchange function of the respiratory system, or of respiratory muscle function, or of ventilatory control mechanisms, using measurements of various parameters including pressures, volumes, flow, gas concentrations in inspired or expired air, alveolar gas or blood, electrical activity of muscles—each occasion at which 1 or more such tests are performed
98.00
11506
Measurement of respiratory function involving a permanently recorded tracing performed before and after inhalation of bronchodilator—each occasion at which 1 or more such tests are performed
14.40
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
11509
Measurement of respiratory function involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex respiratory function tests (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital)—each occasion at which 1 or more such tests are performed
25.00
11512
Continuous measurement of the relationship between flow and volume during expiration or inspiration involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex lung function tests (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital)—each occasion at which 1 or more such tests are performed
43.50
Subgroup 5—Vascular
11600
Blood pressure monitoring by intravascular cannula (AU 4)
48.50
11603
Examination of peripheral vessels at rest (unilateral or bilateral) with hard copy recordings of wave forms, involving 1 of the following techniques:(a) Doppler recordings (pulsed, continuous wave, or both) of blood flow velocity with or without pulse volume recordings;(b) Doppler recordings involving real time fast fourier transform analysis;(c) venous occlusion lethysmography;(d) air plethysmography;(e) strain-guage plethysmography;(f) impedance plethysmography;(g) photo plethysmography;(not associated with items 11612 or 11615)—1 examination and report
36.50
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
11606
2 examinations of the kind referred to in item 11603 and report (not associated with item 11612 or 11615)
52.00
11609
3 or more examinations of the kind referred to in item 11603 and report (not associated with item 11612 or 11615)
67.00
11612
Examination of peripheral vessels and report, involving any of the techniques referred to in item 11603, with hard copy recording of wave forms before measured exercise using a treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral)
67.00
11615
Measurement of digital temperature, 1 or more digits, (unilateral or bilateral) and report, with hard copy recording of temperature before and for 10 minutes or more after cold stress testing
53.00
11618
Examination of carotid vessels (unilateral or bilateral) with hard copy recordings of wave forms, involving 1 of the following techniques:(a) Doppler real time fast fourier transform analysis;(b) oculoplethysmography, phonoangiography or both;(c) periorbital Doppler examination;(not associated with item 55201, 55204, 55225 or 55231)—1 examination and report
47.50
11621
2 examinations of the kind referred to in item 11618, and report (not associated with item 55201, 55204, 55225 or 55231)
72.00
11624
3 examinations of the kind referred to in item 11618, and report (not associated with item 55201, 55204, 55225 or 55231)
95.00
11627
Pulmonary artery pressure monitoring during open heart surgery, in a person under 12 years of age
162.00
11630
Pulmonary artery pressure monitoring during open heart surgery, in a person over 12 years of age
60.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
Subgroup 6—Cardiovascular
11700
Twelve-lead electrocardiography, tracing and report
24.50
11703
Twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, not associated with an attendance item in this Schedule, or twelve-lead electrocardiography, tracing only
12.20
11706
Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram—interpretation and report
51.00
11709
Continuous ECG recording (Holter) of ambulatory patient for 12 or more hours involving recording, scanning analysis, interpretation and report, including resting ECG and the recording of other parameters
132.00
11710
Continuous ambulatory ECG monitoring for a minimum of 12 hours and for up to 7 days by a device with facility for the patient to activate permanent recording from magnetic tape or solid state memory for at least 20 seconds prior to each activation of recording and for at least 15 seconds after each activation, including analysis, interpretation and report of recordings
130.00
11712
Electrocardiographic monitoring during exercise (bicycle ergometer or treadmill) or pharmacological stress, involving the continuous attendance of a medical practitioner for not less than 20 minutes, with resting ECG and with or without recording of other parameters, on premises equipped with mechanical respirator and defibrillator
120.00
11713
Signal averaged electrocardiographic recording involving not more than 300 beats, using at least 3 leads with data acquisition at not less than 1000Hz of at least 100 QRS complexes, including analysis, interpretation and report of recording
49.00
11715
Blood dye—dilution indicator test
85.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
11718
Implanted pacemaker testing involving electrocardiography, measurement of rate, width and amplitude of stimulus, including reprogramming when required, not associated with item 11700 or 11721
24.50
11721
Implanted pacemaker testing of atrioventricular (AV) sequential, rate responsive, or antitachycardia pacemakers, including reprogramming when required, not associated with item 11700 or 11718
49.00
Subgroup 7—Gastroenterology and Colorectal
11800
Oesophageal motility test, manometric
122.00
11810
Clinical assessment of gastro-oesophageal reflux disease involving 24 hour pH monitoring, including analysis, interpretation and report and including any associated consultation
120.00
11830
Diagnosis of abnormalities of the pelvic floor involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex
92.00
11833
Diagnosis of abnormalities of the pelvic floor and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency
Urine flow study including peak urine flow measurement, not associated with item 11918
19.40
11903
Cystometrography, not associated with items 11912, 11915, 11918, 11012-11027, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table
78.00
11906
Urethral pressure profilometry, not associated with items 11909, 11918, 11012-11027, 11921, 36800 or any item in Group 3 of the Diagnostic Imaging Services Table
78.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
11909
Urethral pressure profilometry with simultaneous measurement of urethral sphincter electromyography, not associated with items 11906, 11915, 11918, 36800 or any item in Group 3 of the Diagnostic Imaging Services Table
116.00
11912
Cystometrography with simultaneous measurement of rectal pressure, not associated with items 11903, 11915, 11918, 11012-11027, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table (AU 6)
116.00
11915
Cystometrography with simultaneous measurement of urethral sphincter electromyography, not associated with items 11903, 11909, 11912, 11918, 11012-11027, 11921, 36800 or any item in Group I3 of the Diagnostic Imaging Services Table (AU 6)
116.00
11918
Cystometrography with simultaneous measurement of any 1 or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography; and all associated fluoroscopic imaging, not associated with items 11900-11915, 11012-11027, 11921 and 36800 (AU 6)
300.00
11921
Bladder washout test for localization of urinary infection—not including bacterial counts for organisms in specimens
53.00
Subgroup 9—Allergy Testing
12000
Skin sensitivity testing for allergens, using 1 to 20 allergens, not associated with item 12006
27.50
12003
Skin sensitivity testing for allergens, using more than 20 allergens, not associated with item 12009
41.50
12006
Epicutaneous patch testing in the investigation of allergic dermatitis, using 1 to 20 allergens
27.50
12009
Epicutaneous patch testing in the investigation of allergic dermatitis, using more than 20 allergens
41.50
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
Subgroup 10—Intensive Care Management and Procedures
12100
Arterial puncture and collection of blood for diagnostic purposes
16.20
12103
Intra-arterial cannulisation for the purpose of taking multiple arterial blood samples for blood gas analysis
48.50
12106
Counterpulsation by intra-aortic balloon—management on the first day, including percutaneous insertion, initial and subsequent consultations and monitoring of parameters
380.00
12109
Counterpulsation by intra-aortic balloon—management on each day subsequent to the first, including associated consultations and monitoring of parameters
92.00
12112
Circulatory support device, management of, on first day
350.00
12115
Circulatory support device, management of, on each day subsequent to the first
81.00
Subgroup 11—Other Diagnostic Procedures and Investigations
12200
Collection of specimen of sweat by iontophoresis
26.00
GROUP D2—NUCLEAR MEDICINE (NON-IMAGING)
12500
Blood volume estimation
152.00
12503
Erythrocyte radioactive uptake survival time test or iron kinetic test
300.00
12506
Gastrointestinal blood loss estimation involving examination of stool specimens
215.00
12509
Gastrointestinal protein loss
152.00
12512
Radioactive B12 absorption test—1 isotope
74.00
12515
Radioactive B12 absorption test—2 isotopes
162.00
12518
Thyroid uptake (using probe)
74.00
12521
Perchlorate discharge study
89.00
12524
Renal function test (without imaging procedure)
112.00
12527
Renal function test (associated with imaging and at least 2 blood samples)
60.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
12530
Whole body count—not associated with any other item
89.00
CATEGORY 3—THERAPEUTIC PROCEDURES
GROUP T1—MISCELLANEOUS
THERAPEUTIC PROCEDURES
Subgroup 1—Hyperbaric Oxygen Therapy
13000
Hyperbaric oxygen therapy where the medical practitioner is not in the chamber
97.00
13003
Hyperbaric oxygen therapy where the medical practitioner is confined in the chamber
158.00
13006
Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is not confined in the chamber
132.00
13009
Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is confined in the chamber
194.00
Subgroup 2—Dialysis
13100
Supervision in hospital by a medical specialist of—haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in 1 day
96.00
13103
Supervision in hospital by a medical specialist of—haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in 1 day
50.00
13106
Declotting of an arteriovenous shunt
86.00
13109
Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis—insertion and fixation of (AU 8)
160.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
13112
Peritoneal dialysis, establishment of by abdominal puncture and insertion of temporary catheter (including associated consultation)
96.00
Subgroup 3—Assisted Reproductive Services
13200
Assisted reproductive services (such as in vitro fertilisation, gamete intra-fallopian transfer or similar procedures) involving the use of drugs to induce superovulation, and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services—but excluding artificial insemination or transfer of frozen embryos or donated embryos or ova or a service provided under item 13203, 13206 or 13218—being services rendered during 1 treatment cycle, if the duration of the treatment cycle is at least 9 days—a maximum of 6 claims per patient
1,565.00
13203
Ovulation monitoring services, for superovulated treatment cycles of less than 9 days duration and artificial insemination—including quantitative estimation of hormones and ultrasound examinations, being services rendered during 1 treatment cycle but excluding a service provided under item 13200, 13206, 13212, 13215 or 13218
390.00
13206
Assisted reproductive services (such as in vitro fertilisation, gamete intra-fallopian transfer or similar procedures), using unstimulated ovulation or ovulation stimulated only by clomiphene citrate, and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services—but excluding artificial insemination, frozen embryo transfer or donated embryos or ova or treatment involving the use of drugs to induce superovulation—being services rendered during 1 treatment cycle but only if rendered in conjunction with item 13212
670.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
13209
Planning and management of a referred patient by a specialist for the purpose of treatment by assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer and similar procedures, or for artificial insemination—payable once only during 1 treatment cycle (S)
67.00
13212
Oocyte retrieval by any means including laparoscopy or ultrasound-guided ova flushing, for the purposes of assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer or similar procedures—only if rendered in conjunction with item 13200 or 13206 (AU 9)
285.00
13215
Transfer of embryos or both ova and sperm to the female reproductive system, by any means but excluding artificial insemination or the transfer of frozen or donated embryos—only if rendered in conjunction with item 13200 or 13206, being services rendered in 1 treatment cycle (AU 9)
89.00
13218
Preparation and transfer of frozen or donated embryos or both ova and sperm, to the female reproductive system, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in 1 treatment cycle but excluding a service provided under item 13200, 13203, 13206, 13212 or 13215 (AU 9)
670.00
13221
Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination
41.00
Subgroup 4—Paediatric and Neonatal
13300
Umbilical or scalp vein catheterisation in a neonate with or without infusion; or cannulation of a vein
40.00
13303
Umbilical artery catheterisation with or without infusion
60.00
13306
Blood transfusion with venesection and complete replacement of blood, including collection from donor
235.00
13309
Blood transfusion with venesection and complete replacement of blood, using blood already collected
200.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
13312
Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants
20.00
13315
Intra-uterine foetal blood transfusion using blood already collected, including necessary amniocentesis
160.00
13318
Central vein catheterisation (via jugular or subclavian vein) by open exposure, in a person under 12 years of age (AU 12)
160.00
Subgroup 5—Cardiovascular
13400
Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (AU 4)
68.00
Subgroup 6—Gastroenterology
13500
Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage
128.00
13503
Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage
255.00
Subgroup 7—Perfusion
13600
Perfusion of limb or organ using heart-lung machine or equivalent
315.00
13603
Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent
450.00
13606
Induced controlled hypothermia—total body
77.00
Subgroup 8—Haematology
13700
Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (AU 10)
235.00
13703
Administration of blood including collection from donor
84.00
13706
Administration of blood or bone marrow already collected
59.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
13709
Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation
34.00
Subgroup 9—Intensive Care Management and Procedures
13800
Central vein catheterisation (via jugular or subclavian vein) by percutaneous or open exposure, not covered by item 13318 (AU 6)
60.00
13803
Right heart balloon flotation using pulmonary artery catheter, monitoring of right heart and pulmonary wedge pressures, cardiac output and blood oximetry—management on the first day
168.00
13806
Right heart balloon flotation using pulmonary artery catheter, monitoring of right heart and pulmonary wedge pressures, cardiac output and blood oximetry—management on each day subsequent to the first day
42.00
Subgroup 10—Chemotherapeutic procedures
13900
Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent
63.00
13903
Administration of a cytotoxic agent by intravenous drip infusion or by introduction into the bladder
46.00
13906
Intra-arterial infusion or intra-arterial injection of a substance incorporating a cytotoxic agent, preparation for
60.00
13909
Intralymphatic infusion or intralymphatic injection of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium
92.00
13912
Intralymphatic insertion of needle or cannula for the introduction of radioactive material
92.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
Subgroup 11—Dermatology
14050
PUVA therapy or UVB therapy administered in whole body cabinet (not associated with item 14053), including associated consultations other than an initial consultation
41.50
14053
PUVA therapy or UVB therapy administered to localised body areas in a hand and foot cabinet (not associated with item 14050), including associated consultations other than an initial consultation
41.50
Subgroup 12—Other Therapeutic Procedures
14200
Gastric lavage in the treatment of ingested poison
42.00
14203
Hormone or living tissue implantation—by incision
36.00
14206
Hormone or living tissue implantation—by cannula
25.00
GROUP T2—RADIATION ONCOLOGY
Subgroup 1—Superficial
15000
Radiotherapy, superficial (including treatment with x-rays, radium rays or other radioactive substances), not being a service to which any other item in this Group applies—each attendance at which fractionated treatment is given—1 field
30.00
15003
Radiotherapy, superficial—each attendance in a course of treatment where the course involves 3 or more radiotherapy treatments per week at which fractionated treatment is given separately to each of 2 or more fields
Amount under rule 16
15006
Radiotherapy, superficial—attendance in relation to a condition for the treatment of which a single dose to 1 field only is given
67.00
15009
Radiotherapy, superficial—attendance in relation to a condition for the treatment of which a single dose is given separately to each of 2 or more fields
Amount under rule 17
15012
Radiotherapy, superficial—each attendance at which treatment is given to an eye
37.50
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
Subgroup 2—Orthovoltage
15100
Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves 3 or more radiotherapy treatments per week at which fractionated treatment is given to 1 field only
33.50
15103
Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves 3 or more radiotherapy treatments per week at which fractionated treatment is given separately to each of 2 or more fields
Amount under rule 16
15106
Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves not more than 2 radiotherapy treatments per week at which fractionated treatment is given to 1 field only
39.50
15109
Radiotherapy, deep or orthovoltage—each attendance in a course of treatment where the course involves not more than 2 radiotherapy treatments per week at which fractionated treatment is given separately to each of 2 or more fields
Amount under rule 16
15112
Radiotherapy, deep or orthovoltage—attendance in relation to a condition for the treatment of which a single dose to 1 field only is given (not being a service to which any other item in this Part applies)
85.00
15115
Radiotherapy, deep or orthovoltage—attendance in relation to a condition for the treatment of which only a single dose is separately given to each of 2 or more fields (not being a service to which any other item in this Group applies)
Amount under rule 17
Subgroup 3—Megavoltage
15203
Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities—each attendance at which treatment is given—1 field
33.00
15204
Radiation oncology treatment, using a single photon energy linear accelerator, with or without electron facilities—each attendance at which treatment is given—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)
Amount under rule 16
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
15207
Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of 10 MV photons or greater, with electron facilities—each attendance at which treatment is given—1 field
33.00
15208
Radiation oncology treatment, using a dual photon energy linear accelerator with a minimum higher energy of 10 MV photons or greater, with electron facilities—each attendance at which treatment is given—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)
Amount under rule 16
15211
Radiation oncology treatment, using cobalt unit or caesium teletherapy unit—each attendance at which treatment is given—1 field
30.00
15214
Radiation oncology treatment, using cobalt unit or caesium teletherapy unit—each attendance at which treatment is given—2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)
Amount under rule 16
Subgroup 4—Brachytherapy
15303
Intrauterine treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 5)
250.00
15304
Intrauterine treatment alone using radioactive sealed sources having a half life greater than 115 days using automatic afterloading techniques (AU 5)
250.00
15307
Intrauterine treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (AU 5)
475.00
15308
Intrauterine treatment alone using radioactive sealed sources having a half life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (AU 5)
475.00
15311
Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 4)
235.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
15312
Intravaginal treatment alone using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (AU 4)
235.00
15315
Intravaginal treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using manual afterloading techniques (AU 4)
460.00
15316
Intravaginal treatment alone using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium or tantalum using automatic afterloading techniques (AU 4)
460.00
15319
Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (AU 5)
285.00
15320
Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (AU 5)
285.00
15323
Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium, or tantalum using manual afterloading techniques (AU 4)
510.00
15324
Combined intrauterine and intravaginal treatment using radioactive sealed sources having a half-life of less than 115 days including iodine, gold, iridium, or tantalum using automatic afterloading techniques (AU 4)
510.00
15327
Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using manual afterloading techniques (AU 7)
555.00
15328
Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a region, under general anaesthesia, or epidural or spinal (intrathecal) nerve block, requiring surgical exposure and using automatic afterloading techniques (AU 7)
550.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
15331
Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using manual afterloading techniques (AU 6)
525.00
15332
Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site (including the tongue, mouth, salivary gland, axilla, subcutaneous sites), where the volume treated involves multiple planes but does not require surgical exposure and using automatic afterloading techniques (AU 6)
525.00
15335
Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using manual afterloading techniques (AU 5)
475.00
15336
Implantation of a sealed radioactive source (having a half-life of less than 115 days including iodine, gold, iridium or tantalum) to a site where the volume treated involves only a single plane but does not require surgical exposure and using automatic afterloading techniques (AU 5)
475.00
15339
Removal of a sealed radioactive source under general anaesthesia, or under epidural or spinal nerve block (AU 4)
54.00
15342
Construction and application of a radioactive mould using a sealed source having a half-life of greater than 115 days, to treat intracavity, intraoral or intranasal site
134.00
15345
Construction and application of a radioactive mould using a sealed source having a half-life of less than 115 days including iodine, gold, iridium or tantalum to treat intracavity, intraoral or intranasal sites
360.00
15348
Subsequent applications of radioactive mould referred to in item 15342 or 15345—each attendance
41.00
15351
Construction and first application of a radioactive mould not exceeding 5 cm in diameter to an external surface
82.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
15354
Construction and first application of a radioactive mould more than 5 cm in diameter to an external surface
100.00
15357
Attendance upon a patient to apply a radioactive mould constructed for application to an external surface of the patient other than an attendance which is the first attendance to apply the mould—each attendance
28.00
Subgroup 5—Computerised Planning
15500
Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of a single area for treatment by a single field or parallel opposed fields (not associated with item 15509)
134.00
15503
Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of a single area, where views in more than 1 plane are required for treatment by multiple fields, or of 2 areas (not associated with item 15512)
172.00
15506
Radiation field setting using a simulator or isocentric x-ray or megavoltage machine of three or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of off-axis fields or several joined fields (not associated with item 15515)
255.00
15509
Radiation field setting using a diagnostic x-ray unit of a single area for treatment by a single field or parallel opposed fields (not associated with item 15500)
116.00
15512
Radiation field setting using a diagnostic x-ray unit of a single area, where views in more than 1 plane are required for treatment by multiple fields, or of 2 areas (not associated with item 15503)
150.00
15515
Radiation field setting using a diagnostic x-ray unit of 3 or more areas, or of total body or half body irradiation, or of mantle therapy or inverted Y fields, or of irregularly shaped fields using multiple blocks, or of off-axis fields or several joined fields (not associated with item 15506)
215.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
15518
Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to 1 area with up to 2 shielding blocks, or for brachytherapy with isodose calculations in a single plane
42.50
15521
Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used, or for brachytherapy for multiplane implants of up to 10 sources or ribbons
188.00
15524
Radiation Dosimetry by a CT interfacing planning computer for megavoltage or teletherapy radiotherapy to 3 or more areas, or by mantle fields or inverted Y fields or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields, or for brachytherapy using multiplane implants of more than 10 sources or ribbons
350.00
15527
Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy by a single field or parallel opposed fields to 1 area with up to 2 shielding blocks, or for brachytherapy with isodose calculations in a single plane
43.50
15530
Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to a single area by 3 or more fields, or by a single field or parallel opposed fields to 2 areas, or where wedges are used, or for brachytherapy for multiplane implants of up to 10 sources or ribbons
194.00
15533
Radiation Dosimetry by a non-CT interfacing planning computer for megavoltage or teletherapy radiotherapy to 3 or more areas, or by mantle fields or inverted Y fields, or tangential fields or irregularly shaped fields using multiple blocks, or off-axis fields, or several joined fields, or for brachytherapy using multiplane implants of more than 10 sources or ribbons
370.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
GROUP T3—Therapeutic Nuclear Medicine
16000
Administration of a therapeutic dose of a radioisotope—not being a service to which any other item in this Group applies
28.50
16003
Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis) (AU 5)
460.00
16006
Administration of a therapeutic dose of iodine 131 for thyroid cancer by single dose technique
350.00
16009
Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique
240.00
16012
Intravenous administration of a therapeutic dose of Phosphorous 32
210.00
GROUP T4—OBSTETRICS
16500
Antenatal care (not including any service or services to which item 16516 or 16517 applies) where the attendances do not exceed 10—each attendance
21.50
16503
Antenatal care (not including any service or services to which item 16516 or 16517 applies) where the attendances exceed 10
215.00
16506
Confinement and postnatal care for 9 days where the medical practitioner has not given the antenatal care (G)
168.00
16507
Confinement and postnatal care for 9 days where the medical practitioner has not given the antenatal care (S)
285.00
16510
Confinement as an independent procedure, including all related attendances (S)
245.00
16513
Confinement, incomplete, with or without postnatalcare for 9 days where the patient is referred to a specialist in the practice of his or her specialty or the patient's care is transferred to another medical practitioner for completion of the delivery
112.00
16516
Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for 9 days (G)
475.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
16517
Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (S)
615.00
16520
Caesarean section and postnatal care for 9 days where the patient has been referred to a specialist in the practice of his or her specialty or the patient's care has been transferred to another medical practitioner for management of the confinement and the practitioner who performed the Caesarean section did not provide the antenatal care
440.00
16523
Treatment of habitual miscarriage by injection of hormones—each injection up to a maximum of 12 injections, where the injection is not administered during a routine antenatal attendance
15.60
16526
Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of—each attendance that is not a routine antenatal attendance
15.60
16529
Polyhydramnios, unstable lie, multiple pregnancy, pregnancy complicated by diabetes or anaemia, threatened premature labour treated by bed rest only or oral medication, requiring admission to hospital—each attendance that is not a routine antenatal attendance, to a maximum of 2 attendances in any 7 day period
15.60
16532
Pregnancy complicated by acute intercurrent infection, intrauterine growth retardation, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital—each attendance that is not a routine antenatal attendance, to a maximum of 1 visit per day
Cervix, purse string ligation of, for threatened miscarriage (S) (AU 6)
154.00
16539
Cervix, removal of purse string ligature of, under general anaesthesia (AU 5)
44.50
16542
Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of—each attendance that is not a routine antenatal attendance
15.60
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
16545
Management of second trimester labour, with or without induction (G)
168.00
16546
Management of second trimester labour, with or without induction (S)
210.00
16549
Amnioscopy or amniocentesis
44.50
16552
Chorionic villus sampling including any associated imaging
180.00
16555
Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement)
26.00
16558
Version, external, under general anaesthesia (AU 6)
44.50
16561
Version, internal, under general anaesthesia (AU 6)
80.00
16564
Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances
122.00
16567
Treatment of post-partum haemorrhage by special procedures such as packing of uterus as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances
122.00
16570
Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances
245.00
16573
Third degree tear, repair of, involving anal sphincter muscles as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances
184.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
GROUP T5—ASSISTANCE IN THE ADMINISTRATION OF AN ANAESTHETIC
17500
Assistance in the administration of an anaesthetic where the administration of the anaesthetic is in connection with a medical service that contains the reference (AU 21), (AU 22), (AU 23), (AU 24), (AU 25), (AU 26), (AU 27), (AU 28), (AU 29), (AU 30), (AU 32), (AU 34), (AU 35), (AU 36), (AU 38), (AU 39), (AU 40), (AU 47), (AU 50) or (AU 59)
96.00
GROUP T6—ANAESTHETICS
Subgroup 1—Examination by an Anaesthetist
17600
Examination of a patient by other than a specialist in the practice of his or her speciality in preparation for the administration of an anaesthetic, being an examination carried out at a place other than an operating theatre or an anaesthetic induction room
22.00
17603
Examination of a patient by a specialist in the practice of his or her speciality in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered, being an examination carried out at a place other than an operating theatre or an anaesthetic induction room
30.00
Subgroup 2—Administration of an Anaesthetic in connection with a Medical Service
17901
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 1)
13.00
17902
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 2)
26.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
17903
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 3)
38.50
17904
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 4)
52.00
17905
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 5)
65.00
17906
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 6)
77.00
17907
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 7)
90.00
17908
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 8)
104.00
17909
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 9)
116.00
17910
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 10)
130.00
17911
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 11)
142.00
17912
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 12)
154.00
17913
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 13)
168.00
17914
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 14)
180.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
17915
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 15)
194.00
17916
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 16)
205.00
17917
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 17)
220.00
17918
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 18)
230.00
17919
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 19)
245.00
17920
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 20)
260.00
17921
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 21)
270.00
17922
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 22)
285.00
17923
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 23)
295.00
17924
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 24)
310.00
17925
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 25)
325.00
17926
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 26)
335.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
17927
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 27)
350.00
17928
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 28)
360.00
17929
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 29)
375.00
17930
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 30)
385.00
17931
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 31)
400.00
17932
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 32)
415.00
17933
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 33)
425.00
17934
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 34)
440.00
17935
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 35)
450.00
17936
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 36)
465.00
17938
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 38)
490.00
17939
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 39)
505.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
17940
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 40)
515.00
17942
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 42)
540.00
17944
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 44)
570.00
17946
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 46)
595.00
17947
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 47)
605.00
17950
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 50)
645.00
17952
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 52)
670.00
17958
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 58)
750.00
17959
Administration of an anaesthetic in connection with a medical service, being a medical service that contains the reference (AU 59)
760.00
17965
Administration of an anaesthetic in connection with radio-therapy
77.00
17968
Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, rotation of head followed by delivery
90.00
17971
Administration of an anaesthetic in connection with a medical service, being a medical service that does not contain a reference to a number of anaesthetic units
13.00
17974
Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure
130.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
17977
Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 44376
Amount under rule 18
17980
Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study
104.00
17983
Administration of an anaesthetic in connection with computerised axial tomography—body scan, plain study with or without contrast medium study
104.00
17986
Administration of an anaesthetic associated with the removal of phaeochromocytoma
205.00
17989
Administration of an anaesthetic associated with peripheral venous cannula
52.00
17992
Administration of an anaesthetic associated with peripheral venous cannulation by open exposure
64.00
17995
Administration of an anaesthetic associated with percutaneous central venous cannulation
64.00
17998
Administration of an anaesthetic associated with electrocochleography (insertion of electrodes and brain stem evoded response audiometry)
142.00
18001
Administration of an anaesthetic associated with manual removal of products of conception, treatment of postpartum haemorrhage or repair of third degree tear
90.00
18004
Administration of an anaesthetic associated with manipulative correction of acute inversion of uterus by vaginal approach
104.00
18007
Administration of an anaesthetic associated with caesarean section
130.00
18010
Administration of an anaesthetic associated with repair of episiotomy
65.00
18013
Administration of an anaesthetic in connection with magnetic resonance imaging services provided at prescribed locations
142.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
Subgroup 3—Administration of an Anaesthetic in connection with a Dental Service
18102
Administration by a medical practitioner of an anaesthetic in connection with a dental operation other than for teeth extraction or restorative dental work where the procedure is less than 15 minutes duration
51.00
18103
Administration by a medical practitioner of an anaesthetic in connection with a dental operation other than for teeth extraction or restorative dental work where the procedure is more than 15 minutes duration
90.00
18105
Administration by a medical practitioner of an anaesthetic for extraction of a tooth or teeth, not being a service to which item 18109 applies
77.00
18109
Administration by a medical practitioner of an anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone
104.00
18113
Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration
77.00
18118
Administration by a medical practitioner of an anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration
130.00
GROUP T7—REGIONAL OR FIELD NERVE BLOCKS
18200
Regional or field nerve block, being 1 of the following nerve blocks—abdominal (in association with an intraperitoneal operation), brachial plexus, caudal, cervical plexus (not including the uterine cervix), epidural (peridural), ilio-inguinal, ilio- hypogastric, genito-femoral including all three nerves, intercostal (involving any 4 or more nerves, 1 or both sides), paravertebral (thoracic or lumbar), pudendal, retrobulbar with facial nerve, sacral or spinal (intrathecal)
65.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
18203
Maintenance of a regional or field nerve block referred to in item 18200 by the administration of local anaesthetic through an in situ needle or catheter, when performed other than by the operating surgeon
28.50
18206
Introduction of a narcotic, for the control of post-operative pain, into the epidural or intrathecal space in association with an operation
35.50
18209
Introduction at the end of an operation of a local anaesthetic into the caudal, lumbar or thoracic epidural space for the control of post-operative pain, in association with general anaesthesia
35.50
18212
Maintenance of narcotic analgesia referred to in item 18206 by the administration of a narcotic through an in situ needle or catheter, when performed other than by the operating surgeon
28.50
18215
Nerve block with local anaesthetic agent of the coeliac plexus, the lumbar sympathetic chain, the thoracic sympathetic chain, the glossopharyngeal nerve or the obturator nerve, with or without X-ray control (AU 8)
97.00
18218
Nerve block with alcohol, phenol or other neurolytic agent of the coeliac plexus, the splanchnic nerves, the lumbar sympathetic chain, the thoracic sympathetic chain or a cranial nerve (other than the trigeminal nerve) or an epidural or caudal block with or without X-ray control, localization by electrical stimulator or preliminary block with local anaesthetic (AU 8)
108.00
18224
Intravenous regional anaesthesia of limb by retrograde perfusion
63.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
GROUP T8—SURGICAL OPERATIONS
Subgroup 1—General
30000
Operative procedure on tissue, organ or region (not being a service to which any other item in this Group applies), including any consultation on the same occasion
13.00
30003
Dressing of localised burns (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation
21.50
30006
Dressing of burns, extensive, without anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation
32.50
30009
Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (G) (AU 7)
42.50
30010
Dressing of localised burns under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (S) (AU 7)
52.00
30013
Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (G) (AU 10)
92.00
30014
Dressing of burns, extensive, under general anaesthesia (not involving grafting)—each attendance at which the procedure is performed, including any associated consultation (S) (AU 10)
110.00
30017
Excision, under general anaesthesia, of burns involving not more than 10% of body surface, where grafting is not carried out during the same operation (AU 10)
230.00
30020
Excision, under general anaesthesia, of burns involving more than 10% of body surface, where grafting is not carried out during the same operation (AU 15)
445.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30023
Debridement, under general anaesthesia or major regional or field block, of deep or extensive contaminated wound of soft tissue, including suturing of that wound when performed (AU 10)
230.00
30026
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 cm long), superficial, not being a service to which any other item in Group T4 applies (AU 5)
36.50
30029
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 centimetres long), involving deeper tissue, not being a service to which any other item in Group T4 applies (AU 6)
63.00
30032
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 cm long), superficial (AU 7)
58.00
30035
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 cm long), involving deeper tissue (AU 7)
83.00
30038
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 cm long), superficial, not being a service to which any other item in Group T4 applies (AU 6)
63.00
30041
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 cm long), involving deeper tissue, not being a service to which any other item in Group T4 (G) applies (AU 7)
102.00
30042
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 cm long), involving deeper tissue, not being a service to which any other item in Group T4 applies (S) (AU 7)
130.00
30045
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), superficial (AU 7)
83.00
30048
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), involving deeper tissue (G) (AU 8)
106.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30049
Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 cm long), involving deeper tissue (S) (AU 8)
130.00
30052
Repair of full thickness laceration of ear, eyelid or nose with accurate apposition of each layer of tissue (AU 10)
178.00
30055
Dressing and removal of sutures requiring a general anaesthetic, not associated with any other item in this Group (AU 5)
52.00
30058
Control of post-operative haemorrhage under general anaesthesia following perineal or vaginal operations (AU 6)
102.00
30061
Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (AU 5)
16.60
30064
Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (AU 6)
77.00
30067
Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (G) (AU 7)
158.00
30068
Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (S) (AU 7)
194.00
30071
Biopsy of skin or mucous membrane, as an independent procedure (AU 5)
36.50
30074
Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (G) (AU 6)
83.00
30075
Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (S) (AU 6)
106.00
30078
Drill biopsy of lymph gland, deep tissue or organ, as an independent procedure (AU 5)
34.00
30081
Biopsy of bone marrow by trephine using an open approach (AU 5)
77.00
30084
Biopsy of bone marrow by trephine using a percutaneous approach with a Jamshidi needle or similar device (AU 5)
41.50
30087
Biopsy of bone marrow by aspiration or punch biopsy of synovial membrane (AU 5)
21.00
30090
Biopsy of pleura, percutaneous—one or more biopsies on any 1 occasion (AU 5)
91.00
30093
Needle biopsy of vertebra (AU 8)
120.00
30094
Percutaneous aspiration biopsy of deep organ using interventional techniques—but not including imaging (AU 6)
134.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30096
Scalene node biopsy (AU 5)
130.00
30099
Sinus, excision of, involving superficial tissue only (AU 6)
63.00
30102
Sinus, excision of, involving muscle and deep tissue (G) (AU 7)
106.00
30103
Sinus, excision of, involving muscle and deep tissue (S) (AU 7)
130.00
30106
Ganglion or small bursa, excision of (G) (AU 6)
110.00
30107
Ganglion or small bursa, excision of (S) (AU 6)
154.00
30110
Bursa (large), including olecranon, calcaneum or patella, excision of (G) (AU 6)
200.00
30111
Bursa (large), including olecranon, calcaneum or patella, excision of (S) (AU 6)
260.00
30114
Bursa, semimembranosus (Baker's cyst), excision of (AU 7)
260.00
30117
Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 30121, 30125, 30129, 30132 or 30195 applies (G) (AU 6)
68.00
30118
Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 30122, 30126, 30129, 30132 or 30195 applies (S) (AU 6)
89.00
30121
Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not being a service to which item 30195 applies (G) (AU 9)
178.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30122
Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not being a service to which item 30195 applies (S) (AU 9)
230.00
30125
Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not being a service to which item 30195 applies (G) (AU 13)
240.00
30126
Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not being a service to which item 30195 applies (S) (AU 13)
285.00
30129
Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 20 but not more than 50 lesions, not being a service to which item 30195 applies (AU 15)
355.00
30132
Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 50 lesions, not being a service to item 30195 applies (AU 17)
485.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30135
Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (G) (AU 6)
100.00
30136
Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (S) (AU 6)
122.00
30139
Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which any other item in this Group applies, involving muscle, bone or other deep tissue (G) (AU 8)
138.00
30140
Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which any other item in this Group applies, involving muscle, bone or other deep tissue (S) (AU 8)
174.00
30143
Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not being a service to which any other item in this Group applies (G) (AU 8)
230.00
30144
Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not being a service to which any other item in this Group applies (S) (AU 8)
260.00
30147
Malignant tumour, removal of, from skin, requiring wide and deep excision, other than removal of basal cell carcinoma (AU 8)
280.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30150
Malignant tumour, removal of, from skin, requiring wide and deep excision with immediate block dissection of lymph glands (AU 13)
590.00
30153
Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin graft (AU 8)
355.00
30156
Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin graft (AU 10)
415.00
30159
Malignant tumour, removal of, from any region involving a radical operation (not being a service to which any other item in this Group applies) (AU 13)
590.00
30162
Malignant tumour, removal of, from any region involving a limited operation, other than removal of basal cell carcinoma (not not being a service to which any other item in this Group applies) (AU 8)
280.00
30165
Lipectomy—transverse wedge excision of abdominal apron (AU 10)
320.00
30168
Lipectomy—wedge excision of skin or fat (not being a service to which item 30165 applies)—1 excision (AU 10)
320.00
30171
Lipectomy—wedge excision of skin or fat (not being a service to which item 30165 applies)—2 or more excisions (AU 12)
485.00
30174
Lipectomy—subumbilical excision with undermining of skin edges and strengthening of musculo-aponeurotic wall (AU 12)
485.00
30177
Lipectomy—radical abdominoplasty (Pitanguy type or similar) with excision of skin and subcutaneous tissue, repair of musculo-aponeurotic layer and transposition of umbilicus (AU 18)
695.00
30180
Axillary hyperhidrosis, wedge excision for (AU 7)
96.00
30183
Axillary hyperhidrosis, total excision of sweat gland bearing area (AU 10)
172.00
30186
Plantar wart, removal of (AU 5)
33.50
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30189
Warts or molluscum contagiosum, removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital or approved day hospital facility, not associated with any other item in this Group (AU 6)
104.00
30192
Premalignant skin lesions, treatment of, by galvanocautery or electrodesiccation or cryocautery (10 or more lesions) (AU 4)
28.00
30195
Neoplastic skin lesions, excluding viral verrucae (common warts) and seborrheic keratoses, treatment by electrosurgical destruction, simple curettage or shave excision, not being a service to which item 30198, 30201 or 30204 applies—(1 or more lesions) (AU 4)
44.50
30198
Cancer of skin or mucous membrane, removal by serial curettage or liquid nitrogen cryosurgery using repeat freeze-thaw cycles, not being a service to which item 30201 or 30204 applies (AU 6)
89.00
30201
Cancer of skin or mucous membrane, removal by serial curettage or liquid nitrogen cryosurgery using repeat freeze-thaw cycles (more than 3 but not more than 10 lesions) (AU 9)
225.00
30204
Cancer of skin or mucous membrane, removal by serial curettage or liquid nitrogen cryosurgery using repeat freeze-thaw cycles (more than 10 lesions) (AU 13)
285.00
30207
Skin lesions, multiple injections with hydrocortisone or similar preparations
31.50
30210
Keloid and other skin lesions, extensive, multiple injections of hydrocortisone or similar preparations where undertaken in the operating theatre of a hospital or approved day-hospiatl facility (AU 5)
114.00
30213
Telangiectases or starburst vessels, diathermy or sclerosant injection of, including associated consultation—for a session of at least 20 minutes
77.00
30216
Haematoma, aspiration of (AU 4)
19.20
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30219
Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of (excluding after-care)
19.20
30222
Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (G) (AU 5)
83.00
30223
Large haematoma, large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding aftercare) (S) (AU 5)
114.00
30224
Percutaneous drainage of deep abscess using interventional techniques—but not including imaging (AU 7)
168.00
30225
Abscess drainage tube, exchange of using interventional techniques—but not including imaging (AU 5)
188.00
30226
Muscle, excision of (limited) or fasciotomy (AU 6)
106.00
30229
Muscle, excision of (extensive) (AU 7)
192.00
30232
Muscle, ruptured, repair of (limited), not associated with external wound (AU 7)
158.00
30235
Muscle, ruptured, repair of (extensive), not associated with external wound (AU 7)
210.00
30238
Fascia, deep, repair of, for herniated muscle (AU 7)
106.00
30241
Bone tumour, innocent, excision of, not being a service to which any other item in this Group applies (AU 7)
250.00
30244
Styloid process of temporal bone, removal of (AU 7)
250.00
30247
Parotid gland, total extirpation of (AU 15)
520.00
30250
Parotid gland, total extirpation of with preservation of facial nerve (AU 18)
880.00
30253
Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve (AU 14)
590.00
30256
Submandibular gland, extirpation of (AU 8)
315.00
30259
Sublingual gland, extirpation of (AU 7)
138.00
30262
Salivary gland, dilatation or diathermy of duct (AU 6)
41.50
30265
Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (G) (AU 7)
83.00
30266
Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures (S) (AU 7)
106.00
30269
Salivary gland, repair of cutaneous fistula of (AU 7)
106.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30272
Tongue, partial excision of (AU 7)
210.00
30275
Radical excision of intra-oral tumour involving resection of mandible and lymph glands of neck (commando-type operation) (AU 18)
1,240.00
30278
Tongue tie, repair of, not being a service to which any other item in this Group applies(AU 6)
32.50
30281
Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a person aged not less than 2 years, under general anaesthesia (AU 6)
84.00
30282
Ranula or mucous cyst of mouth, removal of (G) (AU 9)
110.00
30283
Ranula or mucous cyst of mouth, removal of (S) (AU 9)
144.00
30286
Branchial cyst, removal of (AU 9)
280.00
30289
Branchial fistula, removal of (AU 9)
355.00
30292
Cystic hygroma, removal of massive lesion requiring extensive excision—with or without thoracotomy (AU 11)
675.00
30293
Cervical oesophagostomy; or closure of cervical oesophagostomy with or without plastic repair (AU 13)
315.00
30294
Cervical oesophagectomy with tracheostomy and oesophagostomy, with or without plastic reconstruction; or laryngopharyngectomy with tracheostomy and plastic reconstruction (AU 22)
1,240.00
30296
Thyroidectomy, total (AU 14)
720.00
30297
Thyroidectomy following previous thyroid surgery (AU 14)
720.00
30306
Total hemithyroidectomy (AU 12)
565.00
30308
Bilateral subtotal thyroidectomy (AU 12)
565.00
30309
Thyroidectomy, subtotal for thyrotoxicosis (AU 10)
720.00
30310
Thyroid, unilateral sub-total thyroidectomy or equivalent partial thyroidectomy (AU 10)
320.00
30313
Thyroglossal cyst, removal of (AU 10)
192.00
30314
Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone (AU 10)
320.00
30315
Parathyroid operation for hyperparathyroidism (AU 16)
805.00
30317
Cervical re-exploration for recurrent or persistent hyperparathyroidism (AU 20)
960.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30318
Mediastinum, exploration of, via the cervical route, for hyperparathyroidism (including thymectomy) (AU 15)
640.00
30320
Mediastinum, exploration of, via mediastinotomy, for hyperparathyroidism (including thymectomy) (AU 17)
960.00
30321
Retroperitoneal neuroendocrine tumour, removal of (AU 15)
Lymph glands of groin, radical excision of (AU 13)
505.00
30332
Lymph glands of axilla, limited excision of (AU 9)
174.00
30333
Lymph glands of axilla, radical excision of (AU 13)
505.00
30337
Simple mastectomy with or without frozen section biopsy (G) (AU 9)
230.00
30338
Simple mastectomy with or without frozen section biopsy (S) (AU 9)
315.00
30341
Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G) (AU 7)
138.00
30342
Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S) (AU 7)
180.00
30345
Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (G) (AU 8)
184.00
30346
Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason, where frozen section biopsy is performed or where specimen radiography is used (S) (AU 8)
230.00
30349
Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (G) (AU 8)
184.00
30350
Partial mastectomy involving more than one quarter of the breast tissue with or without frozen section biopsy (S) (AU 8)
230.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30353
Breast, extended simple mastectomy with or without frozen section biopsy (AU 12)
415.00
30356
Subcutaneous mastectomy with or without frozen section biopsy (AU 12)
385.00
30359
Breast, radical or modified radical mastectomy with or without frozen section biopsy (AU 16)
610.00
30360
Fine needle breast biopsy, imaging guided—but not including imaging (AU 6)
134.00
30361
Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional techniques—but not including imaging (AU 6)
134.00
30363
Breast, core biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination (AU 7)
97.00
30364
Breast, exploration and drainage of haematoma, seroma or inflammatory condition including abscess, granulomatous mastitis or similar, when undertaken in the operating theatre of a hospital or day- hospital facility, excluding aftercare (AU 8)
114.00
30366
Breast, microdochotomy of, for benign or malignant condition (AU 12)
235.00
30367
Breast central ducts, excision of, for benign condition (AU 12)
188.00
30369
Accessory breast tissue, excision of (AU 8)
188.00
30370
Inverted nipple, surgical eversion of (AU 7)
106.00
30372
Accessory nipple, excision of (AU 7)
89.00
30373
Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (AU 9)
340.00
30375
Laparotomy involving caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel's diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty (adult) or drainage of pancreas (AU 11)
365.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30376
Laparotomy involving division of peritoneal adhesions (where no other intra-abdominal procedure is performed) (AU 14)
365.00
30378
Laparotomy involving division of adhesions in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes (AU 14)
370.00
30379
Laparotomy with division of extensive adhesions (duration greater than 2 hours) with or without insertion of long intestinal tube (AU 20)
655.00
30381
Faecal fistula, abdominal repair of, by simple excision of bowel (AU 12)
495.00
30384
Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (AU 14)
775.00
30385
Laparotomy for control of post-operative haemorrhage, where no other procedure is performed (AU 11)
395.00
30387
Laparotomy involving operation on abdominal viscera (including pelvic viscera), not being a service to which any other item in this Group applies (AU 12)
445.00
30390
Laparoscopy, diagnostic (AU 7)
154.00
30391
Laparoscopy, with biopsy (AU 7)
200.00
30394
Laparotomy for drainage of subphrenic abscess, pelvic abscess, appendiceal abscess, ruptured appendix or for peritonitis from any cause, with or without appendicectomy (AU 10)
345.00
30400
Laparotomy with insertion of portacath for administration of cytotoxic therapy including placement of reservoir (AU 11)
445.00
30402
Retroperitoneal abscess, drainage of, not involving laparotomy (AU 9)
325.00
30403
Ventral, incisional, or recurrent hernia or burst abdomen, repair of (AU 10)
365.00
30406
Paracentesis abdominis
36.50
30409
Liver biopsy, percutaneous (AU 6)
122.00
30411
Liver biopsy by wedge excision when performed in association with another intra-abdominal procedure (AU 11)
63.00
30431
Liver abscess, open abdominal drainage of (AU 11)
365.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30439
Operative cholangiography or operative pancreatography or intra-operative ultrasound (including 1 or more examinations performed during the one operation) (AU 10)
130.00
30440
Cholangiogram, percutaneous transhepatic, and biliary drainage, using interventional techniques—but not including imaging (AU 11)
370.00
30442
Choledochoscopy in association with another procedure (AU 7)
130.00
30443
Cholecystectomy (AU 11)
520.00
30451
Biliary drainage tube, exchange of, using interventional techniques—but not including imaging (AU 6)
188.00
30454
Choledochotomy (with or without cholecystectomy), with or without removal of calculi (AU 13)
610.00
30455
Choledochotomy (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis (AU 18)
715.00
30458
Transduodenal operation on sphincter of Oddi, involving one or more of, removal of calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with or without choledochotomy (AU 15)
715.00
30460
Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (AU 15)
610.00
30461
Radical resection of porta hepatis for gall bladder or common bile duct carcinoma with biliary-enteric anastomoses, not associated with item 30443, 30454, 30455, 30458 or 30460 (AU 19)
1,040.00
30473
Oesophagoscopy (not covered by Item 41816 or 41822), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with or without biopsy, not associated with Item 30444 or 30447 (AU 6)
138.00
30475
Endoscopy with balloon dilatation of gastric or gastroduodenal stricture (AU 7)
250.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30476
Oesophagoscopy (not covered by Item 41816 or 41822), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with endoscopic sclerosing injection of oesophageal or gastric varices, not associated with Item 30441 or 30447 (AU 7)
192.00
30478
Oesophagoscopy (not covered by item 41816, 41822 or 41825), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures), with one or more of the following endoscopic procedures—polypectomy, removal of foreign body, diathermy, heater probe or laser coagulation, or sclerosing injection of bleeding upper gastointestional lesions, not associated with item 30473 or 30476 (AU 7)
192.00
30479
Endoscopic laser therapy for malignancy of upper or lower gastrointestinal tract (AU 12)
Gastro-enterostomy (including gastro-duodenostomy) or entero-colostomy or entero-enterostomy (AU 12)
495.00
30517
Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction of (AU 14)
650.00
30518
Partial gastrectomy (AU 15)
695.00
30520
Gastric tumour, removal of, by local excision, not covered by item 30518 (AU 15)
475.00
30521
Gastrectomy, total, for benign disease (AU 19)
1,020.00
30523
Gastrectomy, sub-total radical, for carcinoma, (including splenectomy when performed) (AU 19)
1,065.00
30524
Gastrectomy, total radical, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) (AU 21)
1,170.00
30526
Gastrectomy, total, and including lower oesophagus, performed by left thoraco-abdominal incision or opening of diaghragmatic hiatus, (including splenectomy when performed) (AU 25)
1,520.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30527
Antireflux operation by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus—not covered by Item 30601 (AU 18)
615.00
30529
Antireflux operation by fundoplasty, with oesophagoplasty for stricture or short oesophagus (AU 20)
920.00
30530
Antireflux operation by cardiopexy, with or without fundoplasty (AU 20)
550.00
30532
Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus (AU 17)
635.00
30533
Oesophagogastric myotomy (heller's operation) via abdominal or thoracic approach, with fundoplasty, with or without closure of the diaphragmatic hiatus (AU 18)
755.00
30535
Oesophagectomy with gastric reconstruction by abdominal mobilisation and right thoracotomy (AU 27)
2,020.00
30536
Oesophagectomy involving gastric reconstruction by abdominal mobilisation, right thoracotomy and anastomosis in the neck—one surgeon (AU 31)
1,210.00
30538
Oesophagectomy involving gastric reconstruction by abdominal mobilisation, right thoracotomy and anastomosis in the neck—conjoint surgery, principal surgeon (including aftercare) (AU 31)
840.00
30539
Oesophagectomy involving gastric reconstructinon by abdominal mobilisation, right thoracotomy and anastomosis in the neck- conjoint surgery, co- surgeon
615.00
30541
Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement—one surgeon (AU 31)
1,070.00
30542
Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement—conjoint surgery, principal surgeon (including aftercare) (AU 31)
725.00
30544
Oesophagectomy, by transhiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement—conjoint surgery, co-surgeon
530.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30545
Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis)—one surgeon (AU 31)
1,295.00
30547
Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis)—conjoint surgery, principal surgeon (including aftercare) (AU 31)
890.00
30548
Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis)—conjoint surgery, co-surgeon
665.00
30550
Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck)—one surgeon (AU 31)
1,455.00
30551
Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck)—conjoint surgery, principal surgeon (including aftercare) (AU 31)
1,005.00
30553
Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck)—conjoint surgery, co-surgeon
740.00
30554
Oesophagectomy with reconstruction by free jejunal graft—one surgeon (AU 31)
1,615.00
30556
Oesophagectomy with reconstruction by free jejunal graft—conjoint surgery, principal surgeon (including aftercare) (AU 31)
1,115.00
30557
Oesophagectomy with reconstruction by free jejunal graft—conjoint surgery, co-surgeon
825.00
30559
Oesophagus, local excision for tumour of (AU 21)
600.00
30560
Oesophageal perforation, repair of, by thoracotomy (AU 25)
665.00
30562
Enterostomy or colostomy, closure of—not involving resection of bowel (AU 11)
420.00
30563
Colostomy or ileostomy, refashioning of (AU 10)
420.00
30565
Small intestine, resection of, without anastomosis (including formation of stoma) (AU 17)
615.00
30566
Small intestine, resection of, with anastomosis (AU 18)
680.00
30568
Intraoperative enterotomy for visualisation of the small intestine by endoscopy (AU 8)
510.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30569
Endoscopic examination of small bowel with flexible endoscope passed at laparotomy, with or without biopsies (AU 8)
260.00
30571
Appendicectomy, not covered by item 30574 (AU 8)
315.00
30572
Laparoscopic appendicectomy (AU 8)
340.00
30574
Appendicectomy, when performed in conjunction with any other intra-abdominal procedure through the same incision (AU 5)
87.00
30575
Pancreatic abscess, laparotomy and external drainage of, not requiring retro panreatic dissection (AU 11)
360.00
30577
Pancreatic necrosectomy for pancreatic necrosis or abscess formation requiring major pancreatic or retro pancreatic dissection, excluding aftercare (AU 24)
765.00
30578
Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour (AU 22)
810.00
30580
Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of duodenal tumour (AU 22)
735.00
30581
Endocrine tumour, exploration of pancreas or duodenum for, but no tumour found (AU 20)
535.00
30583
Distal pancreatectomy (AU 15)
840.00
30584
Pancreatico-duodenectomy, Whipple's operation, with or without preservation of pylorus (AU 30)
1,240.00
30586
Pancreatic cyst—anastomosis to stomach or duodenum (AU 13)
495.00
30587
Pancreatic cyst, anastomosis to Roux loop of jejunum (AU 14)
510.00
30589
Pancreatico-jejunostomy for pancreatitis or trauma (AU 18)
880.00
30590
Pancreatico-jejunostomy following previous pancreatic surgery (AU 20)
970.00
30593
Pancreatectomy, near total or total (including duodenum), with or without splenectomy (AU 30)
1,330.00
30594
Prancreatectomy for pancreatitis following previously attempted drainage procedure or partial resection (AU 20)
1,535.00
30596
Splenorrhaphy or partial splenectomy for trauma (AU 13)
630.00
30597
Splenectomy (AU 13)
505.00
30599
Splenectomy, for massive spleen (weighting more than 1500 grams) or involving thoraco-abdominal incision (AU 19)
920.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30600
Diaphragmatic hernia, traumatic, repair of (AU 17)
550.00
30601
Diaphragmatic hernia, congential, repair of, by thoracic or adbominal approach) (AU 14)
675.00
30602
Portal hypertension, porto caval shunt for (AU 24)
1,095.00
30603
Portal hypertension, meso caval shunt for (AU 24)
1,155.00
30605
Portal Hypertension, selective spleno renal shunt for (AU 24)
1,315.00
30606
Portal hypertension, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (AU 18)
785.00
30612
Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by item 30615 or 30625 (G) (AU 8)
250.00
30614
Femoral or inguinal hernia or infantile hydrocele, repair of, not covered by item 30615 or 30625 (S) (AU 8)
325.00
30615
Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection (AU 10)
365.00
30616
Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (G) (AU 8)
186.00
30617
Umbilical, epigastric or linea alba hernia, repair of, in a person under ten years of age (S) (AU 8)
250.00
30620
Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (G) (AU 8)
210.00
30621
Umbilical, epigastric or linea alba hernia, repair of, in a person ten years of age or over (S) (AU 8)
285.00
30628
Hydrocele, tapping of
25.00
30631
Hydrocele, removal of, when not associated with items 30638, 30641 and 30644 (AU 7)
166.00
30632
Pyloroplasty, infant, or pyloromyotomy (Ramstedt's operation) (AU 9)
315.00
30633
Intussusception, reduction of, by fluid
166.00
30634
Varicocele, surgical correction of when not associated with items 30638, 30641 and 30644, one procedure (G) (AU 7)
166.00
30635
Varicocele, surgical correction of when not associated with items 30638, 30641 and 30644 one procedure (S) (AU 7)
205.00
30638
Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (G) (AU 7)
210.00
30641
Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (S) (AU 7)
285.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
30644
Exploration of spermatic cord, inguinal approach, with or without testicular biopsy and with or without excision of spermatic cord and testis (AU 8)
365.00
30647
Undescended testis, orchidopexy or transplantation of, with or without associated hernial repair (AU 8)
365.00
30650
Secondary detachment of testis from thigh (AU 6)
80.00
30653
Circumcision of a person under six months of age (AU 6)
32.50
30656
Circumcision of a person under ten years of age but not less than six months of age (AU 6)
76.00
30659
Circumcision of a person ten years of age or over (G) (AU 6)
106.00
30660
Circumcision of a person ten years of age or over (S) (AU 6)
130.00
30663
Haemorrhage, arrest of, following circumcision requiring general anaesthesia (AU 5)
102.00
30666
Paraphimosis, reduction of, under general anaesthesia, with or without dorsal incision, not associated with any other item in this Group (AU 5)
33.50
30672
Coccyx, excision of (AU 8)
315.00
30675
Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (G) (AU 8)
210.00
30676
Pilonidal sinus or cyst, or sacral sinus or cyst, excision of (S) (AU 8)
265.00
30679
Pilonidal sinus, injection of sclerosant fluid under anaesthesia (AU 6)
68.00
Subgroup 2—COLORECTAL
32000
Large intestine, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (AU 18)
725.00
32003
Large intestine, resection of, with anastomosis, including right hemicolectomy (AU 20)
760.00
32004
Large intestine, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) without anastomosis, not associated with any other item in this Group (AU 20)
810.00
32005
Large intestine, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) with anastomosis, not associated with any other item in this Group (AU 22)
915.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
32006
Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma) (AU 20)
810.00
32009
Total colectomy and ileostomy (AU 22)
960.00
32012
Total colectomy and ileo-rectal anastomosis (AU 20)
1,060.00
32015
Total colectomy with excision of rectum and ileostomy—one surgeon (AU 20)
1,302.50
32018
Total colectomy with excision of rectum and ileostomy, combined synchronous operation; abdominal resection (including after-care) (AU 17)
1,105.00
32021
Total colectomy with excision of rectum and ileostomy, combined synchronous operation; perineal resection
395.00
32024
Rectum, high restorative anterior resection with intraperitoneal anastomosis (of the rectum) greater than 10 centimetres from the anal verge—excluding resection of sigmoid colon alone (AU 22)
960.00
32027
Rectum, low restorative anterior resection with extraperitoneal anastomosis (of the rectum) less than 10 centimetres from the anal verge (AU 26)
1,250.00
32030
Rectosigmoidectomy—(Hartmann's operation) (AU 15)
725.00
32033
Restoration of bowel following Hartmann's or similar operation, including dismantling of the stoma (AU 15)
1,060.00
32036
Sacrococcygeal and presacral tumour—excision of (AU 13)
1,345.00
32039
Rectum and anus, abdomino-perineal resection of—one surgeon (AU 17)
Rectum and anus, abdomino-perineal resection of, combined synchronous operation—perineal resection
340.00
32046
Rectum and anus, abdomino-perineal resection of, combined synchronous operation—perineal resection where the perineal surgeon also provides assistance to the abdominal surgeon
525.00
32047
Perineal proctectomy (AU 20)
615.00
32048
Abdomino-perineal pull through resection with colo-anal anastomosis (one or two stages), including associated colostomy (AU 30)
1,345.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
32051
Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy—one surgeon (AU 36)
1,630.00
32054
Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy—conjoint surgery, abdominal surgeon (including aftercare) (AU 30)
1,500.00
32057
Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir—conjoint surgery, perineal surgeon
395.00
32060
Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy—one surgeon (AU 30)
1,630.00
32063
Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy—conjoint surgery, abdominal surgeon (including aftercare) (AU 26)
1,500.00
32066
Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir,with or without temporary loop ileostomy—conjoint surgery, perineal surgeon
395.00
32069
Ileostomy reservoir, continent type, creation of, including conversion of existing ileostomy where appropriate (AU 30)
1,205.00
32072
Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy
37.50
32075
Sigmoidoscopic examination (with rigid sigmoidoscope), under general anaesthesia, with or without biopsy, not associated with any other item in this Group (AU 5)
59.00
32078
Sigmoidoscopic examination with diathermy or resection of one or more polyps where the time taken is less than or equal to 45 minutes (AU 7)
132.00
32081
Sigmoidoscopic examination with diathermy or resection of one or more polyps where the time taken is greater than 45 minutes (AU 10)
182.00
32084
Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure, with or without biopsy (AU 6)
87.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
32087
Flexible fibreoptic sigmoidoscopy or fibreoptic colonoscopy up to the hepatic flexure with removal of one or more polyps—not covered by item 32078 (AU 10)
160.00
32090
Fibreoptic colonoscopy—examination of colon beyond the hepatic flexure with or without biopsy (AU 8)
260.00
32093
Fibreoptic colonoscopy—examination of colon beyond the hepatic flexure with removal of one or more polyps (AU 10)
365.00
32094
Endoscopic dilatation of colorectal strictures including colonoscopy (AU 10)
390.00
32095
Endoscopic examination of small bowel with flexible endoscope passed by stoma, with or without biopsies (AU 8)
90.00
32096
Rectal biopsy, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital or approved day-hospital facility (AU 6)
182.00
32099
Rectal tumour of five centimetres or less in diameter, per anal submucosal excision of (AU 10)
235.00
32102
Rectal tumour of greater than five centimetres in diameter, indicated by pathological examination, per anal submucosal excision of (AU 14)
445.00
32105
Anorectal carcinoma—per anal full thickness excision of (AU 13)
340.00
32108
Rectal tumour, trans-sphincteric excision of (Kraske or similar operation) (AU 13)
705.00
32111
Rectal prolapse, Delorme procedure for (AU 10)
445.00
32114
Rectal stricture, per anal release of (AU 8)
122.00
32117
Rectal prolapse, abdominal repair of (AU 13)
705.00
32120
Rectal prolapse, perineal repair of (AU 6)
182.00
32123
Anal stricture, anoplasty for (AU 7)
235.00
32126
Anal incontinence, Parks' intersphincteric procedure for (AU 12)
340.00
32129
Anal sphincter, direct repair of (AU 12)
445.00
32132
Haemorrhoids or rectal prolapse—sclerotherapy for (AU 6)
32.00
32135
Haemorrhoids or rectal prolapse—rubber band ligation of with or without sclerotherapy, cryosurgery or infrared therapy for (AU 5)
47.50
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
32138
Haemorrhoidectomy (AU 8)
260.00
32142
Anal skin tags or anal polyps, excision of one or more of (AU 7)
47.50
32145
Anal skin tags or anal polyps, excision of one or more of, undertaken in the operating theatre of a hospital or approved day-hospital facility (AU 7)
95.00
32147
Perianal thrombosis, incision of (AU 7)
32.00
32150
Operation for fissure-in-ano including excision, or sphincterotomy but excluding dilatation only (AU 6)
182.00
32153
Anus, dilatation of, under general anaesthesia, with or without disimpaction of faeces, not associated with any other item in this Group (AU 4)
49.50
32156
Fistula in ano, subcutaneous, excision of (AU 7)
93.00
32159
Anal fistula, excision of, involving lower half of the anal sphincter mechanism (AU 7)
235.00
32162
Anal fistula, excision of, involving the upper half of the anal sphincter mechanism (AU 11)
340.00
32165
Anal fistula, repair of by mucosal flap advancement (AU 15)
445.00
32166
Anal fistula—readjustment of Seton (AU 7)
146.00
32168
Fistula wound—repair of, under general or regional anaesthetic, as an independent procedure (AU 7)
93.00
32171
Anorectal examination, with or without biopsy, under general anaesthetic, not associated with any other item in this Group (AU 6)
63.00
32174
Intra-anal, perianal or ischio-rectal abscess, drainage of (excluding aftercare) (AU 8)
63.00
32175
Intra-anal, perianal or ischio-rectal abscess, draining of, undertaken in the operating theatre of a hospital or approved day-hospital facility (excluding aftercare) (AU 8)
114.00
32177
Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is less than or equal to 45 minutes—not in association with item 35507 or 35508 (AU 6)
122.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
32180
Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day-hospital facility, where the time taken is greater than 45 minutes—not in association with item 35507 or 35508 (AU 11)
182.00
32183
Intestinal sling procedure prior to radiotherapy (AU 15)
255.00
32186
Colonic lavage, total, intra-operative (AU 12)
205.00
Subgroup 3—VASCULAR
32500
Varicose veins, multiple simultaneous injections by continuous compression techniques including associated consultation—one or both legs—not associated with any other varicose veins operation on the same leg (excluding after-care)
99.00
32503
Varicose veins, multiple ligations, with or without local stripping or excision, including sub-fascial ligation of one or more deep perforating veins through separate incisions—one leg—not associated with item 32506, 32509 or 32530 on the same leg (AU 7)
188.00
32506
Varicose veins, high ligation and complete or partial stripping or excision of long or short saphenous vein or its major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins—one leg (AU 10)
345.00
32509
Varicose veins, high ligation and stripping or excision of both long and short saphenous veins or their major tributaries, with multiple ligations, local stripping or excision of minor veins, with or without sclerotherapy of minor veins—one leg (AU 12)
517.50
32512
Long saphenous vein, complete dissection and ligation of, at the sapheno-femoral junction, for migrating thrombosis of long saphenous vein (AU 11)
315.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
32515
Varicose veins, complete dissection at sapheno- femoral junction, with or without ligation of long saphenous vein, with or without ligation of the major tributaries at sapheno-femoral junction—one leg (AU 6)
230.00
32518
Varicose veins, complete dissection at sapheno- popliteal junction, with or without ligation of the short saphenous vein, with or without ligation of the major tributaries at the sapheno-popliteal junction—one leg (AU 6)
230.00
32521
Varicose veins, sub-fascial ligation of single deep perforating vein not associated with any other varicose vein operation on the same leg—one leg (AU 6)
142.00
32524
Varicose veins, sub-fascial ligation of multiple deep perforating vein—one leg (Cockett's operation, Linton's operation or similar procedure) (AU 7)
350.00
32527
Groin or popliteal fossa, reoperation in, for recurrent sapheno-popliteal incompetence—one leg (AU 12)
425.00
32530
Groin or popliteal fossa, reoperation in, for recurrent sapheno-femoral incompetence or recurrent sapheno-popliteal incompetence with one or more of the following—multiple ligations, local stripping or excision of minor veins or sclerotherapy of minor veins—one leg (AU 13)
555.00
32700
Artery of neck, bypass using vein or synthetic material (AU 19)
1,010.00
32703
Internal carotid artery, transection and reanastomosis of, or resection of small length and reanastomosis of—with or without endarterectomy (AU 18)
835.00
32706
Internal carotid artery, re-operation for recurrent stenosis with by-pass by graft of vein or synthetic material (AU 19)
1,195.00
32709
Aorto-iliac or aorto-femoral grafting, straight or bifurcated (AU 21)
985.00
32712
Ilio-femoral by-pass grafting (AU 18)
885.00
32715
Axillary or subclavian to femoral bypass grafting to one or both femoral arteries (AU 19)
885.00
32718
Femoro-femoral or ilio-femoral cross-over bypass grafting (AU 18)
835.00
32721
Renal artery, bypass grafting to (AU 22)
1,330.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
32724
Renal arteries (both), bypass grafting to (AU 26)
1,510.00
32727
Spleno-renal arterial bypass grafting (AU 21)
1,330.00
32730
Mesenteric vessel (single), bypass grafting to (AU 18)
1,145.00
32733
Mesenteric vessels (multiple), bypass grafting to (AU 21)
1,330.00
32736
Inferior mesenteric artery, operation on, when performed in association with another intra-abdominal vascular operation (AU 17)
290.00
32739
Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with above knee anastomosis (AU 19)
910.00
32742
Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to below knee popliteal artery (AU 20)
1,045.00
32745
Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis to tibio peroneal trunk or tibial or peroneal artery (AU 21)
1,190.00
32748
Femoral artery bypass grafting using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with distal anastomosis within 5cms of the ankle joint (AU 22)
1,295.00
32751
Femoral artery bypass grafting using synthetic graft, with lower anastomosis above or below the knee (AU 18)
835.00
32754
Femoral artery bypass grafting, using a composite graft (synthetic material and vein) with lower anastomosis above or below the knee, including use of a cuff or sleeve of vein at one or both anastomoses (AU 20)
1,045.00
32757
Femoral artery sequential bypass grafting (using a vein or synthetic material) where an additional anastomosis is made to separately revascularise more than one artery—each additional artery revascularised beyond a femoral bypass (AU 16)
290.00
32760
Vein, harvesting of from leg or arm for bypass or replacement graft when not performed through same incision as operation—each vein (AU 9)
285.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
32763
Arterial bypass grafting, using vein or synthetic material, not covered by any other item in this Group (AU 18)
835.00
32766
Arterial or venous anastomosis, not covered by any other item in this Group, as an independent procedure (AU 15)
555.00
32769
Arterial or venous anastomosis not covered by any other item in this Group, when performed in combination with another vascular operation (including graft to graft anastomosis) (AU 15)
192.00
33100
Aneurysm of common or internal carotid artery, or both, replacement by graft of vein or synthetic material (AU 20)
1,010.00
33103
Thoracic aneurysm, replacement by graft (AU 35)
1,420.00
33106
Artery or vein bypass graft, patch grafting to using vein or synthetic material, not associated with any other vascular operation (AU 14)
500.00
33109
Thoraco-abdominal aneurysm, replacement by graft including re-implantation of arteries (AU 40)
1,715.00
33112
Suprarenal abdominal aortic aneurysm, replacement by graft including re-implantation of arteries (AU 35)
1,490.00
33115
Infrarenal abdominal aortic aneurysm, replacement by tube graft (AU 26)
1,045.00
33118
Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision of common iliac aneurysms) (AU 29)
1,190.00
33121
Infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to one or both femoral arteries (with or without excision or bypass of commom iliac aneurysms) (AU 29)
1,190.00
33124
Aneurysm of iliac artery (common, external or internal), replacement by graft—unilateral (AU 18)
855.00
33127
Aneurysms of iliac arteries (common, external or internal), replacement by graft—bilateral (AU 20)
1,120.00
33130
Aneurysm of visceral artery, excision and repair by direct anastomosis or replacement by graft (AU 18)
975.00
33133
Aneurysm of visceral artery, dissection and ligation of arteries without restoration of continuity (AU 16)
730.00
33136
False aneurysm, repair of, at aortic anastomosis following previous aortic surgery (AU 25)
1,845.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
33139
False aneurysm, repair of, in iliac artery and restoration of arterial continuity (AU 19)
1,120.00
33142
False aneurysm, repair of, in femoral artery and restoration of arterial continuity (AU 18)
1,045.00
33145
Ruptured thoracic aortic aneurysm, replacement by graft (AU 38)
1,795.00
33148
Ruptured thoraco-abdominal aortic aneurysm, replacement by graft (AU 40)
2,230.00
33151
Ruptured suprarenal abdominal aortic aneurysm, replacement by graft (AU 38)
Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to iliac arteries (with or without excision or bypass of common iliac aneurysms) (AU 30)
1,750.00
33160
Ruptured infrarenal abdominal aortic aneurysm, replacement by bifurcation graft to one or both femoral arteries (AU 30)
1,750.00
33163
Ruptured iliac artery aneurysm, replacement by graft (AU 22)
1,485.00
33166
Ruptured aneurysm of visceral artery, replacement by anastomosis or graft (AU 22)
1,485.00
33169
Ruptured aneurysm of visceral artery, simple ligation of (AU 18)
1,155.00
33172
Aneurysm of major artery, replacement by graft, not covered by any other item in this Group (AU 21)
900.00
33500
Artery or arteries of neck, endarterectomy of, including closure by suture (where endarterectomy of one or more arteries is undertaken through one arteriotomy incision) (AU 17)
800.00
33503
Internal carotid artery, re-operation for recurrent stenosis with endarterectomy and closure by suture (AU 19)
1,010.00
33506
Innominate or subclavian artery, endarterectomy of, including closure by suture (AU 18)
895.00
33509
Aortic endarterectomy, including closure by suture, not associated with another procedure on the aorta (AU 18)
925.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
33512
Aorto-iliac endarterectomy (one or both iliac arteries), including closure by suture not associated with Item 33515 (AU 19)
1,000.00
33515
Aorto-femoral endarterectomy (one or both femoral arteries) or bilateral ilio-femoral endarterectomy, including closure by suture, not in association with Item 33512 (AU 20)
1,075.00
33518
Iliac endarterectomy, including closure by suture, not associated with another procedure on the iliac artery (AU 17)
895.00
33521
Ilio-femoral endarterectomy (one side), including closure by suture (AU 17)
970.00
33524
Renal artery, endarterectomy of (AU 19)
1,145.00
33527
Renal arteries (both), endarterectomy of (AU 21)
1,330.00
33530
Coeliac or superior mesenteric artery, endarterectomy of (AU 19)
1,145.00
33533
Coeliac and superior mesenteric artery, endarterectomy of (AU 20)
1,330.00
33536
Inferior mesenteric artery, endarterectomy of, not associated with any other item in this Group (AU 19)
950.00
33539
Artery of extremities, endarterectomy of, including closure by suture (AU 12)
685.00
33542
Extended deep femoral endarterectomy where the endarterectomy is at least 7cms long (AU 17)
975.00
33545
Artery or vein, patch grafting to by vein or synthetic material in association with another arterial or venous operation where patch is less than 3cm long (AU 13)
192.00
33548
Artery or vein, patch grafting to by vein or synthetic material in association with another arterial or venous operation where patch is 3cm long or greater (AU 14)
390.00
33551
Vein, harvesting of from leg or arm for patch when not performed through same incision as operation (AU 9)
192.00
33554
Endarterectomy, in association with an arterial bypass operation to prepare the site for anastomosis—each site (AU 16)
100.00
33800
Embolus, removal of, from artery of neck (AU 15)
830.00
33803
Embolectomy or thrombectomy, by abdominal approach, of an artery or bypass graft of trunk (AU 16)
795.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
33806
Embolectomy or thrombectomy, from an artery or bypass graft of extremities, or embolectomy of abdominal artery via the femoral artery (AU 11)
570.00
33809
Inferior vena cava or iliac vein, thrombectomy of (AU 12)
705.00
33812
Thrombus, removal of, from femoral or other similar large vein (AU 10)
655.00
33815
Major artery or vein of extremity, repair of wound of, with restoration of continuity, by lateral suture (AU 12)
605.00
33818
Major artery or vein of extremity, repair of wound of, with restoration of continuity, by direct anastomosis (AU 13)
705.00
33821
Major artery or vein of extremity, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (AU 15)
805.00
33824
Major artery or vein of neck, repair of wound of, with restoration of continuity, by lateral suture (AU 13)
770.00
33827
Major artery or vein of neck, repair of wound of, with restoration of continuity, by direct anastomosis (AU 14)
900.00
33830
Major artery or vein of neck, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (AU 16)
1,035.00
33833
Major artery or vein of abdomen, repair of wound of, with restoration of continuity by lateral suture (AU 16)
940.00
33836
Major artery or vein of abdomen, repair of wound of, with restoration of continuity by direct anastomosis (AU 17)
1,120.00
33839
Major artery or vein of abdomen, repair of wound of, with restoration of continuity by means of interposition graft (AU 18)
1,310.00
33842
Artery of neck, re-operation for bleeding or thrombosis after carotid or vertebral artery surgery (AU 12)
645.00
33845
Laparotomy for control of post operative bleeding or thrombosis after intra-abdominal vascular procedure, where no other procedure is performed (AU 14)
450.00
33848
Extremity, re-operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed (AU 12)
450.00
34100
Major artery of neck, elective ligation or exploration of, not associated with any other vascular procedure (AU 11)
500.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
34103
Great artery or great vein (including subclavian, axillary, iliac, femoral or politeal), ligation of, or exploration of, not associated with any other vascular procedure (AU 13)
290.00
34106
Artery or vein (including brachial, radial, ulnar or tibial), ligation of, by elective operation, or exploration of, not associated with any other vascular procedure (AU 9)
205.00
34109
Temporal artery, biopsy of (AU 7)
240.00
34112
Arterio-venous fistula of an extremity, dissection and ligation (AU 14)
605.00
34115
Arterio-venous fistula of the neck, dissection and ligation (AU 17)
685.00
34118
Arterio-venous fistula of the abdomen, dissection and ligation (AU 19)
975.00
34121
Arterio-venous fistula of an extremity, dissection and repair of, with restoration of continuity (AU 18)
780.00
34124
Arterio-venous fistula of the neck, dissection and repair of, with restoration of continuity (AU 18)
855.00
34127
Arterio-venous fistula of the abdomen, dissection and repair of, with restoration of continuity (AU 22)
1,120.00
34130
Surgically created arterio-venous fistula of an extremity, closure of (AU 10)
350.00
34133
Scalenotomy (AU 10)
390.00
34136
First rib, resection of portion of (AU 13)
630.00
34139
Cervical rib, removal of, or other operation for removal of thoracic outlet compression, not covered by any other item in this Group (AU 13)
630.00
34142
Coeliac artery, decompression of, for coeliac artery compression syndrome, as an independent procedure (AU 19)
780.00
34145
Popliteal artery, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle (AU 13)
565.00
34148
Carotid body tumour, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is less than 4cm in maximum diameter (AU 19)
1,010.00
34151
Carotid body tumour, resection of, with or without repair or reconstruction of internal or common carotid arteries, when tumour is greater than 4cm in maximum diameter (AU 19)
1,385.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
34154
Recurrent carotid body tumour, resection of, with or without repair or replacement of portion of common or internal carotid arteries (AU 19)
1,650.00
34157
Neck, excision of infected bypass graft, including closure of vessel or vessels (AU 15)
835.00
34160
Aorto-duodenal fistula, repair of, by suture of aorta and repair of duodenum (AU 24)
1,570.00
34163
Aorto-duodenal fistula, repair of, by insertion of aortic graft and repair of duodenum (AU 26)
2,015.00
34166
Aorto-duodenal fistula, repair of, by oversewing of abdominal aorta, repair of duodenum and axillo bifemoral grafting (AU 26)
2,015.00
34169
Infected bypass graft from trunk, excision of, including closure of arteries (AU 20)
1,120.00
34172
Infected axillo-femoral or femoro-femoral graft, excision of, including closure of arteries (AU 15)
910.00
34175
Infected bypass graft from extremities, excision of including closure of arteries (AU 15)
835.00
34500
Arteriovenous shunt, external, insertion of (AU 9)
215.00
34503
Arteriovenous anastomosis of upper or lower limb, in association with another venous or arterial operation (AU 14)
290.00
34506
Arteriovenous shunt, external, removal of (AU 5)
148.00
34509
Arteriovenous anastomosis of upper or lower limb, not in association with another venous or arterial operation (AU 14)
690.00
34512
Arteriovenous access device, insertion of (AU 14)
760.00
34515
Arteriovenous access device, thrombectomy of (AU 11)
540.00
34518
Stenosis of arteriovenous fistula or prosthetic arteriovenous access device, correction of (AU 14)
905.00
34521
Intra-abdominal artery or vein, cannulation of for infusion chemotherapy, by open operation (excluding aftercare) (AU 11)
370.00
34524
Arterial cannulation for infusion chemotherapy by open operation, not covered by item 34521 (excluding after-care) (AU 10)
290.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
34527
Central vein catheterisation by open exposure, using subcutaneous tunnel with pump or access port as with Hickman or Broviac catheter or other chemotherapy delivery device (AU 11)
290.00
34530
Hickman or broviac catheter, or other chemotherapy device, removal of (AU 10)
290.00
34533
Isolated limb perfusion, including cannulation of artery and vein at commencement of procedure, regional perfusion for chemotherapy, or other therapy, repair of arteriotomy and venotomy at conclusion of procedure (excluding aftercare) (AU 18)
875.00
34800
Inferior vena cava, plication, ligation, or application of caval clip (AU 13)
570.00
34803
Inferior vena cava, reconstruction of or bypass by vein or synthetic material (AU 24)
1,260.00
34806
Cross leg bypass grafting, saphenous to iliac or femoral vein (AU 14)
685.00
34809
Saphenous vein anastomosis to femoral or popliteal vein for femoral vein bypass (AU 14)
685.00
34812
Venous stenosis or occlusion, vein bypass for, using vein or synthetic material, not associated with item 34806 or 34809 (AU 13)
825.00
34815
Vein stenosis, patch angioplasty for, (excluding vein graft stenosis)—using vein or synthetic material (AU 15)
685.00
34818
Venous valve, plication or repair to restore valve competency (AU 25)
750.00
34821
Vein transplant to restore valvular function (AU 15)
1,025.00
34824
External stent, application of, to restore venous valve competency to superficial vein—one stent (AU 10)
350.00
34827
External stents, application of, to restore venous valve competency to superficial vein or veins—more than one stent (AU 11)
425.00
34830
External stent, application of, to restore venous valve competency to deep vein (one stent) (AU 11)
500.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
34833
External stents, application of, to restore venous valve competency to deep vein or veins (more than one stent) (AU 12)
645.00
35000
Lumbar sympathectomy (AU 11)
500.00
35003
Cervical or upper thoracic sympathectomy by any surgical approach (AU 16)
645.00
35006
Cervical or upper thoracic sympathectomy, where operation is a reoperation for previous incomplete sympathectomy by any surgical approach (AU 13)
810.00
35009
Lumbar sympathectomy, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (AU 11)
630.00
35100
Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, when debridement includes muscle, tendon or bone (AU 8)
260.00
35103
Ischaemic limb, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only (AU 9)
166.00
35200
Operative arteriography or venography, one or more of, performed during the course of an operative procedure on an artery or vein, one site (AU 8)
120.00
35300
Transluminal balloon angioplasty of one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 10)
365.00
35303
Transluminal balloon angioplasty of aortic arch branches, aortic visceral branches, or more than one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 12)
465.00
35304
Transluminal balloon angioplasty of one coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 10)
365.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
35305
Transluminal balloon angioplasty of more than one coronary artery, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 12)
465.00
35306
Transluminal stent insertion including associated balloon dilatation for one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 11)
430.00
35309
Transluminal stent insertion including associated balloon dilatation for visceral arteries or veins, or more than one peripheral artery or vein, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 13)
535.00
35310
Transluminal stent insertion including associated balloon dilatation for coronary artery, percutaneous or by open exposure, excluding associated radiological services and preparation, and excluding aftercare (AU 13)
535.00
35312
Peripheral arterial atherectomy including associated balloon dilatation, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 13)
610.00
35315
Peripheral laser angioplasty including associated balloon dilatation, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 13)
610.00
35318
Peripheral arterial or venous catheterisation with administration of thrombolytic or chemotherapeutic agents, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (not associated with item 13903) (AU 6)
250.00
35321
Peripheral arterial catheterisation to administer agents to occlude arteries, vein or arterio-venous fistulae or to arrest haemorrhage, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 12)
575.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
35324
Angioscopy not combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (AU 8)
215.00
35327
Angioscopy combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (AU 6)
108.00
35330
Insertion of inferior vena caval filter, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (AU 11)
365.00
Subgroup 4—Gynaecological
35500
Gynaecological examination under anaesthesia, not associated with any other item in this Group (AU 5)
57.00
35503
Intra-uterine contraceptive device, introduction of, not associated with any other item in this Group (AU 5)
38.00
35506
Intra-uterine contraceptive device, removal of under general anaesthesia, not associated with any other item in this Group (AU 5)
38.00
35507
Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day hospital facility, where the time taken is less than or equal to 45 minutes—not in association with item 32177 or 32180 (AU 6)
122.00
35508
Vulval or vaginal warts, removal of under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital or approved day hospital facility, where the time taken is greater than 45 minutes—not in association with item 32177 or 32180 (AU 11)
182.00
35509
Hymenectomy (AU 5)
63.00
35512
Bartholin's cyst, excision of (G) (AU 7)
126.00
35513
Bartholin's cyst, excision of (S) (AU 7)
156.00
35516
Bartholin's cyst or gland, marsupialisation of (G) (AU 6)
82.00
35517
Bartholin's cyst or gland, marsupialisation of (S) (AU 6)
102.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
35520
Bartholin's abscess, incision of (AU 5)
41.00
35523
Urethra or urethral caruncle, cauterisation of (AU 4)
41.00
35526
Urethral caruncle, excision of (G) (AU 6)
82.00
35527
Urethral caruncle, excision of (S) (AU 6)
102.00
35530
Clitoris, amputation of, where medically indicated (AU 7)
190.00
35533
Vulvoplasty or labioplasty, where medically indicated, not associated with item 35536 (AU 9)
245.00
35536
Vulva, wide local excision of suspected malignancy or hemivulvectomy, one or both procedures (AU 9)
245.00
35539
Colposcopically directed CO2 laser therapy for previously confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies—one anatomical site (AU 5)
192.00
35542
Colposcopically directed CO2 laser therapy for previously confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies—two or more anatomical sites (AU 6)
225.00
35545
Colposcopically directed CO2 laser therapy for condylomata, unsuccessfully treated by other methods (AU 6)
130.00
35548
Vulvectomy, radical, for malignancy (AU 17)
590.00
35551
Pelvic lymph glands, excision of (radical) (AU 15)
480.00
35554
Vagina, dilatation of, as an independent procedure including any associated consultation (AU 4)
30.50
35557
Vagina, removal of simple tumour—(including Gartner duct cyst) (AU 8)
152.00
35560
Vagina, partial or complete removal of (AU 13)
480.00
35561
Vaginectomy, radical, for proven invasive malignancy—one surgeon (AU 25)
Vaginectomy, radical, for proven invasive malignancy, conjoint surgery—perineal surgeon
370.00
35565
Vaginal reconstruction for congenital absence, gynatresia or urogenital sinus (AU 18)
480.00
35566
Vaginal septum, excision of, for correction of double vagina (AU 12)
280.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
35567
Vaginal repair (involving repair of enterocele) with transvaginal sacrospinus ligament colposuspension (AU 10)
355.00
35569
Plastic repair to enlarge vaginal orifice (AU 9)
114.00
35572
Colpotomy, not covered by any other item in this Group (AU 6)
87.00
35575
Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 35579, 35580, 35583 or 35584 (G) (AU 10)
245.00
35576
Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 35579, 35580, 35583 or 35584 (S) (AU 10)
300.00
35579
Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 35583 or 35584 (G) (AU 10)
300.00
35580
Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by item 35583 or 35584 (S) (AU 10)
380.00
35583
Donald-Fothergill or Manchester operation for genital prolapse (G) (AU 10)
360.00
35584
Donald-Fothergill or Manchester operation for genitalprolapse (S) (AU 10)
475.00
35587
Urethrocele, operation for (AU 9)
124.00
35590
Operation involving abdominal approach for repair of enterocoele or suspension of vaginal vault or enterocoele and suspension of vaginal vault (AU 9)
380.00
35593
Vaginal repair of enterocele with or without repair of rectocele, not associated with item 35575, 35576, 35579, 35580, 35583, 35584, 35590, 35656, 35657 or 35673, and where on a previous occasion there had been performed surgery reflected by a procedure in item 35575, 35576, 35579, 35580, 35583, 35584, 35590, 35656, 35657 or 35673 (AU 8)
375.00
35596
Fistula between genital and urinary or alimentary tracts, repair of, not covered by item 37029, 37333 or 37336 (AU 13)
Cervix, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix (AU 5)
45.00
35611
Cervix, removal of polyp or polypi, with or without dilatation of cervix, not associated with item 35608 (AU 5)
44.50
35614
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)
45.00
35615
Vulva, biopsy of, when performed in association with item 35614
38.00
35617
Cervix, cone biopsy, amputation or repair of, not covered by item 35583 or 35584 (G) (AU 7)
122.00
35618
Cervix, cone biopsy, amputation or repair of, not covered by item 35583 or 35584 (S) (AU 7)
152.00
35621
Cervix, dilatation of, under general anaesthesia, not covered by item 35639, 35640 or 35643 (AU 5)
57.00
35624
Endometrial biopsy where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding (AU 5)
37.50
35625
Endometrium, endoscopic ablation of, by laser or diathermy, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, not associated with item 30390 (AU 9)
425.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
35626
Hysteroscopy, including biopsy, performed by a specialist in the practice of his or her specialty where the patient is referred to him or her for the investigation of suspected intrauterine pathology (with or without local anaesthetic), not in association with item 35627 or 35630 and including procedures covered by item 35639, 35640 or 35643 where performed
58.00
35627
Hysteroscopy with dilatation of the cervix performed in the operating theatre of a hospital or approved day-hospital facility—not in association with item 35626 or 35630 and including procedures covered by item 35639, 35640 or 35643 where performed (AU 7)
76.00
35630
Hysteroscopy, with endometrial biopsy, performed in the operating theatre of a hospital or approved day- hospital facility—not in association with item 35626 or 35627 and including procedures covered by item 35639, 35640 or 35643 where performed (AU 7)
128.00
35633
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)
152.00
35636
Hysteroscopy and laparoscopy under general anaesthesia involving either myomectomy or resection of uterine septum, or both (AU 10)
305.00
35637
Laparoscopy, involving puncture of cysts, diathermy of endometriosis, ventrosuspension, division of adhesions or similar procedure—one or more procedures with or without biopsy—not associated mwith any other laparoscopic procedure (AU 7)
285.00
35638
Complicated operative laparoscopy, including use of laser when required, for one or more of the following procedures; oophorectomy, ovarian cystectomy, myomectomy, salpingectomy or salpingostomy, ablation of moderate or severe endometriosis requiring more than one hours operating time, division of adhesions requiring more than one hours operating time or division of utero- sacral ligaments for significant dysmenorrhoea (AU 12)
500.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
35639
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)
95.00
35640
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)
128.00
35643
Evacuation of the contents of the gravid uterus by curettage or suction curettage not covered by item 35639 or 35640 (AU 5)
154.00
35644
Cervix, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not associated with item 35639, 35640 or 35647 (AU 8)
144.00
35645
Cervix, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in association with ablative therapy of additional areas of intraepithelial change in one or more sites of vagina, vulva, urethra or anus, not associated with item 35649 (AU 8)
225.00
35646
Cervix, colposcopy with radical diathermy of, with or without cervical biopsy, for previously confirmed intraepithelial neoplastic changes of the cervix, where performed in the operating theatre of a hospital or approved day-hospital facility (AU 8)
144.00
35647
Cervix, large loop excision of transformation zone together with colposcopy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, not associated with item 35644 (AU 8)
144.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
35648
Cervix, large loop excision diathermy for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, in association with ablative treatment of additional areas of intraepithelial change of one or more sites of vagina, vulva, urethra or anus, not associated with item 35645 (AU 8)
225.00
35649
Hysterotomy or uterine myomectomy, abdominal (AU 10)
380.00
35653
Hysterectomy, abdominal, sub total or total, with or without removal of uterine adnexae (AU 11)
475.00
35657
Hysterectomy, vaginal, with or without uterine curettage, not covered by item 35673 (AU 11)
475.00
35661
Hysterectomy, abdominal, requiring extensive retroperitoneal dissection with or without exposure of one or both ureters, for the management of severe endometrioses, pelvic inflammatory disease or benign pelvic tumours, with or without conservation of ovaries (AU 12)
615.00
35664
Radical hysterectomy with radical excision of pelvic lymph glands (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 and involving ureterolysis where performed (AU 17)
1,025.00
35667
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 and involving ureterolysis where performed (AU 17)
870.00
35670
Hysterectomy, abdominal, with radical excision of pelvic lymph glands, with or without removal of uterine adnexae (AU 19)
715.00
35673
Hysterectomy, vaginal, (with or without uterine curettage) with salpingectomy, oophorectomy or excision of ovarian cyst, one or more, one or both sides (AU 12)
535.00
35676
Ectopic gestation, removal of (G) (AU 9)
300.00
35677
Ectopic gestation, removal of (S) (AU 9)
380.00
35678
Ectopic pregnancy, laparoscopic removal of (AU 10)
455.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
35680
Bicornuate uterus, plastic reconstruction for (AU 14)
410.00
35683
Uterus, suspension or fixation of, as an independent procedure (G) (AU 8)
245.00
35684
Uterus, suspension or fixation of, as an independent procedure (S) (AU 8)
330.00
35687
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)
230.00
35688
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)
280.00
35691
Sterilisation by interruption of fallopian tubes when performed in conjunction with Caesarean section (AU 5)
112.00
35694
Tuboplasty (salpingostomy, salpingolysis or tubal implantation into uterus), unilateral or bilateral, one or more procedures (AU 11)
450.00
35697
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 Group (AU 7)
47.50
35706
Rubin test for patency of Fallopian tubes (AU 7)
47.50
35709
Fallopian tubes, hydrotubation of, as a repetitive post-operative procedure (AU 7)
30.50
35712
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)
255.00
35713
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)
320.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
35716
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)
305.00
35717
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)
385.00
35720
Radical or debulking operation for advanced gynaecological malignancy, with or without omentectomy (AU 16)
475.00
35723
Retro-peritoneal lymph node biopsies from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy (AU 19)
340.00
35726
Infra-colic omentectomy with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy (AU 16)
340.00
35729
Ovarian transposition out of the pelvis, in association with radical hysterectomy for invasive malignancy (AU 18)
154.00
Subgroup 5—Urological
36500
Adrenal gland, excision of—partial or total (AU 12)
650.00
36503
Renal transplant, not covered by items 36506 and 36509 (AU 24)
980.00
36506
Renal transplant, performed by vascular surgeon and urologist operating together—vascular anastomosis, including after-care (AU 24)
650.00
36509
Renal transplant, performed by vascular surgeon and urologist operating together—ureterovesical anastomosis, including after-care
550.00
36515
Nephrectomy, complete (G) (AU 11)
540.00
36516
Nephrectomy, complete (S) (AU 11)
650.00
36519
Nephrectomy, complete, complicated by previous surgery on the same kidney (AU 13)
910.00
36522
Nephrectomy, partial (AU 13)
780.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
36525
Nephrectomy, partial, complicated by previous surgery on the same kidney (AU 15)
1,110.00
36528
Nephrectomy, radical, with enbloc dissection of lymph nodes, with or without adrenalectomy (AU 17)
910.00
36531
Nephro-ureterectomy, complete, including associated bladder repair and any associated endoscopic procedure (AU 17)
815.00
36534
Kidney, fused, renal symphysiotomy for (AU 14)
650.00
36537
Kidney or perinephric area, exploration of, with or without drainage of, by open exposure, not covered by any other item in this Group (AU 10)
485.00
36540
Nephrolithotomy or pyelolithotomy, or both, through the same skin incision, for one or two stones (AU 12)
780.00
36543
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)
910.00
36546
Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post-treatment care for three days, including pre-treatment consultations, unilateral (AU 12)
485.00
36549
Ureterolithotomy (AU 11)
585.00
36552
Nephrostomy or pyelostomy, open, as an independent procedure (AU 11)
520.00
36555
Nephropexy, as an independent procedure (AU 9)
360.00
36558
Renal cyst or cysts, excision or unroofing of (AU 11)
460.00
36561
Renal biopsy (closed) (AU 6)
122.00
36564
Pyeloplasty, by open exposure (AU 14)
650.00
36567
Pyeloplasty in congenitally abnormal kidney or solitary kidney, by open exposure (AU 14)
715.00
36570
Pyeloplasty, complicated by previous surgery on the same kidney, by open exposure (AU 15)
910.00
36573
Divided ureter, repair of (AU 13)
650.00
36576
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)
815.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
36579
Ureterectomy, complete or partial, with or without associated bladder repair, not associated with item 37000 (AU 12)
520.00
36582
Ureter, replacement of, by bowel (AU 12)
910.00
36585
Ureter, transplantation of, into skin (AU 10)
520.00
36588
Ureter, reimplantation into bladder (AU 12)
650.00
36591
Ureter, reimplantation into bladder with psoas hitch or Boari flap or both (AU 12)
780.00
36594
Ureter, transplantation of, into intestine (AU 12)
650.00
36597
Ureter, transplantation of, into another ureter (AU 12)
650.00
36600
Ureter, transplantation of, into isolated intestinal segment, unilateral (AU 14)
780.00
36603
Ureters, transplantation of, into isolated intestinal segment, bilateral (AU 16)
910.00
36606
Intestinal urinary reservoir, continent, formation of, including formation of non-return valves and implantation of ureters (one or both) into reservoir (AU 27)
1,630.00
36609
Intestinal urinary conduit or ureterostomy, revision of (AU 13)
520.00
36612
Ureter, exploration of, with or without drainage of, as an independent procedure (AU 11)
460.00
36615
Ureterolysis, with or without repositioning of ureter, for retroperitoneal fibrosis, ovarian vein syndrome or similar condition (AU 11)
520.00
36618
Reduction ureteroplasty (AU 14)
460.00
36621
Closure of cutaneous ureterostomy (AU 9)
325.00
36624
Nephrostomy, percutaneous, including associated imaging (AU 9)
395.00
36627
NEPHROSCOPY, percutaneous, with or without any one or more of; stone extraction, biopsy or diathermy, not covered by Items 36639, 36642, 36645 or 36648 (AU 11)
485.00
36630
The services covered by Item 36627 where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation due to bleeding (AU 10)
240.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
36633
Nephroscopy, percutaneous, with incision of any one or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, not in association with Items 36627, 36639, 36642, 36645 or 36648 (AU 11)
520.00
36636
Nephroscopy, percutaneous, with incision of any one or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, in association with Items 36627, 36639, 36642, 36645 or 36648 (AU 13)
280.00
36639
Nephroscopy, percutaneous, with destruction and extraction of one or two stones using ultrasound or electrohydraulic shock waves or lasers (not covered by Items 36645 or 36648) (AU 13)
585.00
36642
The services covered by Item 36639 where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation due to bleeding (AU 12)
295.00
36645
Nephroscopy, percutaneous, with removal or destruction of a stone greater than 3 cms in any dimension, or for three or more stones (AU 17)
750.00
36648
The services covered by Item 36645 where, after a substantial portion of the procedure has been performed, it is necessary to discontinue the operation (AU 16)
670.00
36649
Nephrostomy drainage tube, exchange of—but not including imaging (AU 7)
188.00
36800
Bladder, catheterisation of, where no other procedure is performed (AU 4)
19.40
36803
Ureteroscopy, with or without any one or more of; cystoscopy, ureteric meatotomy, ureteric dilatation and pyeloscopy, not associated with item 36806, 36809, 36812, 36824, 36848 or 36857 (AU 7)
330.00
36806
Ureteroscopy as described in item 36803, plus one or more of extraction of stone, biopsy or diathermy (AU 9)
460.00
36809
Ureteroscopy as described in item 36803, plus destruction of stone with ultrasound, electrohydraulic shock waves, or laser, with extraction of fragments (AU 11)
585.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
36812
Cystoscopy with urethroscopy, with or without urethral dilatation, not associated with any other urological endoscopic procedure on the lower urinary tract except item 37327 (AU 5)
118.00
36815
Cystoscopy, with or without urethroscopy, for the treatment of penile warts or urethral warts, not associated with item 30189 (AU 6)
168.00
36818
Cystoscopy, with ureteric catheterisation including fluoroscopic imaging of the upper urinary tract, unilateral or bilateral, not associated with item 36824 or 36830 (AU 6)
194.00
36821
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 36824 or 36830 (AU 6)
230.00
36824
Cystoscopy with ureteric catheterisation, unilateral or bilateral, not associated with item 36818 or 36821 (AU 5)
150.00
36827
Cystoscopy, with controlled hydro-dilatation of the bladder (AU 5)
162.00
36830
Cystoscopy, with ureteric meatotomy (AU 5)
144.00
36833
Cystoscopy with removal of foreign body (AU 6)
194.00
36836
Cystoscopy with biopsy of bladder, not associated with item 36812, 36830, 36839, 36845, 36848, 36854, 37203, 37206 or 37215 (AU 6)
162.00
36839
Cystoscopy with resection or diathermy of bladder tumour or other lesion of the bladder or prostate, not associated with item 36845 (AU 6)
230.00
36842
Cystoscopy with lavage of blood clots from bladder including any associated diathermy of prostate or bladder and not associated with item 36812 and items 36827 to 36863 and items 37203 and 37206 (AU 8)
230.00
36845
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)
485.00
36848
Cystoscopy with resection of ureterocele (AU 5)
162.00
36851
Cystoscopy with injection into bladder wall (AU 5)
162.00
36854
Cystoscopy with endoscopic incision or resection of external sphincter, bladder neck or both (AU 7)
330.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
36857
Endoscopic manipulation or extraction of ureteric calculus (AU 6)
260.00
36860
Endoscopic examination of intestinal conduit or reservoir (AU 5)
118.00
36863
Litholapaxy, with or without cystoscopy (AU 7)
330.00
37000
Bladder, partial excision of (AU 13)
520.00
37003
Bladder, repair of rupture (G) (AU 13)
375.00
37004
Bladder, repair of rupture (S) (AU 13)
460.00
37007
Cystostomy or cystotomy, suprapubic, not covered by item 37011 and not associated with other open bladder procedure (G) (AU 8)
235.00
37008
Cystostomy or cystotomy, suprapubic, not covered by item 37011 and not associated with other open bladder procedure (S) (AU 8)
295.00
37011
Suprapubic stab cystotomy (AU 6)
66.00
37014
Bladder, total excision of (AU 29)
750.00
37017
Bladder tumours, suprapubic diathermy of (AU 10)
485.00
37020
Bladder diverticulum, excision or obliteration of (AU 10)
520.00
37023
Vesical fistula, cutaneous, operation for (AU 12)
295.00
37026
Cutaneous vesicostomy, establishment of (AU 9)
295.00
37029
Vesico-vaginal fistula, closure of by abdominal approach (AU 12)
Bladder stress incontinence, suprapubic procedure for, not covered by item 35599 (AU 9)
485.00
37047
Bladder enlargement using intestine (AU 23)
1,175.00
37050
Bladder extrophy closure, not involving sphincter reconstruction (AU 14)
520.00
37053
Bladder transection and re-anastomosis to trigone (AU 16)
605.00
37200
Prostatectomy, open (AU 13)
715.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
37203
Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services covered by item 36854, 37303, 37206 or 37324 (AU 10)
815.00
37206
Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services covered by items 36854, 37303, 37321 and 37324, continuation of, within 10 days ofinitial procedure which had to be discontinued for medical reasons (AU 9)
395.00
37209
Prostate, total excision of (AU 13)
910.00
37212
Prostate, open perineal biopsy or open drainage of abscess (AU 6)
194.00
37215
Prostate, biopsy of, endoscopic, with or without cystoscopy (AU 6)
295.00
37218
Prostate, needle biopsy of, or injection into (AU 5)
97.00
37221
Prostatic abscess, endoscopic drainage of (AU 7)
330.00
37300
Urethral sounds, passage of, as an independent procedure (AU 5)
33.00
37303
Urethral stricture, dilatation of (AU 5)
52.00
37306
Urethra, repair of rupture of distal section (AU 9)
460.00
37309
Urethra, repair of rupture of prostatic or membranous segment (AU 10)
650.00
37312
Urethral fistula, closure of (AU 8)
194.00
37315
Urethroscopy, as an independent procedure (AU 5)
97.00
37318
Urethroscopy, with any one or more of; biopsy, diathermy or removal of foreign body or stone (AU 7)
194.00
37321
Urethral meatotomy, external (AU 4)
66.00
37324
Urethrotomy or urethrostomy, internal or external (AU 5)
162.00
37327
Urethrotomy, optical, for urethral stricture (AU 5)
230.00
37330
Urethrectomy, partial or complete, for removal of tumour (AU 9)
460.00
37333
Urethro-vaginal fistula, closure of (AU 9)
395.00
37336
Urethro-rectal fistula, closure of (AU 10)
520.00
37339
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)
330.00
37363
Hypospadias or epispadias, with or without chordee, correction of, as a staged procedure, second stage (AU 11)
485.00
37366
Hypospadias or epispadias, with or without chordee, correction of, as one stage procedure, not covered by item 37357 (AU 13)
585.00
37369
Urethra, excision of prolapse of (AU 7)
132.00
37372
Urethral diverticulum, excision of (AU 8)
330.00
37375
Urethral sphincter, reconstruction by bladder tubularisation technique or similar procedure (AU 16)
815.00
37378
Urethra, operation for correction of male urinary incontinence, not covered by item 37381 or 37390 (AU 9)
520.00
37381
Artificial urinary sphincter, insertion of cuff, perineal approach (AU 10)
520.00
37384
Artificial urinary sphincter, insertion of cuff, abdominal approach (AU 16)
815.00
37387
Artificial urinary sphincter, insertion of pressure regulating balloon and pump (AU 8)
230.00
37390
Artificial urinary sphincter, revision or removal of, with or without replacement (AU 12)
650.00
37393
Priapism, decompression by glanular stab caverno- sospongiosum shunt or penile aspiration with or without lavage (AU 7)
162.00
37396
Priapism, shunt operation for, not covered by item 37393 (AU 10)
520.00
37399
Urethral valve, destruction of, including cystoscopy and urethroscopy (AU 7)
260.00
37402
Penis, partial amputation of (AU 8)
330.00
37405
Penis, complete or radical amputation of (AU 12)
650.00
37408
Penis, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (AU 8)
330.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
37411
Penis, repair of avulsion (AU 12)
650.00
37414
Penis, injection of, for investigation or treatment of impotence, priapism or Peyronie's plaque
33.00
37417
Penis, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting (AU 8)
395.00
37420
Penis, surgery to inhibit rapid penile drainage causing impotence, by ligation of deep veins to Bucks fascia including one or more deep cavernosal veins, with or without pharmological erection test (AU 7)
260.00
37423
Penis, lengthening by translocation of corpora (AU 14)
650.00
37426
Penis, artificial erection device, insertion of, into one or both corpora (AU 8)
685.00
37429
Penis, artificial erection device, insertion of pump and pressure regulating reservoir (AU 11)
230.00
37432
Penis, artificial erection device, complete or partial revision or removal of components, with or without replacement (AU 11)
650.00
37435
Penis, frenuloplasty as an independent procedure (AU 5)
66.00
37438
Scrotum, partial excision of (AU 7)
194.00
37441
Penis erection test for hypospadias and chordee when performed under general anaesthesic, as an independent procedure (AU 5)
65.00
37444
Ureterolithotomy complicated by previous surgery at the same site of the same ureter (AU 12)
705.00
37600
Spermatocele or epididymal cyst, excision of, one or more of, on one side (G) (AU 6)
162.00
37601
Spermatocele or epididymal cyst, excision of, one or more of, on one side (S) (AU 6)
194.00
37604
Exploration of scrotal contents, with or without fixation and with or without biopsy, unilateral (AU 5)
194.00
37607
Retroperitoneal lymph node dissection, unilateral, not associated with item 36528 (AU 12)
650.00
37610
Retroperitoneal lymph node dissection, unilateral, not associated with item 36528, following previous similar retroperitoneal dissection, retroperitoneal irradiation or chemotherapy (AU 24)
980.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
37613
Epididymectomy (AU 8)
194.00
37616
Vaso-vasostomy or vaso-epididymostomy, unilateral, using the operating microscope (AU 14)
485.00
37619
Vaso-vasostomy or vaso-epididymostomy, unilateral (AU 9)
194.00
37622
Vasotomy or vasectomy, unilateral or bilateral (G) (AU 5)
136.00
37623
Vasotomy or vasectomy, unilateral or bilateral (S) (AU 5)
162.00
Subgroup 6—Cardio-Thoracic
38200
Right heart catheterisation, including fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection and exercise stress test (AU 12)
315.00
38203
Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventri- cular puncture—including fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection and exercise stress test (AU 12)
375.00
38206
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)
455.00
38209
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 38212 (AU 19)
580.00
38212
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-arrhythmic 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 38209 (AU 27)
965.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
38215
Selective coronary arteriography—placement of catheters and injection of opaque material (AU 14)
320.00
38218
Selective coronary arteriography—placement of catheters and injection of opaque material with right or left heart catheterisation, or both (AU 16)
525.00
38221
Intra-aortic balloon for counterpulsation, operation for insertion by arteriotomy, or removal and arterioplasty (excluding repair by patch graft) (AU 14)
335.00
38400
Thoracic cavity, aspiration of, for diagnostic purposes, not associated with item 38403
27.00
38403
Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample
54.00
38406
Pericardium, paracentesis of (excluding after-care) (AU 6)
94.00
38409
Intercostal drain, insertion of, not involving resection of rib (excluding after-care) (AU 7)
94.00
38412
Percutaneous needle biopsy of lung (AU 7)
148.00
38415
Empyema, radical operation for, involving resection of rib (AU 13)
280.00
38418
Thoracotomy, exploratory, with or without biopsy (AU 11)
675.00
38421
Thoracotomy, with pulmonary decortication (AU 17)
1,080.00
38424
Thoracotomy, with pleurectomy or pleurodesis, or enucleation of hydatid cysts (AU 16)
675.00
38427
Thoracoplasty (complete)—three or more ribs (AU 21)
835.00
38430
Thoracoplasty (in stages)—each stage (AU 14)
430.00
38432
Pectus excavatum or pectus carinatum, repair or radical correction of (AU 16)
1,010.00
38434
Pectus excavatum or pectus carinatum, repair with implantation of subcutaneous prosthesis of (AU 16)
535.00
38436
Thoracoscopy, with or without division of pleural adhesions, including insertion of intercostal catheter, with or without biopsy (AU 7)
176.00
38438
Pneumonectomy or lobectomy or segmentectomy (AU 18)
1,080.00
38440
Lung, wedge resection of (AU 16)
810.00
38441
Radical Lobectomy or pneumonectomy including resection of chest wall, diaphragm, pericardium, or formal mediastinal node dissection (AU 22)
1,280.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
38446
Thoracotomy or sternotomy, for removal of thymus or mediastinal tumour (AU 16)
835.00
38448
Mediastinum, cervical exploration of, with or without biopsy (AU 10)
255.00
38450
Pericardium, transthoracic drainage of (AU 14)
605.00
38452
Pericardium, sub-xyphoid drainage of (AU 12)
405.00
38453
Tracheal excision and repair without cardiopulmonary bypass (AU 28)
1,210.00
38454
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 Group (AU 28)
1,080.00
38470
Permanent myocardial electrode, insertion of, by thoracotomy (AU 11)
675.00
38473
Permanent pacemaker electrode, insertion by sub- xyphoid approach (AU 11)
405.00
38476
Single chamber permanent transvenous electrode, insertion of (AU 12)
340.00
38479
Permanent pacemaker, insertion or replacement of (AU 12)
136.00
38482
Temporary transvenous pacemaking electrode, insertion of (AU 11)
188.00
38485
Permanent dual chamber transvenous electrodes, insertion of (AU 12)
430.00
38488
Valve replacement with bioprosthesis or mechanical prosthesis (AU 32)
1,210.00
38491
Valve replacement with allograft or unstented xenograft (AU 32)
1,345.00
38494
Valve, repair of (AU 32)
1,410.00
38497
Coronary artery bypass using saphenous vein graft or grafts only (AU 36)
1,445.00
38500
Coronary artery bypass using single arterial graft, with or without vein graft or grafts (AU 36)
1,550.00
38503
Coronary artery bypass using two or more arterial grafts, with or without vein graft or grafts (AU 36)
1,685.00
38506
Left ventricular aneurysmectomy (AU 32)
1,145.00
38509
Ischaemic ventricular septal rupture, repair of (AU 40)
1,685.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
38512
Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving one atrial chamber only (AU 32)
1,480.00
38515
Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving both atrial chambers and including curative surgery for atrial fibrillation (AU 36)
1,885.00
38518
Ventricular arrhythmia with mapping and muscle ablation, with or without aneurysmeotomy (AU 44)
2,020.00
38521
Automatic defibrillator, insertion of patches for (AU 10)
740.00
38524
Automatic defibrillator generator, insertion or replacement of (AU 10)
205.00
38550
Ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (AU 42)
1,345.00
38553
Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (AU 46)
1,750.00
38556
Ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (AU 50)
2,020.00
38559
Aortic arch and ascending thoracic aorta, repair or replacement of, not involving valve replacement or repair or coronary artery implantation (AU 46)
1,615.00
38562
Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, without implantation of coronary arteries (AU 50)
2,020.00
38565
Aortic arch and ascending thoracic aorta, repair or replacement of, with aortic valve replacement or repair, and implantation of coronary arteries (AU 52)
2,285.00
38568
Descending thoracic aorta, repair or replacement of, without shunt or cardiopulmonary bypass (AU 32)
1,145.00
38571
Descending thoracic aorta, repair or replacement of, using shunt or cardiopulmonary bypass (AU 36)
1,280.00
38574
Deep hypothermia with cardiac arrest, in association with open heart surgery
535.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
38600
Central cannulation for cardiopulmonary bypass excluding post-operative management (AU 16)
Cerebrospinal fluid reservoir, insertion of (AU 10)
265.00
39100
Injection of primary branch of trigeminal nerve with alcohol, cortisone, phenol, or similar substance (AU 8)
168.00
39103
Intrathecal injection of alcohol or phenol
168.00
39106
Neurectomy, intracranial, for trigeminal neuralgia (AU 16)
835.00
39109
Trigeminal gangliotomy by radiofrequency, balloon or glycerol (AU 8)
315.00
39112
Cranial nerve, intracranial decompression of, using microsurgical techniques (AU 25)
1,085.00
39115
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)
70.00
39118
Percutaneous neurotomy for facet joint denervation by radio-frequency probe or cryoprobe using radiological imaging control (AU 7)
210.00
39121
Percutaneous cordotomy (AU 9)
445.00
39124
Cordotomy or myelotomy, laminectomy for, or operation for dorsal root entry zone (Drez) lesion (AU 13)
1,140.00
39127
Subcutaneous reservoir and spinal catheter for pain, insertion of (AU 8)
335.00
39130
Percutaneous epidural implant for pain, insertion of (one or two stages), not involving laminectomy (AU 8)
460.00
39133
Epidural stimulator or intrathecal infusion device, revision of (AU 7)
112.00
39136
Percutaneous epidural implant for pain, removal of (AU 7)
112.00
39139
Epidural implant for pain, laminectomy and insertion of, including implantation of pulse generator (one or two stages) (AU 18)
760.00
39300
Cutaneous nerve (including digital nerve), primary repair of, using microsurgical techniques (AU 9)
250.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
39303
Cutaneous nerve (including digital nerve), secondary repair of, using microsurgical techniques (AU 10)
330.00
39306
Nerve trunk, primary repair of, using microsurgical techniques (AU 11)
475.00
39309
Nerve trunk, secondary repair of, using microsurgical techniques (AU 12)
Intracranial tumour or cyst, burr-hole and biopsy of, or drainage of, or both (AU 10)
365.00
39706
Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (AU 18)
785.00
39709
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 Group (AU 25)
1,120.00
39712
Craniotomy for removal of meningioma, pinealoma, cranio-pharyngioma, intraventricular tumour or any other intracranial tumour not covered by any other item in this Group (AU 25)
2,020.00
39715
Pituitary tumour, hypophysectomy or removal of by transcranial or transphenoidal approach (AU 25)
1,400.00
39718
Arachnoidal cyst, craniotomy for (AU 15)
615.00
39721
Craniotomy, involving osteoplastic flap, for re- opening post-operatively for haemorrhage, swelling, etc (AU 16)
560.00
39800
Aneurysm, clipping or reinforcement of sac (AU 28)
2,015.00
39803
Intracranial arteriovenous malformation, excision of (AU 32)
2,015.00
39806
Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping of (AU 24)
905.00
39809
Arteriovenous malformation, craniotomy and direct embolisation of (AU 32)
1,005.00
39812
Intracranial aneurysm or arteriovenous fistula, ligation of cervical vessel or vessels (AU 10)
445.00
39815
Carotid-cavernous fistula, obliteration of—combined cervical and intracranial procedure (AU 40)
1,285.00
39818
Extracranial to intracranial bypass using superficial temporal artery or saphenous vein graft (AU 32)
1,285.00
39900
Intracranial infection, drainage of, via burr-hole—including burr-hole (AU 10)
365.00
39903
Intracranial abscess, excision of (AU 17)
1,120.00
39906
Osteomyelitis of skull or removal of infected bone flap, craniectomy for (AU 10)
Spinal canal stenosis, laminectomy (multi-level), for treatment of (AU 16)
1,010.00
40309
Extradural tumour or abscess, laminectomy for (AU 12)
770.00
40312
Intradural lesion, laminectomy for, not covered by any other item in this Group (AU 13)
1,035.00
40315
Craniocervical junction lesion, transoral approach for (AU 29)
1,120.00
40318
Intramedullary tumour or arteriovenous malformation, laminectomy and radical excision of (AU 14)
1,400.00
40321
Posterior spinal fusion, not covered by items 40324 and 40327 (AU 18)
770.00
40324
Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together—laminectomy, including aftercare (AU 18)
450.00
40327
Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together—posterior fusion, including aftercare
450.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
40330
Spinal rhizolysis involving exposure of spinal nerve roots, with or without laminectomy (AU 16)
675.00
40333
Cervical discectomy (anterior), without fusion (AU 19)
560.00
40336
Intradiscal injection of chymopapain (DISCASE)—one disc (AU 8)
225.00
40339
Hydromyelia, plugging of obex for, with or without duroplasty (AU 25)
1,120.00
40342
Hydromyelia, craniotomy and laminectomy for, with cavity packing and CSF shunt (AU 25)
1,035.00
40600
Cranioplasty, reconstructive (AU 16)
675.00
40700
Corpus callosum, anterior section of, for epilepsy (AU 25)
1,230.00
40703
Corticectomy, topectomy or partial lobectomy for epilepsy (AU 23)
1,035.00
40706
Hemispherectomy for intractible epilepsy (AU 40)
1,510.00
40709
Burr-hole placement of intracranial depth or surface electrodes (AU 15)
365.00
40712
Intracranial electrode placement via craniotomy (AU 21)
735.00
40800
Stereotactic anatomical localisation in association with an intracranial operative procedure (AU 17)
630.00
40803
Intracranial stereotactic procedure by any method, not covered by any other item in this Group (AU 17)
840.00
40900
Leucotomy for psychiatric disorder (AU 15)
635.00
Subgroup 8—Ear, Nose and Throat
41500
Ear, removal of foreign body in, otherwise than by simple syringing (AU 4)
58.00
41503
Ear, removal of foreign body in, involving incision of external auditory canal (AU 6)
168.00
41506
Aural polyp, removal of (AU 4)
102.00
41509
External auditory meatus, surgical removal of keratosis obturans from, not covered by any other item in this Group (AU 9)
114.00
41512
Meatoplasty involving removal of cartilage or bone or both cartilage and bone not covered by item 41515 (AU 9)
415.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
41515
Meatoplasty involving removal of cartilage or bone or both cartilage and bone associated with item 41530, 41548, 41560, 41560 or 41563 (AU 7)
270.00
41518
External auditory meatus, removal of exostoses in (AU 12)
655.00
41521
Correction of auditory canal stenosis, including meatoplasty, with or without grafting (AU 12)
695.00
41524
Reconstruction of external auditory canal in association with items 41557, 41560 and 41563 (AU 9)
Myringoplasty, post-aural or endaural approach with or without mastoid inspection (AU 12)
675.00
41533
Atticotomy without reconstruction of the bony defect, with or without myringoplasty (AU 12)
805.00
41536
Atticotomy with reconstruction of the bony defect with or without myringoplasty (AU 14)
905.00
41539
Ossicular chain reconstruction (AU 12)
770.00
41542
Ossicular chain reconstruction and myringoplasty (AU 13)
840.00
41545
Mastoidectomy (cortical) (AU 12)
365.00
41548
Obliteration of the mastoid cavity (AU 10)
485.00
41551
Mastoidectomy, intact wall technique, with myringoplasty (AU 16)
1,120.00
41554
Mastoidectomy, intact wall technique, with myringoplasty and ossicular chain reconstruction (AU 18)
1,320.00
41557
Mastoidectomy (radical or modified radical) (AU 13)
770.00
41560
Mastoidectomy (radical or modified radical) and myringoplasty (AU 13)
840.00
41563
Mastoidectomy (radical or modified radical), myringoplasty and ossicular chain reconstruction (AU 14)
1,040.00
41566
Revision of mastoidectomy (radical, modified radical or intact wall), including myringoplasty (AU 16)
770.00
41569
Decompression of facial nerve in its mastoid portion (AU 13)
840.00
41572
Labyrinthotomy or destruction of labyrinth (AU 12)
730.00
41575
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)
1,715.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
41578
Cerebello-pontine angle tumour, removal of by two surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approach— intracranial procedure (including aftercare)
1,715.00
41581
Skull base tumour, removal of by infra-temporal approach (AU 40)
1,975.00
41584
Partial temporal bone resection for removal of tumour involving mastoidectomy with or without decompression of facial nerve (AU 28)
1,355.00
41587
Total temporal bone resection for removal of tumour (AU 32)
1,845.00
41590
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)
1,225.00
41602
Fenestration operation—each ear (AU 11)
840.00
41605
Venous graft to fenestration cavity (AU 12)
415.00
41608
Stapedectomy (AU 11)
770.00
41611
Stapes mobilisation (AU 10)
495.00
41614
Round window surgery including repair or cochleotomy (AU 11)
770.00
41617
Cochlear implant, insertion of, including mastoidectomy (AU 23)
1,335.00
41620
Glomus tumour, transtympanic removal of (AU 12)
580.00
41623
Glomus tumour, transmastoid removal of, including mastoidectomy (AU 13)
840.00
41626
Abscess or inflammation of middle ear, operation for (excluding after-care) (AU 7)
102.00
41629
Middle ear, exploration of (AU 9)
365.00
41632
Middle ear, insertion of tube for drainage of(including myringotomy) (AU 7)
168.00
41635
Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or without myringoplasty (AU 10)
805.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
41638
Clearance of middle ear for granuloma, cholesteatoma and polyp, one or more, with or without myringoplasty with ossicular chain reconstruction (AU 16)
1,005.00
41641
Perforation of tympanum, cauterisation or diathermy of (AU 6)
33.50
41644
Excision of rim of eardrum perforation, not associated with myringoplasty (AU 6)
100.00
41647
Ear toilet requiring use of operating microscope and microinspection of tympanic membrane with or without general anaesthesia (AU 7)
77.00
41650
Tympanic membrane, microinspection of one or both ears under general anaesthesia, not associated with any other item in this Group (AU 7)
77.00
41653
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 Group (AU 6)
51.00
41656
Nasal haemorrhage, posterior, arrest of, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding after-care) (AU 8)
87.00
41659
Nose, removal of foreign body in, other than by simple probing (AU 6)
55.00
41662
Nasal polyp or polypi (simple), removal of
58.00
41665
Nasal polyp or polypi (requiring admission to hospital), removal of (G) (AU 7)
122.00
41668
Nasal polyp or polypi (requiring admission to hospital), removal of (S) (AU 7)
154.00
41671
Nasal septum, septoplasty, submucous resection or closure of septal perforation (AU 9)
340.00
41674
Cauterisation (other than by chemical means) or 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)
71.00
41677
Nasal haemorrhage, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (AU 7)
63.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
41680
Cryotherapy to nose in the treatment of nasal haemorrhage (AU 7)
114.00
41683
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)
83.00
41686
Dislocation of turbinate or turbinates, one or both sides, not associated with any other item in this Group (AU 6)
51.00
41689
Turbinectomy or turbinectomies, partial or total, unilateral (AU 6)
Maxillary antrum, proof puncture and lavage of (AU 6)
23.00
41701
Maxillary antrum, proof puncture and lavage of—under general anaesthesia (requiring admission to hospital), not associated with any other item in this Group (AU 6)
65.00
41704
Maxillary antrum, lavage of—each attendance at which the procedure is performed, including any associated consultation (AU 6)
19.20
41707
Maxillary artery, transantral ligation of (AU 9)
315.00
41710
Antrostomy (radical) (AU 9)
365.00
41713
Antrostomy (radical) with transantral ethmoidectomy or transantral vidian neurectomy (AU 10)
425.00
41716
Antrum, intranasal operation on or removal of foreign body from (AU 8)
210.00
41719
Antrum, drainage of, through tooth socket (AU 7)
83.00
41722
Oro-antral fistula, plastic closure of (AU 11)
415.00
41725
Ethmoidal artery or arteries, transorbital ligation of (unilateral) (AU 10)
315.00
41728
Lateral rhinotomy with removal of tumour (AU 12)
630.00
41731
Fronto-nasal ethmoidectomy with or without sphenoidectomy (AU 9)
550.00
41734
Radical fronto-ethmoidectomy with osteoplastic flap (AU 13)
715.00
41737
Frontal sinus or ethmoidal sinuses, intranasal operation on (AU 9)
340.00
41740
Frontal sinus, catheterisation of (AU 6)
41.50
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
41743
Frontal sinus, trephine of (AU 6)
240.00
41746
Frontal sinus, radical obliteration of (AU 10)
550.00
41749
Ethmoidal sinuses, external operation on (AU 10)
425.00
41752
Sphenoidal sinus, intranasal operation on (AU 10)
210.00
41755
Eustachian tube, catheterisation of (AU 6)
32.50
41758
Division of pharyngeal adhesions (AU 7)
83.00
41761
Post nasal space, direct examination of, with or without biopsy (AU 7)
87.00
41764
Nasendoscopy or sinoscopy or fibreoptic examination of nasopharynx and larynx (AU 7)
Pharyngeal pouch, removal of, with or without cricopharyngeal myotomy (AU 16)
495.00
41773
Pharyngeal pouch, endoscopic resection of (Dohlman's operation) (AU 14)
415.00
41776
Cricopharyngeal myotomy with or without inversion of pharyngeal pouch (AU 10)
415.00
41779
Pharyngotomy (lateral), with or without total excision of tongue (AU 6)
495.00
41782
Partial pharyngectomy via pharyngotomy (AU 12)
670.00
41785
Partial pharyngectomy via pharyngotomy with partial or total glossectomy (AU 14)
830.00
41786
Pharyngeal flap or pharyngoplasty, with or without tonsillectomy (AU 15)
520.00
41788
Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (G) (AU 7)
154.00
41789
Tonsils or tonsils and adenoids, removal of, in a person aged less than twelve years (S) (AU 7)
210.00
41792
Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (G) (AU 8)
194.00
41793
Tonsils or tonsils and adenoids, removal of, in a person twelve years of age or over (S) (AU 8)
260.00
41796
Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (G) (AU 9)
80.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
41797
Tonsils or tonsils and adenoids, arrest of haemorrhage requiring general anaesthesia, following removal of (S) (AU 9)
102.00
41800
Adenoids, removal of (G) (AU 6)
83.00
41801
Adenoids, removal of (S) (AU 6)
114.00
41804
Lingual tonsil or lateral pharyngeal bands, removal of (AU 7)
63.00
41807
Peritonsillar abscess (quinsy), incision of (AU 7)
49.50
41810
Uvulotomy or uvulectomy (AU 6)
25.00
41813
Vallecular or pharyngeal cysts, removal of (AU 8)
250.00
41816
Oesophagoscopy (with rigid oesophagoscope) (AU 6)
130.00
41819
Oesophageal and anastomic stricture, endoscopic dilatation of (AU 7)
245.00
41822
Oesophagoscopy (with rigid oesophagoscope) with biopsy (AU 7)
168.00
41825
Oesophagoscopy (with rigid oesophagoscope) with removal of foreign body (AU 7)
250.00
41828
Oesophageal stricture, dilatation of, without oesophagoscopy (AU 6)
36.50
41831
Oesophagus, endoscopic pneumatic dilatation of (AU 8)
250.00
41834
Laryngectomy (total) (AU 20)
910.00
41837
Vertical hemi-laryngectomy including tracheostomy (AU 17)
870.00
41840
Supraglottic laryngectomy including tracheostomy (AU 21)
1,070.00
41843
Laryngopharyngectomy or primary restoration of alimentary continuity after laryngopharyngectomy using stomach or bowel (AU 20)
940.00
41846
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)
130.00
41849
Larynx, direct examination of, with biopsy (AU 8)
192.00
41852
Larynx, direct examination of, with removal of tumour (AU 9)
210.00
41855
Microlaryngoscopy (AU 8)
205.00
41858
Microlaryngoscopy with removal of juvenile papillomata (AU 10)
350.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
41861
Microlaryngoscopy with removal of papillomata by laser surgery (AU 13)
425.00
41864
Microlaryngoscopy with removal of tumour (AU 9)
285.00
41867
Microlaryngoscopy with arytenoidectomy (AU 13)
430.00
41870
Teflon injection into vocal cord (AU 9)
320.00
41873
Larynx, fractured, operation for (AU 15)
415.00
41876
Larynx, external operation on, or laryngofissure, with or without cordectomy (AU 13)
415.00
41879
Laryngoplasty or tracheoplasty, including tracheostomy (AU 17)
670.00
41882
Tracheostomy (G) (AU 10)
130.00
41883
Tracheostomy (S) (AU 10)
168.00
41886
Trachea, removal of foreign body in (AU 7)
126.00
41889
Bronchoscopy, as an independent procedure (AU 7)
126.00
41892
Bronchoscopy with one or more endobronchial biopsies or other diagnostic or therapeutic procedures (AU 8)
166.00
41895
Bronchus, removal of foreign body in (AU 9)
260.00
41898
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)
182.00
41901
Endoscopic laser resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures (AU 15)
425.00
41904
Bronchoscopy with dilatation of tracheal stricture (AU 7)
174.00
41907
Nasal septum button, insertion of (AU 6)
86.00
Subgroup 9—Ophthalmology
42503
Ophthalmological examination under general anaesthesia, not associated with any other item in this Group (AU 5)
72.00
42506
Eye, enucleation of, with or without sphere implant (AU 8)
340.00
42509
Eye, enucleation of, with insertion of integrated implant (AU 9)
430.00
42512
Globe, evisceration of (AU 8)
340.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
42515
Globe, evisceration of, and insertion of intrascleral ball or cartilage (AU 9)
430.00
42518
Anophthalmic orbit, insertion of cartilage or artificial implant as a delayed procedure, or removal of implant from socket (AU 9)
250.00
42521
Anophthalmic socket, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure (AU 16)
850.00
42524
Orbit, skin graft to, as a delayed procedure (AU 7)
144.00
42527
Contracted socket, reconstruction including mucous membrane grafting and stent mould (AU 11)
285.00
42530
Orbit, exploration with or without biopsy, requiring removal of bone (AU 9)
445.00
42533
Orbit, exploration of, with drainage or biopsy not requiring removal of bone (AU 8)
285.00
42536
Orbit, exenteration of, with or without skin graft and with or without temporalis muscle transplant (AU 11)
590.00
42539
Orbit, exploration of, with removal of tumour or foreign body, requiring removal of bone (AU 12)
835.00
42542
Orbit, exploration of, with removal of tumour or of foreign body (AU 10)
355.00
42545
Orbit, decompression of, for dysthyroid eye disease, two or more walls, one eye (AU 16)
900.00
42548
Optic nerve meninges, incision of (AU 17)
535.00
42551
Eyeball, perforating wound of, not involving intraocular structures—repair involving suture of cornea or sclera, or both, not covered by item 42632 (AU 10)
445.00
42554
Eyeball, perforating wound of, with incarceration or prolapse of uveal tissue—repair (AU 12)
520.00
42557
Eyeball, perforating wound of, with incarceration of lens or vitreous—repair (AU 12)
725.00
42560
Intraocular foreign body, magnetic removal from anterior segment (AU 10)
285.00
42563
Intraocular foreign body, nonmagnetic removal from anterior segment (AU 11)
365.00
42566
Intraocular foreign body, magnetic removal from posterior segment (AU 10)
520.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
42569
Intraocular foreign body, nonmagnetic removal from posterior segment (AU 12)
725.00
42572
Orbital abscess or cyst, drainage of (AU 6)
83.00
42575
Tarsal cyst, extirpation of (AU 6)
58.00
42578
Tarsal cartilage, excision of (AU 8)
330.00
42581
Ectropion or entropion, tarsal cauterisation of
83.00
42584
Tarsorrhaphy (AU 8)
194.00
42587
Cryotherapy or electrolysis epilation for trichiasis—each eyelid (AU 6)
36.50
42590
Canthoplasty, medial or lateral (AU 9)
240.00
42593
Lacrimal gland, excision of palpebral lobe (AU 8)
144.00
42596
Lacrimal sac, excision of, or operation on (AU 8)
355.00
42599
Lacrimal canalicular system, establishment of patency by closed operation using silicone tubes or similar, one eye (AU 10)
445.00
42602
Lacrimal canalicular system, establishment of patency by open operation, one eye (AU 8)
445.00
42605
Lacrimal canaliculus, immediate repair of (AU 8)
330.00
42608
Lacrimal drainage by insertion of glass tube, as an independent procedure (AU 10)
210.00
42611
Nasolacrimal tube (unilateral) replacement of, under general anaesthesia, or lacrimal passages, probing for obstruction, unilateral or bilateral, with or without lavage (AU 4)
102.00
42614
Lacrimal passages, lavage of, unilateral, not associated with item 42611 (excluding after-care) (AU 4)
34.00
42617
Punctum snip operation (AU 4)
96.00
42620
Punctum, occlusion of, by use of a plug (AU 5)
37.00
42623
Dacryocystorhinostomy (AU 11)
495.00
42626
Dacryocystorhinostomy where a previous dacryocystorhinostomy has been performed (AU 11)
795.00
42629
Conjunctivorhinostomy including dacryocystorhinostomy and fashioning of conjunctival flaps (AU 12)
600.00
42632
Conjunctival peritomy or repair of corneal laceration by conjunctival flap (AU 6)
83.00
42635
Corneal perforations, sealing of, with tissue adhesive (AU 9)
210.00
42638
Conjunctival graft over cornea (AU 7)
265.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
42641
Autoconjunctival transplant, or mucous membrane graft (AU 11)
345.00
42644
Cornea or sclera, removal of imbedded foreign body from (excluding after-care) (AU 8)
51.00
42647
Corneal scars, removal of, by partial keratectomy, not in association with item 42686 (AU 8)
144.00
42650
Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after-care) (AU 8)
51.00
42653
Cornea, transplantation of, full thickness, including collection of donor material (AU 13)
945.00
42656
Cornea, transplantation of, full thickness, including collection of donor material where there have been two previous graft operations (AU 13)
1,175.00
42659
Cornea, transplantation of, superficial or lamellar, including collection of donor material (AU 11)
635.00
42662
Sclera, transplantation of, full thickness, including collection of donor material (AU 15)
635.00
42665
Sclera, transplantation of, superficial or lamellar, including collection of donor material (AU 14)
425.00
42668
Corneal sutures, removal of, not earlier than six weeks after operation requiring use of slit lamp or operating microscope (AU 6)
53.00
42671
Refractive keratoplasty with penetrating incisions (excluding radial keratotomy) following corneal grafting or intraocular operation including any measurements and calculations associated with the procedure (AU 10)
635.00
42674
Corneal incisions, non penetrating, for the correction of astigmatism following surgery of anterior chamber or corneal grafting, and including associated ultrasound pachymetry of corneal thickness, with or without compression sutures (AU 10)
320.00
42677
Conjunctiva, cautery of, including treatment of pannus—each attendance at which treatment is given including any associated consultation (AU 4)
43.00
42680
Conjunctiva, cryotherapy to, for melanotic lesions or similar using CO2 or N20 (AU 7)
210.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
42683
Conjunctival cysts, removal of, requiring admission to hospital or approved day hospital facility (AU 6)
85.00
42686
Pterygium, removal of (AU 6)
192.00
42689
Pinguecula, removal of, not associated with the fitting of contact lenses (AU 6)
83.00
42692
Limbic tumour, removal of (AU 7)
194.00
42695
Limbic tumour, excision of, requiring keratectomy or sclerectomy (AU 12)
320.00
42698
Lens extraction (AU 11)
550.00
42701
Artificial lens, insertion of (AU 11)
305.00
42704
Artificial lens, removal or repositioning of by open operation—not associated with item 42701 (AU 9)
330.00
42707
Artificial lens, removal of and replacement with a different lens (AU 12)
560.00
42710
Artificial lens, removal of, and replacement with a lens inserted into the posterior chamber and sutured to the iris or sclera (AU 15)
635.00
42713
Intraocular lenses, repositioning of, by the use of a McCannell suture or similar (AU 11)
265.00
42716
Cataract, juvenile, removal of, including subsequent needlings (AU 11)
840.00
42719
Capsulectomy or removal of vitreous via the anterior chamber by any method, not associated with any other intraocular operation on that eye (AU 9)
365.00
42722
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)
400.00
42725
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, other than item 42728 (AU 25)
945.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
42728
Cryotherapy of retina or other intraocular structures with an internal probe in association with item 42725 (AU 9)
158.00
42731
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)
1,070.00
42734
Capsulotomy, other than by laser (AU 9)
210.00
42737
Needling of posterior capsule (AU 8)
210.00
42740
Paracentesis of anterior or posterior chamber or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous for diagnostic purposes, one or more of (AU 9)
210.00
42743
Anterior chamber, irrigation of blood from, as an independent procedure (AU 7)
445.00
42746
Glaucoma, filtering operation for (AU 10)
675.00
42749
Glaucoma, filtering operation for, where previous filtering operation has been performed (AU 10)
840.00
42752
Glaucoma, insertion of Molteno valve for, one or more stages (AU 18)
945.00
42755
Glaucoma, removal of Molteno valve (AU 8)
116.00
42758
Goniotomy (AU 10)
495.00
42761
Division of anterior or posterior synechiae, as an independent procedure, other than by laser (AU 9)
365.00
42764
Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (AU 10)
365.00
42767
Tumour, involving ciliary body or ciliary body and iris, excision of (AU 12)
770.00
42770
Cyclodiathermy or cyclocryotherapy (AU 8)
210.00
42773
Detached retina, diathermy or cryotherapy for, not associated with item 42776 (AU 11)
635.00
42776
Detached retina, buckling or resection operation for (AU 15)
945.00
42779
Detached retina, revision operation for (AU 15)
1,175.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
42782
Laser trabeculoplasty—each treatment to one eye, to a maximum of four treatments to that eye in a two year period (AU 6)
320.00
42785
Laser iridotomy—each treatment to one eye, to a maximum of two treatments to that eye in a two year period (AU 6)
250.00
42788
Laser capsulotomy—each treatment to one eye, to a maximum of two treatments to that eye in a two year period (AU 6)
250.00
42791
Laser vitreolysis or corticolysis of lens material or fibrinolysis—each treatment to one eye, to a maximum of two treatments to that eye in a two year period (AU 6)
250.00
42794
Division of suture by laser—each treatment to one eye, to a maximum of two treatments to that eye in a two year period (AU 5)
47.50
42797
Laser coagulation of corneal or scleral blood vessels—each treatment to one eye, to a maximum of four treatments to that eye in a two year period (AU 5)
47.50
42800
Pterygium, removal by laser in one or more stages (AU 6)
192.00
42803
Pinguecula, removal of by laser in one or more stages (not for contact lenses) (AU 6)
83.00
42806
Iris tumour, laser photocoagulation of (AU 9)
250.00
42809
Retina, photocoagulation of (AU 9)
320.00
42812
Detached retina, removal of encircling silicone band from (AU 8)
116.00
42815
Posterior chamber, removal of silicone oil from (AU 12)
445.00
42818
Retina, cryotherapy to, as an independent procedure, with external probe (AU 13)
415.00
42821
Retrobulbar transillumination, as an independent procedure (AU 5)
64.00
42824
Retrobulbar injection of alcohol or other drug, as an independent procedure
49.50
42827
Injection of botulinus toxin for blepharospasm, including all such injections on any one day (AU 5)
32.00
42830
Botulinus toxin, injection of, for strabismus including all such injections on any one day and associated electromyography (AU 6)
110.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
42833
Squint, operation for, on one or both eyes, the operation involving a total of one or two muscles (AU 8)
415.00
42836
Squint, operation for, on one or both eyes, the operation involving a total of one or two muscles where there have been two or more previous squint operations on the eye or eyes (AU 8)
515.00
42839
Squint, operation for, on one or both eyes, the operation involving a total of three or more muscles (AU 9)
495.00
42842
Squint, operation for, on one or both eyes, the operation involving a total of three or more muscles where there have been two or more previous squint operations on the eye or eyes (AU 9)
615.00
42845
Readjustment of adjustable sutures, one or both eyes, as an independent procedure following an operation for correction of squint (AU 6)
134.00
42848
Squint, muscle transplant for (Hummelsheim type, or similar operation) (AU 9)
495.00
42851
Squint, muscle transplant for (Hummelsheim type, or similar operation) where there have been two or more previous squint operations on the eye or eyes (AU 9)
615.00
42854
Ruptured medial palpebral ligament or ruptured extra-ocular muscle, repair of (AU 9)
285.00
42857
Resuturing of wound following intraocular procedures with or without excision of prolapsed iris (AU 9)
285.00
42860
Lid, upper or lower, scleral graft to, with recession of the lid retractors (AU 13)
635.00
42863
Eyelid upper, recession of (AU 12)
545.00
42866
Entropion, repair of, by tightening, shortening or repair of inferior retractors by open operation (AU 13)
530.00
42869
Eyelid closure in facial nerve paralysis, insertion of foreign implant for (AU 11)
385.00
42872
Eyebrow, elevation of, for paretic states (AU 9)
170.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
Subgroup 10—Operations for Osteomyelitis
43500
Operation on phalanx (AU 7)
87.00
43503
Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, skull, mandible or maxilla (other than alveolar margins)—one bone (AU 10)
144.00
43506
Operation on humerus or femur—one bone (AU 10)
250.00
43509
Operation on spine or pelvic bones—one bone (AU 13)
250.00
43512
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)
250.00
43515
Operation on humerus or femur—one bone (AU 11)
250.00
43518
Operation on spine or pelvic bones—one bone (AU 12)
415.00
43521
Operation on skull (AU 12)
325.00
43524
Operation on any combination of adjoining bones, being bones referred to in item 43515, 43518 or 43521 (AU 12)
415.00
Subgroup 11—Paediatric
43800
Hypertelorism, correction of (AU 14)
650.00
43803
Choanal atresia, plastic repair of (AU 16)
635.00
43806
Choanal atresia, repair of by puncture and dilatation (AU 11)
158.00
43809
Macrocheilia, macroglossia or macrostomia, operation for (AU 13)
340.00
43812
Torticollis, operation for (AU 7)
260.00
43815
Oesophagus, correction of congenital stenosis by oesophagectomy and anastomosis (AU 21)
775.00
43818
Tracheo-oesophageal fistula (with or without atresia), ligation and division of (AU 20)
775.00
43821
Oesophageal atresia, with or without fistula, correction of (AU 23)
960.00
43824
Neonatal alimentary obstruction, laparotomy for, with or without resection, including reduction of volvulus (AU 15)
675.00
43827
Anal sphincterotomy as an independent procedure for Hirschsprung's disease (AU 6)
188.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
43830
Hirschsprung's disease, rectosigmoidectomy for (AU 22)
880.00
43833
Exomphalos or gastroschisis, operation for (AU 13)
770.00
43836
Exomphalos or gastroschisis, operation for, by plastic flap (AU 14)
855.00
43839
Ano-rectal malformation, perineal anoplasty, primary or secondary repair (AU 10)
285.00
43842
Ano-rectal malformation, rectoplasty, primary or secondary repair, not covered by item 43839 (AU 18)
835.00
43845
Contracted bladder neck (congenital), wedge excision or perurethral resection of (AU 11)
425.00
43848
Urachal fistula, operation for (AU 11)
365.00
43851
Sphincter reconstruction for ectopia vesicae, ectopia cloacae or congenital incontinence (AU 12)
850.00
43854
Urethral valves or urethral membrane, open removal of (AU 12)
505.00
43857
Lymphangiectasis of limb (Milroy’s disease)—limited excision of (AU 14)
260.00
43860
Lymphangiectasis of limb (Milroy's disease)—radical excision of (AU 18)
580.00
44100
Extra digit, ligation of pedicle (AU 4)
34.00
44103
Extra digit, amputation of (AU 6)
87.00
44106
Dermoid, periorbital or superficial nasal, excision of (G) (AU 8)
126.00
44107
Dermoid, periorbital or superficial nasal, excision of (S) (AU 8)
160.00
44110
Dermoid, orbital, excision of (AU 8)
340.00
44113
Dermoid of nose, excision of, with intranasal extension (AU 8)
400.00
Subgroup 12—Amputations
44324
Hand, midcarpal or transmetacarpal (G) (AU 7)
160.00
44325
Hand, midcarpal or transmetacarpal (S) (AU 7)
210.00
44328
Hand, forearm or through arm (AU 8)
250.00
44331
At shoulder (AU 12)
415.00
44334
Interscapulothoracic (AU 15)
840.00
44337
One digit of foot (G) (AU 6)
83.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
44338
One digit of foot (S) (AU 6)
102.00
44341
Two digits of one foot (G) (AU 7)
126.00
44342
Two digits of one foot (S) (AU 7)
154.00
44345
Three digits of one foot (G) (AU 8)
144.00
44346
Three digits of one foot (S) (AU 8)
178.00
44349
Four digits of one foot (G) (AU 9)
166.00
44350
Four digits of one foot (S) (AU 9)
205.00
44353
Five digits of one foot (G) (AU 10)
186.00
44354
Five digits of one foot (S) (AU 10)
230.00
44357
Toe, including metatarsal or part of metatarsal—each toe (G) (AU 7)
102.00
44358
Toe, including metatarsal or part of metatarsal—each toe (S) (AU 7)
130.00
44361
Foot at ankle (Syme, Pirogoff types) (AU 8)
250.00
44364
Foot, midtarsal or transmetatarsal (AU 7)
210.00
44367
Through thigh, at knee or below knee (AU 10)
370.00
44370
At hip (AU 14)
505.00
44373
Hindquarter (AU 17)
1,040.00
44376
Amputation stump, reamputation of, to provide adequate skin and muscle cover
Amount under rule 18
Subgroup 13—Plastic and Reconstructive Surgery
45000
Single stage local muscle flap repair, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (AU 7)
380.00
45003
Single stage local myocutaneous flap repair to one defect, simple and small (AU 11)
425.00
45006
Single stage large myocutaneous flap repair to one defect, (pectoralis major, latissimus dorsi, or similar large muscle) (AU 16)
730.00
45009
Single stage local muscle flap repair to one defect, simple and small (AU 11)
265.00
45012
Single stage large muscle flap repair to one defect, (pectoralis major, gastrocnemius, gracilis or similar large muscle) (AU 17)
445.00
45015
Muscle or myocutaneous flap, delay of (AU 8)
210.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
45018
Dermis, dermofat or fascia graft (excluding transfer of fat by injection) (AU 12)
335.00
45021
Abrasive therapy, limited to one aesthetic area (AU 6)
126.00
45024
Abrasive therapy to more than one aesthetic area (AU 7)
280.00
45027
Angioma, cauterisation of or injection into, where undertaken in the operating theatre of a hospital or approved day-hospital facility (AU 7)
85.00
45030
Angioma of skin and subcutaneous tissue (excluding facial muscle or breast) or mucous surface, small, excision and suture of (AU 7)
91.00
45033
Angioma of facial muscle or breast, large or involving deeper tissue, excision and suture of (AU 9)
170.00
45036
Angioma of neck, deep, excision of (AU 10)
795.00
45039
Arteriovenous malformation (3 centimetres or less) of superficial tissue, excision of (AU 11)
170.00
45042
Arteriovenous malformation, (greater than 3 centimetres), excision of (AU 16)
215.00
45045
Arteriovenous malformation on eyelid, nose, lip, neck, hand, thumb, finger or genitals, excision of (AU 16)
215.00
45048
Lymphoedematous tissue of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of (AU 15)
545.00
45051
Foreign implant (non biological), insertion of, for contour reconstruction for pathological deformity (AU 10)
335.00
45200
Single stage local flap, where indicated to repair one defect, simple and small, excluding flap for male pattern baldness (AU 7)
200.00
45203
Single stage local flap, where indicated to repair one defect, complicated or large, excluding flap for male pattern baldness (AU 10)
285.00
45206
Single stage local flap where indicated to repair one defect, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (AU 12)
270.00
45209
Direct flap repair (cross arm, abdominal or similar), first stage (AU 11)
335.00
45212
Direct flap repair (cross arm, abdominal or similar), second stage (AU 9)
166.00
45215
Direct flap repair, cross leg, first stage (AU 13)
715.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
45218
Direct flap repair, cross leg, second stage (AU 10)
320.00
45221
Direct flap repair, small (cross finger or similar), first stage (AU 7)
184.00
45224
Direct flap repair, small (cross finger or similar), second stage (AU 7)
83.00
45227
Indirect flap or tubed pedicle, formation of (AU 10)
315.00
45230
Direct or indirect flap or tubed pedicle, delay of (AU 8)
156.00
45233
Indirect flap or tubed pedicle, preparation of intermediate or final site and attachment to the site (AU 10)
335.00
45236
Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure (AU 8)
260.00
45239
Direct, indirect or local flap, revision of (AU 7)
184.00
45400
Free grafting (split skin) of a granulating area, small (AU 7)
144.00
45403
Free grafting (split skin) of a granulating area, extensive (AU 11)
285.00
45406
Free grafting (split skin) to burns, including excision of burnt tissue—involving not more than 3 per cent of total body surface (AU 8)
320.00
45409
Free grafting (split skin) to burns, including excision of burnt tissue—involving 3 per cent or more but less than 6 per cent of total body surface (AU 10)
425.00
45412
Free grafting (split skin) to burns, including excision of burnt tissue—involving 6 per cent or more but less than 9 per cent of total body surface (AU 12)
585.00
45415
Free grafting (split skin) to burns, including excision of burnt tissue—involving 9 per cent or more but less than 12 per cent of total body surface (AU 14)
635.00
45418
Free grafting (split skin) to burns, including excision of burnt tissue—involving 12 per cent or more of total body surface (AU 16)
690.00
45421
Free grafting (split skin) to burns, including excision of burnt tissue, on eyelid, nose, lip, neck, hand, thumb, finger or genitals (AU 18)
285.00
45424
Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving not more than 3 per cent of total body surface (AU 13)
235.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
45427
Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving 3 per cent or more but less than 6 per cent of total body surface (AU 15)
340.00
45430
Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving 6 per cent or more but less than 9 per cent of total body surface (AU 17)
500.00
45433
Free grafting (xenograft or homograft split skin) to burns including exision of burnt tissue—involving 9 per cent or more but less than 12 per cent of total body surface (AU 19)
550.00
45436
Free grafting (xenograft or homograft split skin) to burns including excision of burnt tissue—involving 12 per cent or more of total body surface (AU 21)
615.00
45439
Free grafting (split skin) to one defect, including elective dissection, small (AU 8)
200.00
45442
Free grafting (split skin) to one defect, including elective dissection, extensive (AU 11)
415.00
45445
Free grafting (split skin) as inlay graft to one defect including elective dissection using a mould (including insertion of and removal of mould) (AU 11)
390.00
45448
Free grafting (split skin) to one defect, including elective dissection on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, not covered by items 45442 or 45445 (AU 8)
265.00
45451
Free grafting (full thickness) to one defect, excluding grafts for male pattern baldness (AU 9)
335.00
45500
Microvascular repair using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (AU 14)
770.00
45503
Micro-arterial or micro-venous graft using microsurgical techniques (AU 22)
1,430.00
45506
Scar, of face or neck, revision of, not more than 3 centimetres in length, where undertaken in the operating theatre of a hospital or approved day- hospital facility (AU 8)
154.00
45509
Microvascular anastomosis of artery or vein using microsurgical techniques, for reimplantation of limb or digit or free transfer of tissue (AU 38)
1,250.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
45512
Scar, of face or neck, revision of, more than 3 centimetres in length, where undertaken in the operating theatre of a hospital or approved day- hospital facility (AU 9)
210.00
45515
Scar, other than on face or neck, not more than 7 centimetres in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, as an independent procedure (AU 10)
132.00
45518
Scar, other than on face or neck, more than 7 centimetres in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, as an independent procedure (AU 12)
158.00
45521
Mammaplasty, reduction (unilateral), with or without repositioning of nipple (AU 10)
635.00
45524
Mammaplasty, augmentation, for significant breast asymmetry where the augmentation is limited to one breast (AU 10)
520.00
45527
Mammaplasty, augmentation, (unilateral), following mastectomy (AU 9)
520.00
45530
Breast reconstruction (unilateral), using latissimus dorsi or other large myocutaneous flap, including repair of secondary skin defect, excluding repair of muscular aponeurotic layer (AU 20)
775.00
45533
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)
875.00
45536
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)
325.00
45539
Breast reconstruction (unilateral), following mastectomy, using tissue expansion—insertion of tissue expansion unit and all attendances for subsequent expansion injections (AU 9)
755.00
45542
Breast reconstruction (unilateral), following mastectomy, using tissue expansion—removal of tissue expansion unit and insertion of permanent prosthesis (AU 9)
430.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
45545
Nipple or areola or both, reconstruction of by any technique (AU 10)
440.00
45548
Breast prosthesis, removal of, as an independent procedure (AU 11)
194.00
45551
Fibrous capsule surrounding breast prosthesis, excision or multiple incisions to, as an independent procedure (AU 10)
315.00
45554
Breast prosthesis, replacement of, following medical complications, (including rupture, migration, or capsule formation) where new pocket is formed (AU 15)
495.00
45560
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 Group (AU 11)
335.00
45563
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)
775.00
45566
Tissue expansion not covered by item 45539 or 45542—insertion of tissue expansion unit and all attendances for subsequent expansion injections (AU 10)
755.00
45572
Intra-operative tissue expansion performed during an operation when combined with any other item in Group T8 including expansion injections and excluding treatment of male pattern baldness (AU 13)
205.00
45575
Facial nerve paralysis, free fascia graft for (AU 12)
505.00
45578
Facial nerve paralysis, muscle transfer for (AU 13)
590.00
45581
Facial nerve palsy, excision of tissue for (AU 12)
194.00
45584
Liposuction (suction assisted lipolysis) to one regional area (thigh, buttock, or similar), for treatment of post-traumatic pseudolipoma (AU 13)
445.00
45587
Meloplasty for correction of facial asymmetry due to soft tissue abnormality where the meloplasty is limited to one side of the face (AU 14)
630.00
45590
Orbital cavity, reconstruction of a wall or floor, with or without foreign implant (AU 12)
340.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
45593
Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (AU 14)
400.00
45596
Maxilla, total resection of (AU 29)
635.00
45597
Maxilla, total resection of both maxillae (AU 30)
850.00
45599
Mandible, total resection of both sides, including condylectomies where performed (AU 35)
660.00
45602
Mandible, including lower border, or maxilla, sub- total resection of (AU 19)
495.00
45605
Mandible or maxilla, segmental resection of, for tumours or cysts (AU 13)
415.00
45608
Mandible, hemi-mandibular reconstruction with bone graft, not associated with item 45599 (AU 15)
580.00
45611
Mandible, condylectomy (AU 11)
335.00
45614
Eyelid, whole thickness reconstruction of, other than by direct suture only (AU 10)
415.00
45617
Upper eyelid, reduction of, 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)
166.00
45620
Lower eyelid, reduction of, 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)
230.00
45623
Ptosis (unilateral), correction of (AU 12)
550.00
45626
Ectropion or entropion, correction of (unilateral) (AU 9)
230.00
45629
Symblepharon, grafting for (AU 8)
335.00
45632
Rhinoplasty, correction of lateral or alar cartilages (AU 10)
360.00
45635
Rhinoplasty, correction of bony vault only (AU 10)
415.00
45638
Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose (AU 12)
715.00
45641
Rhinoplasty involving nasal or septal cartilage graft (AU 14)
765.00
45644
Rhinoplasty involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft (AU 13)
900.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
45647
Face, contour restoration of one region, using autogenous bone or cartilage graft (not covered by item 45644) (AU 18)
900.00
45650
Rhinoplasty, secondary revision of (AU 10)
104.00
45653
Rhinophyma, shaving of (AU 9)
250.00
45656
Composite graft (chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid (AU 11)
355.00
45659
Lop ear, bat ear or similar deformity, correction of (AU 8)
365.00
45662
Congenital atresia, reconstruction of external auditory canal (AU 11)
495.00
45665
Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures (AU 8)
230.00
45668
Vermilionectomy (AU 8)
230.00
45671
Lip or eyelid reconstruction using full thickness flap (Abbe or similar), first stage (AU 11)
590.00
45674
Lip or eyelid reconstruction using full thickness flap (Abbe or similar), second stage (AU 4)
170.00
45677
Cleft lip, unilateral—primary repair, one stage, without anterior palate repair (AU 12)
380.00
45680
Cleft lip, unilateral—primary repair, one stage, with anterior palate repair (AU 14)
475.00
45683
Cleft lip, bilateral—primary repair, one stage, without anterior palate repair (AU 14)
530.00
45686
Cleft lip, bilateral—primary repair, one stage, with anterior palate repair (AU 16)
625.00
45689
Cleft lip, lip adhesion procedure, unilateral or bilateral (AU 10)
184.00
45692
Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (AU 10)
210.00
45695
Cleft lip, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (AU 12)
Velo-pharyngeal incompetence, pharyngeal flap for, or pharyngoplasty for (AU 15)
550.00
45719
Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 16)
770.00
45722
Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 20)
975.00
45725
Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (AU 14)
680.00
45728
Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (AU 18)
870.00
45731
Mandible or maxilla, osteotomies or osteectomies of, 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)
990.00
45734
Mandible or maxilla, osteotomies or osteectomies of, involving two such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site (AU 26)
1,135.00
45737
Mandible or maxilla, complex bilateral osteotomies or osteectomies of, 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)
1,250.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
45740
Mandible or maxilla, complex bilateral osteotomies or osteectomies of, 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)
1,360.00
45743
Mandible or maxilla, osteotomies or osteectomies of, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 24)
1,115.00
45746
Mandible or maxilla, osteotomies or osteectomies of, involving two such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 28)
1,275.00
45749
Mandible or maxilla, complex bilateral osteotomies or osteectomies of, 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 and rigid fixation by bone plates, screws or both (AU 34)
1,405.00
45752
Mandible or maxilla, complex bilateral osteotomies or osteectomies of, 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 and rigid fixation by bone plates, screws or both (AU 36)
1,525.00
45755
Temporo-mandibular meniscectomy (AU 9)
260.00
45758
Temporo-mandibular joint, arthroplasty (AU 6)
465.00
45761
Genioplasty, including transposition of nerves and bone grafts taken from the site (AU 10)
530.00
45764
Genioplasty associated with item 45719, 45722, 45725, 45728, 45731, 45734, 45743 or 45746 (AU 8)
Absent condyle and ascending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (AU 15)
630.00
45794
Osseo-integration procedure—extra oral, implantation of titanium fixture (AU 20)
355.00
45797
Osseo-integration procedure, fixation of transcutaneous abutment (AU 16)
132.00
Subgroup 14—Hand Surgery
46300
Inter-phalangeal joint or metacarpophalangeal joint, arthrodesis of (AU 9)
240.00
46303
Carpometacarpal joint, arthrodesis of (AU 10)
265.00
46306
Inter-phalangeal joint or metacarpophalangeal joint, interposition arthroplasty of (including volar plate arthroplasty), and including tendon transfers or realignment on the one ray (AU 10)
370.00
46309
Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—one joint (AU 10)
370.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
46312
Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—two joints (AU 11)
475.00
46315
Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—three joints (AU 14)
635.00
46318
Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—four joints (AU 15)
795.00
46321
Inter-phalangeal joint or metacarpophalangeal joint, total replacement arthroplasty of, including associated synovectomy, tendon transfer or realignment—five or more joints (AU 16)
955.00
46324
Carpal bone replacement arthroplasty including associated tendon transfer or realignment when performed (AU 15)
535.00
46327
Inter-phalangeal joint or metacarpophalangeal joint, arthrotomy of (AU 8)
144.00
46330
Inter-phalangeal joint or metacarpophalangeal joint, arthrotmy of , with ligamentous or capsular repair (AU 9)
245.00
46333
Inter-phalangeal joint or metacarpophalangeal joint, ligamentous repair of, using free tissue graft or implant (AU 10)
395.00
46336
Inter-phalangeal joint or metacarpophalangeal joint, synovectomy, capsulectomy or debridement of, not associated with any other procedure related to that joint (AU 9)
186.00
46339
Extensor tendons or flexor tendons of hand or wrist, synovectomy of (AU 10)
330.00
46342
Distal radioulnar joint or carpometacarpal joint or joints, synovectomy of (AU 10)
330.00
46345
Reconstruction of distal radioulnar joint (AU 11)
395.00
46348
Digit, synovectomy of flexor tendon or tendons—one digit (AU 9)
172.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
46351
Digit, synovectomy of flexor tendon or tendons—two digits (AU 11)
255.00
46354
Digit, synovectomy of flexor tendon or tendons—three digits (AU 12)
345.00
46357
Digit, synovectomy of flexor tendon or tendons—four digits (AU 14)
430.00
46360
Digit, synovectomy of tendon or tendons—five digits (AU 15)
515.00
46363
Tendon sheath of hand or wrist, open operation on, for stenosing tendovaginitis (AU 7)
144.00
46366
Dupuytren's contracture, subcutaneous fasciotomy for—one hand (AU 7)
90.00
46369
Dupuytren's contracture, palmar fasciectomy for—one hand (AU 9)
90.00
46372
Dupuytren's Contracture, fasciectomy for, from one ray, including dissection of nerves—one hand (AU 10)
300.00
46375
Dupuytren's Contracture, fasciectomy for, from two rays, including dissection of nerves—one hand (AU 11)
360.00
46378
Dupuytren's Contracture, fasciectomy for, from three or more rays, including dissection of nerves—one hand (AU 14)
475.00
46381
Inter-phalangeal joint, joint capsule release when performed in association with operation for Dupuytren's Contracture—each procedure (AU 7)
210.00
46384
Z-plasty (or similar local flap procedure) when performed in association with operation for Dupuytren's Contracture—one such procedure (AU 7)
210.00
46387
Dupuytren's Contracture, fascietomy for, from one ray, including dissection of nerves—operation for recurrence in that ray (AU 11)
435.00
46390
Dupuytren's Contracture, fasciectomy for, from two rays, including dissection of nerves—operation for recurrence in those rays (AU 15)
585.00
46393
Dupuytren's Contracture, fasciectomy for, from three or more rays, including dissection of nerves—operation for recurrence in those rays (AU 17)
675.00
46396
Phalanx or metacarpal of the hand, osteotomy or osteectomy of (AU 9)
240.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
46399
Phalanx or metacarpal of the hand, osteotomy of, with internal fixation (AU 11)
290.00
46402
Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non-union), including obtaining of graft material (AU 12)
290.00
46405
Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non-union), involving internal fixation and including obtaining of graft material (AU 13)
395.00
46408
Tendon, reconstruction of, by tendon graft (AU 14)
490.00
46411
Flexor tendon pulley, reconstruction of, by graft (AU 10)
285.00
46414
Artificial tendon prosthesis, insertion of in preparation for tendon grafting (AU 11)
370.00
46417
Tendon transfer for restoration of hand function, each transfer (AU 11)
345.00
46420
Extensor tendon of hand or wrist, primary repair of, each tendon (AU 10)
144.00
46423
Extensor tendon of hand or wrist, secondary repair of, each tendon (AU 10)
230.00
46426
Flexor tendon of hand or wrist, primary repair of, proximal to A1 pulley, each tendon (AU 10)
240.00
46429
Flexor tendon of hand or wrist, secondary repair of, proximal to A1 pulley, each tendon (AU 11)
290.00
46432
Flexor tendon of hand, primary repair of, distal to A1 pulley, each tendon (AU 11)
320.00
46435
Flexor tendon of hand, secondary repair of, distal to A1 pulley, each tendon (AU 12)
370.00
46438
Mallet finger, closed pin fixation of (AU 7)
95.00
46441
Mallet finger, open repair of, including pin fixation when performed (AU 9)
230.00
46444
Boutonniere deformity without joint contracture, reconstruction of (AU 10)
345.00
46447
Boutonniere deformity with joint contracture, reconstruction of (AU 12)
430.00
46450
Extensor tendon, tenolysis of, following tendon injury, repair or graft (AU 8)
158.00
46453
Flexor tendon, tenolysis of, following tendon injury, repair or graft (AU 9)
265.00
46456
Finger, percutaneous tenotomy of (AU 7)
69.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
46459
Operation for osteomyelitis on distal phalanx (AU 9)
132.00
46462
Operation for osteomyelitis on middle or proximal phalanx, metacarpal or carpus (AU 10)
210.00
46465
Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (AU 8)
158.00
46468
Amputation of two digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (AU 10)
280.00
46471
Amputation of three digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (AU 13)
395.00
46474
Amputation of four digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (AU 15)
515.00
46477
Amputation of five digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (AU 16)
635.00
46480
Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover, including matacarpal (AU 10)
265.00
46483
Revision of amputation stump to provide adequate soft tissue cover (AU 9)
210.00
46486
Nail bed, accurate reconstruction of nail bed laceration using magnification, undertaken in the operating theatre of a hospital or approved day- hospital facility (AU 8)
158.00
46489
Nail bed, secondary exploration and accurate repair of nail bed deformity using magnification, undertaken in the operating theatre of a hospital or approved day-hospiatl facility (AU 9)
186.00
46492
Flexion contracture of hand or digit, correction of, involving tissues deeper than skin and subcutaneous tissue (AU 9)
240.00
46495`
Ganglion or mucous cyst of distal digit, excision of, not in association with items 30106 or 30107 (AU 9)
144.00
46498
Ganglion of flexor tendon sheath, excision of, not in association with items 30106 or 30107 (AU 9)
128.00
46501
Ganglion of volar or dorsal wrist joint, excision of, not in association with items 30106 or 30107 (AU 10)
186.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
46504
Neurovascular island flap, for pulp innervation (AU 19)
Macrodactyly, surgical reduction of enlarged elements—each digit (AU 14)
186.00
Subgroup 15—Orthopaedic
47000
Mandible, treatment of dislocation of, by closed reduction (AU 6)
49.50
47003
Clavicle, treatment of dislocation of, by closed reduction (AU 6)
60.00
47006
Clavicle, treatment of dislocation of, by open reduction (AU 9)
80.00
47009
Shoulder, treatment of dislocation of, requiring general anaesthesia, not covered by item 47012 (AU 6)
120.00
47012
Shoulder, treatment of dislocation of, requiring general anaesthesia, open reduction (AU 9)
240.00
47015
Shoulder, treatment of dislocation of, not requiring general anaesthesia
60.00
47018
Elbow, treatment of dislocation of, by closed reduction (AU 6)
140.00
47021
Elbow, treatment of dislocation of, by open reduction (AU 9)
186.00
47024
Radioulnar joint, distal or proximal, treatment of dislocation of, by closed reduction, not associated with fracture or dislocation in the same region (AU 6)
140.00
47027
Radioulnar joint, distal or proximal, treatment of dislocation of, by open reduction, not associated with fracture or dislocation in the same region (AU 9)
186.00
47030
Carpus, or Carpus on Radius and Ulna, or Carpometacarpal joint, treatment of dislocation of, by closed reduction (AU 6)
140.00
47033
Carpus, or Carpus on Radius and Ulna, or Carpometacarpal joint, treatment of dislocation of, by open reduction (AU 10)
186.00
47036
Interphalangeal Joint, treatment of dislocation of, by closed reduction (AU 8)
60.00
47039
Interphalangeal Joint, treatment of dislocation of, by open reduction (AU 8)
80.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47042
Metacarpophalangeal Joint, treatment of dislocation of, by closed reduction (AU 6)
80.00
47045
Metacarpophalangeal Joint, treatment of dislocation of, by open reduction (AU 9)
106.00
47048
Hip, treatment of dislocation of, by closed reduction (AU 6)
230.00
47051
Hip, treatment of dislocation of, by open reduction (AU 11)
305.00
47054
Knee, treatment of dislocation of, by closed reduction (AU 6)
230.00
47057
Patella, treatment of dislocation of, by closed reduction (AU 6)
90.00
47060
Patella, treatment of dislocation of, by open reduction (AU 10)
120.00
47063
Ankle or tarsus, treatment of dislocation of, by closed reduction (AU 8)
180.00
47066
Ankle or tarsus, treatment of dislocation of, by open reduction (AU 12)
240.00
47069
Toe, treatment of dislocation of, by closed reduction (AU 5)
49.50
47072
Toe, treatment of dislocation of, by open reduction (AU 7)
66.00
47300
Distal phalanx of finger or thumb, treatment of fracture of, by closed reduction, including percutaneous fixation where used (AU 6)
60.00
47303
Distal phalanx of finger or thumb, treatment of intra-articular fracture of, by closed reduction (AU 6)
70.00
47306
Distal phalanx of finger or thumb, treatment of fracture of, by open reduction (AU 8)
80.00
47309
Distal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction (AU 8)
99.00
47312
Middle phalanx of finger, treatment of fracture of, by closed reduction (AU 6)
90.00
47315
Middle phalanx of finger, treatment of intra- articular fracture of, by closed reduction (AU 6)
102.00
47318
Middle phalanx of finger, treatment of fracture of, by open reduction (AU 8)
120.00
47321
Middle phalanx of finger, treatment of intra- articular fracture of, by open reduction (AU 8)
150.00
47324
Proximal phalanx of finger or thumb, treatment of fracture of, by closed reduction (AU 6)
120.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47327
Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by closed reduction (AU 6)
140.00
47330
Proximal phalanx of finger or thumb, treatment of fracture of, by open reduction (AU 8)
160.00
47333
Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction (AU 8)
198.00
47336
Metacarpal, treatment of fracture of, by closed reduction (AU 6)
120.00
47339
Metacarpal, treatment of intra-articular fracture of, by closed reduction (AU 6)
140.00
47342
Metacarpal, treatment of fracture of, by open reduction (AU 10)
160.00
47345
Metacarpal, treatment of intra-articular fracture of, by open reduction (AU 10)
198.00
47348
Carpus (excluding scaphoid), treatment of fracture of, not covered by item 47351 (AU 6)
66.00
47351
Carpus (excluding scaphoid), treatment of fracture of, by open reduction (AU 11)
166.00
47354
Carpal scaphoid, treatment of fracture of, not covered by item 47357 (AU 6)
120.00
47357
Carpal scaphoid, treatment of fracture of, by open reduction (AU 12)
265.00
47360
Radius or ulna, distal end of, treatment of fracture of, not covered by items 47363 or 47366) (AU 6)
93.00
47363
Radius or ulna, distal end of, treatment of fracture of, by closed reduction (AU 6)
140.00
47366
Radius or ulna, distal end of, treatment of fracture of, by open reduction (AU 11)
186.00
47369
Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, not covered by items 47372 or 47375 (AU 6)
120.00
47372
Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by closed reduction (AU 6)
198.00
47375
Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by open reduction (AU 11)
265.00
47378
Radius or ulna, shaft of, treatment of fracture of, not covered by items 47381, 47384, 47385 or 47386 (AU 6)
120.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47381
Radius or ulna, shaft of, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital or approved day hospital facility (AU 7)
180.00
47384
Radius or ulna, shaft of, treatment of fracture of by open reduction (AU 11)
240.00
47385
Radius or ulna, shaft of, treatment of fracture of, associated with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed reduction undertaken in the operating theatre of a hospital or approved day hospital facility (AU 11)
205.00
47386
Radius or ulna, shaft of, treatment of fracture of, associated with dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by open reduction or internal fixation (AU 12)
330.00
47387
Radius and ulna, shafts of, treatment of fracture of, not covered by items 47390 or 47393 (AU 6)
192.00
47390
Radius and ulna, shafts of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (AU 7)
290.00
47393
Radius and ulna, shafts of, treatment of fracture of, by open reduction (AU 11)
385.00
47396
Olecranon, treatment of fracture of, not covered by item 47399 (AU 7)
132.00
47399
Olecranon, treatment of fracture of, by open reduction (AU 12)
265.00
47402
Olecranon, treatment of fracture of, involving excision of olecranon fragment and reimplantation of tendon (AU 11)
198.00
47405
Radius, treatment of fracture of head or neck of, closed management of (AU 6)
132.00
47408
Radius, treatment of fracture of head or neck of, open management of, including internal fixation and excision where performed (AU 12)
265.00
47411
Humerus, treatment of fracture of tuberosity of, not covered by item 47417 (AU 6)
80.00
47414
Humerus, treatment of fracture of tuberosity of, by open reduction (AU 11)
160.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47417
Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by closed reduction (AU 8)
186.00
47420
Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by open reduction (AU 15)
365.00
47423
Humerus, proximal, treatment of fracture of, not covered by items 47426, 47429 or 47432 (AU 8)
152.00
47426
Humerus, proximal, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (AU 8)
230.00
47429
Humerus, proximal, treatment of fracture of, by open reduction (AU 15)
305.00
47432
Humerus, proximal, treatment of intra-articular fracture of, by open reduction (AU 17)
380.00
47435
Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by closed reduction (AU 9)
290.00
47438
Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by open reduction (AU 17)
465.00
47441
Humerus, proximal, treatment of intra-articular fracture of, and associated dislocation of shoulder, by open reduction (AU 17)
580.00
47444
Humerus, shaft of, treatment of fracture of, not covered by items 47447 or 47450 (AU 8)
160.00
47447
Humerus, shaft of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (AU 9)
240.00
47450
Humerus, shaft of, treatment of fracture of, by open reduction (AU 15)
320.00
47453
Humerus, distal, (supracondylar or condylar), treatment of fracture of, not covered by items 47456 or 47459 (AU 8)
186.00
47456
Humerus, distal, (supracondylar or condylar), treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (AU 8)
280.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47459
Humerus, distal (supracondylar or condylar), treatment of fracture of, by open reduction, undertaken in the operating theatre of a hospital or approved day hospital facility (AU 15)
370.00
47462
Clavicle, treatment of fracture of, not covered by item 47465 (AU 7)
80.00
47465
Clavicle, treatment of fracture of, by open reduction (AU 13)
160.00
47466
Sternum, treatment of fracture of, not covered by item 47467 (AU 7)
80.00
47467
Sternum, treatment of fracture of, by open reduction (AU 13)
160.00
47468
Scapula, neck or glenoid region of, treatment of fracture of, by open reduction (AU 15)
305.00
47471
Ribs (one or more), treatment of fracture of—each attendance
30.00
47474
Pelvic ring, treatment of fracture of, not involving disrupting pelvic ring or acetabulum
132.00
47477
Pelvic ring, treatment of fracture of, with disrupting pelvic ring or acetabulum
166.00
47480
Pelvic ring, treatment of fracture of, requiring traction (AU 7)
330.00
47483
Pelvic ring, treatment of fracture of, requiring control by external fixation (AU 12)
400.00
47486
Pelvic ring, treatment of fracture of, by open reduction and involving internal fixation of anterior segment, including diastasis of pubic symphysis (AU 20)
665.00
47489
Pelvic ring, treatment of fracture of, by open reduction and involving internal fixation of posterior segment (including sacro-iliac joint), with or without fixation of anterior segment (AU 24)
995.00
47492
Acetabulum, treatment of fracture of, and associated dislocation of hip (AU 7)
166.00
47495
Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring traction (AU 8)
330.00
47498
Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring internal fixation, with or without traction (AU 16)
495.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47501
Acetabulum, treatment of single column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (AU 20)
665.00
47504
Acetabulum, treatment of T-shape fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (AU 24)
995.00
47507
Acetabulum, treatment of transverse fracture of, by open reduction and internal fixation, including osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (AU 24)
995.00
47510
Acetabulum, treatment of double column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (AU 24)
995.00
47513
Sacro-iliac joint disruption requiring internal fixation when performed in association with items 47501 to 47510 (AU 18)
265.00
47516
Femur, treatment of fracture of, by closed reduction or traction (AU 8)
305.00
47519
Femur, treatment of trochanteric or subcapital fracture of, by internal fixation (AU 14)
610.00
47522
Femur, treatment of subcapital fracture of, by hemi- arthroplasty (AU 13)
530.00
47525
Femur, treatment of fracture of, for slipped capital femoral epiphysis (AU 13)
610.00
47528
Femur, treatment of fracture of, by internal fixation or external fixation (AU 14)
530.00
47531
Femur, treatment of fracture of shaft, by internal fixation and cross fixation (AU 15)
675.00
47534
Femur, condylar region of, treatment of intra- articular (T shaped condylar) fracture of, requiring internal fixation, with or without internal fixation of one or more osteochondral fragments (AU 20)
765.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47537
Femur, condylar region of, treatment of fracture of, requiring internal fixation of one or more osteochondral fragments, not in association with item 47534 (AU 14)
305.00
47540
Hip spica, application of, as an independent procedure (AU 9)
152.00
47543
Tibia, plateau of, treatment of medial or lateral fracture of, not covered by items 47546 or 47549 (AU 8)
160.00
47546
Tibia, plateau of, treatment of medial or lateral fracture of, by closed reduction (AU 8)
240.00
47549
Tibia, plateau of, treatment of medial or lateral fracture of, by open reduction (AU 13)
320.00
47552
Tibia, plateau of, treatment of both medial and lateral fractures of, not covered by items 47555 or 47558 (AU 12)
265.00
47555
Tibia, plateau of, treatment of both medial and lateral fractures of, by closed reduction (AU 8)
400.00
47558
Tibia, plateau of, treatment of both medial and lateral fractures of, by open reduction (AU 13)
530.00
47561
Tibia, shaft of, treatment of fracture of, not covered by items 47564, 47567, 47570 or 47573, with or without associated fibular fracture (AU 10)
192.00
47564
Tibia, shaft of, treatment of fracture of, by closed reduction, with or without associated fibular fracture (AU 8)
290.00
47567
Tibia, shaft of, treatment of intra-articular fracture of, by closed reduction, with or without associated fibular fracture (AU 8)
335.00
47570
Tibia, shaft of, treatment of fracture of, by open reduction, with or without associated fibular fracture (AU 12)
385.00
47573
Tibia, shaft of, treatment of intra-articular fracture of, by open reduction, with or without associated fibular fracture (AU 15)
480.00
47576
Fibula, treatment of fracture of (AU 6)
80.00
47579
Patella, treatment of fracture of, not covered by items 47582 or 47585 (AU 6)
112.00
47582
Patella, treatment of fracture of, by excision of patella or pole with reattachment of tendon (AU 10)
230.00
47585
Patella, treatment of fracture of, by internal fixation (AU 12)
300.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47588
Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar or tibial articular surfaces and requiring repair or reconstruction of one or more ligaments (AU 19)
930.00
47591
Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar and tibial articular surfaces and requiring repair or reconstruction of one or more ligaments (AU 23)
1,130.00
47594
Ankle joint, treatment of fracture of, not covered by item 47597 (AU 8)
152.00
47597
Ankle joint, treatment of fracture of, by closed reduction (AU 8)
230.00
47600
Ankle joint, treatment of fracture of, by internal fixation of one of malleolus, fibula or diastasis (AU 10)
305.00
47603
Ankle joint, treatment of fracture of, by internal fixation of more than one of malleolus, fibula or diastasis (AU 12)
400.00
47606
Calcaneum or talus, treatment of fracture of, not covered by items 47609, 47612, 47615 or 47618, with or without dislocation (AU 8)
166.00
47609
Calcaneum or talus, treatment of fracture of, by closed reduction, with or without dislocation (AU 9)
250.00
47612
Calcaneum or talus, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (AU 9)
290.00
47615
Calcaneum or talus, treatment of fracture of, by open reduction, with or without dislocation (AU 12)
330.00
47618
Calcaneum or talus, treatment of intra-articular fracture of, by open reduction, with or without dislocation (AU 13)
415.00
47621
Tarso-metatarsal, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (AU 9)
290.00
47624
Tarso-metatarsal, treatment of fracture of, by open reduction, with or without dislocation (AU 14)
400.00
47627
Tarsus (excluding calcaneum or talus), treatment of fracture of (AU 8)
112.00
47630
Tarsus (excluding calcaneum or talus), treatment of fracture of, by open reduction, with or without dislocation (AU 13)
240.00
47633
Metatarsal, one of, treatment of fracture of (AU 6)
80.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47636
Metatarsal, one of, treatment of fracture of, by closed reduction (AU 6)
120.00
47639
Metatarsal, one of, treatment of fracture of, by open reduction (AU 8)
160.00
47642
Metatarsals, two of, treatment of fracture of (AU 7)
106.00
47645
Metatarsals, two of, treatment of fracture of, by closed reduction (AU 7)
160.00
47648
Metatarsals, two of, treatment of fracture of, by open reduction (AU 11)
210.00
47651
Metatarsals, three or more of, treatment of fracture of (AU 8)
166.00
47654
Metatarsals, three or more of, treatment of fracture of, by closed reduction (AU 8)
250.00
47657
Metatarsals, three or more of, treatment of fracture of, by open reduction (AU 10)
330.00
47660
Phalanx of great toe, treatment of fracture of (AU 7)
66.00
47663
Phalanx of great toe, treatment of fracture of, by closed reduction (AU 7)
99.00
47666
Phalanx of great toe, treatment of fracture of, by open reduction (AU 9)
166.00
47669
Phalanx of toe (other than great toe), one of, treatment of fracture of (AU 6)
40.00
47672
Phalanx of toe (other than great toe), one of, treatment of fracture of, by open reduction (AU 8)
80.00
47675
Phalanx of toe (other than great toe), more than one of, treatment of fracture of (AU 6)
60.00
47678
Phalanx of toe (other than great toe), more than one of, treatment of fracture of, by open reduction (AU 11)
Spine fracture, dislocation or fracture-dislocation, without spinal cord involvement, including immobilisation by calipers (AU 9)
530.00
47687
Spine fracture, dislocation or fracture-dislocation, with spinal cord involvement, including immobilisation by calipers, and including up to fourteen days post-operative care
930.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47690
Spine fracture, dislocation or fracture-dislocation, without cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation (AU 9)
730.00
47693
Spine fracture, dislocation or fracture-dislocation, with cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation, including up to fourteen days post- operative care
930.00
47696
Spine, reduction of fracture or dislocation of, without cord involvement, undertaken in the operating theatre of a hospital or approved day- hospital facility (AU 9)
265.00
47699
Spine fracture, dislocation or fracture-dislocation without cord involvement requiring open reduction with or without internal fixation (AU 18)
1,060.00
47702
Spine fracture, dislocation or fracture-dislocation with cord involvement requiring open reduction with or without internal fixation, including up to fourteen days post-operative care (AU 18)
1,325.00
47703
Skull, treatment of fracture of, each attendance
30.00
47705
Skull calipers, insertion of, as an independent procedure (AU 8)
198.00
47708
Plaster jacket, application of, as an independent procedure (AU 8)
152.00
47711
Halo, application of, as an independent procedure (AU 8)
225.00
47714
Halo, application of, in addition to spinal fusion for scoliosis, or other conditions (AU 8)
170.00
47717
Halo-thoracic traction—application of both halo and thoracic jacket (AU 11)
300.00
47720
Halo-femoral traction, as an independent procedure (AU 10)
300.00
47723
Halo-femoral traction in association with a major spine operation (AU 12)
300.00
47726
Bone Graft, harvesting of, via separate incision, associated with any item—Autogenous—small quantity (AU 7)
99.00
47729
Bone graft, harvesting of, via separate incision, associated with any item—Autogenous—large quantity (AU 7)
166.00
47732
Vascularised pedicle bone graft, harvesting of, associated with any item (AU 8)
265.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47735
Nasal bones, treatment of fracture of, not covered by items 47738 or 47741
30.00
47738
Nasal bones, treatment of fracture of, by reduction (AU 8)
166.00
47741
Nasal bones, treatment of fracture of, by open reduction involving osteotomies (AU 12)
340.00
47753
Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (AU 14)
285.00
47756
Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (AU 14)
285.00
47762
Zygomatic bone, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach (AU 7)
168.00
47765
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at one (1) site (AU 9)
275.00
47768
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal and/or external fixation at two (2) sites (AU 10)
340.00
47771
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal and/or external fixation at three (3) sites (AU 11)
390.00
47774
Maxilla, treatment of fracture of, requiring open operation (AU 7)
305.00
47777
Mandible, treatment of fracture of, requiring open reduction (AU 7)
305.00
47780
Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (AU 9)
400.00
47783
Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (AU 9)
400.00
47786
Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (AU 11)
505.00
47789
Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (AU 11)
505.00
47900
Bone cyst, injection into or aspiration of (AU 8)
120.00
47903
Epicondylitis, open operation for (AU 8)
166.00
47904
Digital nail, removal of, not covered by item 47906 (AU 5)
40.00
47906
Digital nail, removal of, in the operating theatre of a hospital or approved day hospital facility (AU 5)
80.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47909
Middle palmar, thenar or hypothenar spaces, drainage of (excluding aftercare) (AU 6)
99.00
47912
Pulp space infection, paronychia of hands or feet, incision for, not covered by any other item in this Group (excluding after-care) (AU 5)
40.00
47915
Ingrowing toenail, wedge resection for, not associated with item 47918 (AU 6)
120.00
47918
Ingrowing toenail, radical excision of nailbed (AU 6)
166.00
47921
Orthopaedic pin or wire, insertion of, as an independent procedure (AU 6)
80.00
47924
Buried wire, pin or screw, one or more of, which were inserted for internal fixation purposes, removal of requiring incision and suture, not covered by items 47927 or 47930—per bone (AU 6)
26.50
47927
Buried wire, pin or screw, one or more of, which were inserted for internal fixation purposes, removal of, in the operating theatre of a hospital or approved day hospital facility—per bone (AU 6)
99.00
47930
Plate, rod or nail and associated wires, pins or screws, one or more of, all of which were inserted for internal fixation purposes, removal of, not associated with items 47924 or 47927—per bone (AU 8)
186.00
47933
Exostosis of small bone, excision of, including simple removal of bunion and any associated bursa (AU 6)
146.00
47936
Exostosis of large bone, excision of (AU 7)
180.00
47939
Limb lengthening (single or first stage) osteotomy for, including application of distracting apparatus (AU 12)
565.00
47942
Limb lengthening (second stage) internal fixation with bone grafting, including removal of distracting apparatus (AU 12)
565.00
47945
Distracting apparatus, removal of, without internal fixation (AU 6)
166.00
47948
External fixation, removal of, in the operating theatre of a hospital or approved day hospital facility (AU 6)
112.00
47951
External fixation, removal of, in association with operations involving internal fixation or bone grafting or both (AU 7)
132.00
47954
Tendon, large rupture, repair of, not covered by any other item in this Group (AU 10)
265.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
47957
Tendon, large, lengthening of, not covered by any other item in this Group (AU 9)
198.00
47960
Tenotomy, subcutaneous, not covered by any other item in this Group (AU 4)
93.00
47963
Tenotomy, open, with or without tenoplasty, not covered by any other item in this Group (AU 7)
152.00
47966
Tendon or ligament transfer, not covered by any other item in this Group (AU 9)
305.00
47969
Tenosynovectomy, not covered by any other item in this Group (AU 8)
186.00
47972
Tendon sheath, open operation for tendo-vaginitis, not covered by any other item in this Group (AU 8)
166.00
48200
Femur, bone graft to (AU 12)
530.00
48203
Femur, bone graft to, with internal fixation (AU 14)
645.00
48206
Tibia, bone graft to (AU 10)
400.00
48209
Tibia, bone graft to, with internal fixation (AU 12)
510.00
48212
Humerus, bone graft to (AU 10)
400.00
48215
Humerus, bone graft to, with internal fixation (AU 12)
510.00
48218
Radius or ulna, bone graft to (AU 10)
400.00
48221
Radius and ulna, bone graft to, with internal fixation of one or both bones (AU 12)
530.00
48224
Radius or ulna, bone graft to (AU 10)
265.00
48227
Radius or ulna, bone graft to, with internal fixation of one or both bones (AU 11)
345.00
48230
Scaphoid, bone graft to, for non union (AU 10)
300.00
48233
Scaphoid, bone graft to, for non union, with internal fixation (AU 10)
430.00
48236
Scaphoid, bone graft to, for mal-union, including osteotomy, bone graft and internal fixation (AU 11)
565.00
48239
Bone graft, not covered by any other item in this Group (AU 10)
310.00
48242
Bone graft, with internal fixation, not covered by any other item in this Group (AU 11)
430.00
48400
Phalanx, metatarsal, accessory bone or sesamoid bone, osteotomy or osteectomy of, excluding services covered by items 49848 or 49851 (AU 7)
230.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
48403
Phalanx or metatarsal, osteotomy or osteectomy of, with internal fixation (AU 8)
365.00
48406
Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy of (AU 9)
230.00
48409
Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy, with internal fixation (AU 10)
365.00
48412
Humerus, osteotomy or osteectomy of (AU 11)
445.00
48415
Humerus, osteotomy or osteectomy of, with internal fixation (AU 12)
565.00
48418
Tibia, osteotomy or osteectomy of (AU 9)
445.00
48421
Tibia, osteotomy or osteectomy of, with internal fixation (AU 12)
565.00
48424
Femur or pelvis, osteotomy or osteectomy of (AU 15)
530.00
48427
Femur or pelvis, osteotomy or osteectomy of, with internal fixation (AU 17)
645.00
48500
Femur, epiphysiodesis of (AU 11)
230.00
48503
Tibia and fibula, epiphysiodesis of (AU 11)
230.00
48506
Femur, tibia and fibula, epiphysiodesis of (AU 15)
345.00
48509
Epiphysiodesis, staple arrest of hemi-epiphysis (AU 10)
166.00
48512
Epiphysiolysis, operation to prevent closure of plate (AU 15)
630.00
48600
Spine, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility (AU 6)
66.00
48603
Spine, manipulation of, under epidural anaesthesia, with or without steroid injection, where the manipulation and the administration of the epidural anaesthetic are performed by the same medical practitioner in the operating theatre of a hospital or approved day hospital facility, not associated with items 48600 or 50115 (AU 6)
99.00
48606
Scoliosis or Kyphosis, spinal fusion for (without instrumentation) (AU 24)
930.00
48609
Scoliosis or Kyphosis, spinal fusion for, using Harrington or other nonsegmental fixation (AU 24)
1,160.00
48612
Scoliosis, spinal fusion for, using segmental instrumentation (C D, Zielke, Luque, or similar) (AU 30)
1,725.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
48615
Scoliosis, re-exploration for, involving adjustment or removal of instrumentation or simple bone grafting procedure (AU 14)
310.00
48618
Scoliosis, revision of failed scoliosis surgery, involving more than one of multiple osteotomy, fusion or instrumentation (AU 26)
1,725.00
48621
Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke, or similar)—not more than four levels (AU 26)
1,130.00
48624
Scoliosis, anterior correction of, with fusion an segmental fixation (Dwyer, Zielke or similar)—more than four levels (AU 30)
1,395.00
48627
Scoliosis, spinal fusion for, combined with segmental instrumentation (C D, Zielke or similar) down to and including pelvis (AU 30)
1,790.00
48630
Scoliosis, requiring anterior decompression of spinal cord with resection of vertebrae including bone graft and instrumentation in the presence of spinal cord involvement (AU 30)
1,990.00
48636
Percutaneous lumbar disectomy, one or more levels (AU 9)
570.00
48639
Vertebral body, total or sub-total excision of, including bone grafting or other form of fixation (AU 28)
960.00
48642
Spine, posterior, bone graft to, not covered by items 48648 or 48651—one or two levels (AU 16)
565.00
48645
Spine, posterior, bone graft to, not covered by items 48648 or 48651—more than two levels (AU 18)
765.00
48648
Spine, bone graft to, (postero-lateral fusion)—one or two levels (AU 16)
765.00
48651
Spine, bone graft to, (postero-lateral fusion)—more than two levels (AU 18)
1,060.00
48654
Spinal fusion (posterior interbody), with laminectomy, one level (AU 18)
765.00
48657
Spinal fusion (posterior interbody), with laminectomy, more than one level (AU 21)
1,060.00
48660
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—one level (AU 18)
765.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
48663
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—one level (where an assisting surgeon performs the approach)—principal surgeon (AU 18)
570.00
48666
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—one level (where an assisting surgeon performs the approach)—assisting surgeon
345.00
48669
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—more than one level (AU 20)
1,030.00
48672
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—more than one level (where an assisting surgeon performs the approach)—principal surgeon (AU 20)
770.00
48675
Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions—more than one level (where an assisting surgeon performs the approach)—assisting surgeon
465.00
48678
Spine, simple internal fixation of, involving one or more of facetal screw, wire loop or similar, in association with items 48642 to 48675 (AU 16)
400.00
48681
Spine, non-segmental internal fixation of (Harrington or similar), other than for scoliosis, in association with items 48642 to 48675 (AU 16)
665.00
48684
Spine, segmental internal fixation of, other than for scoliosis, in association with items 48642 to 48675—one or two levels (AU 16)
665.00
48687
Spine, segmental internal fixation of, other than for scoliosis, in association with items 48642 to 48675—three or four levels (AU 20)
930.00
48690
Spine, segmental internal fixation of, other than for scoliosis, in association with items 48642 to 48675—more than four levels (AU 22)
1,060.00
48900
Shoulder, excision of coraco-acromial ligament or removal of calcium deposit from cuff or both (AU 10)
198.00
48903
Shoulder, decompression of subacromial space by acromionectomy, excision of coraco-acromial ligament and distal clavicle, or any combination (AU 14)
400.00
48906
Shoulder, repair of rotator cuff, including excision of coraco-acromial ligament or removal of calcium deposit from cuff, or both—not associated with item 48900 (AU 14)
400.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
48909
Shoulder, repair of rotator cuff, including decompression of subacromial space by acromionectomy, excision of coraco-acromial ligament and distal clavicle, or any combination, not associated with item 48903 (AU 15)
530.00
48912
Shoulder—arthrotomy of (AU 9)
230.00
48915
Shoulder, hemi-arthroplasty of (AU 14)
530.00
48918
Shoulder, total replacement arthroplasty of, including any associated rotator cuff repair (AU 17)
1,060.00
48921
Shoulder, total replacement arthroplasty, revision of (AU 17)
1,095.00
48924
Shoulder, total replacement arthroplasty, revision of, requiring bone graft to scapula or humerus, or both (AU 23)
1,260.00
48927
Shoulder prosthesis, removal of (AU 10)
260.00
48930
Shoulder, anterior stabilisation procedure for recurrent dislocation (AU 13)
530.00
48933
Shoulder, stabilisation procedure for multi- directional instability (AU 15)
695.00
48936
Shoulder, synovectomy of, as an independent procedure (AU 12)
530.00
48939
Shoulder, arthrodesis of (AU 16)
765.00
48942
Shoulder, arthrodesis of, including removal of prosthesis, requiring bone grafting or internal fixation (AU 18)
995.00
48945
Shoulder, diagnostic arthroscopy of (including biopsy)—not associated with any other arthroscopic procedure of the shoulder region (AU 7)
192.00
48948
Shoulder, arthroscopic surgery of, involving any oneor more of: removal of loose bodies; debridement of labrum, synovium or rotator cuff; or chondroplasty—not associated with any other arthroscopic procedure of the shoulder region (AU 12)
430.00
48951
Shoulder, arthroscopic division of coraco-acromial ligament including acromionplasty—not associated with any other arthroscopic procedure of the shoulder region (AU 12)
630.00
48954
Shoulder, arthroscopic total synovectomy of—not associated with any other arthroscopic procedure of the shoulder region (AU 12)
665.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
48957
Shoulder, arthroscopic stabilisation of, for recurrent instability—not associated with any other arthroscopic procedure of the shoulder region (AU 14)
765.00
48960
Shoulder, arthroscopic reconstruction of, including repair of rotator cuff—not associated with any other arthroscopic procedure of the shoulder region (AU 14)
665.00
49100
Elbow, arthrotomy of, involving one or more of lavage, removal of loose body or division of contracture (AU 11)
230.00
49103
Elbow, ligamentous stabilisation of (AU 11)
495.00
49106
Elbow, arthrodesis of (AU 13)
665.00
49109
Elbow, total synovectomy of (AU 13)
495.00
49112
Elbow, silastic or other replacement of radial head (AU 13)
495.00
49115
Elbow, total joint replacement of (AU 19)
795.00
49118
Elbow, diagnostic arthroscopy of, including biopsy (AU 7)
192.00
49121
Elbow, arthroscopic surgery involving any one or more of drilling of defect, removal of loose body or chondroplasty—not associated with any other arthroscopic procedure of the elbow joint (AU 10)
430.00
49200
Wrist, arthrodesis of, including bone graft, with or without internal fixation of the radiocarpal joint (AU 12)
575.00
49203
Wrist, limited arthrodesis of the intercarpal joint, including bone graft (AU 12)
430.00
49206
Wrist, excision arthroplasty of, with radial styloidectomy and proximal carpectomy (AU 12)
400.00
49209
Wrist, total replacement arthroplasty of (AU 18)
530.00
49212
Wrist, arthrotomy of (AU 10)
166.00
49215
Wrist, reconstruction of, including repair of single or multiple ligaments or capsules, including associated arthrotomy (AU 12)
460.00
49218
Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy)—not associated with any other arthroscopic procedure of the wrist joint (AU 7)
192.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
49221
Wrist, arthroscopic surgery of, involving any one or more of drilling of defect, removal of loose body, local synovectomy or debridement—not associated with any other arthroscopic procedure of the wrist joint (AU 12)
430.00
49224
Wrist, arthroscopic debridement of or total synovectomy of—not associated with any other arthroscopic procedure of the wrist joint (AU 12)
495.00
49227
Wrist, arthroscopic pinning of osteochondral fragment—not associated with any other arthroscopic procedure of the wrist joint (AU 12)
495.00
49300
Sacro-iliac joint—arthrodesis of (AU 16)
365.00
49303
Hip, arthrotomy of, including lavage, drainage or biopsy when performed (AU 11)
385.00
49306
Hip—arthrodesis of (AU 20)
765.00
49309
Hip, arthectomy or excision arthroplasty of, including removal of prosthesis (Austin Moore or similar (non cement)) (AU 16)
530.00
49312
Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (cemented, porous coated or similar) (AU 16)
665.00
49315
Hip, arthroplasty of, unipolar or bipolar (AU 13)
595.00
49318
Hip, total replacement arthroplasty of, including minor bone grafting (AU 18)
930.00
49321
Hip, total replacement arthroplasty of, including major bone grafting, including obtaining of graft (AU 20)
1,130.00
49324
Hip, total replacement arthroplasty of, revision procedure including removal of prosthesis (AU 22)
1,325.00
49327
Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to acetabulum, including obtaining of graft (AU 22)
1,525.00
49330
Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to femur, including obtaining of graft (AU 22)
1,525.00
49333
Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to both acetabulum and femur, including obtaining of graft (AU 24)
1,725.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
49336
Hip, treatment of a fracture of the femur where revision total hip replacement is required as part of the treatment of the fracture (not including intra-operative fracture), in association with items 49324 to 49333 (AU 22)
250.00
49339
Hip, revision total replacement of, requiring anatomic specific allograft of proximal femur greater than 5 cms in length (AU 24)
1,955.00
49342
Hip, revision total replacement of, requiring anatomic specific allograft of acetabulum (AU 24)
1,955.00
49345
Hip, revision total replacement of, requiring anatomic specific allograft of both femur and acetabulum (AU 26)
2,320.00
49348
Hip, congenital dislocation of, manipulation of, with application of cast (excluding aftercare) (AU 5)
112.00
49351
Hip, congenital dislocation of, treatment of, involving supervision of splint, harness or cast—each attendance (AU 5)
40.00
49354
Hip, congenital dislocation of, open reduction of (AU 8)
595.00
49500
Knee, arthrotomy of, involving one or more of; capsular release, biopsy or lavage, or removal of loose body or foreign body (AU 10)
265.00
49503
Knee, meniscectomy of, repair of collateral ligament, patellectomy of, chondroplasty of, osteoplasty of, or single transfer of ligament or tendon or any other single procedure not covered by any other item in this Group—any one procedure (AU 10)
345.00
49506
Knee, meniscectomy of, repair of collateral ligament, patellectomy of, chondroplasty of, osteoplasty of, or single transfer of ligament or tendon or any other procedure not covered by any other item in this Group—any two or more procedures (AU 12)
515.00
49509
Knee, total synovectomy of, arthrodesis of, patello- femoral stabilisation or repair of cruciate ligament—any one procedure (AU 12)
530.00
49512
Knee, arthrodesis of, with removal of prosthesis (AU 13)
765.00
49515
Knee, removal of prosthesis, cemented or uncemented, including associated cement, as the first stage of a two stage procedure (AU 9)
595.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
49518
Knee, total replacement arthroplasty of (AU 18)
930.00
49521
Knee, total replacement arthroplasty of, requiring major bone grafting to femur or tibia, including obtaining of graft (AU 19)
1,130.00
49524
Knee, total replacement arthroplasty of, requiring major bone grafting to femur and tibia, including obtaining of graft (AU 20)
1,325.00
49527
Knee, total replacement arthroplasty of, revision procedure, including removal of prosthesis (AU 21)
1,130.00
49530
Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to femur or tibia, including obtaining of graft and including removal of prosthesis (AU 22)
1,395.00
49533
Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to both femur and tibia, including obtaining of graft and including removal of prosthesis (AU 23)
1,590.00
49536
Knee, repair or reconstruction of, for chronic instability involving either cruciate or collateral ligaments (AU 15)
665.00
49539
Knee, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including surgery to other internal derangements, not covered by any other item in this Group (AU 13)
665.00
49542
Knee, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including meniscus repair, extracapsular procedure and debridement when performed (AU 14)
930.00
49545
Knee, revision arthrodesis of (AU 15)
530.00
49548
Knee, revision of patello-femoral stabilisation (AU 11)
665.00
49551
Knee, revision of procedures covered by items 49536, 49539 or 49542 (AU 15)
930.00
49554
Knee, revision total knee replacement of, by anatomic specific allograft of tibia or femur (AU 23)
1,325.00
49557
Knee, diagnostic arthroscopy of (including biopsy, simple trimming of meniscal margin or plica)—not associated with any other arthroscopic procedure of the knee region (AU 7)
192.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
49560
Knee, arthroscopic surgery of, involving any one or more of: meniscectomy, removal of loose body, lateral release, or chondroplasty—not associated with any other arthroscopic procedure of the knee region (AU 10)
430.00
49563
Knee, arthroscopic surgery of, involving meniscus repair or osteoplasty, or both (AU 10)
630.00
49566
Knee, arthroscopic total synovectomy of (AU 12)
530.00
49700
Ankle, diagnostic arthroscopy of, including biopsy (AU 8)
192.00
49703
Ankle, arthroscopic surgery of (AU 12)
430.00
49706
Ankle, arthrotomy of, involving one or more of; lavage, removal of loose body or division of contracture (AU 10)
230.00
49709
Ankle, ligamentous stabilisation of (AU 11)
495.00
49712
Ankle, arthrodesis of (AU 12)
530.00
49715
Ankle, total joint replacement of (AU 17)
795.00
49718
Ankle, Achilles' tendon or other major tendon, repair of (AU 10)
265.00
49721
Ankle, Achilles' tendon rupture managed by non- operative treatment
166.00
49724
Ankle, Achilles' tendon, secondary repair or reconstruction of (AU 11)
465.00
49727
Ankle, Achilles' tendon, operation for lengthening (AU 10)
198.00
49800
Foot, flexor or extensor tendon, primary repair of (AU 9)
93.00
49803
Foot, flexor or extensor tendon, secondary repair of (AU 9)
120.00
49806
Foot, subcutaneous tenotomy of, one or more tendons (AU 4)
93.00
49809
Foot, open tenotomy of, with or without tenoplasty (AU 7)
152.00
49812
Foot, tendon or ligament transplantation of, not covered by any other item in the Group (AU 10)
305.00
49815
Foot, triple arthrodesis of (AU 12)
530.00
49818
Foot, excision of calcaneal spur (AU 6)
192.00
49821
Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Kellers or similar procedure)—unilateral (AU 9)
305.00
49824
Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Kellers or similar procedure)—bilateral (AU 10)
535.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
49827
Foot, correction of hallux valgus and transfer of adductor hallucis tendon—unilateral (AU 10)
330.00
49830
Foot, correction of hallux valgus and transfer of adductor hallucis tendon—bilateral (AU 12)
580.00
49833
Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed—unilateral (AU 10)
365.00
49836
Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed—bilateral (AU 13)
630.00
49839
Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty—unilateral (AU 11)
365.00
49842
Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty—bilateral (AU 14)
630.00
49845
Foot, arthrodesis of, first metatarso-phalangeal joint (AU 10)
330.00
49848
Foot, correction of claw or hammer toe (AU 8)
112.00
49851
Foot, correction of claw or hammer toe with internal fixation (AU 8)
146.00
49854
Foot, radical plantar fasciotomy or fasciectomy of (AU 9)
Foot, synovectomy of metatarso-phalangeal joint, single joint (AU 9)
198.00
49863
Foot, synovectomy of metatarso-phalangeal joint, two or more joints (AU 11)
300.00
49866
Foot, neurectomy for plantar digital neuritis (Morton's or Bett's syndrome) (AU 7)
210.00
49869
Talipes equinovarus, posterior release of (AU 8)
265.00
49872
Talipes equinovarus, medial release of (AU 8)
265.00
49875
Talipes Equinovarus, combined postero-medial release of (AU 9)
400.00
49878
Talipes equinovarus, calcaneo valgus or metatarsus varus, treatment by cast, splint or manipulation—each attendance (AU 6)
40.00
50100
Joint, diagnostic arthroscopy of (including biopsy), not covered by any other item in this Group and not associated with any other arthroscopic procedure (AU 8)
192.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
50103
Joint, arthrotomy of, not covered by any other item in this Group (AU 9)
230.00
50106
Joint, stabilisation of, involving one or more of: repair of capsule, repair of ligament or internal fixation, not covered by any other item in this Group (AU 10)
330.00
50109
Joint, arthrodesis of, not covered by any other item in this Group (AU 11)
330.00
50112
Joint, cicatricial flexion contracture of, correction of, involving tissues deeper than skin and subcutaneous tissue (AU 10)
265.00
50115
Joint or joints, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility not associated with any other item in this Group (AU 4)
99.00
50118
Subtalar joint, arthrodesis of (AU 11)
305.00
50121
Greater Trochanter, transplantation of ileopsoas tendon to (AU 13)
595.00
50124
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)
21.00
50200
Aggressive or potentially malignant bone or deep soft tissue tumour, biopsy of (not including aftercare) (AU 5)
132.00
50203
Bone or malignant deep soft tissue tumour, lesional or marginal excision of (AU 8)
290.00
50206
Bone tumour, lesional or marginal excision of, combined with any one of; liquid nitrogen freezing, autograft, allograft or cementation (AU 9)
430.00
50209
Bone tumour, lesional or marginal excision of, combined with any two or more of; liquid nitrogen freezing, autograft, allograft or cementation (AU 10)
530.00
50212
Malignant or aggresive soft tissue tumour affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, without reconstruction (AU 19)
1,160.00
50215
Malignant or aggressive soft tissue tumour affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, with intercalary reconstruction (prosthesis, allograft or autograft) (AU 21)
1,460.00
50218
Malignant tumour of long bone, enbloc resection of, with replacement or arthrodesis of adjacent joint (AU 21)
1,925.00
50221
Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of (AU 22)
1,790.00
50224
Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of, with reconstruction by prosthesis, allograft or autograft (AU 25)
1,990.00
50227
Malignant bone tumour, enbloc resection of, with massive anatomic specific allograft or autograft, with or without prosthetic replacement (AU 27)
2,320.00
50230
Benign tumour, resection of, requiring anatomic specific allograft, with or without internal fixation (AU 19)
1,195.00
50233
Malignant tumour, amputation for, hemipelvectomy or interscapulo-thoracic (AU 26)
1,525.00
50236
Malignant tumour, amputation for, hip dis-articulation, shoulder dis-articulation or proximal third femur (AU 20)
1,195.00
50239
Malignant tumour, amputation for, not covered by any other item in this Group (AU 13)
795.00
GROUP T9—ASSISTANCE AT OPERATIONS
51300
Assistance at any operation for which the fee exceeds 178 but does not exceed 320 or at a series or a combination of operations where the fee for at least one of the operations exceeds 178 but where the fee for the series or combination of operations does not exceed 320
61.00
51303
Assistance at any operation for which the fee exceeds 320 or at a combination of operations for which the aggregate fee exceeds 320 provided that the fee for at least one of the operations exceeds 178
Amount under rule 33
51306
Assistance at a delivery involving Caesarean section
88.00
51309
Assistance at a series or combination of operations, one of which is a delivery involving Caesarean section
Amount under rule 34
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
CATEGORY 4—ORAL AND MAXILLOFACIAL SERVICES
GROUP O1—CONSULTATIONS
51700
Professional attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner where the patient is referred to him/her—being an attendance related to a subsequent operative procedure described in an item in Groups O3 to O9 where that attendance is at consulting rooms, hospital or nursing home
60.00
51703
Professional attendance by an approved dental practitioner where the patient is referred to him/her—each attendance related to an operative procedure described in an item in Groups O3 to O9 subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home
30.00
GROUP O2—ASSISTANCE AT OPERATION
51800
Assistance by an approved dental practitioner at any operation for which the fee exceeds $178 but does not exceed $320 or at a series or a combination of operations where the fee for one of the operations exceeds $178 but where the fee for the series or combination of operations does not exceed $320
60.00
51803
Assistance by an approved dental practitioner at any operation for which the fee exceeds $320 or at a combination of operations for which the aggregate fee exceeds $320 provided that the fee for at least one of the operations exceeds $178
Amount under rule 33
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
GROUP O3—GENERAL SURGERY
52000
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)
58.00
52001
Operative procedure on tissue, organ or region not covered by any other item in Groups O3 to O9, including any consultation on the same occasion
5.10
52003
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)
83.00
52006
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)
83.00
52009
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 (AU 8)
132.00
52012
Superficial foreign body, removal of, as an independent procedure (AU 5)
16.60
52015
Subcutaneous foreign body, removal of, requiring incision and suture, as an independent procedure (AU 6)
77.00
52018
Foreign body in muscle, tendon or other deep tissue, removal of, as an independent procedure (AU 7)
194.00
52021
Aspiration biopsy of one or more jaw cysts as an independent procedure to obtain material for diagnostic purposes and not associated with an operative procedure on the same day (AU 6)
21.00
52024
Biopsy of skin or mucous membrane, as an independent procedure (AU 5)
37.00
52027
Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure (AU 6)
106.00
52030
Sinus, excision of, involving superficial tissue only (AU 6)
64.00
52033
Sinus, excision of, involving muscle and deep tissue (AU 7)
130.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
52036
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, not covered by item 52039 (AU 6)
89.00
52039
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 (AU 9)
230.00
52042
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 (AU 6)
120.00
52045
Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not covered by any other item in Groups O3 to O9, involving muscle, bone, or other deep tissue (AU 8)
174.00
52048
Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, not covered by any other item in Groups O3 to O9 (AU 8)
260.00
52051
Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (AU 8)
355.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
52054
Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (AU 10)
415.00
52055
Haematoma, abscess or cellulitis not requiring a general anaesthesia, incision with drainage of (excluding after-care)
19.20
52057
Large haematoma, large abscess, carbuncle, cellulitis or similar lesion, incision with drainage of (excluding after-care), where undertaken in the operating theatre of a hospital or approved day- hospital facility (AU 5)
114.00
52060
Muscle, excision of (AU 6)
134.00
52063
Bone tumour, innocent, excision of, not covered by any other item in Groups O3 to O9 (AU 7)
250.00
52066
Submandibular gland, extirpation of (AU 8)
315.00
52069
Sublingual gland, extirpation of (AU 7)
140.00
52072
Salivary gland, dilatation or diathermy of duct (AU 6)
41.50
52075
Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, one or more such procedures (AU 7)
106.00
52078
Tongue, partial excision of (AU 7)
210.00
52081
Tongue tie, division or excision of frenulum (AU 6)
33.00
52084
Tongue tie, mandibular frenulum or maxillary frenulum, division or excision of frenulum, in a person aged not less than 2 years (AU 6)
84.00
52087
Ranula or mucous cyst of mouth, removal of (AU 9)
144.00
52090
Operation on mandible or maxilla (other than alveolar margins) for osteomyelitis—one bone (AU 10)
250.00
52092
Operation on skull for osteomyelitis (AU 12)
325.00
52096
Orthopaedic pin or wire, insertion of, into maxilla or mandible or zygoma, as an independent procedure (AU 5)
80.00
52099
Buried wire, pin or screw, one or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not associated with items 52102 or 52105 (AU 6)
99.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
52102
Buried wire, pin or screw, one or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, where undertaken in the operating theatre of a hospital or approved day-hospital facility, per bone (AU 6)
99.00
52105
Plate, one or more of, and associated screw and wire which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not associated with items 52099 or 52102 (AU 6)
186.00
52108
Lip, full thickness wedge excision of, with repair by direct sutures (AU 8)
230.00
52111
Vermilionectomy (AU 8)
230.00
52114
Mandible or maxilla, segmental resection of, for tumours or cysts (AU 13)
415.00
52117
Mandible, including lower border, or maxilla, sub- total resection of (AU 13)
490.00
52120
Mandible, hemimandiblectomy of, including condylectomy where performed (AU 29)
585.00
52122
Mandible, hemi-mandibular reconstruction with bone graft, not associated with Item 52123 (AU 15)
585.00
52123
Mandible, total resection of both sides, including condylectomies where performed (AU 35)
660.00
52126
Maxilla, total resection of (AU 25)
635.00
52129
Maxilla, total resection of both maxillae (AU 30)
850.00
52132
Tracheostomy (AU 10)
168.00
52135
Post-operative or post-nasal haemorrhage, or both, control of, where undertaken in the operating theatre of a hospital or approved day-hospital facility (AU 7)
102.00
52138
Maxillary artery, ligation of (AU 12)
315.00
52141
Facial, mandibular or lingual artery or vein or artery and vein, ligation of, not covered by item 52138 (AU 12)
315.00
52144
Foreign body, deep, removal of using interventional imaging techniques (AU 10)
290.00
52147
Duct of major salivary gland, transposition of (AU 16)
275.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
52148
Parotid duct, repair of, using micro-surgical techniques (AU 14)
485.00
GROUP O4—PLASTIC & RECONSTRUCTIVE
52300
Single stage local flap, where indicated, repair to one defect, with skin or mucosa (AU 7)
200.00
52303
Single stage local flap, where indicated, repair to one defect, with buccal pad of fat (AU 10)
285.00
52306
Single stage local flap, where indicated, repair to one defect, using temporalis muscle (AU 10)
425.00
52309
Free grafting (mucosa or split skin) of a granulating area (AU 7)
144.00
52312
Free grafting (mucosa or split skin) to one defect, including elective dissection (AU 8)
200.00
52315
Free grafting, full thickness, to one defect (mucosa or skin) (AU 9)
335.00
52318
Bone graft, harvesting of bone graft via separate incision, associated with any other item in Groups O3 to O9—Autogenous -small quantity (AU 7)
99.00
52319
Bone graft, harvesting of, via separate incision, associated with any other item in Groups O3 to O9—Autogenous—large quantity (AU 7)
166.00
52321
Foreign implant (non-biological), insertion of, for contour reconstruction of pathological deformity, not associated with item 52624 (AU 10)
335.00
52324
Direct flap repair, using tongue, first stage (AU 7)
335.00
52327
Direct flap repair, using tongue, second stage (AU 7)
166.00
52330
Palatal defect (oro-nasal fistula), plastic closure of, including services covered by item 52300, 52303, 52306 or 52324 (AU 14)
550.00
52333
Cleft palate, primary repair (AU 14)
550.00
52336
Cleft palate, secondary repair, closure of fistula using local flaps (AU 13)
Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (AU 14)
680.00
52345
Mandible or maxilla, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 19)
765.00
52348
Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (AU 25)
870.00
52351
Mandible or maxilla, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 29)
975.00
52354
Mandible or maxilla, osteotomies or osteectomies of, 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 29)
985.00
52357
Mandible or maxilla, osteotomies or osteectomies of, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 32)
1,110.00
52360
Mandible or maxilla, osteotomies or osteectomies of involving two such procedures of each jaw including transposition of nerves and vessels and bone grafts taken from the same site (AU 26)
1,135.00
52363
Mandible or maxilla, osteotomies or osteectomies of, involving two such procedures of each jaw, including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates (AU 32)
1,280.00
52366
Mandible or maxilla, complex bilateral osteotomies or osteectomies of, 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 47)
1,250.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
52369
Mandible or maxilla, complex bilateral osteotomies or osteectomies of, 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 and rigid fixation by bone plates, screws or both (AU 50)
1,400.00
52372
Mandible or maxilla, complex bilateral osteotomies or osteectomies of, 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 50)
1,360.00
52375
Mandible or maxilla, complex bilateral osteotomies or osteectomies of, 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 and rigid fixation by bone plates, screws or both (AU 59)
1,525.00
52378
Genioplasty including transposition of nerves and vessels and bone grafts taken from the site (AU 16)
525.00
52379
Face, contour reconstruction of one region, using autogenous bone or cartilage graft (AU 18)
900.00
52380
Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar- Maxillary), Le Fort III involving three or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (AU 50)
1,535.00
52382
Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar- Maxillary), Le Fort III involving three or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 58)
1,840.00
52420
Mandible, fixation by intermaxillary wiring, excluding wiring for obesity
170.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
GROUP O5—PREPROSTHETIC
52600
Mandibular or palatal exostosis, excision of (AU 10)
240.00
52603
Mylohyloid ridge, reduction of (AU 10)
230.00
52606
Maxillary tuberosity, reduction of (AU 12)
174.00
52609
Papillary hyperplasia of the palate, removal of—less than five lesions (AU 10)
230.00
52612
Papillary hyperplasia of the palate, removal of—five to twenty lesions (AU 12)
285.00
52615
Papillary hyperplasia of the palate, removal of—more than twenty lesions (AU 13)
355.00
52618
Vestibuloplasty, submucosal or open, including excision of muscle and skin or mucosal graft when performed—unilateral or bilateral (AU 19)
415.00
52621
Floor of mouth lowering (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed (AU 19)
415.00
52624
Alveolar ridge augmentation with bone or alloplast or both—unilateral (AU 13)
335.00
52626
Alveolar ridge augmentation—unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (AU 13)
205.00
52627
Osseo-integration procedure—extra oral implantation of titanium fixture (AU 11)
355.00
52630
Osseo-integration procedure—fixation of transcutaneous abutment (AU 6)
132.00
GROUP O6—NEUROSURGICAL
52800
Neurolysis by open operation, without transposition, not associated with item 52803 (AU 7)
Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve (AU 8)
194.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
52809
Neurectomy, neurotomy or removal of tumour from deep peripheral nerve (AU 10)
335.00
52812
Nerve trunk, primary repair of, using microsurgical techniques (AU 8)
475.00
52815
Nerve trunk, secondary repair of, using microsurgical techniques (AU 9)
505.00
52818
Nerve, transposition of (AU 8)
335.00
52821
Nerve graft to nerve trunk (cable graft) including harvesting of nerve graft using microsurgical techniques (AU 16)
725.00
52824
Peripheral branches of the trigeminal nerve, cryosurgery of, for pain relief (AU 8)
315.00
GROUP O7—EAR, NOSE & THROAT
53000
Maxillary antrum, proof puncture and lavage of (AU 6)
23.00
53003
Maxillary antrum, proof puncture and lavage of, where undertaken in the operating theatre of a hospital or approved day-hospital facility—not associated with any other item in this Group (AU 6)
65.00
53006
Antrostomy (radical) (AU 9)
370.00
53009
Antrum, intranasal operation on or removal of foreign body from (AU 8)
210.00
53012
Antrum, drainage of, through tooth socket (AU 7)
83.00
53015
Oro-antral fistula, plastic closure of (AU 11)
415.00
53018
Turbinectomy or turbinectomies, partial or total, unilateral (AU 6)
96.00
53019
Maxillary sinus, bone graft to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), (unilateral) (AU 20)
410.00
GROUP O8—TEMPOROMANDIBULAR JOINT
53200
Mandible, treatment of a dislocation of, not requiring open reduction (AU 4)
33.50
53203
Mandible, treatment of a dislocation of, requiring open reduction (AU 4)
84.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
53206
Temporomandibular joint, manipulation of, performed in the operating theatre of a hospital or day- hospital facility, not associated with any other item in Groups O3 to O9 (AU 4)
100.00
53209
Glenoid fossa, zygomatic arch and temporal bone, reconstruction of (Obwegeser technique) (AU 19)
1,160.00
53212
Absent condyle and asending ramus in hemifacial microsomia, construction of, not including harvesting of graft material (AU 15)
630.00
53215
Temporomandibular joint, arthroscopy of, with or without biopsy, not associated with any other arthroscopic procedure of that joint (AU 9)
230.00
53218
Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions—one or more of such procedures (AU 12)
465.00
53221
Temporomandibular joint, open surgical exploration of, with or without microsurgical techniques (AU 18)
615.00
53224
Temporomandibular joint, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (AU 20)
685.00
53225
Arthrocentesis, irrigation of temporomandibular joint after insertion of two cannuli into the appropriate joint space(s) (AU 13)
205.00
53227
Temporomandibular joint, open surgical exploration of, with or without meniscus or capsular surgery, including menisectomy when performed, with or without microsurgical techniques (AU 24)
835.00
53230
Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (AU 24)
945.00
53233
Temporomandibular joint, surgery of, involving procedures covered by items 53224, 53227 and 53230 and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (AU 28)
1,060.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
GROUP O9—TREATMENT OF FRACTURES
53400
Maxilla, unilateral or bilateral, treatment of fracture of, not requiring splinting
91.00
53403
Mandible, treatment of fracture of, not requiring splinting
112.00
53406
Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (AU 14)
285.00
53409
Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (AU 14)
285.00
53410
Zygomatic bone, treatment of fracture of, not requiring surgical reduction
60.00
53411
Zygomatic bone, treatment of fracture of, requiring surgical reduction, by temporal, intra-oral or other approach (AU 7)
168.00
53412
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at one (1) site (AU 9)
275.00
53413
Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal and/or external fixation at two (2) sites (AU 10)
340.00
53414
Zygomatic bone, treatment of, requiring surgical reduction and involving internal and/or external fixation at three (3) sites (AU 11)
385.00
53415
Maxilla, treatment of fracture of, requiring open reduction (AU 7)
305.00
53416
Mandible, treatment of fracture of, requiring open reduction (AU 7)
305.00
53418
Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (AU 9)
395.00
53419
Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (AU 9)
395.00
53422
Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (AU 11)
510.00
53423
Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (AU 11)
510.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
53424
Maxilla, treatment of a complicated fracture of,involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (AU 10)
435.00
53425
Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (AU 10)
435.00
53427
Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (AU 12)
595.00
53429
Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (AU 12)
595.00
53439
Mandible, treatment of a closed fracture of involving a joint surface (AU 6)
168.00
53453
Orbital cavity, reconstruction of a wall or floor with or without foreign implant (AU 12)
345.00
53455
Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (AU 14)
400.00
CATEGORY 7—CLEFT LIP & CLEFT PALATE SERVICES
GROUP C1—ORTHODONTIC SERVICES
75000
Professional attendance not covered by item 75003 (AO)
28.50
75003
Professional attendance and treatment planning where treatment is deferred (AO)
58.00
75006
Production of dental study models not associated with item 75003 or with a service covered by item 75024, 75027, 75030, 75033, 75036, 75039, 75042, 75045, 75048, or 75051 (AO)
28.50
75009
Orthodontic radiography—orthopantomography (AO)
48.00
75012
Orthodontic radiography—anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings (AO)
76.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
75015
Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings (AO)
104.00
75018
Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography (AO)
134.00
75021
Orthodontic radiography—anteroposterior and lateral cephalometric radiography, with cephalometric tracings, orthopantomography and hand-wrist studies (including growth prediction) (AO)
164.00
75024
Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations—where one appliance is used (AO)
385.00
75027
Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations—where two appliances are used (AO)
460.00
75030
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)
515.00
75033
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)
845.00
75036
Deciduous and permanent dentition treatment (not being treatment associated with treatment covered by item 75033)—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)
1,170.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
75039
Permanent dentition treatment (not being treatment associated with treatment covered by item 75045 or 75048)—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)
385.00
75042
Permanent dentition treatment (not being treatment associated with treatment covered by item 75045 or 75048)—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)
146.00
75045
Permanent dentition treatment (not being treatment associated with treatment covered by item 75039 or 75042)—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)
760.00
75048
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)
200.00
75051
Pre-sugical or post-sugrical jaw growth guidance using removable appliances, including supply of appliances and all associated consultations and treatment-planning (AO)
515.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
GROUP C2—ORAL SURGICAL SERVICES
75200
Removal of tooth or tooth fragment (not being treatment covered by item 75400, 75403, 75406, 75409, 75412 or 75415), where the patient is referred by a recognized orthodontist (AD)
38.50
75203
Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by a recognized orthodontist (AD)
58.00
75206
Removal of each additional tooth or tooth fragment at the same attendance at which a service referred to in item 75200 or 75203 is rendered (AD)
19.20
75400
Surgical removal of erupted tooth, where the patient is referred by a recognized orthodontist (AOS)
116.00
75403
Surgical removal of tooth with soft tissue impaction, where the patient is referred by a recognized orthodontist (AOS)
134.00
75406
Surgical removal of tooth with partial bone impaction, where the patient is referred by a recognized orthodontist (AOS)
152.00
75409
Surgical removal of tooth with complete bone impaction, where the patient is referred by a recognized orthodontist (AOS)
172.00
75412
Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by a recognized orthodontist (AOS)
96.00
75415
Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by a recognized orthodontist (AOS)
116.00
75600
Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS)
164.00
75603
Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by a recognized orthodontist (AOS)
192.00
75606
Surgical repositioning of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS)
192.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
75609
Transplantation of tooth bud, where the patient is referred by a recognized orthodontist (AOS)
285.00
GROUP C3—GENERAL AND PROSTHODONTIC SERVICES
75800
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)
58.00
75803
Provision and fitting of acrylic base partial denture, including retainers—one tooth (AD)
230.00
75806
Provision and fitting of acrylic base partial denture, including retainers—two teeth (AD)
270.00
75809
Provision and fitting of acrylic base partial denture, including retainers—three teeth (AD)
325.00
75812
Provision and fitting of acrylic base partial denture, including retainers—four teeth (AD)
360.00
75815
Provision and fitting of acrylic base partial denture, including retainers—five to nine teeth (AD)
435.00
75818
Provision and fitting of acrylic base partial denture, including retainers—ten to twelve teeth (AD)
515.00
75821
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—one tooth (AD)
415.00
75824
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—two teeth (AD)
480.00
75827
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—three teeth (AD)
550.00
75830
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—four teeth (AD)
610.00
75833
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—five to nine teeth (AD)
745.00
SCHEDULE—continued
SERVICES AND FEES
Item
Service
Fee$
75836
Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—ten to twelve teeth (AD)
855.00
75839
Provision and fitting of retainers (not being treatment associated with treatment covered by item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836)—each retainer (AD)
19.20
75842
Adjustment of partial denture (not being treatment associated with treatment covered by item 75803, 75827, 75830, 75833 or 75836) (AD)
28.50
75845
Relining of partial denture by laboratory process and associated fitting (AD)
144.00
75848
Remodelling and fitting of partial denture of more than four teeth (AD)
172.00
75851
Repair to cast metal base of partial denture—one or more points (AD)
86.00
75854
Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD)